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All Journal International Journal of Nursing and Health Services (IJNHS) Jurnal Ekonomi Manajemen Sistem Informasi International Journal of Medicine and Health Journal of Educational Innovation and Public Health Vitalitas Medis : Jurnal Kesehatan Dan Kedokteran Inovasi Kesehatan Global Quantum Wellness : Jurnal Ilmu Kesehatan Vitamin: Jurnal Ilmu Kesehatan Umum International Journal of Economics, Commerce, and Management
Anastina Tahjoo
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Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Health Professions Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary

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Obstacles of Patient Safety Culture Implementation to Prevent and Control of Healthcare-Associated Infections (Hais) During Covid-19 Pandemic: A Phenomenological Study Bayu herlambang Bayu; Pamungkas Rian Adi; Anastina Tahjoo
International Journal of Nursing and Health Services (IJNHS) Vol. 4 No. 5 (2021): International Journal of Nursing and Health Services (IJHNS)
Publisher : Alta Dharma Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35654/ijnhs.v4i5.491

Abstract

Background: The implementation of patient safety is an effective strategy in preventing and managing Healthcare-Associated Infections (HAIs). Objective: This study aimed to explore the obstacles in implementing the patient safety culture by dental co-assistant (co-ass) on prevention and control of HAIs in the covid-19 pandemic. Method: This study used a qualitative method with a phenomenological study approach. The sample in this study was 16 key informants consisting of 10 dental co-assistant, five dental nurses, and one hospital director. The sampling technique used the purposive sampling technique. Results: The results of this study indicate that there were five obstacles in implementing the patient safety culture to prevent and control HAIs, including 1) the rules were not strict in the implementation of patient safety culture; 2) poor attitude by the dental co-assistant (co-ass); 3) the facilities are not feasible to support the implementation of patient safety culture; 4) inadequate patient safety culture guidelines, and 5) lack of supervision in the implementation of patient safety culture. Conclusion: The results of this study provide important information related to obstacles faced by dental co-assistant in the implementation of patient safety culture to prevent and control HAIs during the covid 19 pandemic. The dental co-assistant should focus on the implementation of patient safety culture to suppress the occurrence of HAIs.
The Influence Of Career Development And Remuneration On Organizational Commitment With Work Motivation As An Intervening Variable In Nurses At Medika Lestari Hospital Arif Sebastian; Nofierni Nofierni; Anastina Tahjoo
International Journal of Medicine and Health Vol. 3 No. 2 (2024): June : International Journal of Medicine and Health (IJMH)
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/ijmh.v3i2.3703

Abstract

Organizational commitment throughout the world, especially in Indonesia, is still very low. Similarly, in RS Medika Lestari itself, it can be seen that the commitment of each is not optimal with high nurse turnover and the tenure of nurses, most of whom are less than 1 year. For this reason, this study will examine the factors that are thought to affect organizational commitment, especially in RS Medika Lestari.This study will use factors such as Career Development, Remuneration, and Work Motivation. This research is an explanatory research using a quantitative approach. This study uses a research instrument in the form of a questionnaire distributed to 80 respondents who are nurses at RS Medika Lestari. The results obtained from this study are career development and remuneration partially have a significant influence on organizational commitment and work motivation. Work motivation can mediate the influence between career development on organizational commitment, work motivation also can mediate the influence between remuneration on organizational commitmen.
The Influence of Leadership Style and Remuneration System on Improving Individual Performance of Central General Hospital Employees Dr. Sitanala Tangerang with Work Culture as an Intervening Variable Deny Erfin; Arrozi Adhikara; Anastina Tahjoo
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 1 No. 3 (2024): Juli : Vitalitas Medis : Jurnal Kesehatan dan Kedokteran
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/vimed.v1i3.341

Abstract

To produce employees who have good quality and have a professional attitude, it is necessary to carry out good management, in order to increase the company's economic resources. Previously reported by RSUP Dr. Sitanala has a leader with a leadership style where all provisions are based on the leadership's provisions, optimizing public stigma regarding leprosy-oriented services that have not reached the expected target, a lack of visits which has an impact on the remuneration system being less than optimal, performance indicator values ​​that have not reached the target, lack of Community satisfaction is still relatively high in the community satisfaction index survey. The aim of this research is to analyze the influence of leadership style and remuneration systems on improving employee performance at RSUP Dr. Sitanala Tangerang with work culture as an intervening variable. Research method the research design used was a survey with an explanatory causality approach. The population used is all employees who have the status of Civil Servants (PNS) at RSUP Dr. Sitanala, numbering 340 people. The sample in this study amounted to 183 people, the sampling technique used was accidental sampling. There is a direct and significant influence between leadership style and remuneration on work culture, there is an indirect influence of leadership style on employee performance, there is a direct influence of remuneration on employee performance, work culture directly has a significant influence on improving performance and the remuneration system has a direct influence towards improving performance without going through work culture. For hospitals, hospital leaders should always monitor each work unit both from an objective and subjective performance perspective as well as from the individual employee perspective so that they can find out directly what the obstacles, complaints and needs of individual employees are in carrying out teamwork in each work unit at once. can control the continuity of performance of each individual employee as a work culture within the team in the unit so that it is hoped that organizational goals will be achieved optimally. For other researchers: It is hoped that further research can further analyze other aspects and influences that can achieve organizational goals with a wider range of respondents. There are still many other aspects and influences that could possibly be used as research targets for development at the hospital in question.
Pengaruh Gaya Kepemimpinan Demokratis dan Budaya Organisasi terhadap Komitmen Karyawan dengan Lingkungan Kerja sebagai Variabel Intervening di RS X Jakarta Pusat Arga Parulian; Hasyim Ahmad; Anastina Tahjoo
Journal of Educational Innovation and Public Health Vol. 2 No. 4 (2024): Oktober : Journal of Educational Innovation and Public Health
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/innovation.v2i4.3262

Abstract

Employee commitment in an organization is not just carrying out their duties and obligations as employees in accordance with their job descriptions, but doing their best with their thoughts, attention, ideas, and dedication to produce the best for the organization. The problem that occurred at X Hospital Central Jakarta was the decreasing employee commitment related to the lack of employee intensity to stay working for a long time at X Hospital Central Jakarta and there were still employees who left the work hours room with a percentage of 27%, thus reducing the overall performance of the hospital and the lack of supporting work facilities. The purpose of this study was to analyze the influence of democratic leadership style and organizational culture simultaneously on employee commitment mediated by the work environment. This research method is quantitative causality against 64 non-medical employees who have worked for at least 6 months at X Hospital Central Jakarta. The sampling method was total sampling. The data analysis method used was the Three Box Method and the Path Analysis Method with SEM AMOS. The results of the study found that democratic leadership style and organizational culture simultaneously have a positive effect on employee commitment with the mediation of the work environment, democratic leadership style does not affect employee commitment, democratic leadership style does not affect the work environment, organizational culture does not affect employee commitment, organizational culture has a positive effect on the work environment, the work environment has a positive effect on employee commitment. The implications of the study in theory will prove the influence of research variables and in managerial terms will further improve the system of facilities for work facilities and improve communication between leaders and employees in hospitals. Suggestions for the need for attention from the hospital management to improve work facilities and improve communication between leaders and employees.
The Role of Visual Design Content Quality, and System Users in Improving the Net Benefits of Electronic Medical Records in Hospital X Dede Cintia Dianni Martin; Anastina Tahjoo; Endang Ruswanti
Vitamin : Jurnal ilmu Kesehatan Umum Vol. 3 No. 3 (2025): Juli: Vitamin : Jurnal ilmu Kesehatan Umum
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/vitamin.v3i3.1428

Abstract

The implementation of Electronic Medical Records (RME) in hospitals often faces various obstacles that hinder the achievement of maximum benefits. The main problems lie in the visual design, content quality, and user acceptance of the system, which have an impact on the work efficiency of medical personnel and the quality of service to patients. This study aims to analyze the effect of visual design and content quality of RME on Net benefits by considering system users as intervening variables. This research approach uses the HOT-Fit model that integrates human, organizational, and technological dimensions, accompanied by EUCS theory to assess visual and content quality and UTAUT theory to understand user perceptions. The results showed that the dimensions of visual design and content quality had a significant influence on the Net benefits of RME, both directly and through intervening system user variables. The findings also revealed that weaknesses in menu structure and information relevance hindered system performance, although overall, the Net benefits of RME were in the high category. Therefore, continuous evaluation and improvement on visual aspects, such as a more intuitive layout, as well as more organized and relevant content, are priorities for improving RME implementation. Key suggestions include optimizing the menu structure, simplifying navigation, integrating the system across hospital units, and providing ongoing training for system users. Thus, this study contributes to the development of a more effective RME implementation strategy, so as to support digital transformation in the healthcare sector.
The Effect of Management Commitment and Team Orientation on Compliance in Filling Electronic Medical Records with Competence as an Intervening Variable in the Inpatient Installation of Hermina Hospital, Depok Muhammad Arif Rahman; Rina Anindita; Anastina Tahjoo
Inovasi Kesehatan Global Vol. 2 No. 3 (2025): Agustus : Inovasi Kesehatan Global
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/ikg.v2i3.2097

Abstract

Background: Incomplete electronic medical record filling by doctors can hinder effective action or treatment by other health workers. This non-compliance problem includes incomplete filling and writing of less specific diagnoses, which can potentially lead to errors in nursing action planning. Purposes: This study aims to test the influence of management commitment and team orientation on compliance in filling electronic medical records with competence as an intervening variable in the inpatient installation of Hermina Hospital, Depok. Methods: This research method is quantitative with a cross-sectional study design. The population is doctors at Hermina Hospital Depok who work in the inpatient installation totaling 133 people. The results of the sample calculation obtained 100 respondents. The data collection technique used a questionnaire, and the analysis method used SEM-PLS. Result: The results of the study showed that management commitment, team orientation, and doctor competence had a simultaneous effect on compliance in filling electronic medical records at Hermina Hospital, Depok. Management commitment and team orientation had a significant effect on doctor competence, which in turn also had a direct effect on compliance in filling out medical records. In addition, doctor competence mediated the relationship between management commitment and team orientation on compliance. Improving doctor competence is the main key to ensuring compliance. Conclusion: The conclusion of this study confirms that to improve compliance in filling electronic medical records at Hermina Hospital, Depok, attention is needed to management commitment and team orientation. Improving doctor competence is the main key in ensuring compliance, with competence functioning as a mediator between management commitment and team orientation towards compliance.
Analysis of the Implementation of Electronic Medical Records Using the HOT-Fit Method with Data Integration as an Intervening Variable at Assyifa Women and Children Hospital, Tangerang City Ryzha Ryskyanty; Munawar Munawar; Anastina Tahjoo
Quantum Wellness : Jurnal Ilmu Kesehatan Vol. 2 No. 3 (2025): September : Quantum Wellness : Jurnal Ilmu Kesehatan
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/quwell.v2i3.2328

Abstract

Human Organization Technology Net-Benefit (HOT-Fit) model is used to analyze information systems through 4 (four) dimensions: people, organization, technology, and net benefits. This study aims to analyze the implementation of RME with the HOT-Fit approach through data integration at RSIA Assyifa, Tangerang City. The research method is quantitative with data collection using a questionnaire distributed via Google Form. The sample consisted of 95 respondents of health workers and non-health workers who used RME. Data analysis was carried out using Structural Equation Modeling-Partial Least Square (SEM-PLS) version 3.0. In this study, there are 22 hypotheses, consisting of 17 direct influences and 5 (five) indirect influences. The results of the study show that system quality, information quality, and service quality have a significant positive effect on system use. Furthermore, system quality and information quality have a significant positive effect on user satisfaction, but service satisfaction does not affect user satisfaction. Next, system quality has a significant positive effect on organizational structure, as well as service quality which has a significant positive effect on the organizational environment. In addition, the organizational environment has a significant positive effect on net benefits, but in contrast to the variables of system usage, user satisfaction, and organizational structure which do not have a significant effect on net benefits. Related to the organizational aspect, the net benefit aspect, and data integration have a significant positive effect on RME implementation, while the technology aspect and human aspect do not have a significant effect on RME implementation. Data integration mediates the indirect effect of the technology aspect, the organization aspect, and the net benefit aspect on RME implementation, while data integration does not mediate the effect of the human aspect on RME implementation.
Analysis of the Influence of Knowledge and Work Environment on Patient Safety Culture With Attitude as a Mediating Variable in RSUD Serpong Utara Mutiara Meilyn Pane; Anastina Tahjoo; Kemala Rita Wahidi
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 3 No. 2 (2026): April: Vitalitas Medis : Jurnal Kesehatan dan Kedokteran
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/vimed.v3i2.3053

Abstract

Patient safety culture is a critical component in healthcare organizations, reflecting the values, attitudes, competencies, and behavioral patterns that ensure safe patient care. This study aims to analyze the influence of knowledge and work environment on patient safety culture, with attitude serving as an intervening variable. A quantitative approach with an explanatory causal design was employed, involving 118 nurses as respondents selected through total population sampling. Data were collected using structured questionnaires and analyzed using Structural Equation Modeling with Partial Least Squares. The findings reveal that both knowledge and work environment have a significant direct effect on patient safety culture. Additionally, knowledge and work environment significantly influence attitudes, while attitudes themselves have a significant effect on patient safety culture. However, attitude does not mediate the relationship between knowledge and patient safety culture, but it does mediate the influence of the work environment on patient safety culture. These results indicate that improving nurses’ knowledge and creating a supportive work environment are essential strategies for strengthening patient safety culture. The study also highlights the importance of fostering positive attitudes through organizational support and conducive working conditions. The implications suggest that hospital management should focus on continuous training programs, enhancing workplace conditions, and developing systems that promote positive behavioral attitudes among healthcare workers to improve overall patient safety outcomes.
Peran Mediasi Agilitas Tenaga Kerja Dalam Meningkatkan Performa Pelayanan Prima Di Rumah Sakit Mitra Keluarga Cikarang Shanro Mayra Vega; Nofierni, Nofierni; Anastina Tahjoo
Jurnal Ekonomi Manajemen Sistem Informasi Vol. 7 No. 4 (2026): Jurnal Ekonomi Manajemen Sistem Informasi (Maret - April 2026)
Publisher : Dinasti Review

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.38035/jemsi.v7i4.7860

Abstract

Di tengah meningkatnya tuntutan pasien di era Healthcare 4.0 rumah sakit swasta Mitra Keluarga Cikarang menghadapi tantangan berupa keharusan mempertahankan standar pelayanan prima serta optimalisasi investasi teknologi digital yang telah dilakukan. Meskipun infrastruktur teknologi telah tersedia, kesenjangan masih terjadi jika tidak diimbangi oleh kesiapan mentalitas dan kelincahan sumber daya manusia dalam memanfaatkannya. Penelitian ini bertujuan untuk menganalisis pengaruh pemanfaatan teknologi digital dan keterlibatan karyawan terhadap performa pelayanan prima dengan agilitas tenaga kerja sebagai variabel mediator. Penelitian ini menggunakan pendekatan kuantitatif dengan desain cross-sectional. Survei dilakukan terhadap 215 karyawan medis dan non-medis yang dipilih melalui teknik purposive sampling. Data dianalisis menggunakan metode Partial Least Squares Structural Equation Modeling (PLS-SEM). Hasil penelitian menunjukkan bahwa pemanfaatan teknologi digital dan keterlibatan karyawan terbukti berpengaruh positif dan signifikan terhadap performa pelayanan prima, baik secara langsung maupun melalui mediasi agilitas tenaga kerja. Kesimpulannya, manajemen rumah sakit perlu menyinergikan penguatan sistem digital dengan pembinaan perilaku kerja yang lincah dan proaktif untuk mencapai keunggulan kompetitif yang berkelanjutan.
Applying Lean Hospital Strategies to Minimise Waiting Times in the Internal Medicine Clinic Ilham Ahmadi; Erry Yudhya Mulyani; Anastina Tahjoo
International Journal of Economics, Commerce, and Management Vol. 3 No. 2 (2026): International Journal of Economics, Commerce, and Management
Publisher : Asosiasi Riset Ekonomi dan Akuntansi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/ijecm.v3i2.1213

Abstract

Prolonged outpatient waiting time remains a major challenge in public hospitals and reflects inefficiencies in service process management. Internal medicine clinics are characterised by high service complexity and patient volume, making them particularly vulnerable to process waste that contributes to extended waiting times. Objective: This study aimed to develop an outpatient service flow model based on the Lean Hospital approach to reduce waiting time in the internal medicine clinic of RSUD Balaraja. Methods: A qualitative case study design was employed. Data were collected through direct observation of outpatient service processes, document review, and Focus Group Discussions (FGD) with relevant stakeholders. Process analysis was conducted using Value Stream Mapping (VSM) to identify value-added and non–value-added activities, while Fishbone Diagram analysis was applied to explore the root causes of process inefficiencies. All findings were integrated to develop a future-state outpatient service flow model. Results: The findings indicate that prolonged outpatient waiting time is primarily influenced by inefficient service flow design, repetitive administrative processes, and weak coordination among service units. The proposed service flow model demonstrates a more streamlined, integrated, and patient-centred process, with potential reductions in waiting time through systematic waste elimination and process improvement. Conclusion: The Lean Hospital approach provides an effective framework for developing outpatient service flow models in public hospitals. The proposed model offers a practical basis for improving outpatient service efficiency in complex clinical settings such as internal medicine clinics.
Co-Authors Arga Parulian Arif Sebastian Bayu herlambang Bayu Dede Cintia Dianni Martin Deny Erfin Endang Ruswanti Erry Yudhya Mulyani Hasyim Ahmad Ilham Ahmadi MF. Arrozi Adhikara Muhammad Arif Rahman Munawar Mutiara Meilyn Pane Nofierni, Nofierni Rian Adi Pamungkas Rina Anindita Ryzha Ryskyanty Shanro Mayra Vega Wahidi, Kemala Rita