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All Journal International Journal of Nursing and Health Services (IJNHS) Jurnal Ventilator: Jurnal Riset Ilmu Kesehatan dan Keperawatan Jurnal Medika Nusantara Jurnal Riset Ilmu Kesehatan Umum dan Farmasi Vitamedica: Jurnal Rumpun Kesehatan Umum Quantum Wellness : Jurnal Ilmu Kesehatan Vitamin: Jurnal Ilmu Kesehatan Umum Green Inflation: International Journal of Management And Strategic Business Leadership Jurnal Praba: Jurnal Rumpun Kesehatan Umum Management Dynamics: International Journal of Management and Digital Sciences Global Management: International Journal of Management Science and Entrepreneurship
Rokiah Kusumapradja
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Decision Sciences, Operations Research & Management Dentistry Health Professions Medicine & Pharmacology Nursing Public Health Social Sciences Veterinary

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Determinants Factors Associated with Working Performance among Employment at Tamansari Public Hospital Titta Gusni Salim; Wekadigunawan; Rokiah Kusumapradja
International Journal of Nursing and Health Services (IJNHS) Vol. 4 No. 6 (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.v4i6.505

Abstract

Introduction: Employee performance is one factor that plays an essential role in achieving company and individual goals. Objective: The study aimed to determine the determinant factors associated with employees’ performance in the Tamansari Public Hospital. Method: A cross-sectional study was applied in this study. We involved the 153 people who were randomly selected using systematic random sampling. Results: The results of this study indicated that workability and work environment was a positive association with the performance among employment in Tamansari Hospital. However, work motivation was not associated with employees’ performance. The training programs needed to improve the motivation and ability through ESQ or mental-spiritual training. The routine performance evaluations need to conduct regularly for all employees by involving Kasatpel and coordinators. Recommendation: Further study needs to conduct the study with a higher total sample using the structural equation model to confirm the factors associated with working performance
Leadership, Organizational Climate and Maturity Levels of Patient Safety Culture on Nurses' Work Engagement Jenmi Silaen; Rokiah Kusumapradja; Rina Mutiara
International Journal of Nursing and Health Services (IJNHS) Vol. 6 No. 1 (2023): International Journal of Nursing and Health Services (IJNHS)
Publisher : Alta Dharma Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35654/ijnhs.v6i1.713

Abstract

Background. Work engagement is a positive feeling, motivation, and work related to a psychological state characterized by enthusiasm, dedication, and appreciation. Objective: The purpose of this study was to analyze the influence of leadership, organizational climate, and the level of maturity of patient safety culture simultaneously or individually on nurses' work engagement. Method: This study uses a quantitative approach with an explanatory causality research design. Collecting data was collected using a questionnaire and tested using Multiple Linear Regression Analysis. Results: The results found that leadership, organizational climate, and the level of maturity of patient safety culture simultaneously and partially affected work engagement. However, leadership somewhat affects work engagement, while organizational climate and maturity level of patient safety culture does not affect work engagement. Conclusion and Recommendation: This research helps hospital management in developing a policy system for making regulations that can be started from the bottom up, with nurses being involved in easy decision-making as well as completing standard operating procedures in their work units
The Influence of Work Motivation, Leadership Style, and Organizational Citizenship Behavior on Nurses' Turnover Intention at Mitra Jambi Hospital Febrian Tan Jaya; Rokiah Kusumapradja; Intan Silviana Mustikawati
Vitamin : Jurnal ilmu Kesehatan Umum Vol. 2 No. 4 (2024): Oktober : Jurnal ilmu Kesehatan Umum
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/vitamin.v2i4.740

Abstract

Background: Nurse turnover intention is a significant problem for hospitals, including RS Mitra Jambi, as it can affect operational stability and the quality of healthcare services. A decrease in the number of experienced nurses can negatively impact the effectiveness of hospital services. Therefore, it is important to understand the factors influencing turnover intention, such as work motivation, leadership style, and Organizational Citizenship Behavior (OCB) culture. Objective: This study aimed to analyze the effect of work motivation, leadership style, and OCB culture on nurse turnover intention at RS Mitra Jambi. Methods: This research uses a quantitative method with a survey approach. Data were collected through questionnaires distributed to nurses at RS Mitra Jambi. Data analysis was conducted using multiple linear regression to test the relationships between independent variables (work motivation, leadership style, OCB culture) and the dependent variable (turnover intention). Results: Work motivation, leadership style, and OCB culture simultaneously have a significant effect on turnover intention (p<0.05). Work motivation, leadership style, and a positive OCB culture have a significant negative effect on turnover intention (p<0.05). Conclusion: Work motivation, transformational leadership style, and OCB culture significantly influence nurse turnover intention at RS Mitra Jambi. The results of this study provide guidance for hospital management to develop strategies for enhancing work motivation, implementing transformational leadership styles, and strengthening OCB culture to improve nurse retention.
Comparison Between Unit Cost Results of The ABC Method And INA-CBGs Rates For BPJS Patients With Caesarea Sectio Action at Rumah Sakit Graha Sehat Probolinggo Susanti Sugianto; Yanuar Ramadhan; Erry Yudhya Mulyani; Rokiah Kusumapradja; Nofierni Nofierni
VitaMedica : Jurnal Rumpun Kesehatan Umum Vol. 2 No. 4 (2024): Oktober : VitaMedica : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/vitamedica.v2i4.201

Abstract

Delivery using the caesarean section method is one of the JKN-KIS services which has experienced a significant increase in cases from year to year at Graha Sehat Probolinggo Hospital. The general tariff applied by the hospital is IDR 10,800,000, which is 206.15%, far above the INA CBGs tariff of IDR 5,238,800, making the hospital feel the need to carry out descriptive quantitative research using the ABC method and DD method. Then the unit cost results of the ABC method are compared with the INA-CBGs rates. The results of this research show that the unit cost of the ABC method is IDR 5,484,214, which is IDR 245,414 (4.68%) greater than the INA-CBGs tariff. The potential efficiency that can be achieved results in savings of IDR 665,295 so it is hoped that the unit cost of the ABC method will be IDR 4,818,919. IDR 419,881 (8.01%) smaller than the INA-CBGs tariff. The conclusion is that there is a negative difference between the unit costs of the ABC method and the DD method and the INA CBGs rates. Hospitals should submit a tariff review to BPJS, including a review of the provision of separate tariffs for baby handling costs. Apart from that, hospitals also need to make efficiencies by reducing length of stay, reviewing medical services, efficiency in laundry units and CSSD, speeding up RME, as well as efficiency in several other resources while still prioritizing patient safety
Patient Engagement’s Influence On Brand Image As A Mediator To Strengthen Revisit Intention Kharisma Berlian Sjukri; Rokiah Kusumapradja; Erry Yudhya Mulyani
Jurnal Medika Nusantara Vol. 3 No. 1 (2025): Jurnal Medika Nusantara
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/medika.v3i1.1688

Abstract

The transformation of medical services in Indonesia from a disease-centered model to a patient-centered model has created intense competition among medical institutions. At one of the Maternal and Child Hospitals in Jakarta, a decline in visits from Non-BPJS patients indicates the need for a deeper understanding of the factors influencing patients' intentions to revisit. This study aims to analyze the influence of patient involvement and patient experience on the intention to revisit the hospital, with the mediation of the hospital's brand image. A quantitative approach with a cross-sectional design was used in this study. Data were collected through questionnaires from 119 Non-BPJS patients in the Outpatient Unit. Data analysis was conducted using PLS-SEM with the Smart-PLS program. The results showed that patient involvement and patient experience significantly influenced the intention to revisit, with the hospital's brand image serving as a strong mediator. Enhancing patient involvement, positive experiences, and a strong brand image can significantly increase patients' intention to return to the Maternal and Child Hospital in Jakarta.
Analysis of the Differences in Unit Costs for Bronchopneumonia Services Based on Clinical Pathway with INACBGs Rates and Hospital Rates at Dr. RSAL. Mintohardjo Jack Steven Saripantung; Rokiah Kusumapradja; Intan Silviana
Jurnal Riset Ilmu Kesehatan Umum dan Farmasi (JRIKUF) Vol. 3 No. 1 (2025): Jurnal Riset Ilmu Kesehatan Umum dan Farmasi (JRIKUF)
Publisher : LPPM STIKES KESETIAKAWANAN SOSIAL INDONESIA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57213/jrikuf.v3i1.552

Abstract

Hospital is one of the health service facilities that tries to overcome the health service balance between investment costs and the availability of applicable unit costs. Calculation of unit costs has an important role, including being used for budget planning, cost control, subsidies and as information in decision making. In the era of National Health Insurance (JKN) in Indonesia, Hospitals that cooperate with the Social Security Administering Agency (BPJS) Health are paid using the Indonesian Case Base Groups (INACBGs) package system. The acquisition of claim payments at Dr. Mintohardjo Naval Hospital according to the INACBGs rate compared to Hospital costs has a negative difference value for Bronchopneumonia cases. The purpose of this study was to analyze the difference in unit costs of Bronchopneumonia services based on Clinical Pathway towards the determination of INACBGs Rates and Hospital Rates at Dr. Mintohardjo Naval Hospital. This type of research is quantitative, comparative analytical observation using a cross-sectional research design according to the Hospital perspective. The subjects of the study were Medical Records and BPJS Kesehatan claim files for Bronchopneumonia services for the period April to September 2023, totaling 61 files. The study was conducted from January 2024 to April 2024. Data analysis used the paired t-test statistical method in the statistical test application (SPSS Version 26). The results of the study on calculating unit costs using the Activity Based Costing (ABC) method are as follows: 1) There is a difference between the calculation of unit costs with INACBGs rates of negative 6.2% and unit costs with Hospital rates of positive 11.2%, 2) There is a difference in the unit cost of Bronchopneumonia services based on Clinical Pathway with the Activity Based Costing method against INA-CBGs Rates, 3) There is a difference in the unit cost of Bronchopneumonia services based on Clinical Pathway with the Activity Based Costing method against Hospital Rates. The suggestions in this study are: 1) For the financial management of RSAL Dr. Mintohardjo to improve competence in calculating unit cost rates for services based on clinical pathways with the Activity Based Costing method, one of which is through training, 2) Updating and conducting clinical pathway audits periodically, 3) Re-evaluating hospital rates to increase the margin of each service so that the margin obtained is in accordance with what has been set, 4) Digitizing patient usage data that was previously still written manually to avoid errors in entering details of service costs.
The Influence Of Clinical Skills and Supervision Techniques On the Implementation Of Patient Safety Standards With Caring Behavior as An Intervening Variable in Inpatient Nurses at Rsau Soemitro Dwi Yanti Elok Palupi; Kemala Rita; Nofierni Nofierni; Rokiah Kusumapradja
Vitamin : Jurnal ilmu Kesehatan Umum Vol. 3 No. 2 (2025): April : Jurnal ilmu Kesehatan Umum
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/vitamin.v3i2.1197

Abstract

The implementation of patient safety standards is a major challenge in healthcare services, particularly in hospitals such as RSAU Soemitro. Data indicates that there were 25 patient safety incidents in the Inpatient Installation in 2023, with falls being the most common case (9), followed by nosocomial infections, medication errors (4), and the absence of patient identification bracelets during surgery (7). This study aims to analyze the influence of clinical skills and supervisory techniques on the implementation of patient safety standards at RSAU Soemitro, with caring behavior as an intervening variable. This quantitative research employs a cross-sectional study design, using a sample of 110 nurses in the inpatient installation. Data collection was conducted using questionnaires, and data analysis was performed using SEM-PLS techniques. The results show that the implementation of patient safety standards is simultaneously influenced by clinical skills, supervisory techniques, and caring behavior. Caring behavior can be significantly influenced by both clinical skills and supervisory techniques. Additionally, the implementation of patient safety standards is influenced by clinical skills and supervisory techniques both directly and indirectly through caring behavior. Furthermore, caring behavior has been proven to be the most significant factor, contributing 53.1%. These findings suggest that hospital management should focus on interpersonal skills training to support better implementation of patient safety standards.
Analysis of the Influence of Family Support and Medical Personnel, Medical Personnel Competence on Childbirth Planning Decisions with Patient Experience at the Obstetrics Polyclinic as an Intervening Variable at Mayapada Hospital Kuningan Denny Khusen; Natsir Nugroho; Idrus Jus'at; Rokiah Kusumapradja
Jurnal Ventilator Vol. 3 No. 1 (2025): Jurnal Ventilator
Publisher : Stikes Kesdam IV/Diponegoro Semarang, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59680/ventilator.v3i1.1736

Abstract

The background of this research is relevant to evaluate and improve services in Mayapada Hospital Kuningan , especially in the obstetrics polyclinic. By understanding the relationship between family support and medical personnel, medical personnel competence, patient experience to the obstetrics polyclinic as an intervening variable, and the decision of the birth plan. In addition, there is also a need to evaluate the factors that influence the decision of the birth plan. The purpose of the study is to analyze influence family support and medical personnel, the competence of medical personnel simultaneously with patient experience at the obstetrics polyclinic regarding the decision to plan childbirth at Mayapada Hospital Kuningan. Method Study, this is study associative causality with cross sectional design. This study aims to determine the influence of family support and medical personnel (X1), the competence of medical personnel (X2) on the decision of birth plan (Y) with the patient's experience to the obstetric polyclinic as an intervening variable (Z). The findings of this study are from the statistical test analysis we can find that the most influential variables on the decision of birth plan are family support and medical personnel. The results of the study say that the patient's experience to the polyclinic as an intervening variable does not affect the decision of birth plan. The implications of this study can help management in improving the system for family support and medical personnel, the competence of medical personnel and the patient's experience to the obstetric polyclinic so that it is expected to improve the decision of birth plan to the hospital.
Tam Approach: The Role Of Perceived Usefulness On Attitude In The Use Of Hospital Applications In Indonesia Rizkaully Permatasari Fitrianingsih; Hasyim Hasyim; Rokiah Kusumapradja
Jurnal Praba : Jurnal Rumpun Kesehatan Umum Vol. 3 No. 2 (2025): Juni : Jurnal Praba : Jurnal Rumpun Kesehatan Umum
Publisher : STIKES Columbia Asia Medan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62027/praba.v3i2.343

Abstract

The development of information technology has changed the way patients interact with hospitals. The Minimum Service Standard Indicator for Hospitals in Indonesia shows that the number of registrations via mobile applications has still not reached the target and the results of the review show that there are still complexities and difficulties in using the application. Understanding the factors that influence patient intention to use the hospital mobile application is essential to optimize its adoption and use. This study aims to test the Technology Acceptance Model in understanding patient intention to use the Hospital mobile application. This quantitative study with the causality method used a sample of 100 users of the application who met the criteria. Data were collected through questionnaires and analyzed using path analysis. The results showed that perceived ease of use and perceived usefulness had an indirect effect on behavioral intention to use through attitude. Research findings show that Perceived Usefulness is the most dominant factor in influencing users attitudes towards applications. The implications are improvements in simplifying features, design, increasing the function of hospital mobile applications, as well as considering patient expectations of the application in order to increase user intention to adopt the application. These findings provide insight for hospital management to design mobile applications that are easier to use and provide benefits to patients, to increase adoption and use of the application.
Understanding Nurse Behavior And The Factors That Influence It In Receiving Electronic Medical Records Dwi Purnomo; Rokiah Kusumapradja; Tjipto Rini
Green Inflation: International Journal of Management and Strategic Business Leadership Vol. 2 No. 2 (2025): May : Green Inflation: International Journal of Management and Strategic Busine
Publisher : Asosiasi Riset Ilmu Manajemen Kewirausahaan dan Bisnis Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/greeninflation.v2i2.322

Abstract

Background: The implementation of Electronic Medical Records (RME) in healthcare facilities still faces a high failure rate, with more than 50% of RME systems not being used optimally. Sawah Besar Hospital, which began implementing RME in August 2023, recorded 1,500 cases of errors in a year, with 60% of system errors and 30% of user errors. This study aims to analyze the factors that affect the intention of using RME by nurses by integrating the Technology Acceptance Model (TAM) and the Theory of Planned Behavior (TPB). This quantitative research uses a census method by involving 70 nurses as respondents. Data were collected through questionnaires and analyzed using path analysis. The results showed that perceived ease of use, perceived usefulness, subjective norm, perceived behavioral control, and attitude toward use simultaneously affected the intention to use RME (F=77.917, p<0.05). Attitude toward use acts as a mediator in the relationship between perceived ease of use and perceived usefulness to the intention to use RME. These findings have important implications for hospital management in optimizing the implementation of RME through improving technical aspects and forming positive user attitudes.
Co-Authors Athika Rodhya Denny Khusen Dwi Purnomo Dwi Yanti Elok Palupi Entin Kartikasari Erry Yudhya Mulyani Febrian Tan Jaya Hasyim Hasyim Idrus Jus'at Intan Silviana Intan Silviana Mustikawati Jack Steven Saripantung Jenmi Silaen Kemala Rita Kharisma Berlian Sjukri Meilyana Maria Isabela Kwary Natsir Nugroho Nofierni Nofierni Putri Sari Sumarty Meliala Rina Anindita Rina Mutiara Rizkaully Permatasari Fitrianingsih Susanti Sugianto Titta Gusni Salim Tjipto Rini Wahyuni Dian Wekadigunawan Yanuar Ramadhan