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Strategi Membangun Budaya Organisasi yang Inovatif dalam Menghadapi Transformasi Digital di Rumah Sakit Ginting, Agustina Br.; Karlinawati, Ni Made Devi Santi; Purwadhi, Purwadhi; Widjaja, Yani Restiani
Maneggio: Jurnal Ilmiah Magister Manajemen Vol 8, No 1 (2025): Maret
Publisher : Magister Manajemen Universitas Muhammadiyah Sumatera Utara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30596/maneggio.v8i1.24840

Abstract

Transformasi digital telah menjadi kebutuhan mendesak bagi sektor kesehatan, termasuk rumah sakit, dalam meningkatkan efisiensi dan kualitas pelayanan. Namun, transformasi ini tidak hanya berkaitan dengan pengadaan teknologi informasi, melainkan juga menuntut perubahan pola pikir, sistem kerja, dan budaya organisasi secara menyeluruh. Budaya organisasi yang inovatif menjadi kunci keberhasilan implementasi digitalisasi di lingkungan rumah sakit. Penelitian ini bertujuan untuk menganalisis strategi-strategi yang dapat diterapkan oleh rumah sakit dalam membentuk dan memperkuat budaya organisasi yang mendukung inovasi, adaptasi, dan pembelajaran berkelanjutan. Dengan menggunakan pendekatan kualitatif deskriptif dan studi literatur, hasil penelitian menunjukkan bahwa keberhasilan transformasi digital sangat dipengaruhi oleh gaya kepemimpinan transformatif, pelatihan SDM secara kontinu, sistem penghargaan terhadap inovasi, dan keterlibatan seluruh elemen organisasi. Penelitian ini merekomendasikan pentingnya membangun kultur terbuka, kolaboratif, dan responsif sebagai fondasi budaya inovatif di lingkungan rumah sakit
Implementasi Teori Sistem Terbuka Dalam Pengelolaan Sumber Daya Manusia Rumah Sakit Purwadhi, Purwadhi; Widjaja, Yani Restiani; Setyagraha, Javan Agustian; Umchudloh, Umchudloh
Jurnal sosial dan sains Vol. 5 No. 6 (2025): Jurnal Sosial dan Sains
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59188/jurnalsosains.v5i6.32261

Abstract

This study aims to analyze the implementation of open systems theory in the management of human resources (HR) within a hospital setting. As complex and dynamic healthcare service organizations, hospitals are required to adapt to external changes such as regulations, technology, and patient expectations. The open systems approach introduced by Katz and Kahn (1978) emphasizes the importance of input, process, output, feedback, and environmental adaptation for organizational sustainability. This research employs a qualitative approach through a case study at Hospital X. Data were collected through in-depth interviews, participatory observation, and document analysis, and were analyzed using NVivo software to identify dominant themes. The findings reveal that all elements of the open systems model have been gradually implemented, indicated by demand-based recruitment, cross-unit training, periodic performance evaluations, and the hospital's ability to respond to external changes such as the pandemic and digital transformation. Thematic analysis shows that the five elements interact to form an adaptive and responsive HR management ecosystem. These findings reinforce the argument that a managerial system based on open systems theory enhances productivity, inter-unit coordination, and service quality. This study contributes theoretically to strengthening organizational systems in the healthcare sector and offers practical recommendations for hospital management to optimize HR processes through data, technology, and continuous evaluation.
Redesain Struktur Organisasi untuk Efektivitas Layanan Kesehatan Mental: Studi Kualitatif di Rumah Sakit Jiwa Provinsi Bali Yasa, Sang Made Agus Wira Nugraha; Thalia, Thalia; Purwadhi, Purwadhi; Widjaja, Yani Restiani
Jurnal sosial dan sains Vol. 5 No. 6 (2025): Jurnal Sosial dan Sains
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59188/jurnalsosains.v5i6.32262

Abstract

This study aims to provide an in-depth analysis of the application of organizational structure theory within the context of public organizations, using a case study of the Provincial Mental Hospital of Bali. The research focuses on how organizational design, authority distribution systems, and both formal and informal power dynamics influence coordination effectiveness and the quality of mental health services. A qualitative descriptive approach with an intrinsic case study method was employed. Data were collected through document analysis, non-participant observation, and semi-structured interviews with five key informants from various managerial levels. The findings reveal that the organization’s classical bureaucratic structure, characterized by five hierarchical layers, tends to hinder decision-making processes and cause fragmentation in inter-unit collaboration. Moreover, informal power dynamics were found to often override formal command lines, thereby disrupting organizational cohesion and reducing operational effectiveness. Based on these findings, the study recommends a redesign of the organizational structure to be more adaptive, decentralized, and collaborative, in order to improve service performance—particularly in the mental health sector, which demands rapid response and a holistic approach. These results not only offer theoretical contributions to the development of public organization theory but also serve as a practical reference for institutional reform in mental health services at both local and national levels.
Lingkup Teori Organisasi Pada Pelayanan Kesehatan Widjaja, Yani Restiani; Purwadhi, Purwadhi; Maharani, Dessy; Setiati Putri, Paramita Indah
Jurnal sosial dan sains Vol. 5 No. 6 (2025): Jurnal Sosial dan Sains
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59188/jurnalsosains.v5i6.32263

Abstract

Healthcare services are a vital component of social development, demanding effective, efficient, and adaptive organizational governance in response to changing environments. This study aims to analyze the contribution of organizational theories in enhancing the performance of healthcare service organizations, focusing on four key approaches: bureaucracy theory, open systems theory, contingency theory, and transformational leadership theory. This research employs a Systematic Literature Review (SLR) method with a qualitative approach, conducted in a systematic, transparent, and replicable manner. Ten scholarly articles published between 2019 and 2024 were analyzed thematically to explore the relationships among theories, patterns of implementation, and their impact on the effectiveness of hospitals and community health centers (puskesmas). The results indicate that bureaucratic theory remains foundational in the structural arrangement of public hospitals, but must be complemented by flexibility to avoid hindering innovation. Open systems theory emphasizes the importance of integration across organizational units and responsiveness to external influences. Meanwhile, contingency theory highlights the necessity of aligning organizational structures and strategies with local contexts and resource capacities. Transformational leadership plays a crucial role in driving positive change, increasing staff participation, and fostering service innovation. This study concludes that integrating all four organizational approaches is essential to shaping a healthcare management model that is adaptive, collaborative, and oriented toward quality and sustainability. The findings serve as both conceptual and practical references for healthcare facility managers, policymakers, and scholars in the field of health management.
The Influence of Work Discipline and Work Environment on Compliance with Patient Safety Procedures among Health Workers at the Beriman Balikpapan Regional Hospital Rachmatullah, Fahmi; Purwadhi, Purwadhi; Suwardhani, Achmad Dheni
Research of Service Administration Health and Sains Healthys Vol 6, No 1 (2025): Research of Service Administration Health and Sains Healthys (Juni)
Publisher : Lembaga Penelitian dan Pendidikan (LPP) Mandala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58258/rehat.v6i1.9036

Abstract

Compliance with patient safety procedures is a crucial component in improving the quality of hospital services. This study aims to analyze the influence of work discipline and work environment on healthcare workers’ compliance with patient safety procedures at RSUD Beriman Balikpapan. The research used a quantitative method with a descriptive-verificative approach. Data were collected through questionnaires distributed to 207 healthcare worker respondents and analyzed using multiple linear regression with validity, reliability, normality, multicollinearity, and heteroscedasticity tests. The results showed that work discipline and work environment variables had a simultaneous and significant effect on compliance with patient safety procedures. Partially, work discipline had a significant influence with a greater contribution compared to the work environment. The coefficient of determination indicated that these two variables explained 52.2% of the compliance with patient safety procedures, while the remaining percentage was influenced by other variables not examined in this study, such as work culture, motivation, and workload. These findings suggest that improving discipline and enhancing the work environment can be effective strategies to encourage healthcare workers to comply with patient safety procedures. Other factors beyond this study, such as organizational culture or workload, are also suspected to influence the level of compliance. 
PENGARUH KOMUNIKASI ORGANISASI DAN KERJASAMA TIM TERHADAP PERILAKU PELAPORAN INSIDEN KESELAMATAN PASIEN DI INSTALASI RAWAT INAP RS X Erlim, Rezi; Purwadhi, Purwadhi; Syarifuddin, Didin
Jurnal Kesehatan Medika Saintika Vol 16, No 1 (2025): Juni 2025
Publisher : Stikes Syedza Saintika Padang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30633/jkms.v16i1.3276

Abstract

Komunikasi dan kerjasama tim merupakan dimensi penting dalam budaya keselamatan pasien. Budaya ini mendorong lingkungan kerja kolaboratif yang mendukung pelaporan insiden secara aman dan adil. Penelitian ini bertujuan untuk mengetahui pengaruh komunikasi organisasi dan kerjasama tim terhadap perilaku pelaporan insiden keselamatan pasien di Instalasi Rawat Inap Rumah Sakit X. Penelitian menggunakan metode deskriptif verifikatif, melibatkan 201 responden dari total 415 perawat dan bidan yang diambil secara accidental sampling. Data dikumpulkan melalui kuesioner elektronik dan dianalisis menggunakan uji regresi logistik. Hasil menunjukkan bahwa komunikasi organisasi (p=0,001<0,05; OR=8,5%) dan kerjasama tim (p=0,002<0,05; OR=11,1%) berpengaruh signifikan terhadap perilaku pelaporan. Uji simultan juga menunjukkan pengaruh signifikan dari kedua variabel terhadap perilaku pelaporan (p=0,000 <0,05). Namun, besarnya kontribusi kedua variabel terhadap perilaku pelaporan hanya sebesar 19,6%, menunjukkan adanya faktor lain yang turut memengaruhi. Kesimpulan dari penelitian ini adalah bahwa komunikasi yang efektif dan kerjasama tim yang solid dapat meningkatkan perilaku pelaporan insiden keselamatan pasien, mendukung terciptanya budaya just culture di rumah sakit.
Implementasi Pilar Teori Organisasi Terhadap Pengelolaan Praktek Mandiri Perorangan Ulfa Novirwan; Akbar Zein Al Ghozali; Purwadhi Purwadhi; Yani Restiani Widjaja
GEMILANG: Jurnal Manajemen dan Akuntansi Vol. 5 No. 3 (2025): Jurnal Manajemen dan Akuntansi
Publisher : BADAN PENERBIT STIEPARI PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56910/gemilang.v5i3.2153

Abstract

Individual practice management is one of the primary and secondary health care providers to achieve operational efficiency, coordination between human resources, and service quality. This article aims to analyze the implementation of the pillars of organizational theory on the management of individual independent practices using a multidimensional approach. This theory examines the division of labor, work grouping, hierarchy, and coordination of individual independent practices as health services. This theory provides recommendations for optimizing the four pillars of holistic organizational theory.
Pengaruh Budaya Organisasi Terhadap Kinerja Karyawan Rumah Sakit : Suatu Studi Systematic Literature Review (SLR) Hasni Hanifah; Sri Wahyuni Sapri; Purwadhi Purwadhi; Yani Restiani Widjaja
GEMILANG: Jurnal Manajemen dan Akuntansi Vol. 5 No. 3 (2025): Jurnal Manajemen dan Akuntansi
Publisher : BADAN PENERBIT STIEPARI PRESS

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56910/gemilang.v5i3.2175

Abstract

This study aims to identify and systematically analyze the influence of organizational culture on employee performance in hospitals using the Systematic Literature Review (SLR) approach. Organizational culture is a set of values, norms, and beliefs that guide behavior within an organization, while employee performance reflects the effectiveness and productivity of individuals in carrying out their tasks. This study involved a critical review of 22 relevant national scientific articles published within the last five years (2020–2024). The synthesis results show that organizational culture significantly contributes to improving employee performance, both directly and through mediating variables such as work motivation, job satisfaction, and organizational commitment. Organizational culture is also proven to enhance the effectiveness of leadership, training, and management systems in creating a productive work environment. This study concludes that a strong, adaptive, and well-internalized organizational culture serves as a critical foundation for achieving optimal performance in the healthcare sector. The findings provide strategic implications for hospital management, human resource managers, and policymakers to prioritize organizational culture in institutional planning and development.
POLA PENGELOLAAN KEUANGAN (PPK) BLUD DALAM UPAYA FLEKSIBILITAS PENGGUNAAN KEUANGAN DI UPT PUSKESMAS SUKAMARA Muhammad Joni Chandra; Purwadhi, Purwadhi; Didin Syarifuddin
Journal of Innovation Research and Knowledge Vol. 5 No. 1: Juni 2025
Publisher : Bajang Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

The purpose of this study was to determine the level of implementation of the flexibility of PPK-BLUD in Sukamara Health Center and the obstacles faced in the implementation process. This study adopts the concept of New Public Management which is translated by the government through the establishment of a Regional Public Service Agency system that aims to improve the quality of services to the community through financial management flexibility. The research method used in this research is descriptive qualitative with a case study approach. Data collection techniques used are Observation, Interview and Documentation. The results show that the flexibility that has been applied is the flexibility of income, expenditure, cash management, accounts receivable, goods management, human resource management (hr), remuneration, cooperation, reporting and accountability. While the flexibility that has not been implemented is the flexibility of debt, investment, SiLPA, service tariff. This is due to limited human resources in managing finances, the lack of local government regulations regarding technical guidelines for implementing BLUDs and the lack of synergy between stakeholders in optimizing the implementation of BLUD flexibility
IMPLEMENTASI SIMRS SEBAGAI STRATEGI MENINGKATKAN INCOME RSUD MIMIKA Alexander King; Purwadhi, Purwadhi; Ign. Wiseto P. Agung
Journal of Innovation Research and Knowledge Vol. 5 No. 2: Juli 2025
Publisher : Bajang Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

The Hospital Management Information System (SIMRS) is a vital tool in supporting efficient, integrated, and data-driven healthcare services. This study aims to evaluate the implementation of SIMRS at RSUD Kabupaten Mimika using the Human, Organization, and Technology – Fit (HOT-Fit) Model. The model assesses the alignment and readiness across the dimensions of technology (input), human and organizational processes, and the resulting system benefits (output). This research employed a qualitative approach using in-depth interviews, observations, and document analysis. Data were collected from seven key informants across primary service units and three triangulated informants from the quality management, human resources, and training divisions. Thematic analysis was conducted based on the HOT-Fit framework. The findings indicate that in terms of technology, the system still faces technical issues such as slow performance, limited data correction features, and the absence of a fully realized paperless culture. In the human dimension, user competence remains uneven, with limited ongoing training and no standardized system for assigning SIMRS responsibilities. From the organizational perspective, there is a lack of standardized SOPs, weak inter-unit coordination, and the absence of a dedicated SIMRS management team. Nevertheless, from the benefit/output dimension, SIMRS has contributed positively to increasing hospital revenue and service efficiency, although data utilization for decision-making remains limited. This study recommends strengthening internal policies, implementing continuous training, upgrading technology infrastructure, and conducting regular evaluations to ensure the sustainability and optimization of the system. The findings may serve as a policy reference and practical insight for other hospitals implementing or planning to implement SIMRS
Co-Authors A. Rohendi Achmad Dhaeni Suwardhani Achmad Dheni Suwardhani Adams Desto Edison Nasseri Ade Mubarok Aditya Dewi, Esti Adrian, Wildan Ibnu Agung , Wiseto P. Agung, Ign Wiseto Agung, Ign. Wiseto P. Agus Hadian Rahim Agus Sunarto Ahmad Ahmad Aisyah Fitri, Nurul Akbar Zein Al Ghozali Alexander King Amilia Devi Siregar Anas Yahya Abdullah Andikarya, R. Oke Andini Shellawaty Nugraha Andre Kesuma Andrianto, Andreas Angela Azalia Trisna Putri Anggreyorina, Anggreyorina Anisa Qadarsi Ananda Hamsah Anissa, Regina Nurfitriyani Anna Hanifa Defrita Annisa Berlia Maharani Ardanti, Rizkia Ima Arie Piet Yeuwun Arif Rachman Arlette Suzy Puspa Pertiwi Arumjati, Vernilina Oktaeighta Arumjati, Vernillina Oktaeighta Aryo Dwi Wicaksono Asriansyah Asriansyah As’ady, BJ. Azmy Ayomi, Anasthasia F M Ayu Purnama Dewi Ayunda Nazli, Selsi Aziz, Firdaus Abdul Aziz, Moch Abdul Bagenda, Wahyuddin Bahari, Eko Satrio Beni Nugroho, Dionysius Berliani, Ajeng Novia Brillianty Putrisari Sudarman Chairil M Noor Chitrayuni, Wilsa Dadang Kusnadi Dale Anggara Darwati, Datik Yuli Dasrun Hidayat Debora Yolanda, Venny Dedi Supriyadi Denis Radiansyah Kustiwa Denny Christian Lukas Devita, Welly Rahma Dewi, Nyoman Nila Dhartono, Joanie DewiJanti Dheni, Achmad Dimyati, Ferry Drs. Alex Kahu MS Lantum Dwi Arani Alienda Dwi Budi Santoso Dwiyono, Isa Efawati, Yen Eli Susana, Eli Ellyana Ellyana Endah Pujiastuti Endang Komara Enjuldella Marcrisna Rohrohmana Erdiansyah Gama Saputra, Imam Bustan Erliany Syaodih Erliany Syaodih Erlim, Rezi Ermiati Ermiati Evi Maria Fachri Muhammad, Kevin Fadillah, Listiana Nur Fadlillah, Nurul Gina Faizah, Wahyu Nur Faizar, Eddy Fajar Nugraha Famila, Famila Fanani, Yoseph Yulian Fani Pangabdian, Fani Fauzan . Fauzi, Muhammad Rizal Fifi Noviana Firdausa, Kiko Erynio Fitaloka, Neng Diana Fitri Utami Dewi Fitriana, Liskanita Nur Franseda Sylvania Fransiska, Febryani Frety Tiurma Ara Gartika Rahmasari, Gartika Gede Pramana Yogi Ginting, Agustina Br. Gopur, Abdul Gumilar, Candra Guslita, Resi Guslita, Ressy Habibah, Zahrotul Habibie, Ariyanto Hagiyah, Alaa ‘Ulil Haliem, Helena Claudia Handayani Nining Hanggorowati, Asterina Dwi Hans Ariel Satyana Hapa, Maria Hapid, Reza Harianto, Muhammad Imam Fitrah Hasni Hanifah Herlina, Nina - Hery Siswanto Hidayat, Fanny Agustina Himawan, I Made Fajar Sutrisna Humaera, Namira Nita I Gede Sutawan I Gusti Ngurah Gede Swarga Prawira Ign. Wiseto P. Agung Iin Sakina L. Iis Iskandar, Iis Indah Dwi Mentari Irawati, Irfa Jaya, Aryc Oktarian Joko Pitoyo Josephine Fausta Nazuli Jujur, Utang Kahar Mulyani Karlinawati, Ni Made Devi Santi Kasmanto Kasmanto Khoirunnisa Siregar Kuddi, Apriani Kurnia Datu Kanoena Lethe Langingi, Gerald Hendriks Larasati Larasati Layrenshia, Belinda Lestari, Nike Dwi Putri Lestari, Yuniati Liambana, Junlianty Limansyahputra, Shandy Ludiwyk, Ludiwyk Lukas, Denny Christian Lydia Gloriani Lethe M Noor, Chairil Maharani, Ardelia Maharani, Dessy Maharani, Iris Fatia Mahardika, Yudia Makmur, Afifah Idelma Manik, Sitti Lolo Sundari Margaretna, Nur Fitri Maria Hapa Marlena, Ena Masuni, Evi Maulidi, M. Alfi Mayang Wulandari Melinda, Tanti Melliasari, Hesti Mochtar, Fransiska Mokhamad Syifa Haykal Azizi Mona Rahmadia Mudrikah, Miftah Muhammad Joni Chandra Mulyani Kahar Mulyani, Kahar Nababan, Natanael Nasrullah Nasrullah Nayu Hestyna Wardany Nden Zulvia Afifah Ndolu, Guntur Christian Putra Nico Nico Niluh Dewi Ratnasari, Niluh Dewi Nining Handayani Noor Azahra, Anggraeni Noor Roziq Ghulam Perdana Nopianti, Poppi Furi Novira Azelikha, Fionny Novriyanti, Tika Nugroho, Maulana Adjie Nurafsari, Indry Nurdin, Findy Wijaya Nurhasanah, Annisa Nurwansyah, Atikah Pangihutan, Reymond Pattinasarany, Alfadesta Hermon Perdana, Noor Roziq Ghulam Pipang Patasik, Kevin Pramayanti Putri Sayu Made Ardhia Prasetyo Agung, Ignatius Wiseto Pratama, Devina Gracia Pratama, Rhegy Seno Pratomo, Nugroho Rizki Putra, Eduardus Raditya Kusuma Putra, Kevin Aldio Putri Purnama Sari, Putri Purnama Putri, Nurhalisa Putriasni, Chyntia Putu Dewi Antari Putu Prayoga Tantra Qohardita, Risa R. Oke Andikarya Rachmatullah, Fahmi Rahayu, Pia Nur Artemisianing Rahmayati, Anisa Rahwany, Verra Raka Indrabrata Setiawan Ramadhani, Annisa Dwi Magistra Ratna Indriana Donggori Raysha Ramadhani Reski Mulia Paramita Restiani Widjaja , Yani Restiani Widjaja Yani Restiani Widjaya, Yani Restiani, Yani Rhegy Seno Pratama Rhomadon, Wahyu Rian Andriani, Rian Ridwansyah Ridwansyah Rilistyawati, Nabila Distiara Rinawati Rinawati Rinawati Rinawati Ristanti Pratiwi Rizki Adriansyah Rubini ROHMAH, FAIZATUR Rokhison, Harleyna Rosanti, Isti Kenyo Rusmiati Rusmiati S Poana, Gabriella Salia Marvinia Salwiyadi Salwiyadi Sandi, Ghaniy Prima Sandini, Dwi Sanya Diandra Praniti Saraswati, Nadya Ayu Saraswati, Ni Luh Putu Adinda Tasya Satriya, Guntur Sekarjati, Irene Septia, Nindirah Setianingsih, Emi Setiati Putri, Paramita Indah Setyagraha, Javan Agustian Setyako, Stevani Dewi Sibarani, Tagor Silvia, Syfa Since Yuliana Frans, Inggrid Sinta, Sinta Siswani, Siswani Siti Halimah Sofwatul Marfiyah Sopa Martina Sri Wahyuni Sapri Sri Widya Astuti, Baiq Sudarman, Brillianty Putrisari Sugiri, Syafiq Indra Sukajie, Bambang Susilawati, Rika Maryam Suwardhani, Achmad Dheni Suyono, Seso Sulijaya Syafii . Syarifuddin , Didin Tahang, Andi Setiawan Tallupadang, Deivita Patintingan Tara, Elena Silvia Taruna, Rangga Kembang Taufiq, Josefa Vanina Winata Thalia, Thalia Titania Az Zahra Tito Santana Tri Lestari Triandana Budi Wisesa Tunggadewi, Ni Putu Tania Nadyanti Tutwuri Handayani Ulfa Novirwan Umchudloh, Umchudloh Usman, Umar Utomo, Muhammad Aditya Veranita, Mira Viany, Viany Vitara Daru Rahmi Vivi Rizki Hensmit Wentinusa, Stella Maria Widjaja , Yani Restiani Widodo, Ayudisty Ristika Kusumawardhani Wijaya, Yani Restiani Willma Fauzzia Windaswari, Gusti Ayu Rahayu Witarsih, Silvia Witri, Repelita Worung, Ivan Master Wulan Ervinna Simanjuntak Yani Restiani Widjadja Yani Restiani Widjaja Yani Restiani Widjaja, Yani Restiani Yasa, Sang Made Agus Wira Nugraha Yogiyopranoto, Muhammad Yohanes Firmansyah Yudha, G. Agung Krisna yuli Darwati, Datik Zivana, Fidela Hanan