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Pengaruh Shift Work, Pengetahuan, Motivasi dan Job Burnout Perawat terhadap Budaya Keselamatan Pasien di Rumah Sakit XYZ David Eka Djaja; Andry Andry; Hasyim Hasyim
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 12, No 4 (2021): Oktober 2021
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf12408

Patient safety is an effort to prioritize patient safety while getting health services at the hospital. The purpose of this study was to determine the effect of shift work, knowledge of nurses, motivation of nurses and job burnout on patient safety culture. This research is a quantitative research with the type of causality explanation research. The sampling technique used was purposive sampling and the sample size in this study were 200 inpatient nurses at XYZ Hospital. The data analysis method in this study used a path-analysis. The results in this study indicate that shift work (CR = 2.48), knowledge (CR = 3.10), motivation (CR = 2.73) and job burnout (CR = 7.14) have an effect on patient safety culture. Based on the results of this study, it is important to carry out routine training and create a conducive work atmosphere to improve the patient safety culture applied by nurses.Keywords: shift work; nurse knowledge; nurse motivation; job burnout; patient safety cultureABSTRAKKeselamatan pasien merupakan upaya untuk mengutamakan keselamatan pasien selama mendapatkan pelayanan kesehatan di rumah sakit. Tujuan penelitian ini adalah untuk mengetahui pengaruh shift work, pengetahuan perawat, motivasi perawat dan job burnout terhadap budaya keselamatan pasien. Penelitian ini merupakan penelitian kuantitatif dengan jenis penelitian eksplanasi kausalitas. Teknik sampling yang digunakan yaitu purposive sampling dan ukuran sampel representatif dalam penelitian ini sebanyak 200 perawat ruang rawat inap di Rumah Sakit XYZ. Metode analisis data dalam penelitian ini menggunakan path-analysis. Hasil dalam penelitian ini menunjukkan bahwa shift work (CR= 2,48), pengetahuan (CR= 3,10), motivasi (CR=2,73) dan job burnout (CR =7,14) berpengaruh terhadap budaya keselamatan pasien. Berdasarkan hasil penelitian ini pentingnya untuk melakukan pelatihan rutin dan menciptakan suasana kerja yang kondusif untuk meningkatkan budaya keselamatan pasien yang diterapkan oleh perawat.Kata kunci: shift work, pengetahuan perawat, motivasi perawat, job burnout, budaya keselamatan pasien

Pengaruh Kompentensi Dan Kepatuhan Petugas Kesehatan Terhadap Pengambilan Keputusan Pasien Melakukan Rawat Inap Dengan Pencapaian Indikator Triase Sebagai Variabel Intervening Instalasi Gawat Darurat RS.AM Rika Widiawati; Andry Andry; Hasyim Achmad
Jurnal Manajemen dan Administrasi Rumah Sakit Indonesia (MARSI) Vol 5, No 1 (2021): Jurnal Manajemen dan Administrasi Rumah Sakit Indonesia (MARSI)
Publisher : LPPM Universitas Respati Indonesia

Instalasi Gawat Darurat merupakan instalasi yang paling tinggi aktivitasnya terutama dalam menangani pasien kegawatdaruratan. Kegagalan dalam penanganan kasus kedaruratan disebabkan oleh kegagalan mengenal resiko, keterlambatan rujukan, kurangnya sarana yang memadai maupun kurangnya pengetahuan dan keterampilan tenaga medis, paramedis. Pelayanan instalasi tersebut dilakukan berdasarkan triase, bukan berdasarkan antrian untuk mengurangi angka mortalitas dan morbiditas pasien. Penelitian ini bertujuan untuk menganalisis pengaruh kompetensi dan kepatuhan petugas kesehatan terhadap pengambilan keputusan pasien melakukan rawat inap dengan pencapaian indikator triase sebagai variabel intervening instalasi gawat darurat RS.AM. penelitian ini menggunakan pendekatan kuantitatif, metode non parametrik. Metode analisis two stage least square (2SLS) dan analisis jalur dengan sampel penelitian sebanyak 15 orang dokter jaga IGD RS.AM. Kompetensi dan kepatuhan petugas kesehatan adalah variabel independen. Indikator triase adalah variabel intervening. Pengambilan keputusan pasien melakukan rawat inap adalah variabel dependen. Penelitian ini menggunakan kuesioner dengan menggunakan skala likert. Pengujian analisis data menggunakan program software statistic for windows versi 16. Hasil penelitian didapatkan variable kompetensi dan kepatuhan petugas kesehatan didapati memiliki pengaruh tidak langsung terhadap pengambilan keputusan pasien melakukan rawat inap, dan variable kompetensi dan kepatuhan petugas kesehatan memiliki pengaruh langsung terhadap indikator triase, serta variable indikator triase memiliki pengaruh tidak langsung terhadap pengambilan keputusan pasien melakukan rawat inap. Hal ini menunjukan bahwa pasien RS.AM merasakan puas terhadap pelayanan IGD dan kinerja dokter serta pasien merasa telah melakukan keputusan yang benar memilih RS.AM.

The Influenced Factor of Revisits Patient Intention to The Executive Polyclinic Hospital A. Stefanus Andi Pranata; Andry Andry; Rokiah Kusumapradja
Journal of Multidisciplinary Academic Vol 5, No 4 (2021): Science, Engineering and Social Science Series
Publisher : Penerbit Kemala Indonesia

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

The executive polyclinic is one of the health services options available in hospitals, where the trend of visits tends to increase at this time, both prior visits and new visits. The determinants that influence the visit have not been extensively studied empirically. The purpose of this study is to look at the impact of service quality and marketing mix parameters on the frequency of patient return visits, as mediated by patient satisfaction, at Hermina Ciruas Hospital's Executive Polyclinic. This study used a cross-sectional strategy with 201 respondents who were frequent visitors to the Executive Polyclinic of Hermina Ciruas Hospital. The independent variables in this study are reliability, tangibility, responsiveness, assurance, empathy, customer needs, cost, convenience, and communication. Patient satisfaction is the intervening variable. Meanwhile, the intention to return patient is the dependent variable. Path analysis is a type of data analysis. The customer needs factor (b=0.226; p=0.006) has a direct impact on patient satisfaction with the Executive Polyclinic's services. The patient's intention to return to the Executive Polyclinic was influenced by the assurance factor (b=-0.077; p=0.009), tangibility (b=0.257; p=0.027), cost (b=0.043; p=0.042), convenience (b=0.075; p=0.002), and patient satisfaction (b=0.232; p=0.012). The most important aspect influencing the patient's decision to return to the Executive Polyclinic is tangibility. Hospitals must concentrate on maintaining and improving physical facilities in order to maintain the desire for recurrent patient visits

Mediasi Kepuasan Pasien pada Dimensi Kualitas Pelayanan Assurance terhadap Word of Mouth Harry Ansis; Hasyim Hasyim; Andry Andry
Jurnal Health Sains Vol. 2 No. 12 (2021): Jurnal Health Sains
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jhs.v2i12.365

Word of Mouth is a natural conversation between individuals about information of a product that is considered to have more influence than advertising and formal marketing. The quality of service is an important determinant of customer satisfaction and Word of Mouth performed by customers during the use of the service. The lack of interest in the patient or their family to tell others about an experience while being treated at X Hospital Jakarta, occurred because of the low quality of service which resulted in a sense of dissatisfaction. The purpose of this study was to determine the effect of Service Quality Dimensions on Word of Mouth mediated by Patient Satisfaction. The research method used is quantitative research with the type of Causality Explanation Research. The sample in this study were 200 patients who had been treated at X Hospital Jakarta. The technique used is Stratified Proportional Random Sampling. The results of the research is that the Dimensions of Service Quality both directly and indirectly with Patient Satisfaction as a Mediating Variable are proven to affect the level of a patient's Word of Mouth. The research finding is that the existence of Patient Satisfaction as a Mediating Variable, the influence of one of the Service Quality Dimensions, namely Assurance, has a greater impact on the patient's Word of Mouth. This means that the patient's Word of Mouth cannot be improved optimally by relying on Assurance alone, but it is necessary to establish patient satisfaction

Pengaruh Motivasi dan Imbalan terhadap Kepatuhan Pengisian Rekam Medis M. Tryanza Maulana; Rokiah Kusumapradja; Andry Andry
Jurnal Health Sains Vol. 3 No. 1 (2022): Jurnal Health Sains
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jhs.v3i1.393

Minimum Service Standard (SPM), the hospital in which there is information about the standard of hospital medical record service is the completeness of filling medical records 24 hours after completion of service and completeness of informed consent after obtaining clear information has a standard of 100%. This study aims to analyze the influence of understanding about medical records, attitudes, motivations, rewards and work design to the compliance of doctors in filling medical records at Insan Permata Hospital. This study uses a quantitative approach with a research sample of 30 respondents. Data analysis testing using binary logistic regression. The results of the research obtained there is the influence (simultaneous) understanding, motivation, attitude, rewards, and design of the doctor's work to the compliance of medical record filling. Partially there is an influence of motivation and rewards to the doctor's compliance in the filling of medical records. The variable that most affects compliance is motivation and is followed by rewards. It is recommended that IP Hospitals can provide training on medical records for doctors or nurses

Analisis Pengaruh Keputusan Berobat Dalam Memediasi Kunjungan Pasien: Studi SEM Analisis Meutia Arifka Tahajani Husen; Andry Andry; Reza Hilmy
Jurnal Health Sains Vol. 3 No. 3 (2022): Jurnal Health Sains
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jhs.v3i3.453

The decision to choose a hospital as a place for treatment is something that can affect patient visits because the decision to seek treatment is able to mediate the positive influence of motivation, consumer interest, perceived quality and brand image on patient visits. This study aims to analyze the effect of motivation, consumer interest, perceived quality and brand image on patient visits with treatment decisions as an intervening variable at Hospital A. This study uses explanatory quantitative analysis of causality with the SEM Analysis method. This study took a sample of 165 visitors ( patients) By using a random sampling technique. The independent variables in this study are motivation, consumer interest, perceived quality and brand image and the dependent variable is patient visits and treatment decisions as intermediary variables. This study shows that there are direct and indirect impacts between motivation, consumer interest, perceived quality and brand image. on patient visits with treatment decisions as an intervening variable at Hospital A. Improving the marketing system of the hospital and improving the health care system so that it can affect motivation, patient interest, perception of quality and brand image in deciding to seek treatment at Hospital A which has a positive influence on increasing patient visits

Pengaruh Kompensasi dan Lingkungan Kerja Terhadap Kinerja Perawat Rumah Sakit Cinta Kasih Tzu Chi dengan Motivasi Kerja Sebagai Variabel Intervening Suriadi Suriadi; MF. Arrozi Adhikara; Andry Andry
Jurnal Health Sains Vol. 3 No. 4 (2022): Jurnal Health Sains
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jhs.v3i4.480

Excellent service quality needs to get the main attention in the provision of services in hospitals, for that it is important to improve the performance of nurses as the spearhead of service. This study aims to analyze the effect of compensation and work environment on the performance of nurses at Cinta Kasih Tzu Chi Hospital with work motivation as an intervening variable. This research is a quantitative study with hypothesis testing, carried out in October 2021 - December 2021 with a total of 118 nurses as respondents. Hypothesis testing using path analysis structural equation model (Structural Equation Model. The results show that compensation, work environment and work motivation have a significant effect on nurse performance. Partial test results are as follows: compensation has a significant positive effect on work motivation, work environment has a significant positive effect on motivation work, compensation has a significant negative effect on nurse performance, work environment has a significant positive effect on nurse performance, and work motivation has a significant positive effect on nurse performance.The results of this study are in line with the theory expressed by Bernaddin and Russel (1993) about factors that can affect performance. employees include work motivation and factors that can affect work motivation include compensation and work environment Managerial implications: hospital management needs to improve the employee remuneration system, develop a reward system in the form of intrinsic compensation and improve the hospital governance system that refers to improving the work environment

Effect Of Patient Safety Implementation And Marketing Mix On Outpatient Re-Visiting Interest Of Patients With Patient Trust As An Intervening Variable Jhon perry B Simanjuntak; Andry Andry; Kemala Rita Wahidi
Jurnal Health Sains Vol. 3 No. 10 (2022): Jurnal Health Sains
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jhs.v3i10.637

The number of hospitals that stand is a necessity of a form of competition in the field of the health industry. this also affects patients in determining the choice of a place for health services. the interest in patient re-visits can be determined by the factors of implementing patient safety and marketing mix. research objectives: this study aims to analyze the effect of the implementation of patient safety and marketing mix on the interest in re-visiting patients in outpatient hospital 'x' with variables intervening patient confidence. research method: quantitative explanatory because it is to know the relationship between variables that are based on the research hypothesis. the samples in this study used the hair formula, namely (5-10) x n. the number of samples is (5) x 36, so 180sampel will be taken. the analysis technique uses structural equation modelling (sem). results of the study: the implementation of patient safety and marketing mix had a significant effect on patient confidence and interest in re-visiting. trust also significantly affects the patient's re-visiting interest. in addition, this study found that patient confidence mediated the effect of applying patient safety and marketing mix on patient re-visiting interest at "x" hospital bekasi.

The Influence of Knowledge, Motivation and Workload on Implementation of Medical Compliance in SIRS Muh. Tan'iem Nawawi; Andry Andry; Kemala Rita Wahidi
Jurnal Health Sains Vol. 4 No. 2 (2023): Journal Health Sains
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jhs.v4i2.853

Based on the Law of the Republic of Indonesia Number 44 of 2009 concerning Hospitals Article 32 it is stated that every Hospitals are required to record and report on all Hospital management activities in the form of a Hospital Management Information System. The effect of knowledge, motivation and workload in the implementation of SIRS with medical personnel compliance as an intervening variable at the Kemayoran Athlete's Wisma RSDC. This study uses quantitative analysis using a cross sectional. This research was conducted in December-January 2021 with 161 samples, the sampling technique was random sampling. Data analysis using univariate and bivariate with test chi-square with p < 0.05. The results showed that there was a significant relationship between knowledge and SIRS compliance (P Value = 0.000), Motivation (P Value = 0.000), Workload (P Value = 0.000). The author recommends evaluating several aspects such as networking, system requirements development, human resource development to be reviewed and the addition of a personnel information subsystem to the SIRS service.

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