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Yuly Peristiowati
Institut Ilmu Kesehatan STRADA Indonesia
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REINTEGRASI KINERJA TIM DALAM LENSA EPIDEMIOLOGI MANAJERIAL DAN DETERMINAN SOSIAL: TINJAUAN LITERATUR MODEL KOMUNIKASI ORGANISASI, KEPERCAYAAN, DAN KOMITMEN PADA RSUD PROVINSI NTB Laily Indrayanti Yusuf; Yuly Peristiowati
Jurnal Cakrawala Ilmiah Vol. 5 No. 7 (2026): Maret 2026
Publisher : Bajang Institute

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Background: The effectiveness of healthcare services at RSUD Provinsi NTB heavily relies on team synergy, which is often fragmented by bureaucratic complexity and work pressure. Reintegrating team performance is crucial to ensuring patient safety and organizational sustainability. Objective: This study aims to analyze how organizational communication models, trust, and commitment influence the reintegration of team performance through the lens of managerial epidemiology and social determinants. Methods: This research employs a Systematic Literature Review (SLR) approach. Literature searches were conducted on Scopus and Google Scholar databases covering the period 2014–2024. Article selection followed the PRISMA protocol, resulting in a set of selected articles analyzed qualitatively. Results: Findings indicate that transparent organizational communication is a primary predictor of inter-professional trust. This trust acts as a mediator that strengthens staff's affective commitment. From a managerial epidemiology perspective, these factors are social determinants capable of reintegrating declining team performance. Conclusion: The success of RSUD Provinsi NTB in enhancing team performance depends on management's ability to manage organizational social determinants by strengthening the communication climate and a culture of mutual trust.
EPIDEMIOLOGI MANAJERIAL DAN DETERMINAN SOSIAL DI RUMAH SAKIT RUJUKAN: TINJAUAN LITERATUR MODEL PENINGKATAN KINERJA MELALUI KEPEMIMPINAN DAN PROMOSI JABATAN DI RSUD PROVINSI NTB Lalu Herman Mahaputra; Yuly Peristiowati
Jurnal Cakrawala Ilmiah Vol. 5 No. 7 (2026): Maret 2026
Publisher : Bajang Institute

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Improving the performance of referral hospitals in the health transformation era highly depends on the integration of managerial epidemiology and an understanding of social determinants of health. This study aims to formulate a strategic model for improving employee performance at RSUD Provinsi NTB by analyzing the roles of leadership and job promotion systems. The research method employed is a Systematic Literature Review (SLR), examining scientific articles from Scopus and Google Scholar databases within the 2014-2024 period. The literature review results indicate that transformational leadership is a determinant factor capable of mitigating workload pressure in referral hospitals, while a merit-based job promotion system acts as the primary catalyst for employee motivation and loyalty. The synthesis of the literature confirms that an effective performance model integrates epidemiological data for resource allocation with transparent human resource development policies. The implications of this study suggest that the management of RSUD Provinsi NTB should strengthen the managerial competence of middle-level leaders and standardize promotion mechanisms to respond to complex public health challenges in the West Nusa Tenggara region
DETERMINASI SOSIAL LINGKUNGAN KERJA DAN EPIDEMIOLOGI PSIKOSOSIAL: TINJAUAN LITERATUR DAMPAK SHIFT KERJA DAN BEBAN KERJA TERHADAP KINERJA MELALUI MEDIASI BURNOUT ‘PADA PERAWAT DI RSUD PROVINSI NTB Muhammad Munip; Yuly Peristiowati
Jurnal Cakrawala Ilmiah Vol. 5 No. 7 (2026): Maret 2026
Publisher : Bajang Institute

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Background: Nurses at the NTB Provincial General Hospital face significant psychosocial challenges due to high work demands in a primary referral facility. Objective: This study aims to analyze the social determination of the work environment, specifically the impact of work shifts and workload on nursing performance through the mediation of burnout from a psychosocial epidemiology perspective. Methods: This study employed a Narrative Literature Review method. Literature searches were conducted through Scopus and Google Scholar databases covering the period 2015-2025. Articles the inclusion criteria were synthesized to provide a comprehensive overview of the phenomenon. Results: Findings indicate that non-ergonomic work shifts and excessive workload are primary predictors of burnout among nurses. Burnout consistently mediates the relationship between work environment pressures and the decline in clinical performance and work motivation. Conclusion: The decline in nursing performance at the NTB Provincial General Hospital is a manifestation of unmanaged psychosocial stressors. Hospital management needs to intervene in work schedule systems and workload distribution to reduce burnout rates and maintain the quality of healthcare services
EPIDEMIOLOGI MANAJERIAL DAN DETERMINAN SOSIAL PADA SISTEM BPJS: TINJAUAN LITERATUR MODEL EVALUASI KINERJA RS DAERAH BERBASIS TEORI RBV DI TENGAH DINAMIKA KEBIJAKAN DAN KLAIM BPJS PADA RSUD PROVINSI NTB Ng Phi Shi; Yuly Peristiowati
Jurnal Cakrawala Ilmiah Vol. 5 No. 7 (2026): Maret 2026
Publisher : Bajang Institute

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Background: The implementation of the National Health Insurance (JKN) by BPJS Kesehatan requires RSUD Provinsi NTB to balance social functions with financial sustainability. Dynamics in claim policies and social determinant pressures often hinder optimal performance. Objective: This study aims to analyze the integration of managerial epidemiology and social determinants into regional hospital performance evaluation models using the Resource-Based View (RBV) theoretical framework. Method: This study employs a Systematic Literature Review (SLR) method. The literature search was conducted via Scopus and Google Scholar databases covering the period 2014-2024. Inclusion criteria focused on articles discussing public hospital management, RBV theory in healthcare, and BPJS policies in Indonesia. Results: Findings indicate that hospital performance amidst BPJS dynamics is significantly determined by internal capabilities (strategic assets) such as claim management information systems and medical coder competencies, aligned with RBV theory. Managerial epidemiology plays a crucial role as a resource allocation predictive tool, while social determinants act as external variables influencing claim risk profiles. Integrating these aspects into performance evaluation is proven to enhance hospital operational resilience. Conclusion: An effective performance evaluation model for regional hospitals must shift from mere financial indicators toward a strategic approach based on internal resource strengths and a deep understanding of local population epidemiological conditions.
DETERMINASI SOSIAL LINGKUNGAN KERJA DAN EPIDEMIOLOGI MANAJERIAL: TINJAUAN LITERATUR DAMPAK KEPEMIMPINAN TRANSFORMASIONAL DAN MOTIVASI TERHADAP KINERJA MELALUI MEDIASI KEPUASAN KERJA PERAWAT DI RSUD PROVINSI NTB Nursini Juiban Hadi; Yuly Peristiowati
Jurnal Cakrawala Ilmiah Vol. 5 No. 7 (2026): Maret 2026
Publisher : Bajang Institute

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Background: Nurse performance at RSUD Provinsi NTB is a fundamental pillar of public healthcare quality. However, this performance is influenced by complex factors involving social determinants of the work environment and leadership patterns. Objective: This study aims to analyze the influence of transformational leadership and motivation on nurse performance through the mediation of job satisfaction within a managerial epidemiology perspective. Methods: This study employed a Systematic Literature Review (SLR) method. The literature search was conducted via Scopus and Google Scholar databases covering the period 2014-2024. Article selection followed strict inclusion and exclusion criteria, resulting in 10 relevant real-world articles. Results: Findings indicate that transformational leadership and motivation have a significant positive impact on performance. Job satisfaction was identified as a crucial mediating variable; without adequate job satisfaction, the impetus from leadership and motivation fails to achieve optimal performance outcomes. Managerially, the work environment acts as a primary determinant that must be managed to prevent an "epidemic" of productivity decline. Conclusion: Strengthening transformational leadership at the ward head level and enhancing intrinsic motivation are highly recommended to improve nurse performance at RSUD Provinsi NTB by fostering stable job satisfaction
DETERMINASI SOSIAL LINGKUNGAN KERJA DAN EPIDEMIOLOGI MANAJERIAL: TINJAUAN LITERATUR DAMPAK KOMUNIKASI INTERNAL DAN PARTISIPASI TERHADAP KEPUASAN KERJA PERAWAT MELALUI MEDIASI MOTIVASI KERJA DI RSUD PROVINSI NTB Sadikin Apriadi; Yuly Peristiowati
Jurnal Cakrawala Ilmiah Vol. 5 No. 7 (2026): Maret 2026
Publisher : Bajang Institute

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Background: Nurse job satisfaction is a crucial indicator of healthcare service effectiveness at RSUD Provinsi NTB. However, managerial dysfunction often acts as a systemic barrier that diminishes medical staff performance. Objective: This study aims to analyze the social determinants of the work environment through the impact of internal communication and participation on nurse job satisfaction, with work motivation as a mediating variable within a managerial epidemiology framework. Method: This study employs a Systematic Literature Review (SLR) method. Literature searches were conducted via Scopus and Google Scholar databases spanning 2016-2026. Selected articles were analyzed using qualitative synthesis techniques to identify relationship patterns between variables. Results: Findings indicate that transparent internal communication and active participation in decision-making significantly enhance job satisfaction. Work motivation is proven to be a key mediator that strengthens the positive influence of the social environment on nurses' psychological well-being. From a managerial epidemiology perspective, communication failure is identified as a “risk determinant” that can trigger a collective decline in service quality. Conclusion: The integration of effective communication and broad participatory spaces is essential for RSUD Provinsi NTB management to create a healthy and motivating work environment
EPIDEMIOLOGI DAN DETERMINAN SOSIAL STUNTING DI PROVINSI KEPULAUAN: TINJAUAN LITERATUR FAKTOR RISIKO DAN EFEKTIVITAS INTERVENSI MULTISEKTORAL PADA BALITA DI NUSA TENGGARA BARAT Sunanto, Sunanto; Yuly Peristiowati
Jurnal Cakrawala Ilmiah Vol. 5 No. 7 (2026): Maret 2026
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Background: Stunting is a manifestation of chronic malnutrition that impacts the quality of human resources, especially in regions with island geographical characteristics such as West Nusa Tenggara (NTB). Although interventions have been implemented, stunting prevalence in this region still requires in-depth analysis regarding social determinants and the effectiveness of cross-sectoral coordination. Objective: This study aims to map the epidemiological profile, identify dominant social determinants, and evaluate the effectiveness of multisectoral interventions in NTB Province through a literature review. Methods: This research employed the Systematic Literature Review (SLR) method. Article searches were conducted on Scopus and Google Scholar databases within the 2014-2024 timeframe. Article selection followed strict inclusion and exclusion criteria, resulting in 10 primary articles analyzed qualitatively. Results: Findings indicate that social determinants such as access to sanitation (WASH), maternal education level, and family economic status are the primary risk factors in NTB. The island region's characteristics cause significant disparities in food access and health services. Specific interventions (medical) proved effective when supported by sensitive interventions (non-medical) through multisectoral collaboration and local volunteer empowerment. Conclusion: Stunting management in NTB requires a region-based approach that is adaptive to the geographical constraints of the islands. Policy synchronization between central and local governments, along with the strengthening of basic infrastructure, is key to accelerating stunting reduction.
DETERMINASI SOSIAL LINGKUNGAN KERJA DAN EPIDEMIOLOGI MANAJERIAL: TINJAUAN LITERATUR DAMPAK PELATIHAN DAN PENGEMBANGAN KARIR TERHADAP MOTIVASI KERJA MELALUI MEDIASI KEPUASAN KERJA DI RSUD PROVINSI NTB Susi Wirawati Triyono; Yuly Peristiowati
Jurnal Cakrawala Ilmiah Vol. 5 No. 7 (2026): Maret 2026
Publisher : Bajang Institute

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Background: Employee work motivation in the health sector, particularly at RSUD NTB Province, is a crucial determinant in ensuring service quality and patient safety. However, fluctuations in motivation are often managerial challenges influenced by human resource development policies. Objective: This study aims to analyze and synthesize literature regarding the influence of training and career development on work motivation and to examine the mediating role of job satisfaction in this relationship through a managerial epidemiology perspective. Methods: This study uses the Systematic Literature Review (SLR) method. The literature search was conducted through Google Scholar and Scopus databases with a publication timeframe of 2014-2024. Inclusion criteria focused on original research discussing the variables of training, career, satisfaction, and motivation in health organizations or public services. Results: The review results show that training and career development have a significant positive impact on work motivation. The main findings confirm that job satisfaction functions as an essential mediator; meaning that training programs and career path clarity will only optimally increase motivation if they can meet expectations and provide psychological satisfaction for employees. Conclusion: Epidemiologically, job satisfaction acts as an intermediate factor that determines organizational health. The management of RSUD NTB Province is advised to integrate competency development programs with transparent career systems to mitigate the risk of declining work motivation.
DETERMINASI SOSIAL LINGKUNGAN KERJA DAN EPIDEMIOLOGI MANAJERIAL: TINJAUAN LITERATUR DAMPAK PENGEMBANGAN KARIR DAN WORK-LIFE BALANCE TERHADAP KINERJA KARYAWAN MELALUI MEDIASI KEPUASAN KERJA DI RSUD PROVINSI NTB Wahyu Nur Chalamsah Setiawan; Yuly Peristiowati
Jurnal Cakrawala Ilmiah Vol. 5 No. 7 (2026): Maret 2026
Publisher : Bajang Institute

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Abstract

Background: Employee performance in the healthcare sector results from complex interactions between organizational and individual factors. RSUD Provinsi NTB, as a public service center, faces challenges in maintaining productivity amidst high workloads. A managerial epidemiology approach and the social determinants of the work environment are crucial for systematically analyzing performance issues. Objective: This study aims to analyze the impact of career development and work-life balance on employee performance, with job satisfaction as a mediating variable, through a comprehensive literature review. Methods: This study employs a Systematic Literature Review (SLR) method. The literature search was conducted across Scopus, Google Scholar, and ScienceDirect databases covering the period 2016-2026. Inclusion criteria focused on original research articles discussing the relationships between variables within healthcare service organizations. Results: Findings indicate that career development and work-life balance significantly influence performance by enhancing job satisfaction. Job satisfaction is proven to be a key mediator; stagnant career policies and poor work-life balance are identified as organizational “risk factors” that diminish work output. Conclusion: The integration of transparent career policies and work-life balance support is essential for optimizing performance at RSUD Provinsi NTB. A managerial epidemiology approach provides a preventive framework for management in human resource administration.
Co-Authors Abd. Rasyid Syamsuri Achmad Wahdi Achmad Zakaria Adelina Pinto Ady Purwoto Afridah, Wiwik Afzal, Ridha Agit Pratama Putra Agung Purnomo Agung Purnomo Agus Salim Burhanuddin Agusta Dian Elina Agusta Dian Ellina Agustin Agustin Agustin Widyowari Agustin Widyowati Ahmad Syauqi Mubarok Ahmadi Putri, Nabila Maharani Aini, Trianike Nor Alexius Andi Bur Ali Humardani Alin Ayuning Tyas Almas, Sri Warsuni Alya Tata Riani Amani, Tartilah Nur Amarin Yudhana, Amarin Amelindha Vania Ananda Wansika Dewi Andariningsih Andayani, Erisa Ariya Andre Bagaskara Angky Meilin Widi Sumijayanti Anis Ansyori Anna Indriani Anna Lince Dasmasela Anniza Pramesti, Adhe Anto, Ambo Anugraheni Wintari Soerya Arantrinita Arantriwardani Arantriwardhani Arief Churniawan Arief Fardiansyah Artha Budi Susila Duarsa Asri Dewi Wahyuningtyas Asri Putri Kisfandari Asruria Sani Fajria Asyafa'a Rizqi Fadilla Atik Setiawan Wahyuningsih Atmojo, Joko Tri Aulia Rahman Ayu E., Mas Roro Dyah Baiq Nirmalasari Baiq Reni Pratiwi Batewa, Erny Bayu Prabowo Bekti, Yhen Ari Benny Yoga Satria Betharia Mardiyani Bhisma Murti Birroudhoh, Fiqhiyah Budi Minarno Bur, Alexius Andi Byba Melda Suhita christianto nugroho Crystalia Darma Karno Dedi Saifulah Dedy Mochtar Setiaji Demasa Maulana Seta Desak Gede Sri Baktiasih Dewi Kusumawati, Prima Dewi Retno Puspitosari Dian Jayantari Putri K Hedo Dita, Janny Doris Novelyn Lalamentik Dwi Helynarti Syurandhari Dwiana, Winda Gusya Edi Kurnianto Efendy, Muhamad As'ad Eka Lutfiatus Solehah Elina, Agusta Dian Elliana, Agusta Dian Ellina , Agusta Dian Elya Endriani Endah Pujiati Eni Natalia Teuf Etti Suryani Eva Agustin Fajar Rinawati Fajriah, Asruria Sani Fajriah, Asuria Sani Fajriyah, Asruria Sani Farida Hidayati Feliciano De Araujo Francisca Rizky Yuniar Ghazali, Muh Al Gunawan Handayani, Rina Tri Hangriani, Fransiska Xaveria Hardiani, Novita Hari Prasetyo Umar Hariyono Hariyono Hariyono Heri Suroso, Heri Herin Mawarti Herman Pratikto Herminofa, Irsyad Hidayat, Ichwan Hidayat, Poppy Hidayatur Rahman Hilda Dea Revani I Ketut Gede Muliarta I Putu Artawan Prayoga I'im Murtiawani Ida Winarni Ifa Artha Mefia Ike Nurrochmawati Ikke Winar Rachmawaty Ikke Winar Rachmawaty Imam Ghazali Imam Ghazali Imam Ghazali Indah Aprilia Angelina Indah Sri Wahyuni Indah Sri Wahyuni Indasah Indasah Iriawan Putra, Pujo Broto Istianah Istianah Jamhari Jamhari Janita Putri, Aqmarlia Jaswadi JASWADI, Jaswadi Joaquim Pinto Joko Prasetyo Joko Prasetyo Joko Prasetyo Joko Sutrisno Joko Tri Atmojo Joko Tri Atmojo Joko Sutrisno Justanti, Chusnul Katmini Katmini, Katmini Khaerotib Khasanah, Mutiara Koesnadi Krisnanda Aditya Pradana Krisnanda Aditya Pradana Krissanti, Hanny Kurniawan Edi Priyanto Kusumawardani, Nila Laily Indrayanti Yusuf Lalu Herman Mahaputra Lalu Iman Saptahadi Laluyan, Hilda Anggraeni Lamma, Nirwana Alef Lastari, Heni Latifah Latifah Latifah, Wing Umi Layla, Siti Farida Noor Lestaluhu, Masdarany Lilik Afifah Lingga Kusuma Wardani Lutfi Nur Aini M Al Farisi Manumara, Theophylia Melisa Maria Haryanti Butarbutar Maria Haryanti Butarbutar Maria Maria Marviyani Baisila Maryati Masrulloh Masrulloh Melda Suhita, Byba Melda, Byba Melur Belinda Menny Noviani Mohamad As'ad Efendy Mohammad Yusuf Alamudi Muh. Emilia Sa'id Rasyid Muhamad As’ad Efendi Muhamad As’ad Efendy Muhamad Hadhikul Ichwan Muhamad Sardiman Muhammad Erfansyah Muhammad Maftukh Muhammad Miftachul Mafakhir Muhammad Munip Muhammad Roihan Mahesa Putra Muji Murtiningsih Mukhofi, Lutfi Murwani Murwani Mustofa Khairul Sholeh Ng Phi Shi Nia Sari Nian Afrian Nuari Ningtiyas, Linda Kristian Noer Istiqomah Nova Purma Hardini Novi Kusrini Noviani, Menny Novita Ana Anggraini Nur Alim Fatah Nurdina Nurdina Nurfitriani, Yuzita Nursini Juiban Hadi Nurwijayanti Nurwijayanti Kusumaningrum Octaviana Marta G.M. Gusmão Ode Muhammad Ady Ardyawan, La P H Livana Prananingtias, Rosita Prasetya, Fika Indah Pratiwi Yuliansari Predito Prihantoro Prima Dewi Kusumawati Pujo Broto Iriawan Putra Purmahardini, Nova Purwanti, Tentry Fuji Putri Amanda Oktavia Putri Nur Fadhilah Rahmadi, Syamsu Rahmanasari, Suska Evi Rahmania Ambarika Ratna Wardani Ratna Wardani Raysella Khaulla Miandi Reni Nurhidayah Reni Yuli Astutik Reny Maswiyati Restu Hadi P Ritalia Monika Kaka Riyad Hariyadi Rizal, Yusuf Rizki Fadila, Rizki Rokhmawan, Ulum Rokhmat Rumpiati, Rumpiati Rusady, Yulia Paramita Sadikin Apriadi Safrina Citra Salsabila Salsabila, Unik Hanifah Salva Ayu Vidias Putri Sandu Siyoto Sandu Siyoto Sandu Siyoto Sandu Siyoto Sandu Siyoto, Sandu Sangidu Sani, Miftahuddin Sari Pratiwi Sarippy, Jesseline Saryono, Hari Sasmita, Hasri Yulia Sasmito, Armando Hadyono Joko Sasmito, Priyo Semiarto, Mufit Sentot Alibasah Sentot Imam Suprapto Septin Maisharah K Setyo Wahyudi Sih Winarti Sinambela, Sunggulan Siswanti Siswanti Siti Farida Siti Farida Noor Layla Siti Farida Noor Layla Siti Hasna Ulfiah Siti Nur Farida Siti Nur Hasina Slamet Djoko Sunarko Slamet Djoko Sunarko Slamet Hariadi Slamet Jayadi Soerya, Anugraheni Wintari Solehah, Eka Lutfiatus Stianto, Mitayakuna Subarkat Bangun Satoto sultan Sulton Ali M Sumarno . Sumiati Sumiyati Sunanto Sunanto Supangkat, Ismu Dwi Suprapto, Sentot Imam Susi Wirawati Triono Susi Wirawati Triyono Susiati, Asih Luklu Sutrisno Syahrul Hidayat Syarif Abdullah Tata Mahyuvi Tin Dwi Kartiningsih Titik Mariyati Titis Sulistyowati Tri Retnoningsih Triningsih, Indah Tutik Nushah Tutik Nusnah Undatun Ni'mah Upik Supiaty Ura, Rahmad Suryawan wahono, kaiden budi Wahyu Agung Wahyu Herwati Cahyo Wahyu Nur Chalamsa Wahyu Nur Chalamsah Setiawan Wardani, Silvia Intan Wasita, Rangga Watna, Ida Wening Palupi Dewi Wibowo, Kevin Rachmalia Widi Ardian S. Widiastuti Widiastuti Widiyanto, Aris Widiyawati, Rina Winarti, Sih Winda Gusya Dwiana WULANDARI Yatimul Kais Diyanto Yenny Puspitasari Yhen Ari Bekti Yoga Satria , Benny Yoyok Yulianto Yulia Paramita Rusady Yulida Ti'ani Yusiana Vidhiastutik Zauhani Kusnul Zauhani Kusnul3 Zuhrotul Aini, Zuhrotul Zulkifli