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Peranan Kepemimpinan Transformasional dalam Meningkatan Kinerja Pegawai pada Industri Rumah Sakit di Indonesia Samatha Amelia Putri; Nofierni Nofierni; Hasyim Hasyim
Jurnal Ilmu Kesehatan Masyarakat Vol 10 No 02 (2021): Jurnal Ilmu Kesehatan Masyarakat
Publisher : Sekolah Tinggi Ilmu Kesehatan Indonesia Maju (STIKIM)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33221/jikm.v10i02.806

RS X merupakan rumah sakit milik universitas swasta, pada observasi pendahuluan muncul beberapa masalah terkait kinerja pegawai antara lain keterlambatan pegawai dari jam absensi serta turnover perawat yang cukup tinggi yang menyebabkan kurangnya produktivitas pegawai. Tujuan dari penelitian ini ialah menganalisis pengaruh kepemimpinan transformasional, kecerdasan emosional dan kompetensi secara parsial dan simultan terhadap kinerja pegawai pada bagian pelayanan medis di RS X. Jenis penelitian ini adalah kuantitatif asosiatif dengan pengujian hipotesis. Populasi penelitian adalah seluruh pegawai di RS X dengan sampel 97 orang pegawai medis. Metode analisis data yang digunakan dalam penelitian ini adalah analisis regresi linier berganda. Berdasarkan hasil analisis regresi diperoleh nilai koefisien regresi yang menunjukkan bahwa koefisien regresi gaya kepemimpinan transformasional (B=0,528) mempunyai nilai yang paling tinggi dibandingkan nilai koefisien regresi kecerdasan emosional (B=0,206) dan kompetensi (B=0.229). Hal ini berarti pengaruh seorang pemimpin yang dapat diandalkan, menginspirasi, memotivasi, komunikatif dan visioner akan berpengaruh tehadap peningkatan kinerja pegawai. Hasil analisis data serta pengujian hipotesis menyatakan secara simultan dan parsial terdapat pengaruh positif dan signifikan antara gaya kepemimpinan transformasional, kecerdasan emosional dan kompetensi terhadap kinerja pegawai pada bagian pelayanan medis di RS X.

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

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.

Information System Benefits Improvement Model, Information Quality Through User Satisfaction, Information Quality and Organization At Hospital X Nurrohman Hardiansyah; Ratna Indrawati; Nofierni Nofierni
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.v3i1.1618

Hospital Information System aims to provide accurate, timely, and relevant information to support management functions and decision-making in health services in hospitals. This study examines the influence of user satisfaction, information quality, and organizational support on the benefits obtained from SIRS, both directly and indirectly. The approach used in this study is quantitative with the explanatory causality method, and the analysis technique in this study uses Structural Equation Modeling (SEM). The respondents of the study were 198 professional care providers (PPA) who were directly involved in the use of SIRS at the Sultan Agung Islamic Hospital, Banjarbaru. The results of this study indicate that the factors of user satisfaction, information quality, and organizational support have a major influence on the benefits both directly and indirectly received from the use of this system, with a determination coefficient of 84.8%. This means that more than 80% of the benefits obtained by the hospital in using the hospital information system are determined by how satisfied the user is with the system used. This indicates a good relationship between the four factors in increasing the benefits of the hospital information system at RSI Sultan Agung Banjarbaru. Therefore, hospitals are advised not to only focus on developing one aspect, but also to maximize the four aspects in order to provide more optimal results.

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

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

Peranan Kepemimpinan Transformasional dalam Meningkatan Kinerja Pegawai pada Industri Rumah Sakit di Indonesia Samatha Amelia Putri; Nofierni Nofierni; Hasyim Hasyim
Jurnal Ilmu Kesehatan Masyarakat Vol 10 No 02 (2021): Jurnal Ilmu Kesehatan Masyarakat
Publisher : UIMA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33221/jikm.v10i02.806

RS X merupakan rumah sakit milik universitas swasta, pada observasi pendahuluan muncul beberapa masalah terkait kinerja pegawai antara lain keterlambatan pegawai dari jam absensi serta turnover perawat yang cukup tinggi yang menyebabkan kurangnya produktivitas pegawai. Tujuan dari penelitian ini ialah menganalisis pengaruh kepemimpinan transformasional, kecerdasan emosional dan kompetensi secara parsial dan simultan terhadap kinerja pegawai pada bagian pelayanan medis di RS X. Jenis penelitian ini adalah kuantitatif asosiatif dengan pengujian hipotesis. Populasi penelitian adalah seluruh pegawai di RS X dengan sampel 97 orang pegawai medis. Metode analisis data yang digunakan dalam penelitian ini adalah analisis regresi linier berganda. Berdasarkan hasil analisis regresi diperoleh nilai koefisien regresi yang menunjukkan bahwa koefisien regresi gaya kepemimpinan transformasional (B=0,528) mempunyai nilai yang paling tinggi dibandingkan nilai koefisien regresi kecerdasan emosional (B=0,206) dan kompetensi (B=0.229). Hal ini berarti pengaruh seorang pemimpin yang dapat diandalkan, menginspirasi, memotivasi, komunikatif dan visioner akan berpengaruh tehadap peningkatan kinerja pegawai. Hasil analisis data serta pengujian hipotesis menyatakan secara simultan dan parsial terdapat pengaruh positif dan signifikan antara gaya kepemimpinan transformasional, kecerdasan emosional dan kompetensi terhadap kinerja pegawai pada bagian pelayanan medis di RS X.

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

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 Perceived Usefulness, Subjective Norm And Perceived Ease Of Use On Usage Behavior Through Behavioral Intention On The Acceptance Of Rme In Rsud Mayjend H.M. Ryacudu North Lampung Febrian Pramana Putra; Agusdini Agusdini; Nofierni Nofierni
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.v3i2.344

In the era of digital transformation, the healthcare sector is required to adapt to technological developments, especially in terms of recording and managing patient medical data. Electronic Medical Records (RME) is a strategic solution that can improve efficiency, accuracy, and integration of health services. The implementation of RME in health facilities faces a number of challenges. Infrastructure readiness, limited human resources (HR), and resistance to change are factors that affect the adoption of this technology. to analyze the extent to which Perceived Usefulness, Subjective Norm and Perceived Ease of Use affect Usage Behaviour through Behavioural Intention as an intervening variable. this research method is quantitative explanatory research. The sample in this study were care givers (PPA) at the Mayjend H.M. Ryacudu Hospital, North Lampung, totaling 140 respondents. Data collection using questionnaires and descriptive analysis techniques using the SEM-PLS method. the results showed Perceived Usefulness, Subjective Norm and Perceived Ease of Use influence directly and indirectly on Usage Behaviour through Behavioural Intention as an intervening variable on the acceptance of RME at Mayjend H.M. Ryacudu Hospital. These results in theoretical implications support the theory and previous research. Managerially, it is expected to provide input for the management of RSUD Mayjend H.M. Ryacudu to understand the factors that influence the acceptance of RME by medical personnel, so that technology adoption strategies can be more effective, in improving and improving the quality of technology and systems that support the use of RME.

The Role of Organizational Commitment and Caring Behavior in Improving Nurses' Performance Through Extrinsic Rewards at Seto Hasbadi Hospital Arham Irzan; Muhammad Fachruddin Arrozi Adhikara; Nofierni Nofierni
Inovasi Kesehatan Global Vol. 2 No. 1 (2025): Februari : Inovasi Kesehatan Global
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/ikg.v2i1.1462

This study aims to analyze the effect of organizational commitment and caring behavior on nurse performance, with extrinsic reward as a mediating variable at Seto Hasbadi Hospital. The background of this study is based on the importance of nurse performance in supporting the effectiveness of hospital operations, as well as the effect of commitment and caring behavior on improving performance. The research method used is quantitative analysis with a cross-sectional research design. The number of samples was 140 nurses, selected using the Hair formula. The variables studied include organizational commitment, caring behavior, extrinsic reward, and nurse performance. Data collection was carried out through a questionnaire measured with a 4-point Likert scale. The analysis tool used is Structural Equation Modeling (SEM) with the SEM-AMOS application. The results showed that organizational commitment and caring behavior had a significant effect on nurse performance, both directly and indirectly through extrinsic reward. Extrinsic reward has a greater influence than organizational commitment and caring behavior, extrinsic reward is proven to mediate the relationship between the two independent variables with nurse performance. This study provides important implications for hospital management to focus on developing organizational commitment, nurse caring, extrinsic rewards to improve nurse performance.

Effect of Workload and Competence on Nurses’ Performance with Supervision Moderation in Cengkareng Sugino Kesuma Karo Karo Samura; Dewi Sandra; Nofierni Nofierni
Green Inflation: International Journal of Management and Strategic Business Leadership Vol. 2 No. 3 (2025): August : Green Inflation: International Journal of Management and Strategic Bus
Publisher : Asosiasi Riset Ilmu Manajemen Kewirausahaan dan Bisnis Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/greeninflation.v2i3.539

Introducion The performance of nurses is a critical determinant of hospital service quality, influenced by multiple factors such as workload, competence, and supervision. This study aimed to analyze the effect of workload and nurse competence on nurse performance with supervision as a moderating variable at X Hospital. Methods The research employed a quantitative approach with a causal survey design. Data were collected using structured questionnaires distributed to 176 nurses and analyzed through Structural Equation Modeling (SEM) with SmartPLS 4.0. Result The findings revealed that both workload and competence significantly influenced nurse performance, with competence showing a strong positive effect. Workload was also found to have a significant effect on supervision, and nurse competence significantly enhanced supervision quality. However, supervision did not function as a moderating factor in the relationship between workload and nurse performance, nor between competence and nurse performance. Similarly, supervision itself was not significantly associated with nurse performance. The coefficient of determination showed that workload, competence, and supervision jointly explained 60% of nurse performance, while the remaining 40% was influenced by other unmeasured factors. Conclusion, workload and competence are proven to be direct determinants of nurse performance, whereas supervision in its current form does not enhance these effects. Hospital management should therefore focus on optimizing workload distribution, strengthening nurse competencies through continuous training, and reformulating supervision methods to be more participatory and supportive. These strategies are expected to improve the quality and effectiveness of nursing services and ensure sustainable improvements in hospital performance outcomes.

Impact of Psychological Conditions and Physical Environment on Hospitality Services through Patient Experience Eva Khodijah; Mohamad Reza Hilmy; Nofierni Nofierni
International Journal of Health and Medicine Vol. 2 No. 4 (2025): October : International Journal of Health and Medicine
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/ijhm.v2i4.522

Modern healthcare services are undergoing transformation toward a more humanistic and patient-centered approach, emphasizing hospitality based services in hospitals. However, many healthcare institutions, particularly in outpatient settings, have not fully adopted this concept. Patients often experience psychological distress, and when coupled with an unsupportive physical environment, their comfort and overall experience may be diminished. These conditions can negatively affect perceptions of service quality, patient satisfaction, and loyalty toward hospital services. This study aimed to analyze the influence of patients’ psychological conditions and the physical environment on hospitality-based services, with patient experience as an intervening variable, at the internal medicine outpatient clinic of BM Hospital. A quantitative research design using a cross-sectional approach was employed. The study involved 200 respondents selected through purposive sampling. Data were collected using structured questionnaires with Likert-scale items and analyzed with Structural Equation Modeling Partial Least Squares (SEM-PLS). The results showed that patients’ psychological conditions, the physical environment, and patient experience simultaneously and significantly influenced hospitality-based services. Hypothesis testing confirmed that both psychological conditions and the physical environment had a direct and significant impact on hospitality-based services. Furthermore, patient experience played a mediating role, strengthening the relationship between these factors and perceived service quality. The findings highlight the need for hospitals to integrate psychological support and a conducive physical environment into outpatient care delivery. Enhancing these dimensions can improve patient experience, foster greater satisfaction and comfort, and build stronger loyalty toward hospital services

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