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Budaya Keselamatan Staf Klinis Rumah Sakit Terakreditasi Yang Menjadi Rujukan Covid-19 Duta Liana; Dewi Lestari; Fifi Dwijayanti; Nuraini Fauziah
The Journal of Hospital Accreditation Vol 3 No 02 (2021): Teknik dan Hasil Penerapan Standar Akreditasi
Publisher : Komisi Akreditasi Rumah Sakit (KARS)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35727/jha.v3i2.108

Abstract

Latar Belakang: Pandemi Coronavirus Disease 2019 (Covid-19) memberikan dampak luas dikarenakan risiko penularan virus SARS-COV-2 melalui kontak, droplet, dan kemungkinan airborne. Suatu tantangan bagi rumah sakit untuk menjamin mutu dan keselamatan. Dalam kondisi seperti ini, maka budaya keselamatan yang baik menjadi faktor kritikal untuk menjamin keselamatan baik pasien, pengunjung, maupun petugas rumah sakit. Komitmen Pimpinan dan dukungan seluruh staf khususnya staf klinis sangat diperlukan untuk terciptanya budaya keselamatan rumah sakit. Salah satunya pemenuhan standar layanan akreditasi rumah sakit untuk meningkatkan budaya keselamatan. Berdasarkan kondisi ini diperlukan suatu penelitian untuk mengukur sejauh mana standar akreditasi diimplementasikan untuk mendukung budaya keselamatan yang meliputi keselamatan pasien, keselamatan dan kesehatan pekerja rumah sakit. Tujuan: Penelitian ini bertujuan untuk mengukur budaya keselamatan staf klinis dengan prediktor yang dominan dalam mempengaruhi keselamatan pasien serta keselamatan dan kesehatan pekerja di rumah sakit terakreditasi Komisi Akreditasi Rumah Sakit (KARS) yang menjadi rujukan Covid-19. Metode: Penelitian ini merupakan cross-sectional study pada empat rumah sakit rujukan Covid-19 di DKI Jakarta diantaranya RSPAD Gatot Subroto, RSUP Persahabatan, RS Pusat Pertamina, dan RS Pertamina Jaya. Tiga variabel yang mempengaruhi budaya keselamatan yaitu iklim keselamatan, situasional, dan perilaku keselamatan. Responden adalah staf klinis berdasarkan jenis instalasi dan staf klinis di setiap rumah sakit yang dipilih secara acak. Kuesioner mengacu pada instrumen Standar Nasional Akreditasi Rumah Sakit (SNARS) edisi 1.1 dalam bentuk google form. Analisis data dilakukan secara univariat dan bivariat menggunakan uji chi-square sedangkan multivariat menggunakan regresi logistik. Hasil: Data penelitian ini diperoleh dari 560 responden yang terdiri dari instalasi dan staf klinis. Dari empat rumah sakit dihasilkan budaya keselamatan rumah sakit menurut 51,8% responden masuk dalam kategori baik dimana tiga dari sepuluh indikator yaitu kerjasama, lingkungan kerja, dan kepatuhan merupakan kategori baik dan dominan. Variabel situasional memiliki pengaruh terbesar terhadap budaya keselamatan (OR 4,46; 95% CI 2,67-7,42). Kepatuhan memiliki pengaruh terbesar terhadap keselamatan pasien (OR 5,59; 95% CI 3,27-9,56) dan manajemen risiko memiliki pengaruh terbesar terhadap keselamatan dan kesehatan pekerja (OR 5,59; 95% CI 3,29-9,49). Kesimpulan: Variabel situasional memiliki pengaruh terbesar terhadap budaya keselamatan, baik keselamatan pasien maupun keselamatan dan kesehatan pekerja. Indikator kepatuhan dan manajemen risiko merupakan indikator yang memiliki pengaruh terbesar terhadap budaya keselamatan.
The Influence of the Information System Success Model and the Technology Acceptance Model on the Behavioral Intention of Specialist Doctors to use Electronic Medical Records For Inpatient Care Unit Julita D. L. Nainggolan; Duta Liana; Hosizah
International Journal of Science and Society Vol 5 No 5 (2023): International Journal of Science and Society (IJSOC)
Publisher : GoAcademica Research & Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54783/ijsoc.v5i5.900

Abstract

The acceleration of technological developments affects the management of information systems within the hospital, especially in using of Electronic Medical Records (EMR). Behavioral intention to use EMR is the essential factor, the role of user is one of the keys to successful EMR implementation. This study aims to analyze the factors that influence behavioral intention of specialist doctors to use inpatient EMR. Data were obtained through questionnaires using the Likert measuring scale and data analysis was processed using SEM (Structural Equation Modelling). Quantitative analytical research method with cross-sectional design using a total sampling of 144 specialists. Of the total 144 respondents, the majority of respondents were male (59%), aged 40-50 years (30.6%) and had a working period of more than 20 years (25.7%). Hypothesis analysis found that there was an effect of system and information quality on perceived ease of use and usefulness. System quality, perceived ease of use and usefulness influence behavioral intention, while information quality has no effect, but indirectly influences behavioral intention through perceived ease of use and usefulness. Service quality has no effect on perceived ease of use, perceived usefulness, and behavioral intention. Perceived usefulness has the greatest influence on behavioral intentions to use inpatient EMR. As an implication of this study, it was found that it is necessary to optimize the inpatient EMR system in the aspects of reliability and connectivity.
Upaya Peningkatan Kesehatan Masyarakat Melalui Pengetahuan Dan Pengobatan PTM Di Desa Cikeas Udik Liana, Duta; Yuliati, Yuliati; Pamungkas, Rian Adi
Jurnal Pengabdian Masyarakat Indonesia Maju Vol 4 No 03 (2023): Jurnal Pengabdian Masyarakat Indonesia Maju Volume 04 Nomer 03 Tahun 2023
Publisher : UIMA Press

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33221/jpmim.v4i03.2983

Abstract

Masalah kesehatan fisik masih menjadi ancaman kesehatan masyarakat terutama pada penyakit tidak menular (PTM) misalnya hipertensi, stroke, penyakit jantung dan diabetes mellitus. Secara global, 41 juta orang meninggal setiap tahunnya karena PTM dimana 17 juta meninggal sebelum usia 70 tahun. Peningkatan prevalensi PTM mengindikasikan perlunya mengubah pola hidup sehat. Kegiatan skrining, penyuluhan, dan pengobatan dapat menjadi alternatif pemberdayaan masyarakat. Kegiatan dilaksanakan tanggal 30 September-1 Oktober 2023 di Desa Cikeas Udik, Kabupaten Bogor. Hasil skrining sebanyak 93 orang (88,6%) eligible mendapatkan pengobatan dimana sebagian besar berusia ≥ 46 tahun (52,7%). Lima penyakit terbanyak adalah hipertensi (26,8%), myalgia (13,8%), DM (9,7%), ISPA (7,3%), dan dyspepsia (7,3%). Dalam kegiatan ini diberikan penyuluhan dan edukasi kepada masyarakat meliputi definisi, faktor risiko, pencegahan, pengobatan, penanganan penyakit, pola hidup sehat, olahraga, menjaga pola dan jenis makanan yang dikonsumsi. Kemudian dilaksanakan pengobatan oleh dokter dengan pengobatan terbanyak pada penderita hipertensi, myalgia, dan DM. Harapannya kegiatan ini dapat menjadi upaya peningkatan kesehatan masyarakat dengan meningkatknya pengetahuan dan kesadaran akan pentingnya pencegahan dan pengobatan penyakit tidak menular, khususnya hipertensi dan diabetes mellitus sehingga dapat terkontrol dan menghindari komplikasi. Diperlukan juga keterlibatan aktif kader dan puskesmas setempat dalam meneruskan edukasi kepada warga didesanya tentang penyakit hipertensi dan diabetes mellitus.
Compliance Model For Completeness Of Filling In Medical Records By Professional Care Providers (PPA) With Motivation As An Intervening Variable Ratih Ariyanti Pratika; Duta Liana; Muhammad Fachruddin Arrozi
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 1 No. 3 (2024): Juli : Vitalitas Medis : Jurnal Kesehatan dan Kedokteran
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/vimed.v1i3.510

Abstract

Hospitals establish Minimum Service Standards (SPM) for medical records, specifically emphasizing the requirement for completeness in filling out medical records within 24 hours of service completion and achieving a 100% completeness standard for informed consent after receiving clear information. This study aims to develop a compliance model for Professional Care Providers (PPA) in filling out medical records, incorporating motivation as an intervening variable based on knowledge and attitude variables among inpatients at Cilincing Hospital. The sampling method employed is saturated sampling, with a total sample size of approximately 82 respondents. Path Analysis is utilized for data analysis, employing AMOS software. The research findings indicate a significant influence of knowledge, attitudes, and motivation of Professional Care Providers (PPA) on the overall compliance with the completeness of medical record filling, both collectively and individually. Moreover, the study reveals a significant impact of knowledge and attitudes on the motivation of Professional Caregivers (PPA). Additionally, motivation, acting as an intervening variable, demonstrates its ability to mediate the influence of knowledge and attitudes of Professional Care Providers (PPA) on compliance with the completeness of medical record filling.
Improvement Effortsinterest in Visitingan Through Improving the Marketing Mix and Hospital Image in Indonesia Umi Syarah; Duta Liana; Hasyim Hasyim
Vitalitas Medis : Jurnal Kesehatan dan Kedokteran Vol. 1 No. 4 (2024): Oktober : Vitalitas Medis : Jurnal Kesehatan dan Kedokteran
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/vimed.v1i4.792

Abstract

The level of repeat visit interest of patients in the Hospital Outpatient Clinic in April, June, July, August was relatively decreased. This decrease in repeat visit interest needs to be further examined to understand the factors involved. This study is to link the marketing mix implemented by the Hospital and the hospital image to the repeat visit interest to the hospital through patient experience. This study aims to analyze the effect of the marketing mix and hospital image on the repeat visit interest to the hospital with patient experience as an intervening variable in the Hospital Outpatient Clinic. This study uses a quantitative analysis method with a cross-sectional research design. The sample calculation uses purposive sampling of 105. The study used a questionnaire as a research instrument with Likert scale measurements showing that there is a positive and significant influence both simultaneously, directly, and indirectly between the marketing mix and hospital image on the repeat visit interest to the hospital with patient experience as an intervening variable in the Hospital Outpatient Clinic. Thus, the research hypothesis is accepted. Implications need to improve the hospital image through various media, improve the direction system, improve communication between doctors and patients and follow-up after visits
Burnout Prevention Efforts for Healthcare Professionals in Hospital that Server COVID-19 Patients During Pandemic Liana, Duta; Dwijayanti, Fifi; Fauziah, Nuraini; Lestari, Dewi
International Journal of Nursing and Health Services (IJNHS) Vol. 7 No. 6 (2024): 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.v7i6.830

Abstract

Background: COVID-19 pandemic has become main workload issue for health workers in hospitals. Pandemic period requires health workers to endure working under stressful conditions and exposure infection risks. Continuous and uncontrolled stress causes burnout. Objective: It aims to determine prevention efforts in workplace that influence on burnout. Methods: It was cross-sectional study in six hospitals. Population are HCPs consisting of doctors, nurses, pharmacists, nutritionists, medical laboratory personnel, and radiographers. It used primary data based on Copenhagen Burnout Inventory (CBI) questionnaire combined with questionnaire refers to Health Minister No.HK.01.07/MENKES/1591/2020 regarding burnout prevention efforts. Analysis with univariate and bivariate with chi-square test to determine relationship between characteristics and prevention efforts to burnout incidence. Research has passed ethical review from Lavalette Hospital. Results: The result was obtained from 318 respondents from six hospitals. Most respondents were women (76.4%), married (77.7%), had worked ?6 years (56.0%) and nurses (63.5%). Individual prevention has relationship with personal, work-related, and patient-related burnout. Group prevention has a relationship with work-related and patient-related burnout. Organizational prevention has relationship with personal, work-related, and patient-related burnout (p<0.05). Conclusion: Prevention efforts for individuals, groups, and organizations are related to burnout. Individual prevention influences work-related burnout, and professions influence personal and work-related burnout. The results can be used as a reference for providing appropriate and effective burnout prevention interventions through individual, group, or organizational prevention
The Role of Medical Personnel Responsiveness and Competency in Improving Brand Image and The Annual Number of Hospital Visits Hartanti, Renny; Hasyim, Hasyim; Liana, Duta
Eduvest - Journal of Universal Studies Vol. 5 No. 4 (2025): Eduvest - Journal of Universal Studies
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59188/eduvest.v5i4.16760

Abstract

In 2023, there has been a decrease in the number of general patients visiting hospitals, which is a serious concern for the management. The factor suspected to affect this decline is the public's perception of the responsiveness and competence of the services provided by the hospital. The purpose of this study is to empirically reveal the influence of responsiveness and competence on patients' decisions to visit hospitals with brand image as an intervening variable. The type of research is included in the quantitative with a cross-sectional study design. The results of the analysis prove that responsiveness and competence affect the patient's decision to visit the hospital, with brand image as an intervening variable. The implication of these findings is the need to improve the variables that affect the brand image, such as staff knowledge, service skills, and managerial considerations in providing responsive and competent services. These improvement efforts can improve the hospital's brand image and ultimately help attract more patients to re-choose the hospital as their healthcare provider.
The Job Stress, Work Environment, and Motivation Predicted the Staff Loyalty Adyllon, Devand; Nugroho, Natsir; Liana, Duta
International Journal of Nursing and Health Services (IJNHS) Vol. 8 No. 2 (2025): 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.v8i2.823

Abstract

Background: The intricate relationship between job stress, work environment, motivation, and staff loyalty has been a focal point of organizational studies for decades. Objective: This research aims to determine the relationship between work stress, work environment, and work motivation on staff loyalty. Method: This research is a quantitative study with a cross sectional approach involving 192 respondents. The research sample was taken using the Simple Random Sampling technique. Data was taken using a questionnaire. Data were analyzed using the Smart PLS version 3 program. Result: This research shows that there is a relationship between work stress and staff loyalty; work stress with work motivation; work environment with staff loyalty; work environment with work motivation; work environment with work stress; and work motivation with staff loyalty with a P value <0.05. Conclusion: in conclusion explained that job stress, work environtment, and motivation was successfully predicting the staff loyalty in the hospital. Recommendation: The hospital staff need to consider those factors to influence the staff loyalty at hospital. Further research needs to conduct the mixed method study to explore the factors associated with staff loyalty in qualitatively
PEMERIKSAAN KESEHATAN DAN PENGOBATAN PENYAKIT MELALUI BAKTI SOSIAL DI DESA CIKEAS UDIK KABUPATEN BOGOR Liana, Duta; Maratis, Jerry; Fauziah, Nuraini; Anggrani, Santi; Ulli, Meilandna; Hendrawan, Suwanda; Putri, Yunita Eka; Utomo, Haryo Setyo
Jurnal Abdi Insani Vol 12 No 6 (2025): Jurnal Abdi Insani
Publisher : Universitas Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29303/abdiinsani.v12i6.2593

Abstract

Non-communicable diseases (NCDs) and infectious diseases are still challenging public health problems. The increase of prevalence directs need for community preventive and promotive to behave healthily and change their lifestyle. In supporting tri dharma and improving public health, community service was carried out as social services and treatment in Cikeas Udik Village. This activity aims to determine description of disease, provide counseling and education, and provide social services and health treatment to community. Activity steps include counseling, screening examinations, and treatment. Univariate data analysis used descriptive. Number of participants was 94 people, of which 82% were women. The examination results showed that the patient's blood pressure was normal, but hypertension was the highest diagnosis. Laboratory examination results showed normal GDS, normal cholesterol, abnormal uric acid in women. There are five largest drug groups, namely analgesics, antihypertensives, antidiabetics, antacids, and multivitamins. Then the body balance of the community still needs to be inhanced. It can be concluded that social service provide benefits to the people. Participants are very enthusiastic in the activities. It is hoped that health conditions will be known, have good and appropriate treatment will be obtained.
Pengaruh Daya Tanggap dan Pemasaran Media Sosial terhadap Keputusan Pasien Berkunjung Kembali dengan Kepercayaan sebagai Variabel Intervening pada Pasien Rawat Jalan Nuriza, Heni; Mustikawati, Intan Silviana; Liana, Duta
Journal of Language and Health Vol 6 No 2 (2025): Journal of Language and Health
Publisher : CV. Global Health Science Group

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/jlh.v6i2.6345

Abstract

Penelitian ini dilandasi hasil observasi awal yang menginformasikan bahwa terjadi penurunan jumlah pasien lama non JKN per kuartal ke-3 sebanyak 161 (15%) pasien dibandingkan kuartal pertama di tahun 2023, mengindikasikan adanya pertimbangan khusus dari pasien dalam memilih layanan rawat jalan di RS Setya Bhakti. Tujuan: penelitian ini bertujuan menganalisis pengaruh daya tanggap dan pemasaran media sosial terhadap keputusan pasien dengan kepercayaan sebagai variabel intervening. Metode: penelitian penelitian kuantitatif dengan desain cross sectional study. Sampel dalam penelitian ini adalah pasien rawat jalan non-JKN dengan fasilitas pembayaran pribadi dan asuransi RSIA Setya Bhakti dengan jumlah sampel sebanyak 185 sampel. Data dikumpulkan menggunakan kuesioner. Teknik analisis Structural Equation Modeling (SEM) dengan metode Partial Least Square (PLS). Hasil: Kepercayaan pasien dipengaruhi oleh daya tanggap penyedia layanan kesehatan dan pemasaran media sosial. Daya tanggap dan pemasaran media sosial yang baik dapat meningkatkan kepercayaan pasien, yang pada gilirannya mempengaruhi keputusan pasien untuk kembali. Selain itu, kepercayaan pasien juga mempengaruhi keputusan pasien berkunjung kembali, dengan pengalaman positif sebelumnya meningkatkan kepercayaan dan keinginan untuk kembali. Simpulan : Penelitian ini menemukan bahwa daya tanggap dan pemasaran media sosial mempengaruhi keputusan pasien berkunjung kembali dengan kepercayaan sebagai variabel intervening.