Articles
<![CDATA[Impact of Management Commitment and Safety Culture on Risk Management through Nurse Involvement Intervening ]]>
<![CDATA[Tati susilawati]]>;
<![CDATA[Duta Liana]]>;
<![CDATA[Rina Anindita]]>
<![CDATA[ International Journal of Health and Social Behavior Vol. 2 No. 3 (2025): August: International Journal of Health and Social Behavior ]]>
Publisher : <![CDATA[Asosiasi Riset Ilmu Kesehatan Indonesia ]]>
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DOI: 10.62951/ijhsb.v2i3.499
<![CDATA[The Emergency Department (ED) plays a pivotal role as the frontline of hospital services, requiring rapid and accurate response to ensure patient safety and optimal care outcomes. This study aims to analyze the influence of nurse competence and inter-team coordination on the effectiveness of patient transfers from ED to inpatient units, with nurse work motivation as a mediating variable. A quantitative approach was employed with hypothesis testing using path analysis (Structural Equation Modeling - SEM). The study was conducted at Graha Juanda Hospital, Bekasi, involving a sample of 55 nurses selected through total sampling from both the ED and inpatient departments.Primary data were collected through structured questionnaires, and data analysis was performed using SPSS 26 The results demonstrate that nurse competence and team coordination significantly affect service effectiveness, both directly and indirectly through work motivation. The findings also indicate that low work motivation—linked to factors such as limited professional development opportunities and unbalanced workloads—contributes to delays in transferring patients to inpatient care, with the average Length of Stay (LOS) exceeding six hours.The study concludes that improving nurse competence, strengthening inter-team coordination, and enhancing nurse motivation are critical strategies to improve the quality and timeliness of emergency services. This integrated internal performance approach is vital for reducing LOS in the ED and ensuring seamless, patient-centered care transitions.]]>
<![CDATA[Learning Organization and Feedback Culture in Patient Safety Incident Reporting: The Mediating Role of Non-Punitive Response ]]>
<![CDATA[William, Wilko]]>;
<![CDATA[Liana, Duta]]>;
<![CDATA[Jusat, Idrus]]>
<![CDATA[ JUKEJ : Jurnal Kesehatan Jompa Vol 4 No 2 (2025): JUKEJ: Jurnal Kesehatan Jompa ]]>
Publisher : <![CDATA[Yayasan Jompa Research and Development ]]>
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DOI: 10.57218/jkj.Vol4.Iss2.1936
<![CDATA[This study originated from initial observations at RSIA Santo Yusuf North Jakarta, which highlighted the importance of evaluating the extent to which feedback culture and learning organization influence healthcare workers’ behavior in reporting patient safety incidents. The purpose of this research is to analyze the influence of feedback culture and learning organization on patient safety incident reporting, with non-punitive response as an intervening variable. The study employed a quantitative approach using a survey method and path analysis technique. The research sample consisted of 95 nurses and midwives at RSIA Santo Yusuf North Jakarta. Data analysis was conducted using Structural Equation Modeling (SEM) with the Partial Least Square (PLS) method. The results indicate that Feedback Culture (X1) and Learning Organization (X2) have a positive and significant effect on Non-Punitive Response (Z), with coefficients of 0.445 (p = 0.000) and 0.386 (p = 0.000), respectively. Non-Punitive Response (Z) also significantly influences Patient Safety Incident Reporting (Y) (β = 0.200; p = 0.004). In addition, Feedback Culture (X1) directly affects Incident Reporting (Y) (β = 0.218; p = 0.001), while Learning Organization (X2) shows the strongest direct effect (β = 0.387; p = 0.000). These findings emphasize the importance of strengthening feedback culture, fostering organizational learning, and ensuring non-punitive responses to improve the quality of patient safety incident reporting. Practically, this research contributes by providing hospital management with evidence-based insights to design interventions, policies, and training programs that encourage open communication and create a supportive culture for healthcare professionals in reporting incidents.]]>
<![CDATA[Influence of Trust and Perceived Value on Non-BPJS Patients’ Revisit Intentions Moderated by Hospital Image ]]>
<![CDATA[Maria Stephanie]]>;
<![CDATA[Duta Liana]]>;
<![CDATA[Idrus Jusat]]>
<![CDATA[ ePaper Bisnis : International Journal of Entrepreneurship and Management Vol. 2 No. 3 (2025): ePaper Bisnis : International Journal of Entrepreneurship and Management ]]>
Publisher : <![CDATA[Asosiasi Riset Ilmu Manajemen Kewirausahaan dan Bisnis Indonesia ]]>
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DOI: 10.61132/epaperbisnis.v2i3.562
<![CDATA[In the healthcare sector, patient revisit intention serves as an important measure of hospital success, influencing financial stability, operational effectiveness, and long-term patient retention. With increasing competition, hospitals must strengthen trust, improve service quality, and maintain a positive institutional image to retain patients. This study focuses on the declining number of non-BPJS (non-insured) patients at Cinta Kasih Tzu Chi Hospital, Cengkareng, which impacts revenue sustainability. The research aims to assess how trust and customer perceived value affect revisit intention, and whether hospital image moderates these relationships. A quantitative approach was applied using a structured questionnaire distributed to 95 non-BPJS outpatients who had previously sought treatment more than once. Data were analyzed through Structural Equation Modeling (SEM) using the Partial Least Squares (PLS) method via SmartPLS software. The findings reveal that both trust and perceived value significantly and positively influence revisit intention, implying that patients with strong trust and satisfaction tend to return. Although hospital image directly influences revisit intention, it does not significantly moderate the link between perceived value and revisit intention. Therefore, hospitals are advised to enhance patient trust and perceived value while sustaining a credible institutional image to strengthen loyalty among non-BPJS patients]]>
<![CDATA[The Influence of Clinical Leadership and Reporting Intensity on Patient Safety Culture: The Mediating Role of Blaming Culture in Hospitals ]]>
<![CDATA[Ratna Puri]]>;
<![CDATA[Natsir Nugroho]]>;
<![CDATA[Duta Liana]]>
<![CDATA[ International Journal of Health and Medicine Vol. 2 No. 4 (2025): October : International Journal of Health and Medicine ]]>
Publisher : <![CDATA[Asosiasi Riset Ilmu Kesehatan Indonesia ]]>
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DOI: 10.62951/ijhm.v2i4.534
<![CDATA[Background: Patient safety culture forms the cornerstone of safe and high-quality healthcare delivery. However, its implementation often encounters barriers, particularly the persistence of a blaming culture that discourages staff from reporting patient safety incidents. Clinical leadership and the intensity of incident reporting are believed to play a pivotal role in shaping and sustaining a positive patient safety culture.Objective: This study aims to examine the influence of clinical leadership and patient safety incident reporting intensity on patient safety culture, with blaming culture serving as an intervening variable at Sentra Medika Cikarang Hospital.Methods: A quantitative research approach with an explanatory design was applied. The study involved 147 nurses selected through stratified random sampling. Data were collected using structured questionnaires and analyzed using Structural Equation Modeling (SEM) with the Partial Least Squares (PLS) method to test the direct and indirect relationships among variables. Results: The findings revealed that both clinical leadership and incident reporting intensity significantly influence patient safety culture, both directly and indirectly, through the mediation of blaming culture. Strong clinical leadership and a high level of incident reporting were associated with a more positive patient safety culture, while a high blaming culture weakened this relationship. Conclusion: The study underscores the importance of fostering supportive clinical leadership and cultivating a non-punitive reporting environment to strengthen patient safety culture. Hospital management should focus on leadership development and the creation of open, blame-free communication systems to enhance safety outcomes.]]>
<![CDATA[Analisis dimensi iklim keselamatan terhadap keselamatan pasien di rumah sakit ]]>
<![CDATA[Liana, Duta]]>;
<![CDATA[Dwijayanti, Fifi]]>;
<![CDATA[Fauziah, Nuraini]]>
<![CDATA[ Jurnal SAGO Gizi dan Kesehatan Vol 6, No 3 (2025): Nopember ]]>
Publisher : <![CDATA[Poltekkes Kemenkes Aceh ]]>
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DOI: 10.30867/gikes.v6i3.2767
<![CDATA[Background: Patient safety is a crucial aspect of healthcare systems, reflecting the quality and effectiveness of services. Despite technological advancements, patient safety incidents continue to be a significant global challenge. A total of 5,710 patient safety incidents were recorded in Indonesia in 2023.Objectives: This study aims to analyze the dominant factors that are significantly related to patient safety and provide evidence-based strategies for healthcare facilities to improve safety protocols. Methods: A cross-sectional study design was employed using secondary data from the Hospital Accreditation Committee (KARS). A sample of 178 hospitals was purposively selected in the Greater Jakarta area, operating continuously, and registered in the KARS database for the period 2018–2020. Independent variables included hospital characteristics and safety climate dimensions. Bivariate analysis used chi-square, and multivariate analysis used multiple logistic regression.Results: Multivariate analysis shows that the dominant factors associated with patient safety are reporting and organizational learning. Hospitals with poor reporting had 3,3 times higher odds of experiencing poor/adverse patient safety outcomes. Hospitals with poor organizational learning had 2,3 times higher odds of experiencing poor/adverse patient safety outcomes.Conclusion: Strengthening reporting mechanisms and fostering an organizational learning climate are important strategies for improving patient safety. Hospitals need to prioritize these factors while continuing to pay attention to teamwork and communication through the development of non-punitive reporting systems, training staff in reflective learning, and integrating reporting into KARS to create a safer healthcare environment.]]>
<![CDATA[Effectiveness Analysis of Crystalloids and Crystalloid-Colloid Combinations in Hospitalized Dengue Fever Patients Without Shock at RSUD Tangerang City ]]>
<![CDATA[Helmawati Helmawati]]>;
<![CDATA[Arrozi Arrozi]]>;
<![CDATA[Duta Liana]]>
<![CDATA[ Journal of Educational Innovation and Public Health Vol. 4 No. 1 (2026): Januari: Journal of Educational Innovation and Public Health ]]>
Publisher : <![CDATA[Lembaga Pengembangan Kinerja Dosen ]]>
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DOI: 10.55606/innovation.v4i1.8435
<![CDATA[The high cost of colloid fluids and the large number of patients are concerns in determining which treatment standard should be chosen from several treatment alternative, where the total cost for 43 cases with a combination of crystalloid colloid fluids is IDR 209.370.993 while the total cost for 45 cases of crystalloid fluids is only UDR 146.492.268 which causes hospital losses. This study aims to determine the difference in the cost-effectiveness between crystalloid fluids and crystalloid-colloid combinations in hospitalized dengue fever patients without shock at Tangerang City Hospital. The research design used was cross-sectional with a comparative quantitative analysis method, where cost effectiveness was analyzed using the Average Cost Effectiveness Ratios (ACER) method. There were two groups of study samples: the first group, 25 patients who received crystalloid fluids, and the second group, 23 patients who received crystalloid-colloid combination fluids. This study showed a difference in the average hospitalization costs for dengue patients between crystalloid fluid therapy and crystalloid-colloid combination therapy. Hospitalization costs for dengue patients were lower in the crystalloid fluid group, with a significant difference (p=0.000). It was also found that crystalloid fluids were more cost-effective than the crystalloid-colloid combination. The implications of the study results consist of theoretical implications and practical implications. Based on the results of the analysis carried out, the crystalloid solutions are more cost-effective than crystalloid-colloid combinations. This finding can be used as a consideration in making decisions and policies that are in accordance with quality control and cost control for patients covered by the National Health Insurance (BPJS Health insurance).]]>
<![CDATA[Transforming Leadership, Effective Communication, And Patient Safety Culture: The Role Of Trust Among Hospital X East Jakarta Nurses ]]>
<![CDATA[Heru Agusman]]>;
<![CDATA[Duta Liana]]>;
<![CDATA[Nofierni Nofierni]]>
<![CDATA[ Jurnal Indonesia Sosial Teknologi Vol. 4 No. 11 (2023): Jurnal Indonesia Sosial Teknologi ]]>
Publisher : <![CDATA[Publikasi Indonesia ]]>
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DOI: 10.59141/jist.v4i11.802
<![CDATA[The importance of leadership and communication styles in upholding a safety culture in a health service. This research aims to analyse the influence of transformational leadership effective communication on patient safety culture with trust as mediation in nursing personnel in general hospital X. This study used a questionnaire involving 98 respondents with a cross-sectional quantitative research design using Structural Equation Modeling (SEM) with Smart Partial Least Square (PLS) software. The results of the study found that transformational leadership has a significant effect on patient safety culture, then effective communication has a significant effect on patient safety culture. Where the highest dimension of transformational leadership is inspirational motivation (89.9%), the highest dimension of effective communication is context (86.8%), the highest dimension in patient safety culture is a non-punitive response to error incidents (79.6%), while the highest dimension of trust is integrity (85.5%). The research concludes that transformational leadership and effective communication exert influence on trust-mediated patient safety culture]]>
<![CDATA[Safety Leadership and Work Environment Management in Building Patient Safety Culture through Work Motivation ]]>
<![CDATA[Dwi Meutia Julyta]]>;
<![CDATA[Duta Liana]]>;
<![CDATA[Nofierni Nofierni]]>
<![CDATA[ Green Inflation: International Journal of Management and Strategic Business Leadership Vol. 3 No. 1 (2026): February : Green Inflation: International Journal of Management and Strategic B ]]>
Publisher : <![CDATA[Asosiasi Riset Ilmu Manajemen Kewirausahaan dan Bisnis Indonesia ]]>
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DOI: 10.61132/greeninflation.v3i1.678
<![CDATA[This study investigates the effects of safety leadership and work environment on patient safety culture, with work motivation as an intervening variable among nurses at Hospital X in Jakarta. A quantitative approach using a cross-sectional design was employed, with data collected from 111 nurses through structured questionnaires. The data were analyzed using Structural Equation Modeling–Partial Least Squares (SEM-PLS). The results show that safety leadership and work environment have significant positive impacts on nurses’ work motivation. Additionally, work motivation directly influences patient safety culture. The study also finds that work motivation partially mediates the relationship between safety leadership and patient safety culture, as well as between work environment and patient safety culture. These findings suggest that both leadership practices and environmental conditions affect patient safety culture directly and indirectly by enhancing nurses’ motivation. The study highlights the importance of safety leadership and supportive work environments in promoting a sustainable patient safety culture through improved nurse motivation. From a practical perspective, hospital management should focus on fostering effective safety leadership practices and creating conducive work environments to enhance patient safety culture. This research contributes to the literature on patient safety and management by providing empirical evidence on the role of work motivation in strengthening safety culture in hospitals.]]>
<![CDATA[Understanding Organizational Citizenship Behavior: The Roles of Personality, Work Engagement, and Work Motivation ]]>
<![CDATA[Defi Cynthia Dewi]]>;
<![CDATA[Rokiah Kusumapradja]]>;
<![CDATA[Duta Liana]]>;
<![CDATA[Noorsidi Aizuddin Bin Mat Noor]]>
<![CDATA[ International Journal of Economics, Management and Accounting Vol. 3 No. 1 (2026): International Journal of Economics, Management and Accounting ]]>
Publisher : <![CDATA[Asosiasi Riset Ekonomi dan Akuntansi Indonesia ]]>
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DOI: 10.61132/ijema.v3i1.1161
<![CDATA[This study examines the impact of personality and work engagement on Organizational Citizenship Behavior (OCB), with work motivation serving as a mediating variable, among inpatient nurses at South Jakarta Type B Hospital. OCB is crucial for enhancing organizational performance and service quality, especially in healthcare settings, where nurses' extra-role behaviors significantly contribute to patient care. The research utilized a quantitative approach with a survey design, involving 143 nurses from infection and critical inpatient wards. Data were collected through structured questionnaires and analyzed using Structural Equation Modeling–Partial Least Squares (SEM-PLS). The results indicate that personality positively influences both work motivation and OCB. Work engagement also positively impacts work motivation and OCB. Additionally, work motivation significantly affects OCB and partially mediates the relationship between personality, work engagement, and OCB. These findings suggest that fostering nurses' work engagement and motivation, supported by positive personality traits, can enhance OCB, leading to better organizational performance and improved healthcare service quality.]]>
<![CDATA[Clinical Leadership Mediating Nurses’ Knowledge and Motivation in Patient Safety Goal Implementation ]]>
<![CDATA[Endang Triyani Kusuma Widyawati]]>;
<![CDATA[Duta Liana]]>;
<![CDATA[Kemala Rita Wahidi]]>
<![CDATA[ ePaper Bisnis : International Journal of Entrepreneurship and Management Vol. 3 No. 1 (2026): ePaper Bisnis : International Journal of Entrepreneurship and Management ]]>
Publisher : <![CDATA[Asosiasi Riset Ilmu Manajemen Kewirausahaan dan Bisnis Indonesia ]]>
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DOI: 10.61132/epaperbisnis.v3i1.684
<![CDATA[The implementation of Patient Safety Goals remains a major challenge in hospital management, particularly in ensuring consistent compliance among nurses. This study aims to analyze the influence of nurses’ knowledge and motivation on the implementation of Patient Safety Goals, with clinical leadership positioned as a mediating variable. A quantitative cross-sectional design was employed in a general hospital in Jakarta, Indonesia. Data were collected from 119 nurses across inpatient, outpatient, emergency, and operating units using structured questionnaires. The data were analyzed using Structural Equation Modeling (SEM) with AMOS, supported by the Three-Box Method to assess the level of variable achievement. The results indicate that nurses’ knowledge and motivation have a significant direct effect on clinical leadership. Clinical leadership also demonstrates a significant positive effect on the implementation of Patient Safety Goals. Furthermore, clinical leadership plays a significant mediating role in the relationship between both nurses’ knowledge and motivation and the implementation of Patient Safety Goals. The model explains 76.67% of the variance in Patient Safety Goal implementation, highlighting the strategic role of clinical leadership in translating individual competencies into safe clinical practices. These findings contribute to healthcare management literature by reinforcing the importance of clinical leadership as an organizational mechanism that strengthens patient safety performance. From a managerial perspective, the study emphasizes that improving patient safety outcomes requires not only enhancing nurses’ knowledge and motivation, but also systematically developing clinical leadership competencies. Hospital management is encouraged to invest in leadership development programs, supportive supervision, and non-punitive incident reporting systems to ensure sustainable implementation of Patient Safety Goals.]]>
