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Burhannudin Ichsan
Universitas Muhammadiyah Surakarta
Humanities Biochemistry, Genetics & Molecular Biology Chemistry Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Engineering Environmental Science Health Professions Immunology & microbiology Law, Crime, Criminology & Criminal Justice Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary Other

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Meta-Analysis: Factors Reducing Health Workers' Willingness to Leave Work Hidayat, Fany Nurul Fawzi; Raharjo, Setyo Sri; Ichsan, Burhannudin
Journal of Health Policy and Management Vol. 10 No. 1 (2025)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.26911/thejhpm.2025.10.01.09

Abstract

Background: Employees are the most important human resource in a company because they have a direct influence on institutional operations in achieving organizational goals. The main problem in health service management is a shortage of health workers due to turnover or intention to leave work. This research aims to analyze the factors that reduce the desire to leave among health personnel. Subjects and Method: This research uses a meta-analysis based on PICO as follows; population: health workers; intervention: satisfied autonomy, good working environment, length of service > 5 years, low workload; comparison: autonomy not satisfied, poor working environment, length of service < 5 years, high workload; outcome: intention to leave work. Data was obtained from the PubMed, Google Scholar, Science Direct databases published from 2013-2022. The keywords in the article search are "Autonomy", "Work Environment", "Work Experience", "Workload", "Intention to Out", "Turnover Intention". "Cross Sectional". Article selection used PRISMA Flowchart and results were analyzed using Review Manager 5.4 software. Results: This study was conducted on 14 articles from Ethiopia, Ghana, California, Peru with a sample size of 9,555 professional health workers. Meta-analysis results concluded that satisfied work autonomy (aOR=0.22; CI 95%=0.06 to 0.85; p=0.030), low workload (aOR=0.60; CI 95%=0.46 to 0.78; p<0.001), had the desire out of work low. The meta-analysis results of the work environment were good (aOR=0.51; CI 95%=0.23 to 1.14; p=0.100), work experience >5 years (aOR=0.51; CI 95%=0.23 to 1.14; p=0.100) was not significantly influenced. Conclusion: Satisfied job autonomy and low workload reduce the intention to leave work among health workers. Health workers' desire to leave work is not significantly influenced by work experience or work environment.
WORK–FAMILY CONFLICT, WORK–LIFE BALANCE, AND JOB SATISFACTION AS PREDICTORS OF NURSES’ INTENTION TO STAY: A LITERATURE REVIEW Wikantama, Aswin; Ichsan, Burhannudin; Isa, Muzakar
Jurnal Medika: Medika Vol. 4 No. 2 (2025)
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/djnc5e72

Abstract

The purpose of this literature review is to explore and synthesize empirical evidence regarding the influence of work–family conflict, work–life balance, and job satisfaction on nurses’ intention to stay in hospital settings. A narrative review approach was employed, gathering studies from Scopus, PubMed, and Google Scholar. From an initial pool of 267 articles, 35 met the inclusion criteria, which focused on nurses, hospital-based contexts, and methodological clarity. The findings reveal that work–family conflict negatively affects both work–life balance and job satisfaction, which in turn lowers the intention to stay. Conversely, work–life balance and job satisfaction serve as critical mediators that can buffer the negative impact of role conflict on workforce retention. The review is framed by Role Stress Theory and Social Exchange Theory to explain the dynamic relationships among variables. These findings underscore the importance of organizational support mechanisms, such as flexible work arrangements, performance recognition, and psychological well-being programs, to improve nurses’ motivation and long-term retention. In conclusion, promoting positive work–life interaction and enhancing job satisfaction are essential strategies for sustaining a stable nursing workforce in hospital environments, particularly in high-demand and resource-limited healthcare systems.
Kepuasan Pengguna Terhadap Penggunaan Rekam Medis Elektronik Di Rumah Sakit Swasta: Studi Cross Sectional: Kepuasan Pengguna Terhadap Penggunaan Rekam Medis Elektronik Di Rumah Sakit Swasta: Studi Cross Sectional Fauziyah, Nida Faradisa; Nurhayati, Asti; Binuko, Raafika Studiviani Dwi; Lestari, Nining; Romadhon, Yusuf Alam; Ichsan, Burhannudin; Sari, Nendika Dyah Ayu Murika
Health Information : Jurnal Penelitian Vol 17 No 1 (2025): Januari-April
Publisher : Poltekkes Kemenkes Kendari

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36990/hijp.v17i1.1613

Abstract

Ringkasan: Latar Belakang: Digitalisasi rekam medis elektronik (RME) menjadi kebutuhan di rumah sakit, meningkatkan mutu layanan namun implementasinya belum sepenuhnya optimal dan berdampak pada variabilitas kepuasan pengguna. Tujuan: Menganalisis hubungan antara penggunaan RME terhadap kepuasan pengguna sebagai dasar kebijakan pengembangan sistem di rumah sakit swasta. Metode: Studi analitik cross-sectional terhadap 132 responden (dokter, perawat, radiologi, laboratorium, kasir) dari lima RS dengan kuesioner HOT Fit, analisis univariat dan bivariat (uji Chi Square, r). Hasil: Penggunaan RME kategori baik (50,76%) berkorelasi kuat dengan tingkat kepuasan (r=0,609; p<0,05); variabel human, organisasi, teknologi, dan manfaat memiliki hubungan signifikan dengan penggunaan RME. Simpulan: Penggunaan RME berdampak pada peningkatan kepuasan dan efektivitas kerja, khususnya pada pengguna yang aktif dan telah mendapat pelatihan terstandar. Saran: Rumah sakit perlu mempertahankan, mengembangkan fitur sesuai kebutuhan pengguna, dan melakukan pelatihan berkala agar optimalisasi kepuasan tercapai.  
Influence of Service Waiting Time and Service Quality on Patient Satisfaction and Its Impact on Patient Loyalty: A Case Study at the Pediatric Polyclinic: JEL Classification: I10, I11, L83, C38, M31 Sari, Primadiati Nickyta; Ichsan, Burhannudin; Isa, Muzakar
Journal La Bisecoman Vol. 6 No. 2 (2025): Journal La Bisecoman
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallabisecoman.v6i2.2174

Abstract

Patient satisfaction serves as a critical indicator in evaluating the quality of healthcare service delivery. This study stems from concerns regarding extended waiting times experienced by patients at the Pediatric Polyclinic of Indriati Hospital Boyolali, which are believed to contribute to diminished satisfaction and loyalty among service users. The primary objective of this research is to assess and map the influence of service waiting time and service quality on patient satisfaction, as well as to examine the subsequent impact on patient loyalty toward the healthcare institution. A quantitative research approach was employed using a survey method, with data analyzed through causal statistical techniques utilizing Structural Equation Modeling (SEM) based on Partial Least Squares (PLS). Data were collected via a convenience sampling method, involving 100 respondents who were currently receiving or had recently received services at the Pediatric Polyclinic of Indriati Hospital Boyolali. The findings reveal that both service waiting time and service quality have a significant and positive impact on patient satisfaction. Furthermore, these two variables also directly affect patient loyalty. Importantly, patient satisfaction was found to act as a significant mediating variable, bridging the influence of service waiting time and service quality on loyalty. These results underscore the necessity of enhancing service process efficiency and improving the quality of service interactions as key strategies for building trust and fostering long-term loyalty among hospital service users.
PROGRAM PELATIHAN DAN PENDAMPINGAN KADER AISYIYAH SEBAGAI UPAYA PENCEGAHAN STUNTING DI WONOSOBO Indriyani, Yeni; Purnamasari, Salsabila; Werdani, Kusuma Estu; Kusumawati, Maharani Ayu; Fajrin, Rahmawati; Ichsan, Burhannudin; Umaroh, Ayu Khoirotul
JMM (Jurnal Masyarakat Mandiri) Vol 9, No 2 (2025): April
Publisher : Universitas Muhammadiyah Mataram

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31764/jmm.v9i2.29276

Abstract

Abstrak: Stunting merupakan masalah kesehatan utama di Indonesia, termasuk di Kabupaten Wonosobo khususnya di Desa Butuh Lor, yang memiliki prevalensi kasus stunting tinggi sebesar 56,52% pada tahun 2023. Berbagai faktor penyebab, meliputi kondisi ekonomi, pola asuh, asupan gizi, dan sanitasi yang kurang memadai. Upaya pemerintah desa dan kader kesehatan dalam pencegahan stunting masih belum optimal, sehingga diperlukan adanya suatu intervensi program berbasis pelatihan dan pendampingan kader. Pengabdian ini bertujuan untuk meningkatkan kapasitas softskill (komunikasi, advokasi, dan edukasi) dan hardskill (pemeriksaan antropometri, pemantauan tumbuh kembang, dan intervensi gizi) dalam pencegahan stunting melalui pelatihan dan pendampingan, sekaligus mendukung perumusan kebijakan berbasis desa untuk pencegahan stunting di Desa Butuh Lor, Wonosobo. Metode pelaksanaan meliputi tahap persiapan, pelaksanaan, serta monitoring dan evaluasi. Kegiatan melibatkan pelatihan, Focus Group Discussion (FGD), dan penyusunan policy brief sederhana untuk meningkatkan kapasitas kader kesehatan. Hasil program menunjukkan bahwa pelatihan efektif dalam meningkatkan pengetahuan kader sebesar 40% dan keterampilan kader sebesar 40% serta menghasilkan rancangan sederhana kebijakan untuk pencegahan stunting. Program ini berkontribusi pada penguatan peran kadder dan komitmen pemerintah desa dalam upaya pencegahan stunting.Abstract: Stunting is a major health problem in Indonesia, including in Wonosobo Regency, especially in Butuh Lor Village, which has a high prevalence of stunting cases of 56.52% in 2023. Various causal factors include economic conditions, parenting patterns, nutritional intake, and inadequate sanitation. The efforts of the village government and health cadres in preventing stunting are still not optimal, so a program intervention based on training and mentoring for cadres is needed. This community service aims to increase the capacity of soft skills (communication, advocacy, and education) and hard skills (anthropometric examinations, growth and development monitoring, and nutritional interventions) in preventing stunting through training and mentoring, while supporting the formulation of village-based policies for preventing stunting in Butuh Lor Village, Wonosobo. The implementation method includes the preparation, implementation, and monitoring and evaluation stages. Activities involve training, Focus Group Discussions (FGDs), and the preparation of simple policy briefs to increase the capacity of health cadres. The results of the program show that the training is effective in increasing cadre knowledge by 40% and cadre skills by 40% and produce a simple policy design for stunting prevention. This program contributes to strengthening the role of cadres and the commitment of village governments in stunting prevention efforts.
Persepsi Pasien Terhadap Pelayanan Rumah Sakit di Indonesia: Sebuah Tinjauan Naratif Komprehensif Wahyudya Setya Ananta; Ichsan, Burhannudin; Isa, Muzakar
Plexus Medical Journal Vol. 4 No. 3 (2025): Juni
Publisher : Fakultas Kedokteran, Universitas Sebelas Maret

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20961/plexus.v4i3.2554

Abstract

Tinjauan pustaka ini bertujuan untuk menganalisis dan mensintesis temuan-temuan penelitian mengenai persepsi pasien terhadap pelayanan rumah sakit di Indonesia. Pemahaman akan persepsi pasien sangat krusial dalam upaya peningkatan mutu pelayanan kesehatan, yang pada gilirannya akan berdampak pada kepuasan dan loyalitas pasien. Metode tinjauan sistematis digunakan, dengan mengidentifikasi, mengumpulkan, dan menganalisis artikel jurnal relevan secara naratif dan tematik untuk mensintesis temuan. Berbagai studi menunjukkan variasi persepsi pasien, dengan mayoritas melaporkan tingkat kepuasan moderat hingga baik, namun aspek tangibles (bukti fisik) dan reliability (keandalan) seringkali menjadi area dengan penilaian terendah. Faktor-faktor seperti sikap, motif, kepentingan, pengalaman, harapan, serta karakteristik pasien (umur, jenis kelamin, pendidikan, pekerjaan) memengaruhi persepsi secara signifikan. Tinjauan ini diharapkan dapat memberikan implikasi praktis bagi manajemen rumah sakit dan pembuat kebijakan dalam merumuskan strategi peningkatan mutu pelayanan yang berorientasi pada pasien.
Pengaruh Komitmen Organisasi dan Budaya Organisasi terhadap Kinerja Karyawan dengan Organizational Citizenship Behavior (OCB) sebagai Variabel Mediasi pada Rumah Sakit di Kota Surakarta Desi Ekawati; Burhannudin Ichsan; Yusuf Alam Romadhon
Syntax Literate Jurnal Ilmiah Indonesia
Publisher : Syntax Corporation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36418/syntax-literate.v10i5.60064

Abstract

Kinerja karyawan dapat menunjang organisasi dalam mencapai tujuannya. Rumah sakit merupakan salah satu organisasi yang memer-lukan kinerja karyawan yang baik sehingga terwujud peningkatan efek-tivitas, efisiensi, maupun kualitas yang tinggi dalam menjalankan pela-yanan terhadap pasien. Penelitian ini merupakan studi kuantitatif yang bertujuan untuk menyelidiki dampak komitmen dan budaya organisasi terhadap kinerja karyawan, dengan mempertimbangkan Organizational Citizenship Behavior (OCB) sebagai mediator. Pengumpulan data dilakukan secara primer melalui kuesioner yang diisi oleh responden, dan pengujian hipotesis memanfaatkan metode Structural Equation Model berbasis Partial Least Squares (PLS) serta bootstrap resampling. Temuan penelitian ini mengindikasikan adanya pengaruh langsung dan signifikan dari komitmen organisasi dan OCB terhadap kinerja karyawan. Namun, budaya organisasi tidak secara langsung memengaruhi kinerja karyawan secara signifikan. Lebih lanjut, OCB ternyata menjadi penghubung penting, memediasi hubungan antara komitmen organisasi serta budaya organisasi dengan kinerja karyawan. Untuk mencapai kualitas pelayanan rumah sakit yang lebih baik, temuan ini menggarisbawahi perlunya peningkatan komitmen organisasi, penguatan budaya organisasi yang positif, dan pendorong perilaku OCB. Inisiatif-inisiatif ini akan berkontribusi pada peningkatan kinerja karyawan secara menyeluruh.
Analysis of the Role of Transformational Leadership in Improving Employee Work Motivation and Performance and its Impact on Hospital Business Sustainability: JEL Classification: M12, M54, I11, I18, L25 Yurita, Irma; Soekiswati, Siti; Ichsan, Burhannudin
Journal La Bisecoman Vol. 6 No. 3 (2025): Journal La Bisecoman
Publisher : Newinera Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37899/journallabisecoman.v6i3.2442

Abstract

This study aims to analyze the influence of transformational leadership on work motivation, employee performance, and business sustainability at Pala Raya Hospital (RSIA Pala Raya) in Tegal Regency, and to examine the mediating role of work motivation and employee performance in this relationship. The background of this study is based on the decline in patient visits and hospital revenue, which raises the need for a sustainability strategy based on internal organizational strengthening. The research method used is a quantitative explanatory approach with a total sampling technique of 200 employee respondents, and data analysis was conducted using SEM-PLS through SmartPLS 4.0. The results show that transformational leadership has a significant and positive effect on work motivation and employee performance, and has an impact on the sustainability of the hospital's business. Work motivation has a stronger influence than performance on sustainability. The mediation test shows that work motivation is a significant mediator in the relationship between transformational leadership and business sustainability, while employee performance is not. The study also identified various obstacles in the implementation of transformational leadership, such as lack of training, bureaucratic culture, and a reward system that does not support innovation. These findings emphasize the importance of the role of inspirational and participatory leadership in building motivation and supporting hospital sustainability.
EVALUASI PENGETAHUAN, SIKAP, DAN PERILAKU APOTEKER TERHADAP KETEPATAN PENGGUNAAN OBAT SELAMA KEHAMILAN DAN MENYUSUI Luthfiyanti, Niken; Ichsan, Burhannudin
Prosiding Seminar Informasi Kesehatan Nasional 2023 : SIKesNas 2023
Publisher : Fakultas Ilmu Kesehatan Universitas Duta Bangsa Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47701/sikenas.vi.2866

Abstract

Pengobatan selama kehamilan dan menyusui memerlukan perkiraan yang cermat dari rasio risiko/manfaat bagi ibu dan bayinya, sehingga penggunaan obat harus selalu diawasi oleh tenaga kesehatan seperti Apoteker. Penelitian ini bertujuan melakukan evaluasi tentang pengetahuan, sikap, dan perilaku Apoteker terhadap ketepatan penggunaan obat selama kehamilan dan menyusui. Penelitian ini juga menganalisis hubungan faktor demografi dengan pengetahuan, sikap, dan perilaku Apoteker terhadap ketepatan penggunaan obat selama kehamilan dan menyusui. Studi cross sectional dilakukan pada populasi apoteker di Kota Surakarta yang memenuhi kriteria inklusi. Teknik pengambilan sampel dalam penelitian ini adalah purposive sampling dengan jumlah sampel 193 orang. Pengetahuan, sikap dan perilaku dinilai dengan kuesioner yang disusun oleh peneliti dengan menggunakan literatur pendukung dan dinilai oleh expert judgement. Pengetahuan dikategorikan menjadi baik, cukup dan kurang, sikap dan perilaku dikategorikan menjadi baik dan kurang baik. Analisis hubungan variabel dilakukan dengan uji chi-square. Hasil penelitian menunjukkan apoteker memiliki pengetahuan baik sebesar 56,1% terhadap ketepatan penggunaan obat selama kehamilan dan menyusui. Apoteker memiliki sikap baik untuk melakukan pelayanan aktif terhadap ketepatan penggunaan obat selama kehamilan dan menyusui sebesar 99,5%. Apoteker memiliki perilaku baik terhadap pelayanan aktif pada ketepatan penggunaan obat pada ibu hamil dan menyusui sebesar 78,5%. Terdapat hubungan yang signifikan (p<0.05) antara lama praktik dengan perilaku Apoteker.
Co-Authors Achyarnis, Achyarnis Adi Fahmi Anshari Aflit Nuryulia Praswati Akrom, Akrom Amalia, Najlah Ananda Asriany Perdana Ananda Asriany Perdana, Ananda Asriany Arum Widya Anantasya Asti Nurhayati Astuti, Indah Sri Ayu Khoirotul Umaroh Ayyasi, Quanta Sansabilla Aziz, Yusuf Abdullah Bayu Hendro Wibowo Bayu Hendro Wibowo, Bayu Hendro Bhisma Murti Binuko, Raafika Studiviani Dwi Dena Tri Solehaini Desi Ekawati Desviana Rizki Kurniasari Devi Usdiana Rosyidah Devi, Ninda Callista Dewi Nirlawati Dewi Nirlawati, Dewi Dian Handini Dian Handini, Dian Didik Gunawan Tamtomo Didik Tamtomo, Didik Dona Dewi Nirlawati Ekki Dita Anggariksa Ekki Dita Anggariksa, Ekki Dita Erna Herawati Ersananda, Audria Estu Werdani, Kusuma Fajrin, Rahmawati Flora Ramona Sigit Prakoeswa H.A.A. Soebijanto H.A.A. Soebijanto Harsono Salimo Harsono Salimo Hidayat, Fany Nurul Fawzi Hutami, Norma Putri Imronudin Imronudin, Imronudin Inggrit Thalasavia Utami Ismail, Aem Iwan Setiawan Jayanti Wulansari Jayanti Wulansari, Jayanti Jonathan Eko Jonathan Eko, Jonathan Komala, Annisa' Meyndra Kurniawati, Novarina Kusumawati, Maharani Ayu Lestari, Nining Luthfiyanti, Niken M. Nur Sidiq M. Nur Sidiq, M. Nur Mahawan, Yasmin Faradila Muhammad Nur Sidiq Muhammad Nur Sidiq, Muhammad Nur Muhammad Shoim Dasuki Mulyanto , Agus Mushhaf, Muhammad Dhiyaul Muzakar Isa Nadya Dwi Puspitasari Nendika Dyah Ayu Murika Sari Nida Faradisa Fauziyah Nining Lestari Nuredis, Yudwari Adhicha Prasetya, Hanung Pratama, Bertha Nanta Priscillah, Wildan Prisma, Fara Aristya Puspitasari, Sintha Putri Rahmitasari Putri Rahmitasari, Putri Retno Wulandari Retno Wulandari Rini Kuswati S Sulistyani Safitri, Feby Sahilah Ermawati Salsabila Purnamasari Salsabilla, Annisa Sari, Primadiati Nickyta Saskia Sabrina Sastrawijayah, Jemmi Setyo Sri Raharjo Siti Soekiswati Sulistyani Sulistyani Sulistyani Syahanita Anindira Putri Tri Agustina Verawati Hadi Vitri Widyaningsih Wahyudya Setya Ananta Wati, Dwi Prasetyo Widayati, Anis Nur Wikantama, Aswin Windi Hapsari wisnu wijayanto Wisnu Wijayanto Yeni Indriyani Yoga Prasadja Yurita, Irma Yusuf Alam Romadhon Yusuf, Muchammad Zaen, Nurussyifa Afiana Zahra Hafizha Fitria Anam Zakky Cholisoh