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Pengaruh Demografi Dan Beban Kerja Terhadap Burnout Syndrome Dokter Dan Nakes IGD RS Bhayangkara Surabaya Kusumawati, Aulia Dewi; Pertiwi, Arlette Suzy Puspa; Suwardhani, Achmad Dheni
PESHUM : Jurnal Pendidikan, Sosial dan Humaniora Vol. 4 No. 1: Desember 2024
Publisher : CV. Ulil Albab Corp

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56799/peshum.v4i1.6431

Abstract

Burnout syndrome adalah kelelahan karyawan akibat pekerjaan, ditandai dengan kelelahan ekstrem, berkurangnya kemampuan untuk mengatur proses kognitif dan emosional, dan ada jarak psikis atau mental. Tujuan penelitian ini adalah untuk mengetahui pengaruh demografi yang meliputi usia, jenis kelamin, status pernikahan, pendidikan, lama bekerja, serta pengaruh beban kerja terhadap burnout syndrom pada Dokter dan nakes di IGD RS Bhayangkara Surabaya. Jenis penelitian yang digunakan adalah analisis kuantitatif dengan pendekatan cross-sectional, yang menggunakan data kuantitatif. Sampelnya adalah semua karyawan di IGD yang meliputi Dokter, Perawat, dan Bidan yang memenuhi kriteria inklusi dan eksklusi yaitu sebanyak 39 orang. Untuk memperoleh data, sampel mengisi kuisioner data diri, Burnout Assessment Tools 12, dan kuisioner beban kerja. Hasil dari penelitian adalah faktor demografi akan mempengaruhi beban kerja kerja dan selanjutkan akan memebrikan pengaruhi terhadap burnout syndrome dengan nilai p-value < 0,05. Pada penelitian ini beban kerja memberikan pengaruh terhadap burnout syndrome yaitu sebanyak 56,9%.
Analisa Biaya Manfaat Ultrasound Vaskular Berbasis INA-CBGs Unit Rawat Jalan Rumah Sakit St. Theresia Marampa Toraja Utara 2024 Wojtyla, Maria Caroline; Pertiwi, Arlette Suzy Puspa; Asril, Juli
Syntax Literate Jurnal Ilmiah Indonesia
Publisher : Syntax Corporation

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36418/syntax-literate.v10i8.61321

Abstract

Stroke merupakan salah satu penyebab utama kecacatan dan kematian di seluruh dunia. Biaya pengobatan stroke sering kali lebih tinggi daripada tarif INA-CBGs, terutama pada perawatan rawat jalan. Alat Ultrasound Vaskular salah satu modalitas guna mengurangi serangan stroke berulang dan disabilitas, selain itu pemeriksaan ultrasound vaskular meningkatkan tarif INA-CBGs. Analisa biaya manfaat sebagai salah satu langkah untuk keuntungan dan pelayanan. Pengukuran kinerja laporan keuangan menggunakan beberapa metode antara lain Net Present Value (NPV), Profitability Index, (PI), Payback Period (PP), dan Break Even Point (BEP) menilai kelayakan investasi. Penelitian ini merupakan penelitian kuantitatif deskriptif bertujuan untuk menentukan analisa biaya manfaat ultrasound vaskular berbasis INA-CBGs rawat jalan Rumah Sakit st. Theresia Marampa Toraja Utara 2024. Pengumpulan data dilakukan melalui observasi, wawancara mendalam dan telaah dokumen. Hasil Penelitian menunjukkan BCR 0.2, NPV <0, PI <1, PP 5,5, BEP 244.180 dari hasil tersebut pelayanan pemeriksaan ultrasound vaskular memberikan keuntungan dari sisi pengklaiman yang berbasis INA-CBGs dan menutupi biaya investasi bila laba pendapatan naik 25% pertahun. Rekomendasi yang disarankan adalah rumah sakit melakukan negosiasi harga alat, promosi layanan ultrasound vaskular, efisiensi beban biaya dan kolaborasi dengan dinas kesehatan dan perusahaan atau pihak swata lainnya agar meningkatkan jumlah kunjungan dan keuntungan rumah sakit.
Strategi Manajemen Perubahan untuk Meningkatkan Championing Behavior pada Implementasi Rekam Medis Elektronik Hidayat, Dimas Firman; Pertiwi, Arlette Suzy Puspa; Santoso, Budi
Community Engagement and Emergence Journal (CEEJ) Vol. 7 No. 2 (2026): Community Engagement & Emergence Journal (CEEJ)
Publisher : Yayasan Riset dan Pengembangan Intelektual

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37385/ceej.v7i2.10267

Abstract

Implementasi Rekam Medis Elektronik (RME) di rumah sakit tipe D kerap menghadapi tantangan yang tidak semata-mata bersifat teknis, melainkan berkaitan dengan kesiapan dan perilaku sumber daya manusia. Penelitian ini bertujuan menganalisis strategi manajemen perubahan berbasis Model Kotter dalam mendorong championing behavior karyawan pada implementasi RME di Rumah Sakit Islam (RSI) Yatofa, Lombok Tengah. Menggunakan pendekatan kualitatif deskriptif dengan desain studi kasus, data diperoleh melalui wawancara mendalam, observasi lapangan, dan studi dokumen, kemudian dianalisis secara tematik. Hasil penelitian menunjukkan bahwa implementasi RME di RSI Yatofa secara alami mengikuti tahapan Model Kotter, khususnya dalam membangun rasa urgensi, membentuk koalisi pemandu, dan menciptakan keberhasilan awal. Strategi paling efektif dalam menumbuhkan championing behavior adalah pemberdayaan mentor sejawat (peer mentors) melalui pendampingan berkelanjutan dan melibatkan pemimpin informal yang mampu menjembatani visi manajemen dengan praktik operasional sehari-hari. Championing behavior berkembang melalui interaksi saling menguatkan antara motivasi intrinsik, dukungan organisasi melalui kepemimpinan dan komunikasi efektif, dukungan sosial dari mentor sejawat, dan pengalaman keberhasilan awal yang nyata dalam penggunaan sistem. Temuan penting adalah munculnya fenomena resiliensi kolektif, di mana keterbatasan teknis tidak menjadi hambatan utama, tetapi justru memperkuat kolaborasi tim dalam mencari solusi bersama. Penelitian menyimpulkan bahwa pendekatan manajemen perubahan berpusat pada manusia, berbasis dukungan sosial, dan penciptaan pengalaman keberhasilan bersama memiliki peran lebih krusial dibandingkan infrastruktur teknis semata dalam konteks rumah sakit dengan keterbatasan sumber daya.
Analysis of Single-Use Hemodialysis Tariff Determination Based on INA-CBG: A Case Study at Siaga Medika Banyumas General Hospital Nur Fitri Margaretna; Arlette Suzy Puspa Pertiwi; Oke Andikarya
International Journal Of Health Science Vol. 5 No. 2 (2025): International Journal of Health
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/ijhs.v5i2.5664

Abstract

The increasing prevalence of Chronic Kidney Disease (CKD) has led to a rising demand for hemodialysis services, most of which are financed by the Indonesian National Health Insurance (BPJS Kesehatan) through the INA-CBG tariff system. However, the discrepancy between INA-CBG tariffs and the actual service costs—particularly due to the use of single-use dialyzers—poses financial challenges for private hospitals. This study aims to analyze the operational costs, tariff differences, and financial feasibility of single-use hemodialysis services at Siaga Medika Banyumas General Hospital. A qualitative descriptive-exploratory approach was employed through in-depth interviews, observations, and document analysis involving five key informants. The results indicate that the largest cost component comes from medical consumables, especially dialyzers. A comparison revealed that the actual service cost was IDR 660,138, which is lower than the INA-CBG tariff of IDR 875,000 and the hospital’s own tariff of IDR 1,877,536. The cost recovery rate (CRR) analysis yielded 132.54% for BPJS patients and 284.4% for general (non-BPJS) patients, indicating profitability. The hospital’s strategies include logistics efficiency, adjustments in non-BPJS tariffs, and resource optimization. The study concludes that the single-use hemodialysis service at Siaga Medika Banyumas General Hospital is financially viable, although it requires strict cost management and more accurate tariff policy support to ensure service sustainability.  
Early Orthodontic Intervention with Eruption Guidance Appliances for Class II Malocclusion: Evidence Mapping Through a Scoping Review Putu Swastiantari; Arlette Suzy Setiawan
SONDE (Sound of Dentistry) Vol. 9 No. 2 (2024): SONDE (Sound of Dentistry)
Publisher : Maranatha Christian University

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Abstract

Introduction: Class II malocclusion is a prevalent orthodontic condition in children that can cause both functional and esthetic challenges if not addressed early. The early mixed dentition period offers a critical window for interceptive treatment. Eruption guidance appliances (EGAs) are removable functional devices designed to direct tooth eruption and potentially stimulate favorable skeletal growth. This scoping review aims to map existing evidence on the use of EGAs in treating Class II malocclusion during early mixed dentition. Methods: Following the PRISMA-ScR framework, a comprehensive literature search was conducted in PubMed, Scopus, ScienceDirect, and ProQuest up to July 2025. Studies were selected based on inclusion criteria involving children aged 6–9 years with Class II malocclusion treated using EGAs, with reported skeletal and/or dentoalveolar outcomes. Data were extracted on study design, population, intervention protocols, outcomes, and conclusions. Results: Five eligible studies were included, comprising randomized controlled trials, cohort studies, and case report. Most reported significant dentoalveolar improvements such as reduced overjet, overbite, and molar relationship correction. Skeletal changes were modest but consistent, notably in mandibular advancement and ANB angle reduction. Discussion: EGAs demonstrated favorable outcomes by enhancing dental development and moderately influencing skeletal growth. However, study heterogeneity, limited sample sizes, and short follow-up durations were common limitations. Conclusion: EGAs are promising interceptive tools for early Class II correction, offering non-invasive benefits in guiding eruption and promoting mild skeletal adaptation. Further well-designed longitudinal trials are needed to confirm long-term effectiveness and establish clinical protocols.
A Literature Review: The Relationship of Family Resilience with The Incidence of Stunting in Children Laili Rahayuwati; Alfiani Hidayanti; Arlette Suzy Puspa Pertiwi; Vira Amelia; Don Prisno; Myra D. Oruga
Jurnal Ilmiah Keperawatan STIKES Hang Tuah Surabaya Vol 20 No 1 (2025): March Edition
Publisher : Sekolah Tinggi Ilmu Kesehatan Hang Tuah Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30643/jiksht.v20i1.401

Abstract

Introduction: family  is  the  factor  that  influences  the  growth  of  children  in  a family.  Stunting  is  a  condition  that  must  be  of  special  concern  because  it  can resistor the physical development and mental of children. The family's role and function  in  increasing  family  resilience  is  very  needed  in  the  compliance nutritional status of children under five. Objectives: The aim of this study was to see  the  relationship  between  family  resilience  and  the  incidence  of  stunting  in children. Methods: This study used a literature review method, and the literature search  procedure  was  conducted  using  databases  such  as  PubMed  and  Google Scholar.  Keywords included "family resilience," "family role," "family function," "stunting,"  "malnutrition," and  "food  security." Inclusion criteria  covered  peer- reviewed  quantitative  studies  (cross-sectional,  case-control,  cohort)  published between 2016–2021 in English or Indonesian, with full-text availability. Exclusion criteria  included  non-full-text  articles,  narrative  reviews,  case  reports,  and unrelated topics. Results: Results 8 journals sorted by research topic. 2 journals discuss the role of family and family support on nutritional status related to stunting and 6  journals  discuss  food  security  related  to  stunting.  The  findings  indicate  that multiple  aspects  of  family  resilience,  including  family  roles,  food  security, parenting,  and  dietary  diversity,  play  a  crucial  role  in  preventing  stunting. Conclusions: From this study it was concluded that there was a relationship between family resilience with stunting in children.
Evaluation Of Total Quality Management (TQM) In Improving The Quality Of Graduates: Case Study On Motorcycle Engineering And Business Study Program At Vocational High School In Bandung Yusi Roslina Suciati; Arlette Suzy Puspa Pertiwi; Mira Veranita
Majalah Bisnis & IPTEK Vol. 18 No. 1 (2025): Majalah Bisnis & IPTEK
Publisher : Pusat Penelitian dan Pengabdian Pada Masyarakat (P3M) STIE Pasundan

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55208/g0r4qt11

Abstract

Graduates of Vocational High Schools (SMK) play a crucial role in fulfilling the workforce requirements of the industrial sector. This condition represents a strategic opportunity for SMK to provide students with technical skills and moral fortitude, preparing them to become competent employees. This study seeks to assess the application of Total Quality Management (TQM) in enhancing the quality of graduates, particularly within the Motorcycle Engineering and Business Study Programme at a vocational school in Bandung. The study concentrates on the strategy for implementing Total Quality Management (TQM), the evaluation procedures for TQM, the factors that facilitate or impede TQM implementation, and the ways to address these challenges. This study employs a qualitative methodology utilizing a case study approach, with data gathering conducted via in-depth interviews, direct observation, and pertinent document analysis. The study's findings suggest that the Total Quality Management implementation strategy commences with a comprehensive understanding of the organization's vision and mission, which guide its objectives. This is reinforced by human resource development, the provision of sufficient facilities and infrastructure, the enhancement of a curriculum aligned with industry requirements, the cultivation of positive attitudes, and the establishment of a supportive learning environment. The processes for evaluating TQM involve establishing a collective commitment to enforce discipline, cultivating accountability, and sustaining concentration on attaining primary objectives. Factors that facilitate TQM implementation include skilled human resources, comprehensive facilities, a flexible curriculum, and a conducive learning environment. Concurrently, impediments consist of restricted human resources, inadequate facilities, and a deficiency in comprehensive comprehension of the TQM concept among all stakeholders within the school. The adopted method to address these challenges is to align all organizational components, including leaders, educators, and students, with the school's vision and goal, fostering a robust quality culture within the educational environment. This study concludes that a robust integration of human resources, facilities, curriculum, and an effective learning environment can attain the caliber of vocational high school graduates. Consequently, vocational high school graduates possess standardized abilities that align with the requirements and expectations of the business and industrial sectors (DUDI), rendering them a workforce prepared to participate effectively.
Pengaruh Beban Kerja Perawat terhadap Penerapan Patient Safety dengan Organizational Citizenship Behavior (OCB) sebagai Variabel Mediator di Rumah Sakit Jannah Kota Serang Tika Novriyanti; Arlette Suzy Puspa Pertiwi; Rizki Adriansyah Rubini
VISA: Journal of Vision and Ideas Vol. 6 No. 1 (2026): Journal of Vision and Ideas (VISA)
Publisher : IAI Nasional Laa Roiba Bogor

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Abstract

This study aims to analyze the influence of physical and mental workload on the implementation of patient safety at Jannah Hospital, Serang City, with Organizational Citizenship Behavior (OCB) as a mediator variable. The research method used was quantitative with a cross-sectional design. Data were collected through questionnaires distributed to 89 respondents using a simple random sampling technique. Data analysis was performed using the Chi-square test and path analysis using SmartPLS software. The results showed that physical workload had a negative and significant effect on the implementation of patient safety (p = 0.002; coefficient -0.247). Conversely, mental workload did not show a significant effect on patient safety (p = 0.146; coefficient -0.135). Simultaneously, physical and mental workload influenced patient safety with an R-square value of 0.343. Furthermore, OCB was shown to significantly mediate the relationship between physical workload and patient safety (p = 0.047; coefficient –0.106), but OCB's mediation of the relationship between mental workload and patient safety was not significant (p = 0.280; coefficient –0.079). Based on these findings, the study recommends managing physical and mental workload through stress management programs, establishing a more balanced work schedule, and improving communication and collaboration between nurses. Furthermore, it is important to strengthen a work culture that supports OCB and rewards extra-role behavior. Further research with a larger sample size and additional variables such as organizational support and job satisfaction is recommended to gain a more comprehensive understanding of the influence of workload on patient safety.
The Effect of Digital Service Quality on Consumer Satisfaction and Its Implications on Patient Trust at Pratama Aru Bitung Clinic Kurnia Putri Utami; Arlette Suzy Puspa Pertiwi; Mira Veranita
Journal of Economics and Social Sciences (JESS) Vol. 5 No. 1 (2026): Journal of Economics and Social Sciences (JESS)
Publisher : CV. Civiliza Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59525/jess.1303

Abstract

This study aims to analyze the influence of digital service quality on consumer satisfaction and its implications for patient trust at the Aru Bitung Primary Clinic, Bitung City. The research method used is a quantitative approach with an explanatory research type. Data were collected through questionnaires on 120 patients selected using purposive sampling techniques. Data analysis was carried out using Structural Equation Modeling based on Partial Least Square (PLS-SEM) with the help of SmartPLS software. The results of the study show that the quality of digital services has a positive and significant effect on consumer satisfaction, consumer satisfaction has a positive and significant effect on patient trust, and the quality of digital services also has a positive and significant effect on patient trust both directly and indirectly through satisfaction as a mediation variable. The conclusion of this study is that improving the quality of responsive, accurate, and accessible digital services is an important factor in building patient satisfaction and trust in first-tier health facilities.
Pengaruh Patient Safety Leadership Walkrounds terhadap Budaya Keselamatan dan Implikasinya pada Pelaporan Kejadian Keselamatan pada Rumah Sakit Eusebiusyuvens Chandra Waruwu; Arlette Suzy Puspa Pertiwi; R. Oke Andikarya
Jurnal Pengabdian Nasional (JPN) Indonesia Vol. 7 No. 2 (2026): Mei
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LPPM) STMIK Indonesia Banda Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.63447/jpni.v7i2.1760

Abstract

Patient Safety Leadership Walkrounds (PSLW) were implemented at Siloam Hospital Bangka to enhance safety culture and incident reporting. This study aimed to evaluate the impact of PSLW on safety culture, the relationship between safety culture and safety-related incident reporting, and the effect of PSLW on safety-related incident reporting. A retrospective longitudinal survey was conducted to measure safety culture at Siloam Hospital Bangka in 2022 and 2024. Data were analyzed quantitatively using the Wilcoxon Rank-Sum test. Incident reports from the same years were compared using the Chi-Square test and correlated with safety culture through descriptive analysis. Safety culture survey scores increased from a composite average of 52% in 2022 to 63% in 2024. The Wilcoxon Rank-Sum test showed significant results for 16 of 34 questions (p<0.05). An increase in incident reporting occurred alongside improvements in safety culture. The number of incident reports rose from 317 in 2022 to 1,623 in 2024. The Chi-Square test demonstrated significant results. PSLW implementation enhanced both safety culture and safety-related incident reporting. Improvements in safety culture coincided with increased incident reporting numbers.
Co-Authors Achmad Dheni Suwardhani Adistia, Rinintha Aggiani Dewi Rahmawati Akbar, Saiful Alfiani Hidayanti Aliyya Luthfiana Andiesta, Niekla Survia Anne Agustina Suwargiani Arief Budiarto Asril, Juli Aulia Dewi Kusumawati Azzahra, Rissa Shabira bt. Syaiful Azim, Fitri Anissa Syaimima Candra Gumilar Citra Windani Mambang Sari Desy Indra Yani Dhia Thifal Malihah Dianegianty, Rine Don Prisno Dwi Budi Santoso Efi Fitriana Eka Chemiawan Elvanissa Ruslan Nur, Elvanissa Ruslan Eriska Riyanti Eusebiusyuvens Chandra Waruwu Faizah Salsabila Felicia Melati Hendriati Agustiani Henri Hartman, Henri Hetria Hayyun Namirah Hidayat, Dimas Firman hidayatullah, Hidayatullah hidayatullah Hilnia Zidnia Husyaerry, Machmud Al Ign. Wiseto P. Agung Ihsan Haris Munandar Inne Arline Diana Inne Suherna Sasmita Iwan Ahmad Jakobus Runkat, Jakobus Julian Amriwijaya Kahar Mulyani Kurnia Putri Utami Kusman Ibrahim Kusumawati, Aulia Dewi Laili Rahayuwati M Harun Achmad, M Harun Megan, Felisia Flaviana Meirina Gartika Mira Veranita Myra D. Oruga Naninda Berliana Pratidina Noer Fadilah, Rina Putri Noor Roziq Ghulam Perdana Nur Fitri Margaretna Oke Andikarya Permata, Ardita Dyna Purwadhi Purwadhi Putu Swastiantari R. Oke Andikarya Raden Nabilah Putri Fauziyyah Rafilia, Yuanne Nisrina Rasmi Rikmasari Ratna Indriyanti Ratnawati, Yeni Reiva Farah Dwiyana Ria N. Firman Risti Saptarini Primarti Risyandi Anwar Riyan Herdiansyah Rizki Adriansyah Rubini Roosje Rosita Oewen, Roosje Rosita Rosiliwati Wihardja, Rosiliwati Sativa, Liariza Simanjuntak, Debora Rotua Novita Soewondo, Willyanti Sri Hendrawati Sri Susilawati Sukajie, Bambang Sukmasari, Susi Supriatno Supriatno Suwardhani, Achmad Dheni Syaiful Azim, Fitri Anissa Syaimima Syarief Hidayat Tadeus Arufan Jasrin Taufiqi Hidayatullah Teguh Adi Partama Tika Novriyanti Unang Supratman Veranita, Mira Vira Amelia Wafa, Wade'ah Wardani, Vira Aulia Kusuma Wilda Hafny Lubis Willyanti Soewondo Wojtyla, Maria Caroline Y Yoana Yani Restiani Widjaja, Yani Restiani Yetty Herdiati Nonong Yetty Herdiyati Nonong Yetty Herdiyati, Yetty Yohanes Hutasoit Yusi Roslina Suciati