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Journal : Jurnal Sosial dan Sains

Implementasi Teori Sistem Terbuka Dalam Pengelolaan Sumber Daya Manusia Rumah Sakit Purwadhi, Purwadhi; Widjaja, Yani Restiani; Setyagraha, Javan Agustian; Umchudloh, Umchudloh
Jurnal sosial dan sains Vol. 5 No. 6 (2025): Jurnal Sosial dan Sains
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59188/jurnalsosains.v5i6.32261

Abstract

This study aims to analyze the implementation of open systems theory in the management of human resources (HR) within a hospital setting. As complex and dynamic healthcare service organizations, hospitals are required to adapt to external changes such as regulations, technology, and patient expectations. The open systems approach introduced by Katz and Kahn (1978) emphasizes the importance of input, process, output, feedback, and environmental adaptation for organizational sustainability. This research employs a qualitative approach through a case study at Hospital X. Data were collected through in-depth interviews, participatory observation, and document analysis, and were analyzed using NVivo software to identify dominant themes. The findings reveal that all elements of the open systems model have been gradually implemented, indicated by demand-based recruitment, cross-unit training, periodic performance evaluations, and the hospital's ability to respond to external changes such as the pandemic and digital transformation. Thematic analysis shows that the five elements interact to form an adaptive and responsive HR management ecosystem. These findings reinforce the argument that a managerial system based on open systems theory enhances productivity, inter-unit coordination, and service quality. This study contributes theoretically to strengthening organizational systems in the healthcare sector and offers practical recommendations for hospital management to optimize HR processes through data, technology, and continuous evaluation.
Redesain Struktur Organisasi untuk Efektivitas Layanan Kesehatan Mental: Studi Kualitatif di Rumah Sakit Jiwa Provinsi Bali Yasa, Sang Made Agus Wira Nugraha; Thalia, Thalia; Purwadhi, Purwadhi; Widjaja, Yani Restiani
Jurnal sosial dan sains Vol. 5 No. 6 (2025): Jurnal Sosial dan Sains
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59188/jurnalsosains.v5i6.32262

Abstract

This study aims to provide an in-depth analysis of the application of organizational structure theory within the context of public organizations, using a case study of the Provincial Mental Hospital of Bali. The research focuses on how organizational design, authority distribution systems, and both formal and informal power dynamics influence coordination effectiveness and the quality of mental health services. A qualitative descriptive approach with an intrinsic case study method was employed. Data were collected through document analysis, non-participant observation, and semi-structured interviews with five key informants from various managerial levels. The findings reveal that the organization’s classical bureaucratic structure, characterized by five hierarchical layers, tends to hinder decision-making processes and cause fragmentation in inter-unit collaboration. Moreover, informal power dynamics were found to often override formal command lines, thereby disrupting organizational cohesion and reducing operational effectiveness. Based on these findings, the study recommends a redesign of the organizational structure to be more adaptive, decentralized, and collaborative, in order to improve service performance—particularly in the mental health sector, which demands rapid response and a holistic approach. These results not only offer theoretical contributions to the development of public organization theory but also serve as a practical reference for institutional reform in mental health services at both local and national levels.
Lingkup Teori Organisasi Pada Pelayanan Kesehatan Widjaja, Yani Restiani; Purwadhi, Purwadhi; Maharani, Dessy; Setiati Putri, Paramita Indah
Jurnal sosial dan sains Vol. 5 No. 6 (2025): Jurnal Sosial dan Sains
Publisher : Green Publisher Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59188/jurnalsosains.v5i6.32263

Abstract

Healthcare services are a vital component of social development, demanding effective, efficient, and adaptive organizational governance in response to changing environments. This study aims to analyze the contribution of organizational theories in enhancing the performance of healthcare service organizations, focusing on four key approaches: bureaucracy theory, open systems theory, contingency theory, and transformational leadership theory. This research employs a Systematic Literature Review (SLR) method with a qualitative approach, conducted in a systematic, transparent, and replicable manner. Ten scholarly articles published between 2019 and 2024 were analyzed thematically to explore the relationships among theories, patterns of implementation, and their impact on the effectiveness of hospitals and community health centers (puskesmas). The results indicate that bureaucratic theory remains foundational in the structural arrangement of public hospitals, but must be complemented by flexibility to avoid hindering innovation. Open systems theory emphasizes the importance of integration across organizational units and responsiveness to external influences. Meanwhile, contingency theory highlights the necessity of aligning organizational structures and strategies with local contexts and resource capacities. Transformational leadership plays a crucial role in driving positive change, increasing staff participation, and fostering service innovation. This study concludes that integrating all four organizational approaches is essential to shaping a healthcare management model that is adaptive, collaborative, and oriented toward quality and sustainability. The findings serve as both conceptual and practical references for healthcare facility managers, policymakers, and scholars in the field of health management.
Co-Authors ,, Purwadhi A. Rohendi, A. Ade Mubarok Adnan Ginanjar Agustina Araufi Ahmad Ahmad Ali Amran Ali Amran Andhita Dian Dini Andi Karisma Anggun Desilia Apriana Clara Ardanti, Rizkia Ima Arumjati, Vernilina Oktaeighta Arumjati, Vernillina Oktaeighta Aryo Wibisono Asriansyah Asriansyah As’ady, BJ. Azmy Awwalunisa Aprilia Wijaya Ayomi, Anasthasia F M Bagenda, Wahyuddin Bayu Wahyudi Budijono, Rudy Catur Martian Fajar Cecep Darmawan, Cecep Chitrayuni, Wilsa Dasrun Hidayat Deden Edwar Yokeu Bernardin Destyoningtyas, Rizki Ashary Dewi, Nyoman Nila Dhea Indriani Dhea Indriani Dhian Tyas Utami Dimyati, Ferry Dwinta Mulyanti Eduardus Raditya Kusuma Putra Emanuela, Febrina Endah Pujiastuti Eneng Kamelia Erliany Syaodih Ermiati Ermiati Fanny Fardiyani Fatimah, Jardinia Dian Fauzan Febi Dwi Jayanti Rahmat Febi Dwi Jayanti Rahmat, Febi Dwi Jayanti Febrina Emanuela Feronica Melinda Muskitta Firdaus, Arsya Firdausa, Kiko Erynio Fitriasari, Nur Gani Nurdiyana Ginting, Agustina Br. Habibie, Ariyanto Hakim, Bagus Lukman Hapa, Maria Hapid, Reza Heni Rohaeni Heni Rohaeni Herlina, Nina - Hidayati, Wida Humaera, Namira Nita Indah Dwi Mentari Indah, Sonia Fillahi Irawati, Irfa Irma Sri Widhiyanti Irpan Nugraha Irpan Nugraha, Irpan J. Junius Juliana, Dewi Sri Junius, J. Karlinawati, Ni Made Devi Santi Kusharini, Omitta Yuliastuti Langingi, Gerald Hendriks Larasati Larasati Lestari, Nike Dwi Putri Lia Mirawati Lidwina Kasiani Meylina Lukas, Denny Christian M. Rizal Fauzi Maharani, Ardelia Maharani, Dessy Mahardika, Yudia Mahmudah, Nisa Makmur, Afifah Idelma Manik, Sitti Lolo Sundari Margaretna, Nur Fitri Marlena, Ena Masuni, Evi Mayang Wulandari Mayang Wulandari Mochamad Reza Nanda Eka Putri Nanda Sari, Dhiastika Niluh Dewi Ratnasari, Niluh Dewi Nining Handayani Nisa Mahmudah Novita Serliana, Novita Novriyanti, Tika Nurdiyana, Gani Nurhalisa Putri Nurhidayati, Ira Nurwijayanti Octavyani, Yanti P. Purwadi P. Purwadi Pangihutan, Reymond Pattinasarany, Alfadesta Hermon Perdana, Noor Roziq Ghulam Pertiwi, Shanti Asih Pipang Patasik, Kevin Pradnyana, I Gde Yoghie Pratomo, Nugroho Rizki Purwadhi Purwadhi Purwadhi Purwadhi Purwadhi Purwadhi Purwadhi Purwadi, P. Putra, Eduardus Raditya Kusuma Putra, Kevin Aldio Putri, Novia Ayu Wijayantis Susanto Putri, Nurhalisa Putriasni, Chyntia Qohardita, Risa Rachmawati, Amalia Rahmat Ilham Rahmayati, Anisa Ratnawati, Yeni Raysha Ramadhani Reymond Pangihutan Rhomadon, Wahyu Rian Andriani, Rian Rifa Adhiani, Waode Rilistyawati, Nabila Distiara Riswanda, Jhon Rohendi, Aceng Rohendi, H.A ROHMAH, FAIZATUR Rosianti Rosidawati Wiradirja, Imas Ruth Alexandra Sahidillah Nurdin Sandi, Ghaniy Prima Satriya, Guntur Seso Sulijaya Suyono Setiati Putri, Paramita Indah Setyagraha, Javan Agustian Silvania, Grace Ayu Sinta Rosmaini Siti Nuryanti Sri Widya Astuti, Baiq Sroyer, Beatrik Yunike Yulanda Sudarman, Brillianty Putrisari Sukajie, Bambang Suyono, Seso Sulijaya Thalia, Thalia Tri Lestari Triyono, Alfian Heri Tunggadewi, Ni Putu Tania Nadyanti Umchudloh, Umchudloh Viany, Viany Wentinusa, Stella Maria Widodo, Ayudisty Ristika Kusumawardhani Wijaya, Awwalunisa Aprilia Wildan Witarsih, Silvia Witri, Repelita Wydaswara, Mita Yaniawati, Poppy Yasa, Sang Made Agus Wira Nugraha Yogiyopranoto, Muhammad Yongki Hadinata Wijaya Yudia Mahardika Yunita, Dian Zalmah Zivana, Fidela Hanan