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Journal : International Journal of Nursing and Health Services (IJNHS)

Importance of Nurse Workload Management as the Main Factor Affecting a Patient Safety Culture Selamat; Indrawati, Ratna; Tahjoo, Anastina
International Journal of Nursing and Health Services (IJNHS) Vol. 5 No. 1 (2022): 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.v5i1.561

Abstract

Introduction: The implementation of patient safety goals is the compliance behavior of health workers in implementing the standards and targets set by the hospital concerning international patient safety goals to ensure safe services for every patient. The international patient safety goals adopted by the hospital accreditation committee (KARS) have 6 (six) goals. Objective: The purpose of the study was to obtain empirical evidence of the effect of knowledge and workload on the implementation of patient safety goals mediated by patient safety culture. Method: This type of research is a causative quantitative analytic study with a cross-sectional research design. The sample population of this study is 140 nurses with a saturated sampling technique. In this study, measurements are done on primary data in a questionnaire distributed by Google Form to 140 respondents, and all respondents filled out the Google Form. In this study, the analysis was carried out using path analysis. Results: The results showed that knowledge, workload, and patient safety culture simultaneously had a positive and significant effect on implementing patient safety goals. The research findings show that patient safety culture can mediate patient safety goals. The workload does not directly influence the performance of patient safety goals. Recommendations: for hospital management to be more attentive to nursing workload management, the main factor affected patient safety culture. For further research, data from other hospital stakeholders can be added
Work Family Conflict on Nurses’ Performance at Prevate Hospital in Jakarta susanti, susanti; Indrawati, Ratna; Purwati, Wahyuni Dian
International Journal of Nursing and Health Services (IJNHS) Vol. 5 No. 2 (2022): 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.v5i2.594

Abstract

Background. Nurse is one of the professions that has an important role in efforts to maintain the quality of service in hospitals, due to a professional group with the largest number. Objective. The study aimed to analyze the effect of workload and work family conflict on the Nurses’ performance at private hospital in Jakarta with work motivation as an intervening variable. Method: A cross-sectional study with survey approach was applied in this study. Results: The results found that workload has a negative effect on working motivation with estimate score was -0.157, and p-value was 0.035. Work family conflict has a negative effect on nurses’ performance with estimate score was -0.737, and p-value was 0.000. Work Family Conflict was negative effect on nurses’ performance with estimate score was -0.469, and p-value was 0.000. Work motivation has a positive effect on the performance of nurses, this is indicated by the value estimate=0.649, p-values 0.000<0.05. Conclusion: Variables Workload and Work Family Conflict affect the performance of private hospital nurses in Jakarta through work motivation
A Mobley Theory to Predict Organizational Commitment as a Media Factor on Turnover Intention: A Structure Equation Model Sarantie, Ade; Indrawati, Ratna; Mulyani , Erry Yudhya
International Journal of Nursing and Health Services (IJNHS) Vol. 5 No. 2 (2022): 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.v5i2.595

Abstract

Background: In hospitals, competent human resources are needed in their fields. one of which is a nurse who has the responsibility and authority in providing nursing services to patients for 24 hours. Objective: The study aimed to examine the effect of work motivation, and compensation on turnover intention of inpatient nurses at Hospital X with organizational commitment as a mediating variable. Method: This study applied the quantitative with survey approach. Result: The results showed that the work motivation variable had a negative effect on turnover intention, this was indicated by the estimate value = -0.348 P-Values = 0.001 < = 0.05. Compensation has a negative effect on turnover intention, this is indicated by the value estimate = -0.288 P-Values = 0.004 < = 0.05. Organizational commitment has a negative effect on turnover intention, this is indicated by the value estimate = -0.350 P-Values = 0.014 < = 0.05. Work motivation has a positive effect on organizational commitment, this is indicated by the value estimate = 0.435 P-Values = 0.000 < = 0.05. Compensation has a positive effect on organizational commitment, it is indicated by the value estimate = 0.304 P-Values = 0.000 < = 0.05. Conclusion: Work Motivation and Compensation Variables have an effect on Turnover Intention mediated by Organizational Commitment
Pharmacoeconomic Analysis of Type 2 Diabetes Mellitus Patients with the Application of PGA (Use of Antimicrobials) at Hospital X in East Java Dewi, Nisvi; Indrawati, Ratna; Tahjoo, Anastina
International Journal of Nursing and Health Services (IJNHS) Vol. 8 No. 3 (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.v8i3.865

Abstract

Background: Type 2 Diabetes Mellitus (T2DM) leads to a reduced immune response and increased susceptibility to infections, necessitating the use of antibiotics. However, inappropriate and excessive use of antimicrobials in humans, animals, and plants can contribute to increased antimicrobial resistance. Objective: This research aims to provide an overview of the application of Antibiotic Management (PGA) in the use of reserve antibiotics for T2DM patients concerning pharmacoeconomics at X Hospital in East Java. Method: Method: The study employed an observational approach with an exploratory descriptive method. Data were collected retrospectively from a cohort of patients who received reserve class antibiotics. The effectiveness of these antibiotics was assessed based on clinical outcomes, including patient survival or death, using medical records from October 2021 to September 2022 and October 2022 to September 2023. Result: The result indicated that the application of PGA using reserve antibiotics in T2DM patients had a positive and significant impact on pharmacoeconomics. The Incremental Cost Effectiveness Ratio (ICER) for T2DM patients with infections who received reserve antibiotics decreased after PGA implementation. Conclusion: The study concludes that PGA application in T2DM patients with infections yielded positive results, including a reduction in ICER, indicating improved cost-effectiveness and clinical outcomes. Recommendation: Proper and controlled use of reserve antibiotics through PGA can help mitigate antimicrobial resistance, a critical global health issue
Enhancing Nursing Careers: The Role of Training and Work Environment Through Clinical Competence in X Sukabumi Hospital Simarmata, Tioma Lusi Septiana; Indrawati, Ratna; Johanes, Johanes
International Journal of Nursing and Health Services (IJNHS) Vol. 8 No. 4 (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.v8i4.881

Abstract

Background: Career development for healthcare professionals, particularly nurses, is a crucial aspect of Human Resource Management (HRM) in hospitals. At X Sukabumi Hospital, only 1.8% of the 159 nurses successfully advanced in their careers, despite the majority having more than 10 years of experience. Objective: This study examines the impact of training and work environment on nurses' career development, with clinical competence as a mediating variable. Method: A quantitative associative design with a cross-sectional approach was employed, using a questionnaire for data collection. The sample consisted of 159 nurses, and data were analyzed using the Three-Box Method and Structural Equation Modeling (SEM) with PLS v.03, incorporating T-tests and F-tests. Result: findings reveal that training, work environment, and clinical competence significantly influence nurses' career development (F-statistic = 86.55 > F-table = 2.81). However, training alone does not directly impact career development (p-value = 0.309), while the work environment has a significant effect (p-value = 0.000). Both training and work environment significantly influence clinical competence (p-value = 0.000), which in turn positively affects career development (p-value = 0.009). Furthermore, clinical competence plays a key mediating role (p-value= 0.018). Conclusion: In conclusion, training and work environment influence nurses' career development through clinical competence at X Sukabumi Hospital
The Role of Customer Engagement Influenced Brand Image, Advertising, and Patient Experience on Customer Delight of Outpatients in Hospital X Palit, Selvyana C.; Indrawati, Ratna; Pamungkas, Rian Adi
International Journal of Nursing and Health Services (IJNHS) Vol. 8 No. 4 (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.v8i4.883

Abstract

Background: This research originates from a preliminary survey indicating that while most BSD area residents are aware of Hospital X, there is potential to enhance both the quality of its services and the extent of its utilization within the community. Objective: The aim of this study was to examine brand image, advertising, and patient experience on customer delight, with customer engagement serving as a mediating variable among Hospital outpatient population. Method: The study employed a quantitative approach using a cross-sectional design. The target population included all patients who had received care at Hospital X's Internal Medicine outpatient department in the past six months, though the exact number of patients is unknown. Using purposive sampling and the Lemeshow formula, 99 respondents were selected. Data was gathered through questionnaires and analyzed using the three-box method combined with multiple linear regression. Result: The findings demonstrate that brand image, advertising, and patient experience influence customer delight, with customer engagement as a mediating factor. However, brand image and advertising do not significantly affect customer engagement or customer delight among Hospital X's outpatients. Conversely, patient experience has a notable direct impact on both customer engagement and customer delight. Additionally, customer engagement directly enhances customer delight. Conclusion: Patient experience emerges as the most influential factor in boosting customer engagement and delight, whereas advertising is the least impactful in achieving these outcomes