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All Journal International Journal of Nursing and Health Services (IJNHS) Jurnal Abdi Insani Journal SAGO Gizi dan Kesehatan Journal of Language and Health Jurnal Pengabdian Masyarakat Indonesia Maju (JPMIM) International Journal of Science and Society (IJSOC) Jurnal Indonesia Sosial Teknologi Eduvest - Journal of Universal Studies JUKEJ: Jurnal Kesehatan Jompa Vitalitas Medis : Jurnal Kesehatan Dan Kedokteran Epaper Bisnis: International Journal Entrepreneurship and Management International Journal Of Health And Social Behavior International Journal of Health and Medicine
Duta Liana
Universitas Esa Unggul, Jakarta, Indonesia
Aerospace Engineering Agriculture, Biological Sciences & Forestry Civil Engineering, Building, Construction & Architecture Computer Science & IT Decision Sciences, Operations Research & Management Dentistry Economics, Econometrics & Finance Education Engineering Environmental Science Health Professions Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Library & Information Science Materials Science & Nanotechnology Mathematics Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary Other

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Impact of Management Commitment and Safety Culture on Risk Management through Nurse Involvement Intervening Tati susilawati; Duta Liana; Rina Anindita
International Journal of Health and Social Behavior Vol. 2 No. 3 (2025): August: International Journal of Health and Social Behavior
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/ijhsb.v2i3.499

Abstract

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.
Learning Organization and Feedback Culture in Patient Safety Incident Reporting: The Mediating Role of Non-Punitive Response William, Wilko; Liana, Duta; Jusat, Idrus
JUKEJ : Jurnal Kesehatan Jompa Vol 4 No 2 (2025): JUKEJ: Jurnal Kesehatan Jompa
Publisher : Yayasan Jompa Research and Development

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.57218/jkj.Vol4.Iss2.1936

Abstract

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.
Influence of Trust and Perceived Value on Non-BPJS Patients’ Revisit Intentions Moderated by Hospital Image Maria Stephanie; Duta Liana; Idrus Jusat
ePaper Bisnis : International Journal of Entrepreneurship and Management Vol. 2 No. 3 (2025): ePaper Bisnis : International Journal of Entrepreneurship and Management
Publisher : Asosiasi Riset Ilmu Manajemen Kewirausahaan dan Bisnis Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/epaperbisnis.v2i3.562

Abstract

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
Transforming Leadership, Effective Communication, And Patient Safety Culture: The Role Of Trust Among Hospital X East Jakarta Nurses Agusman, Heru; Liana, Duta; Nofierni, Nofierni
Jurnal Indonesia Sosial Teknologi Vol. 4 No. 11 (2023): Jurnal Indonesia Sosial Teknologi
Publisher : Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/jist.v4i11.802

Abstract

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
The Influence of Clinical Leadership and Reporting Intensity on Patient Safety Culture: The Mediating Role of Blaming Culture in Hospitals Ratna Puri; Natsir Nugroho; Duta Liana
International Journal of Health and Medicine Vol. 2 No. 4 (2025): October : International Journal of Health and Medicine
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62951/ijhm.v2i4.534

Abstract

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.
Analisis dimensi iklim keselamatan terhadap keselamatan pasien di rumah sakit Liana, Duta; Dwijayanti, Fifi; Fauziah, Nuraini
Jurnal SAGO Gizi dan Kesehatan Vol 6, No 3 (2025): Nopember
Publisher : Poltekkes Kemenkes Aceh

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30867/gikes.v6i3.2767

Abstract

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.
Co-Authors Adyllon, Devand Agusman, Heru Ananda, Nadaa Septya Dwi Anggrani, Santi Dewi Lestari Fifi Dwijayanti Harlinda Syofyan Hartanti, Renny Hasyim Hasyim hasyim, hasyim Hendrawan, Suwanda Hosizah Hosizah Julita D. L. Nainggolan Jusat, Idrus Khaerina, Mutia Fauzi Maratis, Jerry Maria Stephanie Muhammad Fachruddin Arrozi Mustikawati, Intan Silviana Natsir Nugroho Nofierni, Nofierni Nugroho, Natsir Nuraini Fauziah Nuriza, Heni Putri, Yunita Eka Ratih Ariyanti Pratika Ratna Puri Rian Adi Pamungkas Rina Anindita Riya Widayanti Tati susilawati Ulli, Meilandna Umi Syarah Utomo, Haryo Setyo William, Wilko Yuliati -