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THE EFFECTIVENESS OF LEAN SIX SIGMA IMPLEMENTATION IN HEALTH-CARE FACILITIES Donn Kevinson Sondakh; Risty Mandane Laloan
Klabat Journal of Management Vol 4 No 2 (2023): Klabat Journal of Management
Publisher : Faculty of Economics and Business, Universitas Klabat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.60090/kjm.v4i2.1016.104-111

Abstract

This study was conducted to investigate the effectiveness of implementing Lean Six Sigma within the field of health care facilities. Lean Six Sigma is a powerful tool that can increase the organization performance. In this study A systematic review was performed in accordance with current best practices through close adherence to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. This study was found that the implementation of Lean Six Sigma enables the hospital to reduce the consumption of plasminogen by 69%, block utilization was increase by 13%-28%, book appointment increases by 24-276%, time saving were increase by 17% to 21%. And for service quality in blood collection was increased by 55% housewide. Lean Six Sigma is an inexpensive methodology to implement, it can bring many benefits to the organization in the health-care facilities. The successful implementation of Lean Six Sigma was able to reduce waste, reduce defect rate, increasing the quality of service, and reduce process variability that led to patient satisfaction and cost effective. Keywords: lean six sigma, health-care facility, productivity, efficiency
Outcomes of Diabetic Patients Undergoing Surgical Procedures A Systematic Review Laloan, Risty Mandane
Innovative: Journal Of Social Science Research Vol. 4 No. 6 (2024): Innovative: Journal Of Social Science Research
Publisher : Universitas Pahlawan Tuanku Tambusai

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31004/innovative.v4i6.17010

Abstract

Diabetes Militus (DM) merupakan kondisi kronis yang mempengaruhi hasil pascaoperasi pada pasien yang menjalani prosedur bedah, meningkatkan risiko komplikasi seperti infeksi luka operasi, penyembuhan lukan menjadi lama, dan dapat menyebapkan kematian. Penelitian ini bertujuan untuk mengevaluasi dampak diabetes terhadap hasil pascaoperasi dan mengidentifikasi factor utama yang mepengaruhi variasi tingkat pemulihan serta komplikasi. Melalui tinjauan sistematis, data dar berbagai literatur yang diterbitkan antara 2019 – 2024 dianalisis untuk menilai pengaruh pemeriksaan kontrol glikemik, komplikasi terkait diabetes, dan protocol pemulihan seperti Enhanced Recovery After Surgery (ERAS). Hasil menunjukkan bahwa control glikemik yang optimal dan pengelolaan komplikasi prediabetes, seperti neuropati dan nefropati, sangat penting dalam meningkatkan hasil pascaoperasi. Standarisasi protocol ERAS dan peningkatan literasi Kesehatan juga terbukti efektif. Penelitian in menyoroti perlunya strategi berbasis bukti untuk meminimalkan resiko dan meningkatkan kualitas perawatan bagi pasien diabetes.
Efek Terapi Musik Klasik Terhadap Stabilitas Hemodinamik: Tinjauan Literatur Sistematis Laloan, Risty Mandane
JUKEJ : Jurnal Kesehatan Jompa Vol 4 No 1 (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.Iss1.1393

Abstract

This systematic literature review explores the impact of classical music therapy on hemodynamic stability in clinical settings. As a non-pharmacological approach, classical music has shown promise in supporting cardiovascular regulation by promoting both physiological and psychological relaxation. This review synthesizes findings from 12 peer-reviewed studies published between 2020 and 2025, involving diverse patient populations including the elderly, ICU patients, surgical patients, and individuals undergoing hemodialysis. Results consistently show that listening to classical music—especially slow-tempo and soothing compositions—can significantly reduce blood pressure, heart rate, and respiratory rate. In addition, psychological benefits such as reduced anxiety and stress contribute to overall cardiovascular improvement. These outcomes are linked to activation of the parasympathetic nervous system and emotional regulation mechanisms. Despite variations in study design, music selection, and patient conditions, the collective evidence supports classical music therapy as an effective, low-cost, and non-invasive complementary treatment. The review emphasizes the importance of culturally appropriate music choices and standardized protocols to ensure consistent clinical outcomes. These findings offer practical insights for healthcare professionals aiming to integrate music therapy into routine care practices to enhance patient comfort, promote relaxation, and improve overall care quality.
A Systematic Literature Review of Mindfulness-Based Interventions for Intensive Care Unit Nurses: Impacts on Well-Being and Patient Care Quality Laloan, Risty Mandane
NUTRIX Vol 9 No 2 (2025): Volume 9, Issue 2, 2025
Publisher : Fakultas Ilmu Keperawatan Universitas Klabat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37771/nj.v9i2.1388

Abstract

This study systematically reviews the impact of mindfulness-based interventions (MBIs) on the well-being of intensive care unit (ICU) nurses and their effect on patient care quality. A systematic review of 12 peer-reviewed articles published between 2020 and 2025 was conducted. Findings revealed four major themes influencing ICU nurses’ well-being. First, MBIs consistently reduce stress and burnout, enhance emotional resilience, and improve emotional intelligence. Second, self-care practices, including mindful self-care and autonomy, support long-term health and career sustainability. Third, workplace stress remains a significant challenge, with adaptive coping strategies such as mindfulness and emotional regulation proving more effective than avoidance or detachment. Finally, workplace dynamics, particularly ethical dilemmas and organizational culture, strongly affect morale, retention, and the delivery of compassionate, high-quality care. Quantitative evidence supports these outcomes; for example, a Mindfulness-Based Stress Reduction (MBSR) program lowered burnout scores from 56.53 to 48.56, and a quasi-experimental study reported significant reductions in emotional exhaustion and depersonalization (p < 0.001). Despite these benefits, challenges such as time constraints, limited institutional support, and low engagement in formal mindfulness programs persist. A notable limitation is the heterogeneity of MBI designs and implementation protocols, highlighting the need for standardization and longitudinal research. To enhance accessibility, digital and hybrid mindfulness formats are recommended. This review emphasizes that institutional commitment is essential for integrating mindfulness into ICU settings, positioning MBIs as strategic approaches to promote nurse well-being and improve patient care quality. Penelitian ini secara sistematis meninjau dampak intervensi berbasis mindfulness (Mindfulness-Based Interventions/MBIs) terhadap kesejahteraan perawat di unit perawatan intensif (ICU) serta pengaruhnya terhadap kualitas asuhan pasien. Tinjauan dilakukan terhadap 12 artikel peer-reviewed yang diterbitkan antara 2020 hingga 2025. Hasilnya mengungkap empat tema utama yang memengaruhi kesejahteraan perawat ICU. Pertama, MBIs secara konsisten menurunkan stres dan burnout, meningkatkan resiliensi emosional, serta memperkuat kecerdasan emosional. Kedua, praktik perawatan diri, termasuk mindful self-care dan otonomi, mendukung kesehatan jangka panjang dan keberlanjutan karier. Ketiga, stres kerja tetap menjadi tantangan signifikan, di mana strategi koping adaptif seperti mindfulness dan regulasi emosi terbukti lebih efektif dibandingkan penghindaran atau pelepasan diri. Keempat, dinamika tempat kerja, khususnya dilema etis dan budaya organisasi, sangat memengaruhi moral, retensi, dan kemampuan perawat dalam memberikan asuhan yang penuh kasih dan berkualitas tinggi. Bukti kuantitatif mendukung temuan ini; misalnya, program Mindfulness-Based Stress Reduction (MBSR) menurunkan skor burnout dari 56,53 menjadi 48,56, dan studi kuasi-eksperimental menunjukkan penurunan signifikan pada kelelahan emosional serta depersonalisasi (p < 0,001). Meskipun demikian, tantangan tetap ada, seperti keterbatasan waktu, dukungan institusional yang minim, serta rendahnya partisipasi dalam program mindfulness formal. Keterbatasan utama penelitian adalah heterogenitas desain dan protokol implementasi MBIs, sehingga diperlukan standarisasi dan penelitian longitudinal. Untuk meningkatkan aksesibilitas, format digital dan hybrid diusulkan. Tinjauan ini menekankan pentingnya komitmen institusional dalam mengintegrasikan mindfulness di ICU sebagai strategi untuk meningkatkan kesejahteraan perawat sekaligus kualitas asuhan pasien.