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All Journal Jurnal Keperawatan Muhammadiyah Nurse and Health: Jurnal Keperawatan Indonesian Academia Health Sciences Journal Jurnal Bhakti Civitas Akademika International Journal of Scientific Multidisciplinary Research (IJSMR) Jurnal Pengembangan Ilmu dan Praktik Kesehatan Enfermeria Ciencia Masyarakat Mandiri dan Berdaya The Indonesian Academia Health Sciences Journal
Ida Agustiningsih
Muhammadiyah University Surabaya
Decision Sciences, Operations Research & Management Education Environmental Science Health Professions Law, Crime, Criminology & Criminal Justice Mechanical Engineering Medicine & Pharmacology Nursing Public Health Social Sciences

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Organizational Resilience and Its Influence on Nurse Turnover Intention, Workplace Accidents, and Psychological Safety in Healthcare Systems Agustiningsih, Ida; Agustin, Ratna; Mundakir, Mundakir
Jurnal Keperawatan Muhammadiyah Vol 10 No 4 (2025): JURNAL KEPERAWATAN MUHAMMADIYAH
Publisher : UNIVERSITAS MUHAMMADIYAH SURABAYA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/jkm.v10i4.31517

Abstract

Background: Organizational resilience is increasingly recognized as a key capability for healthcare systems to manage workforce challenges and safety risks. However, its simultaneous influence on turnover intention, workplace accidents, and psychological safety remains underexplored. Objective: This study aimed to examine the influence of organizational resilience on turnover intention, workplace accidents, and psychological safety among healthcare workers in hospital settings. Methods: A cross-sectional analytical study was conducted among 258 healthcare workers, including nurses, doctors, medical support staff, and administrative personnel, using cluster sampling. Organizational resilience was measured using a modified Organizational Resilience Questionnaire focusing on planning and adaptive capacity domains. Turnover intention, workplace accidents, and psychological safety were assessed using validated instruments. Data were analyzed using descriptive statistics and Pearson correlation analysis. Results: The mean score of organizational resilience was 3.78 ± 0.54. Organizational resilience showed a significant negative correlation with turnover intention (r = -0.512, p < 0.001) and workplace accidents (r = -0.389, p < 0.001), indicating that higher resilience was associated with lower intention to leave and fewer occupational incidents. In contrast, organizational resilience demonstrated a positive correlation with psychological safety (r = 0.559, p < 0.001), reflecting a stronger perception of a safe work environment. Among the outcomes, psychological safety showed the strongest association, followed by turnover intention and workplace accidents. Conclusion: Organizational resilience plays a critical role in reducing turnover intention and workplace accidents while enhancing psychological safety, highlighting its importance in strengthening workforce sustainability and healthcare quality.
PENGARUH KOMPETENSI PERAWAT DAN INSENTIF PELAYANAN TERHADAP KINERJA PERAWAT DENGAN KEPUASAN KERJA SEBAGAI MODERATING Ida Agustiningsih; Yulianto Yulianto
Enfermeria Ciencia Vol. 4 No. 2 (2026): Jurnal Enfermeria Ciencia, Volume 4, Nomor 1, Mei 2026
Publisher : Yayasan Abdi Amanah Masyarakat Mojokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56586/ec.v4i2.111

Abstract

Penelitian ini bertujuan untuk menganalisis pengaruh kompetensi perawat dan insentif pelayanan terhadap kinerja perawat dengan kepuasan kerja sebagai variabel moderasi di tiga rumah sakit swasta Kabupaten Mojokerto. Penelitian menggunakan pendekatan kuantitatif dengan desain explanatory research. Sampel penelitian terdiri dari 201 perawat pelaksana di ruang rawat inap yang diambil dengan teknik total sampling. Pengumpulan data dilakukan melalui kuesioner, sedangkan analisis data menggunakan Structural Equation Modeling dengan pendekatan Partial Least Square melalui SmartPLS 3.0. Hasil penelitian menunjukkan bahwa kompetensi perawat dan insentif pelayanan berpengaruh positif dan signifikan terhadap kepuasan kerja serta kinerja perawat. Kepuasan kerja terbukti berperan sebagai variabel moderasi yang memperkuat pengaruh kompetensi dan insentif pelayanan terhadap kinerja perawat. Model penelitian mampu menjelaskan variasi kepuasan kerja sebesar 65,8 persen dan kinerja perawat sebesar 67,2 persen. Pembahasan mengungkapkan bahwa perawat dengan kompetensi yang baik, insentif yang adil, dan kepuasan kerja yang tinggi akan menunjukkan kinerja yang unggul dalam memberikan asuhan keperawatan yang holistik dan berpusat pada pasien. Kepuasan kerja berperan sebagai katalisator yang memperkuat dampak positif kompetensi dan insentif terhadap kinerja. Penelitian ini menyimpulkan bahwa kinerja perawat yang optimal memerlukan sinergi antara kompetensi, insentif, dan kepuasan kerja yang saling memperkuat, sehingga pengelola rumah sakit perlu memberikan perhatian holistik terhadap kesejahteraan perawat sebagai ujung tombak pelayanan kesehatan yang manusiawi dan bermartabat
Studi Fenomenologi Tantangan dan Solusi Kreatif Perawat Case Manager dalam Meningkatkan Kualitas Pelayanan Pasien di Rumah Sakit Widya Agustin Faidhatul Ulfa; Ratna Agustin; Ida Agustiningsih
Indonesian Academia Health Sciences Journal Vol 6 No 1 (2025): INDONESIAN ACADEMIA HEALTH SCIENCES JOURNAL
Publisher : Faculty of Health Sciences, Universitas Muhammadiyah Surabaya, East Java, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/inahes.v5i2.25538

Abstract

Background: One of the service models to maintain the quality of service in the Hospital is case management, driven by the Case Manager who is generally responsible for the coordination and continuity of patient services. However, over time, the Case Manager profession has not been optimal in implementing its roles and functions, causing problems in services, namely lack of continuity of service, ineffective management of patient flow, and lack of efficiency of service costs that affect the quality of service. The purpose of this study is to describe the Case Manager's strategy in implementing its role and function to improve the quality of service at Siti Khodijah Sepanjang Hospital. Methods: The type of qualitative research with a phenomenological approach, the number of Case Manager and PPA informants is 6, data is obtained through in-depth interviews, observation and documentation. Results: The Based on the research results, 6 themes were obtained, namely qualifications, role and function implementation strategies, completeness of documents, readiness of reporting systems, quality of service, and obstacles. The implementation of the role and function of the Case Manager has been running well but has not been optimal because there are still obstacles, namely the adequacy of the number of Case Manager HR, multi-roles, and patient complaints. The strategy carried out by the Case Manager is to collaborate with patients and families and coordinate with the head of the room, unit team, related DPJP so that the Case Manager can monitor the patients they manage, and coordinate with casemix for financing. Conclusion: Case Manager's strategy in implementing its roles and functions is important in helping to improve the quality of service. The dominant roles and functions are the cost control role and the service coordination function
Studi Fenomenologi Tantangan dan Solusi Kreatif Perawat Case Manager dalam Meningkatkan Kualitas Pelayanan Pasien di Rumah Sakit Widya Agustin Faidhatul Ulfa; Ratna Agustin; Ida Agustiningsih
Indonesian Academia Health Sciences Journal Vol 6 No 1 (2025): INDONESIAN ACADEMIA HEALTH SCIENCES JOURNAL
Publisher : Faculty of Health Sciences, Universitas Muhammadiyah Surabaya, East Java, Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30651/inahes.v5i2.25538

Abstract

Background: One of the service models to maintain the quality of service in the Hospital is case management, driven by the Case Manager who is generally responsible for the coordination and continuity of patient services. However, over time, the Case Manager profession has not been optimal in implementing its roles and functions, causing problems in services, namely lack of continuity of service, ineffective management of patient flow, and lack of efficiency of service costs that affect the quality of service. The purpose of this study is to describe the Case Manager's strategy in implementing its role and function to improve the quality of service at Siti Khodijah Sepanjang Hospital. Methods: The type of qualitative research with a phenomenological approach, the number of Case Manager and PPA informants is 6, data is obtained through in-depth interviews, observation and documentation. Results: The Based on the research results, 6 themes were obtained, namely qualifications, role and function implementation strategies, completeness of documents, readiness of reporting systems, quality of service, and obstacles. The implementation of the role and function of the Case Manager has been running well but has not been optimal because there are still obstacles, namely the adequacy of the number of Case Manager HR, multi-roles, and patient complaints. The strategy carried out by the Case Manager is to collaborate with patients and families and coordinate with the head of the room, unit team, related DPJP so that the Case Manager can monitor the patients they manage, and coordinate with casemix for financing. Conclusion: Case Manager's strategy in implementing its roles and functions is important in helping to improve the quality of service. The dominant roles and functions are the cost control role and the service coordination function
Co-Authors Afifah, Zenni Agustin Faidhatul Ulfa, Widya Andriani, Ririn Eko Agus Cahyono Firman Firman Mohammad Subkhan Mundakir Ratna Agustin Widya Agustin Faidhatul Ulfa Wijaya, Siswanto Agung Wijayanti, Endry Winarsih, Sutik Yulianto Yulianto Yulianto Yulianto