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Impact of toxic leadership on nurses' motivation, job satisfaction, productivity, and turnover intentions Solehudin, Solehudin; Syabanasyah, Inas
Journal of Health Science and Medical Therapy Том 2 № 03 (2024): Journal of Health Science and Medical Therapy
Publisher : PT. Riset Press International

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59653/jhsmt.v2i03.1115

Toxic leadership refers to a style of leadership characterized by behaviors that harm, exploit, and undermine the well-being of employees and the overall organizational culture. Leaders who exhibit toxic behaviors often create a detrimental work environment that affects not only the morale and productivity of their team but also the long-term success of the organization. The purpose of this study was to determine the influence of toxic leadership on motivation, job satisfaction, productivity and turnover intention of nurses. This study uses correlation analysis with a cross-sectional design. The population in this study were nurses with a sample size of 480 responden based on the convenience sampling technique. Statistical analysis using multiple linear regression. The results of the study showed that the influence of toxic leadership on motivation, job satisfaction, productivity and turnover intention was p value 0.001. standard estimate coefficient of motivation and job satisfaction variables is a value of 1,000. The conclusion of this study is toxic leadership has a negative impact on nurse motivation by reducing intrinsic motivation. When job satisfaction decreases due to toxic leadership, nurses are more likely to consider leaving their jobs.

Asuhan Keperawatan Pasien Dengan Isolasi Sosial Di Panti X Jakarta Solehudin, Solehudin; Nurfadillah, Didah; Iskandar, Maulana; Maulida, Tiara; Maulana, Tio; Syabanasyah, Inas
Sahabat Sosial: Jurnal Pengabdian Masyarakat Vol. 2 No. 3 (2024): Sahabat Sosial: Jurnal Pengabdian Masyarakat (Juni)
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59585/sosisabdimas.v2i3.352

Social isolation not only affects the patient's physical appearance, but also impacts his psychological, emotional and social aspects. Nurses have a great responsibility in providing appropriate care and supporting patients during periods of social isolation. The aim of the research is to determine the description of nursing care for clients with social isolation problems. The research used is a Case Study of mental nursing care which consists of assessment, diagnosis, intervention, implementation and evaluation. The assessment includes reasons for admission, predisposing factors, physical examination, psychosocial, mental status, patient's needs for discharge, coping mechanisms, psychosocial and environmental problems, knowledge. Nursing problems: Social isolation, risk of violent behavior, low self-esteem, sensory perception disorders; Auditory and visual hallucinations. The main nursing problem for this client is social isolation. Nursing action plan: Build a relationship of mutual trust by stating the principles of therapeutic communication; Ask the client about the people who live in the same house or room as the client and the people closest to the client. Discuss with the client the causes of social isolation or not wanting to join/associate with other people. Evaluation for a diagnosis of Social Isolation, the client can mention the advantages of interacting with other people and the disadvantages of not interacting with other people, the client can introduce himself and can get to know more than 2 people.

Peningkatan Keterampilan Penanganan Pasien Gawat Darurat Melalui Pelatihan Basic Trauma Cardic Life Support (BTCLS) Solehudin, Solehudin; Kurniawan, Imam; Firdaus, Muhammad Iqbal; Syabanasyah, Inas
Sahabat Sosial: Jurnal Pengabdian Masyarakat Vol. 3 No. 1 (2024): Sahabat Sosial: Jurnal Pengabdian Masyarakat (Desember)
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59585/sosisabdimas.v3i1.544

Skills in handling emergency patients, especially trauma and cardiovascular emergencies, are important competencies for health workers. Basic Trauma Cardiac Life Support (BTCLS) training is designed to improve the knowledge, skills, and readiness of health workers in dealing with critical situations. This study aims to evaluate the impact of BTCLS training on the competence of nurses at the National Search and Rescue Agency (BNPP) in handling emergencies. The method used was a six-day training, which included providing theory and practice. The theoretical material included systematic emergency management, while practice included resuscitation simulation, initial assessment, airway management, triage, and patient evacuation. Evaluation was carried out through pre-test and post-test to measure the knowledge and skills of the participants. The results showed a significant increase in the average knowledge score, from 45.5 (pre-test) to 85.5 (post-test), with an increase of 87.91%. The participants' skills reached an average of 85, indicating a high level of competence in accordance with training standards. This increase reflects the effectiveness of the training method in providing in-depth theoretical and practical understanding. Conclusion, BTCLS training has made a major contribution to improving the competence of health workers, especially BNPP nurses, in dealing with emergency situations. This program equips participants with the knowledge, skills, and confidence to handle critical cases effectively. Suggestion, BTCLS training needs to be held periodically with material updates according to technological developments and international standards to maintain the quality of health worker competence.

Pengaruh Usia, Berat Badan, Tinggi Badan Dan Indeks Massa Tubuh Terhadap Gula Darah Sewaktu Solehudin, Solehudin; Syabanasyah, Inas
Barongko: Jurnal Ilmu Kesehatan Vol. 3 No. 2 (2025): Barongko : Jurnal Ilmu Kesehatan (Maret)
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59585/bajik.v3i2.586

Mellitus (DM) is one of the metabolic diseases whose prevalence continues to increase, both globally and in Indonesia. This increase in prevalence is caused by various factors, such as changes in lifestyle, unhealthy diet, and lack of physical activity. This study aims to analyze the effect of age, weight, height, and Body Mass Index (BMI) on random blood sugar levels. The study used a cross-sectional design with 117 respondents selected through the Slovin method in one of the neighborhood associations in Bogor City. Data were collected using observation and physical measurements, and analyzed by multivariate linear regression using Jamovi 2.2.5 software. The results showed that age had a significant effect on random blood sugar levels (p = 0.001), with a regression coefficient of 2.17. In contrast, weight, height, and BMI did not show a significant relationship. These findings indicate that every 1-year increase in age can increase random blood sugar levels by 2.17 units. This phenomenon can be explained by decreased insulin sensitivity, decreased pancreatic beta cell function, and lower basal metabolic rate in the elderly. In conclusion, age is a significant factor that affects random blood sugar levels, while other variables, such as weight, height, and BMI, are influenced by external factors not included in the model. This study emphasizes the importance of interventions that focus on preventing DM through community education, healthy lifestyle management, and regular physical activity, especially in the elderly.

Pengaruh Supervisi Dan Coaching Terhadap Kinerja Perawat Syabanasyah, Inas; Solehudin, Solehudin
Barongko: Jurnal Ilmu Kesehatan Vol. 3 No. 2 (2025): Barongko : Jurnal Ilmu Kesehatan (Maret)
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59585/bajik.v3i2.618

Effective supervision focuses not only on supervision, but also on developing nurses' skills and knowledge. Structured coaching can also create a positive work environment, where nurses feel more involved and motivated to provide the best service to patients. This study aims to comprehensively analyze the effect of supervision and coaching on nurse performance. The type of research used is quantitative correlation analysis research with a cross-sectional approach. The population in this study were 360 nurses at a private hospital in Jakarta. The sampling technique used was convenience sampling and the sample calculation formula used Slovin, so that a sample of 190 respondents was obtained. The data collection tool used a questionnaire consisting of 30 questions about supervision, coaching and performance. The statistical analysis used was multiple logistic regression. The results of the study showed that the majority of nurses (65.8%) did not receive programmed supervision. Most nurses (64.2%) reported that the coaching they received was still less than optimal. The majority of nurses (64.7%) had high performance, but there were still 35.3% who had low performance. Supervision has the greatest influence on nurse performance (p value 0.001). Coaching also has an effect, but its effect is smaller than supervision p value 0.005. The practical implication is that increasing more programmed supervision and more effective coaching can significantly improve nurse performance.

Pengaruh Tekanan dan Tuntutan Jabatan Terhadap Karakter Pemimpin Solehudin, Solehudin; Syabanasyah, Inas
Barongko: Jurnal Ilmu Kesehatan Vol. 3 No. 3 (2025): Barongko : Jurnal Ilmu Kesehatan (Juli)
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59585/bajik.v3i3.722

Modern leaders are ideally expected to possess firm, intelligent, caring, and integrity-driven characters, as well as the ability to adapt to change and leverage technology to promote collaboration and innovation within organizations. This study aims to examine the influence of job pressure and demands on leadership character. The research employs a quantitative explanatory approach with a cross-sectional design to explain the impact of job pressure and demands on leadership character. A purposive sample of 185 respondents was selected from leaders or prospective leaders who have served for at least one year in various organizations. Data were collected using a closed-ended questionnaire with a 5-point Likert scale that had been tested for validity and reliability, and analyzed descriptively and through binary logistic regression. The analysis results present regression coefficients, odds ratios, and significance values to test the relationships between variables at a 0.05 significance level. The findings indicate that job pressure and demands have a significant negative relationship with leadership character (p<0.05), meaning that higher pressure and demands reduce the likelihood of leaders having strong character. Specifically, individuals experiencing high job pressure or demands have an 82% to 82.1% lower chance of exhibiting strong character compared to those with lower pressure or demands. The constant B value shows that at low levels of pressure and demands, the likelihood of having strong leadership character is 5.395 times greater. Since job pressure and demands significantly negatively affect leadership character, organizational management needs to carefully manage workload and job expectations to avoid damaging leadership integrity.

The Influence of Transformational Leadership on Patient Safety Efforts Syabanasyah, Inas; Rachmawati, Emma; Hartono, Budi
jitek Vol 10 No 2 (2023): Maret 2023
Publisher : Poltekkes Kemenkes Jakarta III

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32668/jitek.v10i2.1008

Good leadership plays a role in implementing patient safety efforts within an established patient safety culture. This study aims to determine the influence of transformational leadership on patient safety efforts, with patient safety culture as the intervening variable. This quantitative research design is cross-sectional, with a sample size of 100 medical personnel, nurses, and medical support staff, selected using random cluster sampling. Data were collected using questionnaires, and the analysis was conducted using path analysis. The results showed that transformational leadership directly affects patient safety culture, with a t statistic measurement of 2.80 (>1.96). Transformational leadership also directly affects patient safety efforts, with a t statistic measurement of 2.26 (>1.96). Patient safety culture also directly affects patient safety efforts, with a t statistic measurement of 20.404 (>1.96). The indirect effect was measured through the indirect impact of transformational leadership on patient safety efforts through a patient safety culture, which had a t statistic measurement of 3.101. The study concludes that transformational leadership can improve patient safety efforts and culture.

Efektifitas Penggunaan Minyak Zaitun Dalam Mencegah Kerusakan Integritas Kulit Pada Pasien Tirah Baring di Ruang Picu Syabanasyah, Inas; Solehudin, Solehudin; Sidauruk, Orenta; Sijabat, Imelda Asima
Malahayati Nursing Journal Vol 7, No 5 (2025): Volume 7 Nomor 5 (2025)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v7i5.20016

ABSTRAK Luka tekan merupakan masalah kerusakan integritas kulit. Luka tekan merupakan luka karena tekanan yang berlangsung cukup lama pada kulit dan jaringan kulit, yang dapat berakibat pada kondisi yang semakin menurun. Kerusakan integritas kulit akibat luka tekan adalah kerusakan jaringan yang terlokalisir, yang disebabkan karena adanya kompresi jaringan lunak diatas tulang yang menonjol. Untuk mengetahui efektifitas penggunaan minyak zaitun dalam menjaga integritas kulit pada pasien tirah baring di ruang perawatan Pediatric Intensive Care Unit (PICU) yang dirawat di RSUP Persahabatan, dengan membandingkan kondisi kulit sebelum dan sesudah pengaplikasian minyak zaitun. Selain itu, penelitian ini juga bertujuan untuk mengevaluasi sejauh mana minyak zaitun dapat membantu mencegah kerusakan integritas kulit dan mengurangi risiko terjadinya luka tekan pada pasien yang terbaring lama. Jenis penelitian yang digunakan adalah metode eksperimen kuantitatif dengan desain Non-equivalent Control-Group(Hanif, 2019). Berdasarkan pernyataan para ahli diatas, maka penulis mengambil sampel responden sebanyak 10 subjek untuk yang memenuhi kriteria inklusi dan eksklusi yang telah ditetapkan. Jumlah sampel ini diharapkan mewakili populasi untuk mendapatkan data eksperimental kelompok dalam menilai efektifitas penggunaan minyak zaitun dalam mencegah kerusakan integritas kulit pada pasien tirah baring di ruang pediatric intensive care. Hasil uji statistik menunjukkan hubungan signifikan efektifitas penggunaan minyak zaitun dalam mencegah kerusakan integritas kulit pada pasien tirah baring diruang PICU. Kesimpulan: Untuk menjaga kelembapan kulit, kita dapat menggunakan apa saja. Dan tetap memperhatikan kadar hemoglobin dan Albumin pasien yang dirawat. Kata Kunci: Minyak Zaitun, Efektiftifitas Minyak Zaitun ABSTRACT Pressure ulcers are a problem of damage to skin integrity. Pressure ulcers are wounds due to pressure that lasts quite a long time on the skin and skin tissue, which can result in a worsening condition. Damage to skin integrity due to pressure ulcers is localized tissue damage, which is caused by compression of soft tissue above the protruding bone. To determine the effectiveness of using olive oil in maintaining skin integrity in bedridden patients in the Pediatric Intensive Care Unit (PICU) who are treated at Persahabatan Hospital, by comparing skin conditions before and after applying olive oil. In addition, this study also aims to evaluate the extent to which olive oil can help prevent damage to skin integrity and reduce the risk of pressure ulcers in patients who are bedridden for a long time. The type of research used is a quantitative experimental method with a Non-equivalent Control-Group design (Hanif, 2019). Based on the statements of the experts above, the author took a sample of 10 respondents who met the inclusion and exclusion criteria that had been set. This sample size is expected to represent the population to obtain experimental group data in assessing the effectiveness of using olive oil in preventing damage to skin integrity in bedridden patients in the pediatric intensive care room. The results of statistical tests show a significant relationship between the effectiveness of olive oil use in preventing damage to skin integrity in bedridden patients in the PICU. Conclusion: To maintain skin moisture, we can use anything. And still pay attention to the hemoglobin and albumin levels of patients being treated. Keywords: Olive Oil, Effectiveness of Olive Oil

Peningkatan Keterampilan Kegawatdaruratan Perawat di Rumah Sakit Solehudin, Solehudin; Syabanasyah, Inas
Sahabat Sosial: Jurnal Pengabdian Masyarakat Vol. 3 No. 2 (2025): Sahabat Sosial: Jurnal Pengabdian Masyarakat (Maret)
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59585/sosisabdimas.v3i2.615

Medical emergencies, especially those related to trauma and cardiac arrest, require fast and precise handling by health workers, especially nurses in hospitals. This community service activity aims to improve the competence of nurses in handling emergency patients through Basic Trauma Cardiac Life Support (BTCLS) Training. This training includes theoretical explanations and direct practice related to cardiopulmonary resuscitation (CPR), airway management, trauma management, and emergency case simulations. The training methods used include interactive lectures, skill demonstrations, and clinical scenario-based simulations. Evaluations were conducted to measure the increase in participants' knowledge and skills before and after training. The evaluation results showed a significant increase in participants' understanding and skills in handling trauma and cardiac arrest cases. With this training, it is hoped that nurses can be more alert and professional in dealing with emergency conditions, thereby improving the quality of health services and patient safety. The continuation of this training program is recommended to ensure that nurses' competence is maintained and developed in accordance with developments in science and emergency service standards.

Pengaruh Dukungan Sosial Keluarga dan Gaya Komunikasi Perawat terhadap Tingkat Kecemasan Pasien Pra-Operasi Solehudin, Solehudin; Syabanasyah, Inas
Barongko: Jurnal Ilmu Kesehatan Vol. 4 No. 1 (2025): Barongko : Jurnal Ilmu Kesehatan (November)
Publisher : Asosiasi Guru dan Dosen Seluruh Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59585/bajik.v4i1.910

Preoperative anxiety is a common psychological response experienced by patients undergoing surgical procedures, and this condition can affect physiological stability as well as the overall recovery process. Family social support and nurses’ communication style are two critical factors that play a significant role in reducing such anxiety. This study aims to analyze the influence of family social support and nurses’ communication style on the level of preoperative anxiety among patients. The research employed a quantitative approach using a correlational analytic method and logistic regression analysis. The sample consisted of 74 respondents undergoing elective surgery, selected through incidental sampling. The findings revealed that family social support had a significant effect on preoperative anxiety (p = 0,004; Estimate = 3.75), and nurses’ communication style also demonstrated a significant influence (p = 0.015; Estimate = 3.21). These results indicate that better family support and more effective communication styles used by nurses are associated with lower levels of preoperative anxiety. This study underscores the importance of family involvement and nurses’ therapeutic communication skills as integral components of preoperative nursing interventions. The implementation of empathetic, clear, and informative communication strategies, along with structured family education, is recommended to enhance patients’ psychological comfort.

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