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Analisis Budaya Organisasi, Gaya Kepemimpinan, dan Motivasi Terhadap Kinerja Perawat di RS Siloam Manado Hesky Frengky Ngongoloy; Nurwijayanti Nurwijayanti; Joko Prasetyo
MAHESA : Malahayati Health Student Journal Vol 6, No 8 (2026): Volume 6 Nomor 8 (2026)
Publisher : Universitas Malahayati

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mahesa.v6i8.24129

ABSTRACT Nurses performance is a key indicator of nursing service quality and patient safety in hospitals. From a nursing management perspective, nurses’ performance is influenced by various internal organizational factors, including organizational culture, leadership style, and work motivation. Although these factors are theoretically assumed to play an important role in shaping nurses’ behavior and performance, empirical findings remain inconsistent, particularly in private hospital settings. This study aimed to analyze the influence of organizational culture, leadership style, and work motivation on nurses’ performance at Siloam Manado Hospital. This study employed a quantitative approach with a cross-sectional design. A total of 110 nurses were selected as respondents using a simple random sampling technique. Data were collected through structured questionnaires that had been tested for validity and reliability. Data analysis was conducted using dummy linear regression, preceded by classical assumption tests including normality, multicollinearity, heteroscedasticity, and linearity tests. The simultaneous test results indicated that organizational culture, leadership style, and work motivation did not have a significant joint effect on nurses’ performance (p 0.05). Partial analysis also revealed that each independent variable did not significantly influence nurses’ performance. The coefficient of determination (R²) was 0.034, indicating that the regression model explained only 3.4% of the variance in nurses’ performance. In conclusion, nurses’ performance at Siloam Manado Hospital appears to be relatively stable and not significantly influenced by organizational culture, leadership style, or work motivation. This finding may be attributed to the strong implementation of standardized operating procedures and structured work systems, which minimize performance variation attributable to internal organizational factors. Keywords: Leadership Style, Nurses Performance, Organizational Culture, Work Motivation. ABSTRAK Kinerja perawat merupakan indikator utama mutu pelayanan keperawatan dan keselamatan pasien di rumah sakit. Dalam perspektif manajemen keperawatan, kinerja perawat dipengaruhi oleh berbagai faktor internal organisasi, antara lain budaya organisasi, gaya kepemimpinan, dan motivasi kerja. Meskipun secara teoretis ketiga faktor tersebut diyakini berperan penting dalam membentuk perilaku dan kinerja perawat, hasil penelitian empiris menunjukkan temuan yang belum konsisten, khususnya pada konteks rumah sakit swasta. Penelitian ini bertujuan untuk menganalisis pengaruh budaya organisasi, gaya kepemimpinan, dan motivasi kerja terhadap kinerja perawat di RS Siloam Manado. Penelitian ini menggunakan pendekatan kuantitatif dengan desain cross-sectional. Sampel penelitian berjumlah 110 perawat yang dipilih menggunakan teknik simple random sampling. Pengumpulan data dilakukan melalui kuesioner terstruktur yang telah diuji validitas dan reliabilitasnya. Analisis data menggunakan regresi linear dummy yang didahului dengan uji asumsi klasik meliputi uji normalitas, multikolinearitas, heteroskedastisitas, dan linearitas. Hasil uji simultan menunjukkan bahwa budaya organisasi, gaya kepemimpinan, dan motivasi kerja secara bersama-sama tidak berpengaruh signifikan terhadap kinerja perawat (p 0,05). Uji parsial juga menunjukkan bahwa masing-masing variabel independen tidak memiliki pengaruh yang signifikan terhadap kinerja perawat. Nilai koefisien determinasi sebesar 0,034 mengindikasikan bahwa model penelitian hanya mampu menjelaskan 3,4% variasi kinerja perawat. Kesimpulan penelitian ini menunjukkan bahwa kinerja perawat di RS Siloam Manado relatif stabil dan tidak dipengaruhi secara signifikan oleh budaya organisasi, gaya kepemimpinan, maupun motivasi kerja. Kondisi ini diduga berkaitan dengan kuatnya penerapan standar operasional prosedur dan sistem kerja yang terstandarisasi, sehingga variasi faktor internal organisasi tidak berdampak nyata terhadap kinerja yang terukur. Kata Kunci: Budaya Organisasi, Gaya Kepemimpinan, Kinerja Perawat, Motivasi Kerja.

The influence of post-resuscitation debriefing and clinical learning environment on CPR quality and resuscitation self-efficacy among emergency department healthcare workers Marintas Marintas; Prima Dewi Dewi; Nurdina Nurdina; Nurwijayanti Nurwijayanti; Yuly Peristiowati
Indonesian Nursing Journal Vol. 4 No. 1 (2026): July 2026
Publisher : Politeknik Negeri Subang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31962/inj.v4i1.30

Background: CPR quality and resuscitation self-efficacy are critical for successful cardiac arrest management. Structured debriefing and supportive learning environments are hypothesized to enhance these outcomes. Purpose: This study aimed to evaluate the associations between post-resuscitation debriefing and the clinical learning environment with CPR quality and resuscitation self-efficacy. Methods: A quasi-experimental study with a one-group pretest-posttest design was conducted at the Emergency Department of Undata Hospital. All eligible healthcare workers (n = 51) were recruited using total sampling. Data on post-resuscitation debriefing, clinical learning environment, CPR quality, and resuscitation self-efficacy were collected using validated questionnaires and observation sheets. Bivariate analysis was performed using Spearman's rank correlation test. Multiple linear regression analysis was conducted to identify predictors of CPR quality and resuscitation self-efficacy, controlling for age, work experience, and profession. Statistical significance was set at p < 0.05. Results: Post-resuscitation debriefing was significantly associated with CPR quality (rho = 0.412, p = 0.003) and resuscitation self-efficacy (rho = 0.523, p < 0.001). The clinical learning environment was also significantly associated with CPR quality (rho = 0.456, p = 0.001) and resuscitation self-efficacy (rho = 0.389, p = 0.005). Multiple linear regression analysis identified post-resuscitation debriefing as the strongest predictor of CPR quality (beta = 0.398, p = 0.002) and resuscitation self-efficacy (beta = 0.467, p < 0.001), after controlling for confounding variables. Conclusion: Structured post-resuscitation debriefing and a positive clinical learning environment are significantly associated with improved technical skills and professional confidence among healthcare workers. Implementing standardized debriefing may be an effective strategy for enhancing resuscitation performance in emergency settings.

The Influence of Continuing Professional Development (CPD) on Nurses' Knowledge and Skills in Providing Nursing Care Nurlely Tri Wahyuni; Agusta Dian; Nurwijayanti Nurwijayanti
Indonesian Journal of Global Health Research Vol 6 No S6 (2024): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v6iS6.5398

This study aims to determine the effect of Continuing Professional Development (CPD) on improving nurses' knowledge and skills in providing quality nursing care at RSUD Aji Muhammad Parikesit. Methods: This research employed a quasi-experimental, two-group pre-test-post-test control group design. The target population was 440 nurses working at RSUD Aji Muhammad Parikesit. A proportional probability sampling technique was used, with 102 respondents divided into two groups: 51 in the intervention group and 51 in the control group. his research instrument uses a nurse performance questionnaire that has been declared valid and reliable, with a Cronbach's Alpha value of 0.951. Data were collected by measuring performance before and after the intervention. Data were analyzed using the Paired T-Test with a significance level of p-value ≤ 0.05 at a 95% confidence level. Results: The analysis of nurses' knowledge using the Paired T-Test showed a p-value of 0.000 < α = 0.05 in the intervention group, while the control group had a p-value of 0.307 > α = 0.05. For nurses' skills, the intervention group had a p-value of 0.000 < α = 0.05, while the control group showed a p-value of 0.083 > α = 0.05. Conclusion: CPD plays a crucial role in the professional development of nurses and can serve as a strategy to improve the quality of healthcare services in hospitals.

The Effect of Sensory Integration and Treadmill Therapy on Sensory and Behavioral Improvement in Children with Attention Deficit and Hyperactivity Disorder Chusnul Justanti; Yuly Peristiowati; Nurwijayanti Nurwijayanti
Indonesian Journal of Global Health Research Vol 7 No 2 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i2.5698

Attention-Deficit Hyperactivity Disorder (ADHD) is a common neuropsychiatric disorder in children, characterized by inattention, hyperactivity, and impulsivity, which significantly impact daily functioning. Sensory Processing Disorder (SPD) is often observed in children with ADHD, affecting their ability to process and respond to sensory stimuli appropriately. Sensory integration therapy and treadmill exercise have been suggested as potential interventions to improve sensory processing and behavioral regulation in children with ADHD. This study aims to evaluate the effect of sensory integration therapy combined with treadmill exercise on sensory processing and behavior in children with ADHD. This was an experimental study with a pre-test and post-test design was conducted with 61 children diagnosed with ADHD. Participants underwent sensory integration therapy and treadmill exercise. Sensory processing and behavioral outcomes were measured using standardized assessments before and after the intervention. Data were analyzed using the Wilcoxon test. Results: The results showed a significant improvement in sensory processing, with pre-test sensory scores averaging 97.62 and post-test scores increasing to 152.90 (p = 0.000). Behavioral outcomes also improved significantly, with pre-test behavior scores of 82.57 decreasing to 67.62 in the post-test (p = 0.000). Sensory criteria shifted from 95.1% in the "Definite Performance (severe)" category to 44.3% in the "Typical Performance (mild)" category. Behavioral criteria improved from 75.4% in the "Very High" category to 83.6% in the "High" category. Sensory integration therapy combined with treadmill exercise effectively improves sensory processing and behavioral outcomes in children with ADHD. This intervention provides a promising non-pharmacological approach to managing ADHD symptoms and enhancing children's functional abilities. Further studies with larger samples and long-term follow-ups are recommended to validate these findings

Analysis of Determinant Factors on Patient Satisfaction in the Emergency Department Rima Faradila; Indasah Indasah; Nurwijayanti Nurwijayanti; Farida Farida
Indonesian Journal of Global Health Research Vol. 8 No. 3 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i3.1441

Patient satisfaction is a crucial indicator of healthcare quality, particularly in the Emergency Department (ED), where services must be rapid, accurate, and compassionate. This study aimed to analyze determinant factors influencing patient satisfaction in the Emergency Department of Bhayangkara Hospital Tulungagung. A quantitative cross-sectional design was applied to 110 ED patients selected through systematic random sampling. Data were collected from November 24–30, 2025, using a SERVQUAL-based questionnaire measuring responsiveness, assurance, tangibles, empathy, reliability, and response time. Instrument testing showed that all items were valid (r count > 0.413) and reliable (Cronbach’s Alpha > 0.70). Data analysis using Spearman’s rho correlation and logistic regression revealed that all service quality dimensions were positively and significantly associated with patient satisfaction (p < 0.05). Responsiveness had the strongest correlation (r = 0.748), followed by empathy (r = 0.710). Logistic regression identified empathy as the most dominant determinant (β = 0.458). These findings indicate that empathetic care and interpersonal interactions play a central role in improving patient satisfaction in the ED.

Analysis of Family Support and Patient Motivation in Diabetes Mellitus Diet Compliance Nurwijayanti Nurwijayanti; Panca Radono
Indonesian Journal of Global Health Research Vol. 8 No. 2 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i2.1802

Dietary adherence is a key pillar in the management of diabetes mellitus (DM) to prevent chronic complications. The phenomenon at RSU ‘Aisyiyah Ponorogo shows that even though patients have sufficient knowledge, many still have difficulty maintaining their diet. External factors, such as family support, and internal factors, such as patient motivation, are strongly suspected as determinants of the success of long-term dietary management. The purpose of this study is to examine how patient motivation and family support relate to dietary adherence in patients with diabetes mellitus at the Internal Polyclinic of RSU "Aisyiyah Ponorogo". This study used a cross-sectional methodology and a quantitative correlational study design. Every DM patient that visits the Internal Polyclinic is included in the study population. Consecutive sampling was the method utilized for sampling. A family support questionnaire, a motivation questionnaire, and a dietary adherence questionnaire (such as a modified MMAS-8) were utilized as research instruments. Logistic regression or the Spearman rank statistical test were used to analyze the data. The research instrument was tested for validity using Product Moment correlation and declared valid because all calculated r values were > r table (0.263). The reliability test using Cronbach's Alpha showed an α value > 0.60, so the instrument was declared reliable and suitable for use. It is anticipated that the study's findings would demonstrate a strong correlation between self-motivation and dietary adherence as well as between family support and dietary adherence. Compliance with the DM diet program is mostly driven by a patient's high level of intrinsic motivation and a supportive family in supplying a diet menu.The degree of dietary compliance is significantly influenced by patient motivation and family support.

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