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Transformation of Nursing Human Resources Based on Strategy: Addressing the Challenges of Value-Based Care in Modern Hospitals in Indonesia Rio Verdiansyah; Ratna Meilina; Sitta Diani Fichara; Baskoro Abdiansyah; Margareta Susilowati; Rista Tri Wulandari; Rr. Tutik Sri Hariyati; Hanny Handiyani
Indonesian Journal of Global Health Research Vol 7 No 4 (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.v7i4.6415

Abstract

Strategic planning and management of human resources (HR) play a crucial role in improving the quality of hospital services. This field study aims to analyze human resource development strategies, particularly in nursing, at Hospital. Field study method. Data were collected through interviews at Hospital X and documentation from Hospital X. Data were obtained through group-based analysis of academic documents and assessment of the hospital's existing conditions. The analysis revealed that Hospital X's main strengths lie in HR competencies, recruitment systems, and ongoing training programs. However, it faces challenges in work culture and career development systems. The proposed strategies include digitalizing HR management systems, collaborating with educational institutions to strengthen nursing capacity, and fostering a culture of patient safety. As part of the implementation, a five-year work plan was developed, encompassing CPD training programs, the development of a Human Resources Information System (HRIS), and the enhancement of reward and recognition programs. This strategic approach is expected to enhance the efficiency, productivity, and competitiveness of hospital human resources amid the transformation of healthcare services.
Implementation of Early Warning System (EWS) by Nurses in the Emergency Department and the Impact to Prevention Incident No Expected: Systematic Review Rio Verdiansyah; Hening Pujasari; Hanny Handiyani; Tuti Afriani
Indonesian Journal of Global Health Research Vol 7 No 5 (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.v7i5.6640

Abstract

The Emergency Department is a high-intensity clinical setting that manages critically ill patients who are highly susceptible to sudden clinical deterioration. Early detection through the implementation of the Early Warning System plays a crucial role in preventing unexpected adverse events, with nurses serving as the primary implementers of this system. This review aims to evaluate current evidence on the implementation of the Early Warning System by nurses in the Emergency Department and its impact on the prevention of unexpected adverse events. This study employed a systematic review approach by applying the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines during the article selection process and using the 2023 edition of the Joanna Briggs Institute (JBI) Critical Appraisal Tool to assess the quality of included studies. Search for articles through the ScienceDirect, ProQuest, PubMed, BMJ Journal, and EBSCO databases from 2020 to 2025. and 10 articles were analyzed. The majority of studies reported that the use of the Early Warning System consistently enhances the early detection of patient deterioration, accelerates clinical response, improves triage accuracy, and assists in predicting the need for advanced care such as admission to intensive care units. Implementation by nurses was also associated with improved compliance in vital signs monitoring and a reduction in patient mortality.
Roles and Functions of Nursing Management in Strengthening the Healthy Nurse Program for Nurses at Hospital Rio Verdiansyah; Rr. Tutik Sri Hariyati; Tuti Afriani; Hanny Handiyani; Krisna Yetti
Indonesian Journal of Global Health Research Vol. 7 No. 6 (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.v7i6.152

Abstract

Nurse well-being is a critical foundation for ensuring the quality of healthcare services. However, the high prevalence of physical fatigue, occupational stress, and biopsychosocial-spiritual (BPSS) imbalances among nurses indicates an urgent need for strategic interventions rooted in nursing management. This residency project aimed to develop and implement the Healthy Nurse Program as an innovative initiative to holistically enhance nurse well-being at X Hospital. The program adopted Kurt Lewin’s planned change theory, encompassing the stages of unfreezing, changing, and refreezing. Implementation began with problem identification through interviews, observations, and BPSS-based questionnaires, followed by the formulation of a Plan of Action, socialization, and interventions such as workplace stretching, ergonomic education, MBCA monitoring, and spiritual reflection sessions.The study involved 32 newly hired nurses (≤1 year experience) selected through purposive sampling, with data analyzed using a fishbone diagram. Initial evaluation revealed a high prevalence of muscle fatigue, work-related stress, and over-fat conditions among nurses, along with strong support for program implementation. The Healthy Nurse initiative strengthened core nursing management functions and fostered a culture of sustainable workplace wellness. These findings provide a critical foundation for integrating occupational health promotion into hospital systems based on evidence-based practice.
The Importance of Organizational Support in Preventing Obesity Among Nurses in Hospitals Rio Verdiansyah; Hanny Handiyani; Tuti Afriani; Novieastari Novieastari; Andi Amalia Wildani; Joan Xaveria Mahulae
Indonesian Journal of Global Health Research Vol. 8 No. 4 (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.v8i4.1804

Abstract

Obesity in nurses is a growing occupational health problem and has implications for the quality of service and patient safety. Organizational support is seen as an important resource within the nursing management framework that can shape a health-promoting work environment and lower the risk of obesity. To analyze the relationship between organizational support and the incidence of obesity in nurses in hospitals. A quantitative study with a cross-sectional design was conducted on 227 nurses in a teaching hospital by 2025 nurses were selected as the sample using a purposive sampling technique. Obesity status is determined based on Body Mass Index (BMI). Organizational support was measured using a structured questionnaire that has been tested for validity and reliability. The analysis was carried out in univariate, bivariate, and multivariate logistic regression with a significance level of p < 0.005. The prevalence of obesity in nurses was 57.3%. Bivariate analysis showed that organizational support was significantly related to obesity incidence (p < 0.005). In a multivariate analysis, nurses with low organizational support were 5.582 times more likely to be obese than nurses with good organizational support (OR = 5.582; 95% CI: 2.064–15.094; p = 0.001), after controlling for confounding variables. Organizational support is a strong independent determinant of obesity in nurses.