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All Journal Media Gizi Kesmas Berita Kedokteran Masyarakat
Hapsari, Maria Saraswati Kinasih
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Environmental Science Health Professions Nursing Public Health Social Sciences

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Analysis of Facility and Safety Management Implementation for Hazardous Materials at Hospital X Hapsari, Maria Saraswati Kinasih; Kusuma, Raden Bonifacius Bayu Erlangga; Siwidati, Anggit Wirama
Media Gizi Kesmas Vol 14 No 2 (2025): MEDIA GIZI KESMAS (DECEMBER 2025)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgk.v14i2.2025.227-235

Abstract

Background: The management of hazardous and toxic materials is an essential component of Hospital Occupational Safety and Health standards. In addition, it is included in the Hospital Accreditation Standards, specifically in Facility and Safety Management Standard No. 5. However, in practice, some hospitals—including Hospital X—still do not meet these requirements. Objectives: This study aims to evaluate the implementation of facility and safety management standard elements related to hazardous and toxic materials at Hospital X in order to provide appropriate recommendations for improvement. Methods: This study employed a descriptive observational design. Data were collected through observations and interviews with relevant staff across 15 service units assessed against the facility and safety management standard elements for hazardous and toxic materials, as outlined in the Ministry of Health Regulation No. HK.01.07/MENKES/1596/2024. The study was conducted from June to August 2025 at Hospital X. Results: Service units that met the facility and safety management standard elements for hazardous and toxic materials (>80%) included radiology (87.50%), hemodialysis (95.65%), pharmacy (95.65%), laundry (95.65%), Occupational Safety and Health (OSH) & sanitation (95.65%), emergency department (91.30%), central surgical unit (91.20%), and Intensive Care Unit (ICU) (91.30%). Units that did not meet the standard elements (<80%) were nutrition (39.13%), laboratory (65.21%), inpatient care (60.86%), outpatient care (65.21%), forensic (60.86%), medical rehabilitation (34.78%), and IPSRS (34.78%). Conclusion: Only 8 out of 15 service units met the facility and safety management standard elements for hazardous and toxic materials. Therefore, improvement efforts should prioritize the provision of MSDS, proper material inventory recording, classification-based labeling, and chemical segregation according to their characteristics.
Analisis Hubungan antara Beban Kerja Mental dan Stres Kerja pada Perawat di Rumah Sakit X Hapsari, Maria Saraswati Kinasih; Kusuma, Raden Bonifacius Bayu Erlangga; Siwidati, Anggit Wirama
Media Gizi Kesmas Vol 14 No 2 (2025): MEDIA GIZI KESMAS (DECEMBER 2025)
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/mgk.v14i2.2025.257-263

Abstract

Background: A mismatch between job requirements and individual abilities can lead to reduced performance due to work-related stress. Work stress affects many professions, but nurses at Hospital X experience it most frequently. A national Indonesian survey reported that 50.9% of nurses across the country experienced work stress in 2018. Previous studies have also examined how stress levels among nurses are associated with individual characteristics (such as age, gender, and length of service) and the mental workload they face. Objectives: This study examined which nurse characteristics, combined with their mental workload, influence their work-related stress levels. Methods: This study used a cross-sectional quantitative design to collect data from nurses at Hospital X in August 2025 through the distribution of the NASA-TLX and ENSS questionnaires. A total of 30 nurses participated through purposive sampling. Frequency distribution tables were used for univariate analysis, while chi-square and Fisher’s exact tests were performed for bivariate analysis. Results: The univariate analysis showed that 63.3% of participants were under 29 years old, 90.0% were female, and 53.3% had worked for less than four years. The results also indicated that 56.7% of participants experienced a high mental workload, while 60.0% reported low levels of work stress. Bivariate analysis using the chi-square test revealed a significant relationship between mental workload and work stress (p=0.035). However, no significant relationships were found between age and work stress (p=0.266), gender and work stress (p=0.548), or length of service and work stress (p=0.765). Conclusion: This study found that mental workload significantly affects work stress levels among nurses at Hospital X. However, age, gender, and length of service were not found to influence work stress among nurses in this setting.
Relationship between workplace conflict, job certainty, job opportunities, and job stress Siwidati, Anggit Wirama; Dwiyanti, Endang; Astutik, Ratna Hafitri; Ardhianingrum, Galuh Saraesti; Astrini, Nahdia Retno; Deismawaranti, Asri; Damayanti, Dwi; Hapsari, Maria Saraswati Kinasih
Berita Kedokteran Masyarakat Vol 41 No 12 (2025)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v41i12.21271

Abstract

Purpose: This study analyzes the influence of individual capacity and task demands on Job stress levels.Methods: This study uses an observational, cross-sectional design. All 33 workers who became the population were included as research samples. Data were collected through questionnaires and observations and analyzed using the gamma coefficient to measure the strength and direction of relationships among individual capacity, task demands, and job stress.Results: Most workers reported mild to moderate stress levels. Workplace conflict demonstrated a strong, positive relationship with job stress (γ = 0.622), indicating that higher workplace conflict is associated with greater job stress. Job certainty showed a moderate, negative relationship with job stress (γ = -0.543), indicating that lower job certainty is associated with higher job stress. Job opportunities had a powerful and negative relationship with job stress (γ = -0.907), indicating that limited employment opportunities significantly increase stress levels.Conclusion: Mental workload and job opportunities have the most substantial relationship with job stress, followed by education, tenure, physical workload, and work conflict. Therefore, interventions to address this issue by strengthening job security policies are needed to minimize stress and improve overall employee well-being.
Evaluation of occupational safety and health management system in a hospital related to infection prevention and control program: hand hygiene Hapsari, Maria Saraswati Kinasih; Siwidati, Anggit Wirama; Astutik, Ratna Hafitri; Deismawaranti, Asri
Berita Kedokteran Masyarakat Vol 42 No 01 (2026)
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/bkm.v42i01.21959

Abstract

Purpose: This study evaluates the implementation of the Occupational Safety and Health Management System (OSHMS) through a hand hygiene program at Griya Mahardhika General Hospital, focusing on five elements: policy establishment, planning, implementation, monitoring, and perform- ance improvement. Methods: This study employed a descriptive qualitative approach involving the Infection Prevention and Control (IPC) team and hospital management, with documents, facilities, and procedures related to hand hygiene implementation as the research objects. Data were collected through in-depth interviews with five key informants, direct observations, and document reviews based on hospital regulations and Ministry of Health standards. Results: Griya Mahardhika General Hospital has implemented internal policies aligned with Ministry of Health Regulation No. 27 of 2017 through a Director’s Decree and established an IPC Team with a clear organizational structure. Implementation efforts include sanitation facilities, educational posters, routine training, and collaboration with professional infection control associations. Monitoring of hand hygiene compliance using the “6 steps” and “5 moments” checklists is reported internally and through the mutu fasyankes platform, with support from the local health office. However, compliance varies across departments, and monitoring is conducted only occasionally due to staffing limitations. Conclusion: The hand hygiene program at Griya Mahardhika General Hospital has been implemented in accordance with the five elements of the Occupational Safety and Health Management System. Structured implementation, internal monitoring, and external supervision are crucial for preventing infections. Strengthening staff awareness and maintaining cross-sector collaboration are key to sustaining the Occupational Safety and Health Management System (OSHMS) in hospital settings.
Co-Authors Ardhianingrum, Galuh Saraesti Astrini, Nahdia Retno Astutik, Ratna Hafitri Damayanti, Dwi Deismawaranti, Asri Endang Dwiyanti Kusuma, Raden Bonifacius Bayu Erlangga Siwidati, Anggit Wirama