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All Journal Journal of Economic, Bussines and Accounting (COSTING) International Journal of Marketing and Human Resource Research Entrepreneur : Jurnal Bisnis Manajemen dan Kewirausahaan Journal Of Business, Finance, and Economics (JBFE) Research of Service Administration Health and Sains Healthys Journal of Economics and Social Sciences Jurnal Pengabdian Kepada Masyarakat Merah Putih (JPKMMP)
Yuniati Lestari
Universitas Adhirajasa Reswara Sanjaya
Agriculture, Biological Sciences & Forestry Computer Science & IT Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Education Health Professions Law, Crime, Criminology & Criminal Justice Materials Science & Nanotechnology Public Health Social Sciences Other

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Analysis of Standard Precautions and Prevention of Nosocomial Infections in Improving Patient Safety Culture Among Nurses at Duta Indah Hospital, Jakarta N. Siti Nuraeni; Bayu Wahyudi; Yuniati Lestari
Journal of Economics and Social Sciences (JESS) Vol. 4 No. 2 (2025): Journal of Economics and Social Sciences (JESS)
Publisher : CV. Civiliza Publishing

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59525/jess.v4i2.1181

Abstract

Patient safety is a top priority in healthcare, yet healthcare-associated infections (HAIs) remain a persistent challenge. Duta Indah Hospital Jakarta experiences gaps between infection prevention standards and actual nursing practices, affecting its patient safety culture. To analyze nurses’ understanding and implementation of standard precautions and HAI prevention, examine their contribution to patient safety culture, and identify influencing factors. A qualitative case study was conducted through in-depth interviews with 17 informants, observations, and document review. Data were analyzed thematically. Standard precautions were acknowledged as the foundation of infection prevention but were not optimally applied, especially in preventing ventilator-associated pneumonia (VAP). Nurses supported patient safety culture through hand hygiene compliance, proper use of personal protective equipment (PPE), environmental hygiene, and HAI bundles. Barriers included unsupportive mindsets and work culture, limited PPE and hand hygiene facilities, and high workload. Standard precautions are vital in preventing HAIs and fostering a patient safety culture. Strengthening their implementation requires education, compliance monitoring, and managerial support. Adherence to national regulations Law No. 17/2023 on Health, Minister of Health Regulation No. 27/2017 on Infection Prevention and Control, and Minister of Health Regulation No. 11/2017 on Patient Safety is essential as a legal framework to reinforce patient safety culture in hospitals.
Evaluasi Implementasi Pengelolaan Piutang BPJS di BLUD Rumah Sakit Umum Daerah Provinsi Nusa Tenggara Barat Alisza Novrita Sari; Erliany Syaodih; Yuniati Lestari
Journal Of Business, Finance, and Economics (JBFE) Vol 6 No 2 (2025): Desember : Journal Of Business, Finance, and Economics (JBFE)
Publisher : Universitas Veteran Bangun Nusantara

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.32585/jbfe.v6i2.7697

Abstract

The Regional General Hospital (RSUD) of West Nusa Tenggara Province, as a major referral hospital, faces a serious issue of accumulated receivables from the National Health Insurance Agency (BPJS Kesehatan) due to claim payment delays of 60–120 days. This situation strains cash flow and affects drug procurement, medical staff remuneration, and service continuity. This study aims to evaluate the management of BPJS receivables and their impact on the hospital’s financial and operational conditions, as well as to formulate improvement strategies. A qualitative descriptive method was employed through interviews, observation of claim submission processes, and document review. The analysis covered receivable conditions, claim procedures, management strategies, operational impacts, and recommendations. The results indicate challenges related to incomplete medical records, limited coding personnel, and the lack of integration between the hospital information system and the BPJS e-Claim application, which lengthen receivable periods and weaken cash flow. Management efforts such as establishing a claim team, administrative digitalization, and routine coordination with BPJS have reduced claim rejection risks. Recommendations include strengthening electronic medical records, enhancing human resource capacity, integrating the hospital information system with BPJS applications, and conducting regular evaluations using average collection period and receivables turnover ratio to improve receivable management effectiveness and ensure service sustainability.
Optimalisasi Kinerja Usaha melalui Penguatan Kompetensi Digital dan Sistem Informasi Manajemen Terintegrasi Yen Efawati; Nining Handayani; Yuniati Lestari; Charlene Siswara; Suherman
Jurnal PKM Merah Putih Vol 2 No 1 (2026): JPKMMP
Publisher : LPPM-STEMBI Al Aziziyah

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.65661/jpkmmp.v2i1.66

Abstract

Perkembangan teknologi digital menuntut koperasi untuk meningkatkan efisiensi dan daya saing melalui penguatan kompetensi digital serta penerapan sistem informasi manajemen yang terintegrasi. Namun, keterbatasan literasi digital dan fragmentasi sistem informasi masih menjadi kendala utama dalam pengelolaan usaha koperasi. Kegiatan Pengabdian kepada Masyarakat (PKM) ini bertujuan untuk mengoptimalkan kinerja usaha KPBS Pangalengan melalui peningkatan kompetensi digital pengurus dan staf serta implementasi Sistem Informasi Manajemen (SIM) terintegrasi. Metode pelaksanaan meliputi analisis kebutuhan, pelatihan dan pendampingan digital, perancangan serta implementasi sistem, dan evaluasi melalui pendekatan pre-test dan post-test. Hasil kegiatan menunjukkan adanya peningkatan skor kompetensi digital peserta sebesar 36%, penurunan waktu penyusunan laporan bulanan dari 5–7 hari menjadi 2–3 hari, serta meningkatnya akurasi dan integrasi data antar fungsi usaha. Implementasi SIM terintegrasi juga mendukung ketersediaan informasi manajerial secara lebih cepat dan akurat untuk pengambilan keputusan. Model PKM ini berpotensi direplikasi pada koperasi sejenis untuk mendorong transformasi digital yang berkelanjutan.
Evaluating The Impact of Patient Admission Flow, Block Scheduling, And Reminder System on Elective Surgery Delay Rates at Restu Ibu Hospital Balikpapan Joan Febrian Ristanto; Bayu Wahyudi; Yuniati Lestari
International Journal of Marketing & Human Resource Research Vol. 7 No. 1 (2026): International Journal of Marketing and Human Resource Research
Publisher : Training & Research Institute - Jeramba Ilmu Sukses

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47747/ijmhrr.v7i1.3350

Abstract

Elective surgery delays are a major challenge in operating room management, affecting service quality, resource efficiency, and patient satisfaction. At Restu Ibu Hospital, delay rates ranged from 25–30% monthly prior to the intervention. This study evaluated the effectiveness of comprehensive OR management interventions: block scheduling, EMR-integrated digital reminders, standardized preoperative SOPs, and STARKES monitoring integration in reducing elective surgery delays. A quasi-experimental interrupted time series design with segmented regression analysis was employed. Data were collected from EMR and STARKES dashboards covering six months pre-intervention (July–December 2024) and six months post-intervention (February–July 2025). Qualitative interviews with key stakeholders illuminated the dynamics of implementation and contextual factors. Pre-intervention baseline delay rate averaged 26.8%, with a non-significant upward trend of 0.4% per month. Post-intervention, significant improvements emerged: an immediate level reduction of 13.5% (p = 0.021) and a sustained monthly decline of 1.8% (p = 0.008), reducing monthly delays to 12–15%, a 50% improvement. Secondary outcomes showed reduced first-case start delays (>20%), shorter turnover times (15–20%), and lower overtime rates (<15%). Qualitative findings identified key causes of delay, including patient tardiness, incomplete assessments, delayed OR readiness, and suboptimal coordination. The comprehensive intervention package effectively reduced elective surgery delays through integrated process standardization, scheduling reform, digital enablement, and performance monitoring. Findings demonstrate that operational excellence in resource-constrained settings derives from effective management rather than extensive infrastructure investment.
Pembangunan RS Putra Medika Bekasi: Analisis TOWS dengan Pendekatan Mixed Methods Eksploratif Mulyana Syarip Panjia; Poppy Yuniawati; Yuniati Lestari; Dasrun Hidayat
Entrepreneur: Jurnal Bisnis Manajemen dan Kewirausahaan Vol. 6 No. 2 (2025): JULI
Publisher : Program Studi Manajemen Fakultas Ekonomika dan Bisnis Universitas Majalengka

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31949/entrepreneur.v6i2.14048

Abstract

ospital expansion is driven by demand for health services due to the uneven health facilities in Bekasi Regency. This study aims to analyse the development strategy of Putra Medika Hospital using TOWS Analysis and Exploratory Mixed Methods. This research method is mixed. The qualitative phase began with in-depth interviews with the management of the Putra Medika Group Clinic to identify strengths, weaknesses, opportunities and threats. This qualitative data became the foundation for formulating the TOWS matrix. Then, the quantitative phase in the form of a survey was conducted on prospective patients and stakeholders, validating the qualitative findings and measuring market preferences. The qualitative participants were 22 people while the quantitative sample was 40 people. The results of the TOWS analysis show that Putra Medika has internal strengths to capitalise on market opportunities, but also needs to overcome weaknesses and manage competitor threats. In conclusion, Putra Medika Clinic management must integrate the findings of internal and external factors to produce concrete strategic recommendations for hospital development. These include optimisation of superior services, effective marketing strategies, and risk mitigation. The implications of this research offer practical guidance for Putra Medika's management so that expansion in Bekasi can be carried out in a sustainable and competitive manner.
PENGARUH INTERNAL CORPORATE SOCIAL RESPONSIBILITY DAN EMPLOYEE ENGAGEMENT TERHADAP EFEKTIVITAS KERJA PERAWAT DI RUMAH SAKIT HARAPAN SEHAT SLAWI Yudia Mahardika; Arlette Arlette; Yuniati Lestari
Journal of Economic, Bussines and Accounting (COSTING) Vol. 8 No. 5 (2025): COSTING : Journal of Economic, Bussines and Accounting
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/nj271524

Abstract

Nurse is very important in the implementation of health services in hospitals. In reality, there are many problems related to work effectiveness, especially for nurses in Indonesia. The problem of nurse work effectiveness by existing internal corporate social responsibility. Another factor of work effectiveness problem of nurses by low employee engagement. The purpose of this study to determine the effect of internal corporate social responsibility and employee engagement on nurses work effectiveness at RS. Harapan Sehat Slawi. This study using quantitative method, sample size is 52 respondents. The data analysis technique is multiple linear regression analysis. The significance value of the t-test on Internal Corporate Social Responsibility towards work effectiveness was 0.000 (t-value was 3.978). The significance value of the t-test on Employee Engagement towards work effectiveness is 0.006 (t-value is 4.520). The calculated F value is 16.382 with a significance level of 0.000. The conclusion of this study is that Internal corporate social responsibility has a positive and significant influence to nurse work effectiveness, Employee engagement has a positive and significant influence to nurses work effectiveness, Internal corporate social responsibility and employee engagement simultaneously have a positive and significant influence to nurses work effectiveness in RS. Harapan Sehat Slawi.
THE INFLUENCE OF LEADER–MEMBER EXCHANGE AND SELF EFFICACY ON VOICE BEHAVIOR THROUGH PSYCHOLOGICAL OWNERSHIP OF NURSES AT ARTHA BUNDA HOSPITAL, CENTRAL LAMPUNG Ni Wayan Siska Anggraeni; A. Rohendi A. Rohendi; Yuniati Lestari
Journal of Economic, Bussines and Accounting (COSTING) Vol. 8 No. 6 (2025): COSTING : Journal of Economic, Bussines and Accounting
Publisher : Institut Penelitian Matematika, Komputer, Keperawatan, Pendidikan dan Ekonomi (IPM2KPE)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31539/jqqznz14

Abstract

Nurses represent the largest group of healthcare professionals and are the most frequently involved in direct interactions with patients, making their ability to communicate effectively and express constructive opinions essential for improving service quality and ensuring patient safety. Voice behavior refers to the willingness of individuals to convey ideas, feedback, or suggestions that contribute to organizational improvement. However, this behavior is not always optimally demonstrated by nurses and can be influenced by leader member exchange, self-efficacy, and psychological ownership. This study aimed to analyze the effects of leader member exchange and self efficacy on nurses’ voice behavior, with psychological ownership as a mediating variable. The research employed a quantitative, cross-sectional design. Data were collected using questionnaires distributed to nurses at ARTHA BUNDA Hospital, Central Lampung, with a total of 35 respondents selected based on inclusion criteria. Data analysis included simple linear regression, multiple linear regression, and mediation tests. Results show that both leader member exchange and self efficacy have positive and significant effects on psychological ownership, with leader member exchange showing a moderate effect and self-efficacy demonstrating a strong effect. Additionally, leader member exchange and self efficacy each have positive and significant effects on voice behavior, though the effect sizes range from low to moderate. Psychological ownership also positively influences voice behavior but with a low effect. However, psychological ownership does not significantly mediate the relationship between leader member exchange or self efficacy and voice behavior. This is attributed to the form of psychological ownership that emerges, which is more preventive (territorial) rather than promotive. Therefore, hospitals should cultivate promotive psychological ownership to encourage more active voice behavior among nurses.
Product Service Diversification Strategy to Increase Revenue and Maintain Financial Stability of Restu Ibu Hospital Balikpapan Tommy Hendrawan; A. Rohendi; Yuniati Lestari
Research of Service Administration Health and Sains Healthys Vol. 6 No. 2 (2025): Research of Service Administration Health and Sains Healthys (Desember)
Publisher : Lembaga Penelitian dan Pendidikan (LPP) Mandala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58258/rehat.v6i2.9113

Abstract

This study aims to develop a service diversification model to enhance the financial stability of Restu Ibu Hospital in Balikpapan, which faces high dependence on BPJS Health payments (69.3% of revenue). A qualitative method with focused interviews and SWOT analysis was employed to identify challenges and opportunities for diversification. Results show that reliance on BPJS causes liquidity risks due to delayed claims, limited budget allocation for development, and competition from new hospitals. Recommended services include corporate clinic management, medical check-ups, home care, telemedicine, and technology-based premium services. The SWOT analysis highlights the importance of leveraging internal resources (subspecialist doctors, investor networks) and mitigating weaknesses (HR, outdated facilities). A phased implementation strategy is proposed, covering technology enhancement (Hospital Information System, patient apps), staff training, and aggressive marketing to reduce BPJS dependency to ≤50% within 5 years. The study concludes that innovation-driven service diversification improves financial stability and competitiveness in a dynamic healthcare industry.
Evaluation of Human Resource Governance in Improving the Efficiency of Drug Services: Study at the Outpatient Pharmacy Depot of Mokopido Regional Hospital, Tolitoli Regency, Central Sulawesi Province Fanny Fardiyani; Rian Andriani; Yuniati Lestari
Research of Service Administration Health and Sains Healthys Vol. 6 No. 2 (2025): Research of Service Administration Health and Sains Healthys (Desember)
Publisher : Lembaga Penelitian dan Pendidikan (LPP) Mandala

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.58258/rehat.v6i2.9923

Abstract

The long waiting time for medication services at the Outpatient Pharmacy Depot of Mokopido Tolitoli Regional Hospital has become a major issue in improving the quality of hospital services, as it indicates inefficiencies in the human resources (HR) management of pharmacists. This study aims to evaluate HR governance at the pharmacy depot to improve the efficiency of drug services. Identified problems include workload imbalance, patient waiting times that far exceed standards, and increasing public complaints about the lengthy service process. This study used a qualitative approach with in-depth interviews, observation, and document analysis as data collection techniques. Research participants included hospital leaders, medical support officers, pharmacy installation managers, as well as pharmacists, pharmaceutical technicians, and outpatients. The results of the study indicate that HR governance is not yet optimal. Staff needs planning is not based on workload analysis, task division is still rigid, rotation mechanisms are unstructured, competency training is limited, and the performance evaluation system is not integrated with quantitative indicators such as prescription service waiting times. These conditions indicate a gap between managerial policies and operational needs in the field. Based on these findings, improving HR governance is a strategic step to increase service efficiency. The practical implications of this research emphasize the importance of workload-based HR planning, task flexibility and rotation, and the development of measurable training and performance evaluation to support continuous improvement.
Co-Authors A. Rohendi A. Rohendi A. Rohendi Alisza Novrita Sari Arlette Arlette Bayu Wahyudi Charlene Siswara Dasrun Hidayat Erliany Syaodih Fanny Fardiyani Joan Febrian Ristanto Mulyana Syarip Panjia N. Siti Nuraeni Ni Wayan Siska Anggraeni Nining Handayani Poppy Yuniawati Rian Andriani Suherman Tommy Hendrawan Yen Efawati Yudia Mahardika