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All Journal Sehat Rakyat: Jurnal Kesehatan Masyarakat Hayyan Journal
Nurfalia Harfah
Universitas Negeri Makassar
Biochemistry, Genetics & Molecular Biology Chemical Engineering, Chemistry & Bioengineering Chemistry Dentistry Engineering Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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Hubungan Beban Kerja dan Stres Kerja dengan Kinerja Perawat di IGD RSUD Aloei Saboe Zulkifli Walangadi; Azharatul Jannah; Nurfalia Harfah; Andi Nurul Azizah
Sehat Rakyat: Jurnal Kesehatan Masyarakat Vol. 5 No. 1 (2026): Februari 2026
Publisher : Yayasan Pendidikan Penelitian Pengabdian Algero

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54259/sehatrakyat.v5i1.5749

Abstract

Nurse performance is a key indicator of healthcare quality and patient safety, particularly in Emergency Departments (ED) where workload demands are high. This study aimed to analyze the relationship between workload and job stress with nurse performance in the ED of Prof. Dr. H. Aloei Saboe Hospital. An analytical observational study with a cross-sectional design was conducted involving all 45 ED nurses selected through total sampling. Data were collected using structured questionnaires measuring workload, job stress, and nurse performance, and were analyzed using Spearman’s rank correlation test. Results showed that the majority of nurses experienced high workload (64.44%) and high job stress (53.33%). Statistical analysis revealed a significant negative correlation between workload and nurse performance (p = 0.002; r = -0.448) as well as between job stress and nurse performance (p = 0.001; r = -0.485), both with moderate correlation strength. These findings indicate that higher workload and stress levels are associated with lower nurse performance. The study highlights the need for comprehensive interventions, including optimizing nurse-patient ratios, improving workflow, providing psychosocial support, and implementing stress management programs to maintain nurse performance and service quality in high-pressure ED environments.
Integrasi Health Policy Triangle dan Prinsip Good Governance dalam Program PKRS untuk Mendorong Perubahan Perilaku Kesehatan Pasien : Suatu Tinjauan Sistematik Yasinta Indah Widyaningsih; Nurfalia Harfah; Azharatul Jannah
Sehat Rakyat: Jurnal Kesehatan Masyarakat Vol. 5 No. 1 (2026): Februari 2026
Publisher : Yayasan Pendidikan Penelitian Pengabdian Algero

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.54259/sehatrakyat.v5i1.5935

Abstract

Health policy and hospital governance integration is essential in strengthening hospital-based health promotion, particularly through the Health Promotion Hospital Program (PKRS). This systematic review aims to analyze literature on practices, challenges, and strategies for aligning health policy and administrative governance in improving the effectiveness of behavioral-based health promotion in hospitals. The review was conducted using the Health Policy Triangle framework and Good Governance principles to identify how policy, actors, and context interact in shaping sustainable behavioral change interventions. Articles were retrieved from Scopus, ScienceDirect, and Google Scholar databases using the keywords “health policy synergy,” “hospital governance,” “behavioral-based health promotion,” and “administrative integration.” Inclusion criteria included studies from 2020–2025 focusing on hospital-based health promotion, governance mechanisms, and digital transformation in behavioral change management. The synthesis revealed that behavioral health promotion effectiveness depends on adaptive policy integration, transparent governance, digital transformation, and human resource capacity building. Strengthening PKRS implementation requires evidence-based policies, innovative governance, and digital systems that support real-time data, cross-sector collaboration, and participatory decision-making. In conclusion, the integration of the Health Policy Triangle and Good Governance principles enhances hospital accountability, communication, and efficiency, thereby fostering sustained behavioral change and advancing national health goals.
Integration of Digital Health, Telemedicine, and Healthcare Service Management: Implications for Quality of Care and Health System Sustainability – A Scoping Review Jeki Purnomo; Nurfalia Harfah; Irfan Kurniawan
Hayyan Journal Vol. 3 No. 2 (2026): June
Publisher : Education and Talent Development Center of Indonesia (ETDC Indonesia)

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.51574/hayyan.v3i2.5212

Abstract

Background: Digital health and telemedicine have evolved into structural components of modern healthcare systems, fundamentally transforming how access, service delivery, and care coordination are organized. While their adoption accelerated during the COVID-19 pandemic, their broader implications for healthcare service management, quality of care, and system sustainability remain variably understood. Aim: This scoping review aims to synthesize current evidence on the integration of digital health, telemedicine, and healthcare service management, with a focus on their impact on quality of care and health system sustainability. Methods: A scoping review design was applied following PRISMA-oriented principles. Literature published between 2020 and 2026 was identified from major scientific databases, including PubMed, Scopus, and ScienceDirect. Studies were included if they examined digital health or telemedicine interventions and reported outcomes related to healthcare access, service quality, patient experience, efficiency, or sustainability. Evidence was synthesized across four domains: digital health ecosystem, access to care, service quality, and efficiency–sustainability. Results: The findings indicate that digital health and telemedicine expand healthcare access by reducing geographical and temporal barriers, improve service quality through enhanced coordination and communication, and increase operational efficiency by optimizing resource utilization and reducing unnecessary hospital visits. In addition, digital health contributes to system sustainability by enabling flexible, adaptive service delivery models and improving system resilience. However, these benefits are conditional on factors such as infrastructure readiness, interoperability, governance frameworks, and digital equity. Conclusion: Digital health and telemedicine should be conceptualized as healthcare service-management infrastructure rather than standalone technologies. Their impact on quality and sustainability depends on effective integration with clinical workflows, organizational processes, and policy frameworks. Future health systems must focus on governance, equity, and continuous performance evaluation to realize the full potential of digital transformation.
Co-Authors Andi Nurul Azizah Azharatul Jannah Irfan Kurniawan Jeki Purnomo Yasinta Indah Widyaningsih Zulkifli Walangadi