Multidiciplinary Output Research for Actual and International Issue (Morfai Journal)
MORFAI This journal will publish research articles or studies that are multidisciplinary in nature, including: education, law, health, agriculture, engineering, energy, technology, and social science. This journal is dedicated to explore and socialize many creative and innovative thought who focus in: Humanities: Art, History, Languages, Literature, Music, Philosophy, Religion, Theater, etc. Social Science: Geography, Sociology, Education, Political Science, Law, Policy, Social Review, Arts, History, Philosophy, Anthropology Management: Commerce, Economics, Finance, Accounting, Corporate Governance, Human Resources Management, Marketing Management, Quality Management Training and Development Engineering: Information Technology, Computer Application, Civil Engineering, Machanical Engineering, Chemical Engineering, Electrical Engineering, Physics Medical Science: Medicine, Health, Nursing, Clinical Research, Pharmacy, Pharmaceutical, Pharmacognosy, Pharmacology, Phytochemistry Biology: Botany, Bioscience, Microbiology, Biotechnology, Clinical Biology, Molecular Biology, Biochemistry, Agriculture, Chemistry, Environment and Ecology, Food Science, Nutrition, Plant Science, Entomology, Zoology, Fisheries Physical Education: Sports, Yoga, Physiotherapy, Physiology, Exercise, Health
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1,727 Documents
<![CDATA[ANALYSIS OF THE QUALITY OF WASTEWATER FROM THE TOFU AND MEATBALL INDUSTRY BASED ON BOD, PH, COD AND TSS PARAMETERS IN THE SENDANGGUWO SUB-DISTRICT, SEMARANG CITY ]]>
<![CDATA[Nur Taufik]]>;
<![CDATA[Bambang Yulianto]]>;
<![CDATA[Pertiwi Andarani]]>
<![CDATA[ Multidiciplinary Output Research For Actual and International Issue (MORFAI) Vol. 6 No. 3 (2026): Multidiciplinary Output Research For Actual and International Issue ]]>
Publisher : <![CDATA[RADJA PUBLIKA ]]>
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DOI: 10.5281/zenodo.19102833
<![CDATA[The meatball tofu industry in Sendangguwo Village, Semarang City, is a micro, small, and medium enterprise (MSME) with unique characteristics. It operates as a meat processing unit sourcing raw tofu externally. Its intensive animal protein processing generates liquid waste with a very high organic load. This study aims to analyze the liquid waste quality based on TSS, pH, BOD, and COD parameters, evaluating compliance with recent regulations. The research employs a quantitative descriptive method with longitudinal sampling at three points: upstream (X1), waste convergence point (X2), and downstream (X3). Analyses were conducted in an accredited environmental laboratory using SNI methods. Results indicate the Sendangguwo River's water quality significantly exceeds the Class II standards of Government Regulation No. 22 of 2021. At the discharge point (X2), BOD reached 107.25 mg/L and COD 143.29 mg/L. While statistically below the emission limits for the Meat Processing Industry under Central Java Regional Regulation No. 5 of 2012, technical analysis confirms the raw effluent concentration breaches regulations before river dilution. The river's water quality is categorized as "Heavily Polluted," necessitating interventions like grease traps and communal wastewater treatment systems.]]>
<![CDATA[ANALYSIS OF LEADERSHIP AND MANAGEMENT GOVERNANCE IN THE ACCREDITATION POLICY OF MEDAN CITY AIR FORCE HOSPITAL ]]>
<![CDATA[Lisa Yunita Marnas]]>;
<![CDATA[Ermi Girsang]]>;
<![CDATA[Sri Lestari Ramadhani Nasution]]>
<![CDATA[ Multidiciplinary Output Research For Actual and International Issue (MORFAI) Vol. 6 No. 3 (2026): Multidiciplinary Output Research For Actual and International Issue ]]>
Publisher : <![CDATA[RADJA PUBLIKA ]]>
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<![CDATA[Hospital management, leadership, and governance have an important role in ensuring the successful implementation of hospital accreditation policies. This study aims to analyze the influence of leadership and management governance on the implementation of accreditation policies at the Medan City Air Force Hospital. This study uses a mixed-methods approach with a sequential explanatory design, in which quantitative research is conducted first, followed by qualitative analysis to deepen the research findings. The quantitative sample comprised 80 health workers and managerial staff, selected using the total sampling technique. At the same time, qualitative data were obtained through purposive sampling involving five key informants: the hospital head, the hospital secretary, and the head of the installation. Data were collected through structured questionnaires with a Likert scale, in-depth interviews, observations, and document review. Quantitative data were analyzed using descriptive statistics and multiple linear regression, while qualitative data were analyzed using thematic analysis. The results showed that leadership had a significant effect on the implementation of hospital accreditation policies (β = 0.228; p < 0.05). Management governance also exerted a significant influence on the implementation of accreditation policies (β = 0.716; p < 0.05). These findings show that effective leadership and good management governance are important factors in strengthening the hospital's quality management system and ensuring the sustainability of accreditation implementation.]]>
<![CDATA[ANALYSIS OF THE RELATIONSHIP BETWEEN TELEMEDICINE USERS AND THE QUALITY OF HEALTH SERVICES FOR JKN PATIENTS AT FKTP FLAMINGO CLINIC OF SOEWONDO AIR BASE ]]>
<![CDATA[Chairunnisa Nasution]]>;
<![CDATA[Ermi Girsang]]>;
<![CDATA[Santy Deasy Siregar]]>
<![CDATA[ Multidiciplinary Output Research For Actual and International Issue (MORFAI) Vol. 6 No. 3 (2026): Multidiciplinary Output Research For Actual and International Issue ]]>
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<![CDATA[Telemedicine has become an important innovation in digital health services to improve healthcare accessibility and quality, particularly for National Health Insurance (JKN) participants in Indonesia. This study aimed to analyze the relationship between telemedicine utilization and healthcare service quality among JKN patients at the Primary Healthcare Facility (FKTP) Flamingo Clinic, Lanud Soewondo, Medan. This study used a quantitative approach with a cross-sectional design. The sample was selected using a total sampling technique, involving all JKN patients who utilized telemedicine services at FKTP Flamingo Clinic during the research period. Data were collected using structured questionnaires measuring respondent characteristics (age, gender, occupation, and frequency of telemedicine use) and telemedicine service factors, including perceived usefulness, ease of use, interface quality, interaction quality, and system reliability. Data analysis was conducted using univariate analysis and bivariate analysis with the Chi-square test. The results showed that respondent characteristics such as age (p=0.614), gender (p=0.636), occupation (p=0.190), and frequency of telemedicine use (p=0.467) were not significantly associated with healthcare service quality. However, perceived usefulness, ease of use, interface quality, interaction quality, and reliability were significantly associated with healthcare service quality (p<0.05). These findings indicate that technological usability and communication quality in telemedicine services play an important role in improving patient satisfaction and healthcare service quality.]]>
<![CDATA[THE INFLUENCE OF WORK-LIFE BALANCE AND WORKLOAD ON JOB SATISFACTION OF HEALTHCARE WORKERS ]]>
<![CDATA[Ari Tri Utami]]>;
<![CDATA[Kosasih]]>
<![CDATA[ Multidiciplinary Output Research For Actual and International Issue (MORFAI) Vol. 6 No. 3 (2026): Multidiciplinary Output Research For Actual and International Issue ]]>
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<![CDATA[This study aims to analyze the influence of work-life balance and workload on job satisfaction among healthcare workers in a hospital (Hospital X). The research uses a quantitative approach with a cross-sectional design. The sample consists of 100 healthcare workers selected using purposive sampling. Data were collected through a structured questionnaire measured using a Likert scale. The data analysis technique employed multiple linear regression analysis, preceded by classical assumption tests, including normality, multicollinearity, and heteroscedasticity tests. The results of the study indicate that all research instruments are valid and reliable. Furthermore, the findings show that work-life balance has a positive and significant effect on job satisfaction, while workload has a negative and significant effect on job satisfaction. Simultaneously, work-life balance and workload significantly influence job satisfaction. The coefficient of determination (R²) shows that 46.4% of job satisfaction can be explained by the independent variables, while the remaining 53.6% is influenced by other factors not examined in this study. In conclusion, improving work-life balance and managing workload effectively are essential strategies to enhance job satisfaction among healthcare workers, which ultimately contributes to better healthcare service quality.]]>
<![CDATA[THE INFLUENCE OF GREEN HOSPITAL PRACTICES AND MEDICAL WASTE MANAGEMENT EFFICIENCY ON HOSPITAL IMAGE ]]>
<![CDATA[Melinia Cahaya Fitri]]>;
<![CDATA[Kosasih]]>
<![CDATA[ Multidiciplinary Output Research For Actual and International Issue (MORFAI) Vol. 6 No. 3 (2026): Multidiciplinary Output Research For Actual and International Issue ]]>
Publisher : <![CDATA[RADJA PUBLIKA ]]>
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<![CDATA[Environmental sustainability has become a critical concern in healthcare institutions, where hospitals generate significant amounts of waste and consume large volumes of energy and resources. This study reviews the literature on the influence of green hospital practices and efficient medical waste management on hospital image. A systematic review of five recent studies published between 2024 and 2026 was conducted, focusing on sustainable hospital management strategies, pharmaceutical and domestic waste management, and eco-efficiency initiatives. The findings indicate that the implementation of green hospital practices including energy efficiency, sustainable resource utilization, environmentally friendly infrastructure, and waste minimization contributes significantly to operational sustainability. Efficient medical waste management, supported by structured systems, staff training, and policy enforcement, reduces environmental risks and ensures regulatory compliance. Moreover, hospitals that adopt these practices demonstrate greater social responsibility, which enhances their public image, fosters patient trust, and strengthens stakeholder perceptions. In conclusion, green hospital practices and efficient medical waste management are essential for sustainable healthcare operations. They not only reduce environmental impact and improve operational efficiency but also serve as strategic tools for enhancing hospital reputation. Institutional commitment, continuous education, and policy integration are key factors for achieving effective environmental management in healthcare settings.]]>
<![CDATA[ANALYSIS OF HOSPITAL MANAGEMENT INFORMATION SYSTEMS (HMIS) ON THE EFFECTIVENESS AND EFFICIENCY OF OUTPATIENT SERVICES AND ITS IMPLICATIONS FOR EMPLOYEE PERFORMANCE (A SURVEY STUDY AT RUMAH SEHAT TERPADU DOMPET DUAFA HOSPITAL, BOGOR CITY) ]]>
<![CDATA[Anggilia Yuliani Susanti]]>;
<![CDATA[Sri Rochani Mulyani]]>;
<![CDATA[Rukhiyat Syahidin]]>;
<![CDATA[Ayu Laili Rahmiyati]]>;
<![CDATA[Farida Yuliaty]]>;
<![CDATA[Fitriana]]>
<![CDATA[ Multidiciplinary Output Research For Actual and International Issue (MORFAI) Vol. 6 No. 3 (2026): Multidiciplinary Output Research For Actual and International Issue ]]>
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<![CDATA[This study aims to analyze the effect of the Hospital Management Information System (HMIS) on the effectiveness and efficiency of outpatient services and its implications for employee performance at Rumah Sakit Sehat Terpadu Dompet Dhuafa, Bogor City. The study employed a quantitative approach with a survey method involving employees directly engaged in outpatient services and HMIS utilization. Data were collected through questionnaires and analyzed using descriptive analysis and path analysis with SPSS version 24. The results indicate that HMIS contributes to service effectiveness (β=0.605; R²=36.6%), reflected in improved patient data accessibility, recording accuracy, and service speed. HMIS also contributes to service efficiency (β=0.603; R²=36.4%), evidenced by reduced patient waiting times and accelerated administrative processes. Service effectiveness and efficiency jointly contribute to employee performance (R²=26.5%), although only efficiency demonstrates a meaningful partial contribution. HMIS exerts a direct effect on employee performance (β=0.526) as well as indirect effects through effectiveness (0.126) and efficiency (0.242), yielding a total effect of 0.894. It is concluded that optimal HMIS implementation contributes to improving outpatient service quality and employee performance.]]>
<![CDATA[THE EFFECT OF BRAND IMAGE AND SERVICE QUALITY ON LOYALTY THROUGH PATIENT SATISFACTION AS AN INTERVENING VARIABLE AT CLINIC A IN KUDUS CITY (Study at Clinic A in Kudus City, Central Java) ]]>
<![CDATA[Ayu Rindwita Indah Peanasari]]>;
<![CDATA[Vip Paramarta]]>;
<![CDATA[Kosasih]]>;
<![CDATA[Farida Yuliaty]]>;
<![CDATA[Rahadian Malik]]>;
<![CDATA[Fitriana]]>
<![CDATA[ Multidiciplinary Output Research For Actual and International Issue (MORFAI) Vol. 6 No. 3 (2026): Multidiciplinary Output Research For Actual and International Issue ]]>
Publisher : <![CDATA[RADJA PUBLIKA ]]>
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<![CDATA[This study was conducted due to increasingly fierce competition in the healthcare industry and patients' low tendency to recommend, reuse, and make Clinic A in Kudus City their first choice. The aim was to obtain empirical evidence regarding the influence of brand image and service quality on patient loyalty through patient satisfaction as an intervening variable. The method used was descriptive verification analysis with a quantitative approach. Data were collected through questionnaires distributed to patients at Clinic A in Kudus City. The sample size was determined using Hair's formula, which is five to ten times the number of research indicators. Data analysis was performed using path analysis and the Sobel test to examine the mediating role. The results the analysis show that brand image, service quality, patient satisfaction, and patient loyalty are good. Partially and simultaneously, brand image and service quality have a positive and significant effect on patient satisfaction and loyalty. Patient satisfaction is also proven to mediate the effect of brand image and service quality on patient loyalty. Therefore, Clinic A in Kudus City is advised to continue to improve its brand image and service quality in order to strengthen patient satisfaction and loyalty on an ongoing basis.]]>
<![CDATA[THE INFLUENCE OF SKILLS, COMMUNICATION, AND SUPPORTING EQUIPMENT OF CONSERVATIVE DENTISTRY SPECIALISTS (DRG. SP.KG) ON WAITING TIME AND ITS IMPLICATIONS FOR PATIENT SATISFACTION (A SURVEY AT KAJEN DISTRICT HOSPITAL, PEKALONGAN) ]]>
<![CDATA[Jeanny Kathleen Hartini]]>;
<![CDATA[Kosasih]]>;
<![CDATA[Etty Sofia]]>;
<![CDATA[Taufan Nugroho]]>;
<![CDATA[Vip Paramarta]]>;
<![CDATA[Farida Yuliaty]]>
<![CDATA[ Multidiciplinary Output Research For Actual and International Issue (MORFAI) Vol. 6 No. 3 (2026): Multidiciplinary Output Research For Actual and International Issue ]]>
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<![CDATA[This study aims to analyze the effects of dentists’ skills, communication, and supporting equipment on waiting time and their implications for patient satisfaction at Kajen Regional General Hospital (RSUD Kajen) in Pekalongan. The research was motivated by long waiting times and limited facilities. A quantitative associative approach was used, with data collected through questionnaires from 286 patients receiving conservative dental care. Data analysis included validity, reliability, multiple regression, and Sobel tests to examine both direct and indirect relationships among variables. The results showed that skills, communication, and supporting equipment significantly influenced waiting time and patient satisfaction, both directly and indirectly. Waiting time was found to mediate these effects. Communication was identified as the most dominant factor affecting patient satisfaction, while supporting equipment played a key role in speeding up treatment and reducing waiting time. Improving dental service efficiency at RSUD Kajen can be achieved by enhancing dentists’ skills and communication, and optimizing modern supporting equipment. These efforts are expected to increase patient satisfaction and support continuous improvement in hospital service quality.]]>
<![CDATA[CROSS-ISLAND EDUCATION GOVERNANCE CONFIGURATION: A BIBLIOMETRIC ANALYSIS OF THE RELATIONSHIPS AMONG BUREAUCRACY, DECENTRALIZATION, AND NETWORKS IN THE COORDINATION OF CENTRAL, REGIONAL, AND EDUCATIONAL INSTITUTIONS ]]>
<![CDATA[Kempa, Rudolf]]>;
<![CDATA[Arjanto, Paul]]>;
<![CDATA[Waritsman, Arsyil]]>
<![CDATA[ Multidiciplinary Output Research For Actual and International Issue (MORFAI) Vol. 6 No. 3 (2026): Multidiciplinary Output Research For Actual and International Issue ]]>
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<![CDATA[Cross-island education management requires adaptive bureaucratic relations through a decentralization mechanism, enabling the central government, regional governments, and educational units to share roles effectively based on geographical context and local needs. Therefore, this study aims to analyze the configuration of scientific knowledge regarding bureaucratic relations, decentralization, and networks in cross-government educational coordination through a bibliometric approach based on Scopus publication data. The method used is a literature review using bibliometric analysis of scientific publication data sourced from the Scopus database, with the following criteria: publications between 2021 and 2025, Subject area: social science, document type: article, publication stage: final, country: Indonesia, source type: journal, and English language. The results of the study found that (1) the topic that has been widely carried out related to cross-island education governance is about Higher Education; (2) research related to cross-island education governance has shifted towards artificial intelligence and project-based learning topics; (3) topics that have been frequently carried out related to cross-island education governance currently are topics related to Higher Education and Digital Literacy; and (4) further research topics needed to enrich studies on educational governance are on Project-Based Learning. In general, this research contributes to mapping the direction of development of studies on cross-island educational governance. It emphasizes the importance of integrating bureaucratic relations, policy decentralization, and collaborative networks to enhance coordination among the central government, regional governments, and educational units.]]>
<![CDATA[HOW EFFECTIVE IS THE CODE OF ETHICS IN STRENGTHENING THE ROLE OF FORENSIC ACCOUNTING AND WHISTLEBLOWING IN PREVENTING FRAUDULENT FINANCIAL REPORTING? ]]>
<![CDATA[Grace Lidya Romaito Hutagaol]]>
<![CDATA[ Multidiciplinary Output Research For Actual and International Issue (MORFAI) Vol. 6 No. 3 (2026): Multidiciplinary Output Research For Actual and International Issue ]]>
Publisher : <![CDATA[RADJA PUBLIKA ]]>
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<![CDATA[This study aims to analyze factors that can influence financial statement fraud. The independent variables in the study are forensic accounting and whistleblowing with the code of ethics as a moderating factor. The study was conducted using a quantitative survey method with 100 employees working in the accounting, audit, and finance departments in both the public and private sectors in Indonesia and analyzed using SPSS. The results show that whistleblowing has an effect on financial statement fraud, including in a moderating relationship. Forensic accounting has an effect on financial statement fraud but not in a moderating relationship.]]>
