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<![CDATA[EPIDEMIOLOGI PSIKOSOSIAL DAN DETERMINAN SOSIAL DI LAYANAN RUJUKAN: TINJAUAN LITERATUR PENGEMBANGAN MODEL MANAJEMEN STRES TENAGA KESEHATAN MELALUI PENDEKATAN TEORI TRANSAKSIONAL DI RSUD PROVINSI NTB ]]>
<![CDATA[Anna Indriani]]>;
<![CDATA[Yuly Peristiowati]]>
<![CDATA[ Jurnal Cakrawala Ilmiah Vol. 5 No. 7 (2026): Maret 2026 ]]>
Publisher : <![CDATA[Bajang Institute ]]>
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<![CDATA[Background: Healthcare workers in referral hospitals are frequently exposed to chronic occupational stress due to high workloads and service complexity. Objective: This study aims to develop a stress management model for healthcare workers through a Transactional Theory approach, considering psychosocial epidemiology and social determinants at RSUD Provinsi NTB. Methods: This research employed a Systematic Literature Review (SLR) method, searching literature across Scopus and Google Scholar databases within the 2014–2024 period. Inclusion criteria focused on studies integrating coping mechanisms, social determinants, and referral services. Results: Key findings indicate that occupational stress in referral services is triggered by an imbalance between job demands and job control. From a Transactional Theory perspective, the effectiveness of stress management significantly depends on the staff's secondary appraisal of organizational support. The proposed model emphasizes three intervention levels: modifying social determinants (structural), strengthening cognitive capacity (individual), and providing social support systems (interpersonal). Conclusion: Integrating psychosocial epidemiology into the management policies of RSUD Provinsi NTB is crucial for creating a supportive work environment and sustainably improving the quality of patient care.]]>
<![CDATA[DETERMINASI SOSIAL LINGKUNGAN KERJA DAN EPIDEMIOLOGI RETENSI TENAGA KESEHATAN: TINJAUAN LITERATUR PERAN MEDIASI KOMITMEN ORGANISASI TERHADAP KOMPETENSI PERAWAT DI RSUD PROVINSI NTB ]]>
<![CDATA[Baiq Nirmalasari]]>;
<![CDATA[Yuly Peristiowati]]>
<![CDATA[ Jurnal Cakrawala Ilmiah Vol. 5 No. 7 (2026): Maret 2026 ]]>
Publisher : <![CDATA[Bajang Institute ]]>
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<![CDATA[Background: Health worker retention, particularly among nurses, is a critical challenge for service stability at RSUD Provinsi NTB. As a referral hospital, the nurse turnover phenomenon is influenced by the interaction between environmental determinants and individual professional capacity. Objective: This study aims to analyze the social determinants of the work environment and the epidemiology of health worker retention by exploring the mediating role of organizational commitment on nursing competence. Methods: This study employed a Systematic Literature Review (SLR) method. Literature searches were conducted on Scopus and Google Scholar databases spanning 2016-2026. Primary articles were selected based on strict inclusion criteria using the PRISMA protocol. Results: Findings indicate that positive social determinants of the work environment significantly suppress resignation rates epidemiologically. Nursing competence is proven not to stand alone in influencing retention; organizational commitment mediation (especially affective commitment) is required to transform individual expertise into institutional loyalty. Organizational commitment functions as a bridge that strengthens the relationship between a supportive environment and the nurses' intention to stay. Conclusion: Retention strategies at RSUD Provinsi NTB must focus on strengthening the social work climate and competence development, accompanied by increasing employees' emotional attachment to the organization.]]>
<![CDATA[EPIDEMIOLOGI MANAJERIAL DAN DETERMINAN SOSIAL PADA LAYANAN PUBLIK: TINJAUAN LITERATUR DAMPAK PELATIHAN, PEMBINAAN, DAN KETERLIBATAN KARYAWAN TERHADAP KUALITAS PELAYANAN MELALUI PERSEPSI KEBIJAKAN MUTU DI RSUD PATUT PATUH PATJU LOMBOK BARAT PROVINSI NTB ]]>
<![CDATA[Desak Gede Sri Baktiasih]]>;
<![CDATA[Yuly Peristiowati]]>
<![CDATA[ Jurnal Cakrawala Ilmiah Vol. 5 No. 7 (2026): Maret 2026 ]]>
Publisher : <![CDATA[Bajang Institute ]]>
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<![CDATA[Background: Service quality in government hospitals is often influenced by managerial dynamics and the complexity of social determinants. At the Patut Patuh Patju Regional General Hospital (RSUD) in West Lombok, West Nusa Tenggara Province, the integration of managerial epidemiology and human resource (HR) development has become the primary key to addressing public service challenges. Objective: This study aims to analyze the impact of training, coaching, and employee engagement on service quality, with quality policy perception as a mediating variable. Methods: This research employs a Systematic Literature Review (SLR) approach. A literature search was conducted via Scopus and Google Scholar databases covering the period 2014-2024. Inclusion criteria focused on studies discussing HR management in the public health sector and hospital quality management. Results: Findings indicate that training and coaching significantly strengthen both technical and psychological competencies of employees. Employee engagement acts as a catalyst, transforming quality policies from mere formalities into tangible service behaviors. A positive perception of quality policy is proven to mediate the relationship between managerial interventions and service quality improvement. Conclusion: Strengthening internal managerial aspects is a crucial strategy for Patut Patuh Patju Regional General Hospital (RSUD) in West Lombok, West Nusa Tenggara Province to overcome social determinant barriers and deliver quality, responsive healthcare services.]]>
<![CDATA[EPIDEMIOLOGI KLINIS DAN DETERMINAN SOSIAL PADA KESELAMATAN PERIOPERATIF: TINJAUAN LITERATUR PENGEMBANGAN MODEL INITIAL ASSESSMENT UNTUK PENCEGAHAN KOMPLIKASI ANESTESI DI RSUD PROVINSI NTB ]]>
<![CDATA[Elya Endriani]]>;
<![CDATA[Yuly Peristiowati]]>
<![CDATA[ Jurnal Cakrawala Ilmiah Vol. 5 No. 7 (2026): Maret 2026 ]]>
Publisher : <![CDATA[Bajang Institute ]]>
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<![CDATA[Background: Perioperative safety is a crucial aspect of anesthesiology, yet risk assessments often focus solely on conventional clinical indicators. At RSUD Provinsi NTB, the diverse social profiles of patients necessitate a more comprehensive assessment model. Objective: This study aims to identify the interaction between clinical epidemiology and social determinants of health in influencing perioperative safety and to formulate a basis for developing an Initial Assessment model to prevent anesthesia complications. Methods: This research uses a Systematic Literature Review (SLR) design. Literature searches were conducted through Scopus and Google Scholar databases with a publication range of 2014-2024. Inclusion criteria focused on studies linking clinical and social variables with surgical/anesthetic outcomes. Results: The review findings show that social determinants such as health literacy levels, economic status, and social support have an influence equivalent to clinical comorbidities (such as ASA scores) in predicting perioperative complications. Failure to identify social variables during the initial assessment stage contributes significantly to increased readmission rates and anesthetic adverse events. Conclusion: The development of an Initial Assessment model at RSUD Provinsi NTB must integrate clinical and social parameters to enhance risk detection sensitivity. The implementation of this model is expected to transform anesthesia practice into a more preventive and personalized approach to ensure holistic patient safety.]]>
<![CDATA[DETERMINASI SOSIAL LINGKUNGAN KERJA DAN EPIDEMIOLOGI MANAJERIAL: TINJAUAN LITERATUR MODEL STRUKTURAL KEPEMIMPINAN PELAYANAN DAN BUDAYA KERJA TERHADAP KOMITMEN PERAWAT MELALUI MEDIASI KEPUASAN KERJA DAN MODERASI KEPERCAYAAN PADA LEMBAGA PADA RSUD PROVINSI ]]>
<![CDATA[I Putu Artawan Prayoga]]>;
<![CDATA[Yuly Peristiowati]]>
<![CDATA[ Jurnal Cakrawala Ilmiah Vol. 5 No. 7 (2026): Maret 2026 ]]>
Publisher : <![CDATA[Bajang Institute ]]>
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<![CDATA[Background: Nurse commitment is a fundamental pillar in maintaining the quality of healthcare services at RSUD Provinsi NTB. However, workplace dynamics and managerial challenges often hinder the retention of medical staff loyalty. Objective: This study aims to theoretically analyze the influence of a structural model of servant leadership and work culture on nurse commitment, examining the role of job satisfaction as a mediating variable and institutional trust as a moderating variable. Method: This study employs a Systematic Literature Review (SLR) method. Literature searches were conducted across Scopus, Google Scholar, and ScienceDirect databases spanning 2014-2024. Article selection followed strict inclusion and exclusion criteria focusing on organizational behavior studies in the healthcare sector. Results: Findings indicate that servant leadership and a positive work culture significantly enhance nurse commitment. Job satisfaction is proven to mediate this relationship, confirming that fulfilling nurses' emotional and professional needs is a prerequisite for commitment. Furthermore, institutional trust is identified as a key moderator that strengthens the impact of satisfaction on commitment; a crisis of trust in management can undermine the effectiveness of organizational policies. Conclusion: The integration of servant leadership styles and institutional transparency is essential for building sustainable nurse commitment at RSUD Provinsi NTB.]]>
<![CDATA[REINTEGRASI KINERJA TIM DALAM LENSA EPIDEMIOLOGI MANAJERIAL DAN DETERMINAN SOSIAL: TINJAUAN LITERATUR MODEL KOMUNIKASI ORGANISASI, KEPERCAYAAN, DAN KOMITMEN PADA RSUD PROVINSI NTB ]]>
<![CDATA[Laily Indrayanti Yusuf]]>;
<![CDATA[Yuly Peristiowati]]>
<![CDATA[ Jurnal Cakrawala Ilmiah Vol. 5 No. 7 (2026): Maret 2026 ]]>
Publisher : <![CDATA[Bajang Institute ]]>
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<![CDATA[Background: The effectiveness of healthcare services at RSUD Provinsi NTB heavily relies on team synergy, which is often fragmented by bureaucratic complexity and work pressure. Reintegrating team performance is crucial to ensuring patient safety and organizational sustainability. Objective: This study aims to analyze how organizational communication models, trust, and commitment influence the reintegration of team performance through the lens of managerial epidemiology and social determinants. Methods: This research employs a Systematic Literature Review (SLR) approach. Literature searches were conducted on Scopus and Google Scholar databases covering the period 2014–2024. Article selection followed the PRISMA protocol, resulting in a set of selected articles analyzed qualitatively. Results: Findings indicate that transparent organizational communication is a primary predictor of inter-professional trust. This trust acts as a mediator that strengthens staff's affective commitment. From a managerial epidemiology perspective, these factors are social determinants capable of reintegrating declining team performance. Conclusion: The success of RSUD Provinsi NTB in enhancing team performance depends on management's ability to manage organizational social determinants by strengthening the communication climate and a culture of mutual trust.]]>
<![CDATA[EPIDEMIOLOGI MANAJERIAL DAN DETERMINAN SOSIAL DI RUMAH SAKIT RUJUKAN: TINJAUAN LITERATUR MODEL PENINGKATAN KINERJA MELALUI KEPEMIMPINAN DAN PROMOSI JABATAN DI RSUD PROVINSI NTB ]]>
<![CDATA[Lalu Herman Mahaputra]]>;
<![CDATA[Yuly Peristiowati]]>
<![CDATA[ Jurnal Cakrawala Ilmiah Vol. 5 No. 7 (2026): Maret 2026 ]]>
Publisher : <![CDATA[Bajang Institute ]]>
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<![CDATA[Improving the performance of referral hospitals in the health transformation era highly depends on the integration of managerial epidemiology and an understanding of social determinants of health. This study aims to formulate a strategic model for improving employee performance at RSUD Provinsi NTB by analyzing the roles of leadership and job promotion systems. The research method employed is a Systematic Literature Review (SLR), examining scientific articles from Scopus and Google Scholar databases within the 2014-2024 period. The literature review results indicate that transformational leadership is a determinant factor capable of mitigating workload pressure in referral hospitals, while a merit-based job promotion system acts as the primary catalyst for employee motivation and loyalty. The synthesis of the literature confirms that an effective performance model integrates epidemiological data for resource allocation with transparent human resource development policies. The implications of this study suggest that the management of RSUD Provinsi NTB should strengthen the managerial competence of middle-level leaders and standardize promotion mechanisms to respond to complex public health challenges in the West Nusa Tenggara region]]>
<![CDATA[DETERMINASI SOSIAL LINGKUNGAN KERJA DAN EPIDEMIOLOGI PSIKOSOSIAL: TINJAUAN LITERATUR DAMPAK SHIFT KERJA DAN BEBAN KERJA TERHADAP KINERJA MELALUI MEDIASI BURNOUT ‘PADA PERAWAT DI RSUD PROVINSI NTB ]]>
<![CDATA[Muhammad Munip]]>;
<![CDATA[Yuly Peristiowati]]>
<![CDATA[ Jurnal Cakrawala Ilmiah Vol. 5 No. 7 (2026): Maret 2026 ]]>
Publisher : <![CDATA[Bajang Institute ]]>
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<![CDATA[Background: Nurses at the NTB Provincial General Hospital face significant psychosocial challenges due to high work demands in a primary referral facility. Objective: This study aims to analyze the social determination of the work environment, specifically the impact of work shifts and workload on nursing performance through the mediation of burnout from a psychosocial epidemiology perspective. Methods: This study employed a Narrative Literature Review method. Literature searches were conducted through Scopus and Google Scholar databases covering the period 2015-2025. Articles the inclusion criteria were synthesized to provide a comprehensive overview of the phenomenon. Results: Findings indicate that non-ergonomic work shifts and excessive workload are primary predictors of burnout among nurses. Burnout consistently mediates the relationship between work environment pressures and the decline in clinical performance and work motivation. Conclusion: The decline in nursing performance at the NTB Provincial General Hospital is a manifestation of unmanaged psychosocial stressors. Hospital management needs to intervene in work schedule systems and workload distribution to reduce burnout rates and maintain the quality of healthcare services]]>
<![CDATA[EPIDEMIOLOGI MANAJERIAL DAN DETERMINAN SOSIAL PADA SISTEM BPJS: TINJAUAN LITERATUR MODEL EVALUASI KINERJA RS DAERAH BERBASIS TEORI RBV DI TENGAH DINAMIKA KEBIJAKAN DAN KLAIM BPJS PADA RSUD PROVINSI NTB ]]>
<![CDATA[Ng Phi Shi]]>;
<![CDATA[Yuly Peristiowati]]>
<![CDATA[ Jurnal Cakrawala Ilmiah Vol. 5 No. 7 (2026): Maret 2026 ]]>
Publisher : <![CDATA[Bajang Institute ]]>
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<![CDATA[Background: The implementation of the National Health Insurance (JKN) by BPJS Kesehatan requires RSUD Provinsi NTB to balance social functions with financial sustainability. Dynamics in claim policies and social determinant pressures often hinder optimal performance. Objective: This study aims to analyze the integration of managerial epidemiology and social determinants into regional hospital performance evaluation models using the Resource-Based View (RBV) theoretical framework. Method: This study employs a Systematic Literature Review (SLR) method. The literature search was conducted via Scopus and Google Scholar databases covering the period 2014-2024. Inclusion criteria focused on articles discussing public hospital management, RBV theory in healthcare, and BPJS policies in Indonesia. Results: Findings indicate that hospital performance amidst BPJS dynamics is significantly determined by internal capabilities (strategic assets) such as claim management information systems and medical coder competencies, aligned with RBV theory. Managerial epidemiology plays a crucial role as a resource allocation predictive tool, while social determinants act as external variables influencing claim risk profiles. Integrating these aspects into performance evaluation is proven to enhance hospital operational resilience. Conclusion: An effective performance evaluation model for regional hospitals must shift from mere financial indicators toward a strategic approach based on internal resource strengths and a deep understanding of local population epidemiological conditions.]]>
<![CDATA[DETERMINASI SOSIAL LINGKUNGAN KERJA DAN EPIDEMIOLOGI MANAJERIAL: TINJAUAN LITERATUR DAMPAK KEPEMIMPINAN TRANSFORMASIONAL DAN MOTIVASI TERHADAP KINERJA MELALUI MEDIASI KEPUASAN KERJA PERAWAT DI RSUD PROVINSI NTB ]]>
<![CDATA[Nursini Juiban Hadi]]>;
<![CDATA[Yuly Peristiowati]]>
<![CDATA[ Jurnal Cakrawala Ilmiah Vol. 5 No. 7 (2026): Maret 2026 ]]>
Publisher : <![CDATA[Bajang Institute ]]>
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<![CDATA[Background: Nurse performance at RSUD Provinsi NTB is a fundamental pillar of public healthcare quality. However, this performance is influenced by complex factors involving social determinants of the work environment and leadership patterns. Objective: This study aims to analyze the influence of transformational leadership and motivation on nurse performance through the mediation of job satisfaction within a managerial epidemiology perspective. Methods: This study employed a Systematic Literature Review (SLR) method. The literature search was conducted via Scopus and Google Scholar databases covering the period 2014-2024. Article selection followed strict inclusion and exclusion criteria, resulting in 10 relevant real-world articles. Results: Findings indicate that transformational leadership and motivation have a significant positive impact on performance. Job satisfaction was identified as a crucial mediating variable; without adequate job satisfaction, the impetus from leadership and motivation fails to achieve optimal performance outcomes. Managerially, the work environment acts as a primary determinant that must be managed to prevent an "epidemic" of productivity decline. Conclusion: Strengthening transformational leadership at the ward head level and enhancing intrinsic motivation are highly recommended to improve nurse performance at RSUD Provinsi NTB by fostering stable job satisfaction]]>
