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Arlina Dewi
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JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit)
Published by Universitas Muhammadiyah Yogyakarta
ISSN : 20882831     EISSN : 25416715     DOI : https://doi.org/10.18196/jmmr
Core Subject : Economy, Health,
Economics, Econometrics & Finance Health Professions Medicine & Pharmacology Nursing Public Health
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) focuses on the research and research review related to hospital management that is relevant to the development of the theory and practice of hospital management in Indonesia and Southeast Asia. Focus on hospital management (but not limited) to hospital services such as primary health care, laboratory, pharmacy, and radiology. JMMR covered various research approaches, namely: quantitative, qualitative, and mixed-method. JMMR focuses on various themes, topics, and aspects of accounting and investment, including (but not limited) to the following topics: Hospital Management, Hospital Accounting, Health Services Management, Health Insurance, Health Policy, Community Health Center, Medicine, Nursing, Pharmacy, Information Technology Health Services, Health Law and Ethics.
Arjuna Subject : Umum - Umum
Articles 321 Documents
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Validity and Reliability of Research Instruments on the Effect of Motivation on Nurse Performance in Moderation with Nurse Credentials Rio Dimas Sugiarta; Fitri Arofiati; Elsye Maria Rosa
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 12 No. 1 (2023): April 2023
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v12i1.6

Abstract

Instruments with indicators must match the variables to be observed and declared valid and reliable before being used for research. Work motivation variables and credential variables affect nurse performance. Credentials can moderate the effect of work motivation on nurse performance. The research objectives were then analyzed using internal validity and reliability conducted by experts and external reliability validity using a questionnaire filled out by research respondents about the effect of motivation on nurse performance in moderation with nurse credentials. This research used quantitative methods with a cross-sectional design. The research population consisted of 58 nurses and the chairman of the nursing committee served as the validator. The sampling technique was total sampling with 56 registered nurses as permanent employees and receiving credentials. The research instrument used a questionnaire. Analysis of the validity and reliability of the data used the SPSS application and Structural Equation Modeling (SEM) analysis with the PLS application. The research instrument influenced motivation on nurse performance moderately, with credentials declared valid and reliable.
Bundle Care and Multidisciplinary Team Approach to Reduce Surgical Site Infections Risk: A Scoping Review Yunita Dewi Indriani; Elsye Maria Rosa
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 12 No. 1 (2023): April 2023
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v12i1.9

Abstract

This scooping review aims to analyze a combination of bundle care and a multidisciplinary team approach to reduce Surgical Site Infection (SSI) in high-risk patients. The authors identified literature published between 2012 and 2021. The databases used to search for related journals included PubMed, Scopus, and EBSCO. PRISMA protocol will be used in this study.  The review will include published papers discussing bundle care use and the multidisciplinary team approach which impacts SSI, especially in high-risk patients. Several studies showed a decrease in SSI rate in the intervention group that applied bundle care and a multidisciplinary team approach. Reducing SSI in patients with higher ASA (The American Society of Anesthesiologists) levels was even more significant.
Assessing the Major Aspects and Implications of Telerehabilitation Services: A Bibliometric Analysis Osama Khalil Alyacoubi; Maria Ulfa; Arlina Dewi
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 12 No. 2 (2023): August 2023
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v12i2.10

Abstract

Telerehabilitation has emerged as a promising option for delivering rehabilitation services to individuals with physical impairments, but its effectiveness, efficiency, and economic implications are not yet fully understood. This study explores the relationship between telerehabilitation services and various aspects of healthcare delivery, including treatment, quality, outcome, and delivery of telerehabilitation. The Scopus database (https://www.scopus.com) with the term "Telerehabilitation Services" from 2012 to 2021 was used to gather the most recent evidence for this type of research: qualitative research on telerehabilitation services. Studies reporting on clinical outcomes and delivery of healthcare topics were included in the selected publications. VOSviewer, MAXQDA Analytic Plus, and Nvivo 12 Plus analytical tools assisted data analysis and extraction procedures. The findings indicated that telerehabilitation directly impacts health, with a very strong correlation value of 0.962644. Therapy, Aged, Stroke, Telemedicine, COVID-19, Treatment, Quality, Outcome, and Delivery also showed a strong correlation ranging from 0.851146 to 0.921129. Telerehabilitation services had a significant relationship with technology, physiotherapy, and feasibility, with a correlation ranging from 0.427715 to 0.572538. Challenges include the need for appropriate technology and infrastructure, data privacy and security concerns, and the potential for technology-related errors. Telerehabilitation significantly influenced healthcare delivery, including stroke, COVID-19, treatment, quality, outcome, delivery, technology, physiotherapy, and feasibility. Challenges remain, and further research is needed to evaluate cost-effectiveness in different settings and populations. Technology can enhance patient outcomes with proper planning, training, and support.
Analysis of Barriers Implementation Health Information Technology Using Vosviewer: A Bibliometric Study Latifah Mutiara Haryanto; Winny Setyonugroho; Passakorn Suanrueang
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 12 No. 3 (2023): December 2023
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v12i3.11

Abstract

Information technology is growing rapidly in various fields, especially in health services. The development of information technology in health services is e-health, which aims to improve public health, expand and reach health services, and manage patients in real-time. This study aims to determine the publication trend of articles on barriers to medical technology implementation from 2015 – 2022. The publications were retrieved through a search through the Scopus database and obtained 422 publications. This study analyzed the number of publications per year, document type, most contributing countries, subject area of publication, influential authors, number of article citations, and contributing search sources. This study also analyzed and collated documents with Vos Viewer. The results showed that the trend of publications has increased the number of publications from year to year. The types of papers published with the highest number were articles (322 publications) and reviews (90 publications). The most contributing country was the United States, with 191 reports. The dominant subject area was medicine, at 66.23%. The publication with the most citations was an article by Scott Kruse et al. entitled “Evaluating Barriers to Adopting Telemedicine Worldwide: A Systematic Review” from the Journal of Telemedicine and Telecare, with the subject area of medicine having 413 citations. Researchers with the highest number of publications (3) were ten authors. The study was limited by the search for literature from a single database, which allowed the literature to not cover all of the literature on barriers to medical technology implementation.
Bibliometric Analysis of Healthcare Failure Mode and Effect Analysis Research Ariadne Aulia; Elsye Maria Rosa
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 12 No. 1 (2023): April 2023
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v12i1.12

Abstract

Healthcare Failure Mode and Effect Analysis (HFMEA) has been widely used as a proactive risk assessment for healthcare processes since its development in 2001. This study performs a bibliometric analysis of published papers on HFMEA to map its utilization and evolutionary nuances. The dataset was obtained from the Scopus database for English-language papers published between 2002 and 2022 using “HFMEA” or “Healthcare Failure Mode and Effect Analysis” in the article title, abstract, or keywords. Microsoft Excel and VOSviewer were used to perform the analysis. The authors found 230 relevant publications during the study period. The year 2020 has the most publications, with 34 papers. Articles written by DeRosier et al. received the most citations (470). The United States had the highest number of published papers (84), while the United Kingdom had the most international collaboration. Co-occurrence analysis of author keywords showed that patient safety, risk assessment, and risk management were high-rank words. This study emphasizes scholarly collaboration trends and identifies relevant authors, topics, and journals on HFMEA research. It may assist health practitioners and healthcare facility managers in understanding the focus of HFMEA research. Nonetheless, the number of HFMEA publications is still sparse. Further studies on HFMEA in underrepresented medical specialties should be explored.
Effectiveness of Electronic Muhammadiyah Monitoring Chronic Disease Application in Changing The Knowledge, Attitudes, and Behavior of People With Hypertension Ni Putu Susari Widianingsih; Mahendro Prasetyo Kusumo
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 12 No. 2 (2023): August 2023
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v12i2.15

Abstract

Hypertension (HT) is a serious medical condition that significantly increases the risk of heart, brain, kidney, and other organ diseases. The disease course increases along with age and a bad lifestyle. One strategy to prevent the increasing number of HT sufferers is through health promotion. In the digital era, technology is a strategic approach to controlling HT. One of Indonesia's existing health applications is the Electronic-Muhammadiyah Monitoring Chronic Disease (E-MMCD) application. However, its effectiveness has not been tested in increasing the knowledge, attitudes, and behavior of people with HT. This quasi/experimental research was conducted using consecutive purposive sampling at Husada Utama Hospital, Surabaya, from September to November 2022. The number of samples was 57 patient respondents for each group, the intervention (I) and the control (C) group. The data was carried out using the pre-and post-test questionnaire after 1 month intervention period using the E-MMCD application. In group C, health promotion using applications was not given. Knowledge in groups C and I was insignificant different. Attitudes and behavior in group C were increased with an insignificant difference, while in group I were increased with a significant difference.
Development of Hand Hygiene Monitoring System Based on Android Mobile Application and User Perspective Gavin Pratama Nugraha; Arlina Dewi; Nurdiansyah Ramadhan
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 12 No. 3 (2023): December 2023
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v12i3.19

Abstract

Hand hygiene plays a crucial role in promoting overall health and preventing the spread of diseases. The World Health Organization reported that the prevalence of healthcare-associated infections (HAIs) ranges from 3-12% in high-income countries and 5-19% in low-and middle-income countries. Improved hand hygiene compliance can substantially reduce HAI rates. In Indonesia, the Ministry of Health has designated handwashing compliance as a compulsory quality indicator for hospitals. Introducing a mobile app can improve hand hygiene practices. This study aims to develop and design an Android mobile application that serves as an easy-to-operate hand hygiene monitoring system and to understand user perspectives. The study used Agile Methods for app development and a qualitative approach to know users' perspectives. Respondents (n=10) from AMC Muhammadiyah Hospital, including the IPC team, department heads, and administrators, were interviewed. The result revealed that mobile application is easy to use and have an attractive user interface. Users expressed the application's user-friendliness and utility in conducting observations. Nonetheless, they identified some drawbacks, such as lagging issues and a complicated manual installation process due to the app's unavailability on Playstore. Users expect the app's future inclusion on Play Store for simplified installation and request its development for iOS to cater to hospital staff using iPhones.
Analysis Dimension of Healthy Work Environment for Successful Patient Safety Incident Reporting: A Cross Sectional Study Surya Hadi Arsani; Ahsan; Fransiska Imavike Fevriasanty
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 12 No. 1 (2023): April 2023
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v12i1.29

Abstract

Incident reporting of patient safety is the first step in improving patient safety through learning from previous incidents. However, barriers to incident reporting caused by work environment factors make the patient safety incident system not run well in various countries. This study analyzes nurses’ dimensions of a healthy work environment toward reporting patient safety incidents. This study used an observational analytic design with a cross-sectional approach. This study was conducted in a regional hospital in West Nusa Tenggara province in October - November 2022 with a total sample of 151 nurses working in the inpatient room. Sample determination used a quota sampling technique. Measurement of a healthy work environment was adopted from the HWE Tools and Measurement of incident reporting. The questionnaire was adopted from the Patient Safety Incident Reporting and Learning Systems. Data collection techniques implemented primary data questionnaires and multiple linear regression tests. The results showed a relationship between communication, collaboration, decision-making, staff suitability, recognition, and leadership to patient safety incident reporting with a p-value of 0.001 each (p <0.05). The most dominant relationship is Recognition (B=0.39, p=0.001). Recognition means stimulating a person’s psychological growth and a positive mindset to complete tasks, solve problems, overcome obstacles, and bounce back from difficult situations. Therefore, individual attitudes alone are not enough to make individuals behave to report or not report incidents but must be supported by the wishes of those who have great influence in the environment and want individuals to report if an incident occurs.
Bibliometric Analysis: Antibiotics Compounds as Persistent Organic Pollutants in Hospital Wastewater Nisa Nurhidayanti; Neny Mulyani
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 12 No. 1 (2023): April 2023
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v12i1.30

Abstract

Hospitals produce domestic waste containing medicinal micropollutants, which are persistent and harmful to the environment and living things. Conventional wastewater treatment has not been able to remove persistent organic compounds properly. Bibliometric analysis in this study aims to identify antibiotic compounds as persistent organic pollutants in hospital wastewater. This study aims to obtain the results of the characterization of pharmaceutical product compounds as persistent organic pollutants in hospital domestic wastewater. The method used was qualitative descriptive to describe the bibliometric analysis performance by producing a network visualization of the chosen topic. The bibliometric analysis used Publish or Perish software as a search tool for journal metadata and Vosviewer as software to help find research gaps. This article is a bibliometric analysis using Scopus-indexed journals. The development of Scopus indexed international scientific publications on the topic of antibiotics in hospital wastewater during 2010 - 2022 on Scopus totaling 954 articles published in publications with the subject of environmental science, health, science, pharmacy, and engineering, with the most types of publications being in research articles and review article. Of the 10 articles with the highest citations, they could be grouped into 2 types of articles, 7 of which were research articles and 3 were literature articles reviews.
A Lean Thinking Approach for Sustainable Improvement of Outpatient Pharmaceutical Service Processes In Hospital “X” Elsyahrani Rafika Intan; Chitra Astari; Jasril
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 12 No. 1 (2023): April 2023
Publisher : Universitas Muhammadiyah Yogyakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18196/jmmr.v12i1.31

Abstract

Patients who have had an examination at the polyclinic will get medicine at the pharmacy, especially outpatients. The pharmacy installation is the last unit that determines the quality of hospital services, so the quality of pharmacy installation services will affect other related units. This study aims to identify value and waste with the Lean Thinking approach in pharmaceutical services, especially during waiting times, the time lag patients receive when submitting a prescription to receiving the prescribed drug. This part has 4 indicators: waiting time for finished drug service ≤ 30 minutes and concoction drugs ≤ 60 minutes, no drug administration errors 100%, customer satisfaction ≥ 80%, and prescription writing according to the formulary 100%. This research used a qualitative approach using the observational action process research method using the lean thinking method to photograph the process flow of outpatient pharmacy services conducted from mid-November to December 2022 in hospital X City of Palopo. The sample was 15 people who would receive the drug and conducted structured in-depth interviews. Data were analyzed using Excel with lean thinking. The study is categorized as lean and proposed improvements to the management support section. Lean thinking can create effective and efficient pharmaceutical governance in improving service quality.

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