JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit)
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.
Articles
332 Documents
<![CDATA[Market and Financial Analysis of General Islamic D-Class Hospital Establishment in Karangmojo Gunungkidul ]]>
<![CDATA[Munifah Ashlihati]]>;
<![CDATA[Firman Pribadi]]>
<![CDATA[ JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 8 No. 2 (2019): August 2019 ]]>
Publisher : <![CDATA[Universitas Muhammadiyah Yogyakarta ]]>
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DOI: 10.18196/jmmr.8297
<![CDATA[This study aims to analyze the market potential and financial feasibility of the General Islamic D-class Hospital establishment with a capacity of 100 beds in Karangmojo Gunungkidul. This was a quantitative descriptive design with a feasibility study approach. The research was conducted in Karangmojo Subdistrict, Gunungkidul. The data used are primary data through filling in questionnaires, then secondary data from the health department of Gunungkidul Regency. The results of market analysis showed that there were problems with hospital services faced by respondents in the form of slow service (33%), 39% of respondents felt doctors were lacking in providing explanations or education, most (96.76%) residents of Gunungkidul Regency were Moslems, The expectation of the community in the form of Islamic services is quite large (31%), it will be answered by professional and Islamic Islamic hospital services. The financial analysis obtained a value of 1) NPV = Rp.9,983,868,526.00; 2) IRR = 12.88%; 3) PI = 1.3193 times; 4) PP = 8 years 4 months; and ARR = 10.49%. Based on these results it can be concluded that In Karangmojo sub-district, Gunungkidul Regency, an Islamic hospital with 100 beds is feasible to be established from a review of the market and financial aspects.]]>
<![CDATA[Resilience and Work Engagement of Nurses at Hasanuddin University Hospital: Post Covid-19 Services ]]>
<![CDATA[Nurmala Sari]]>;
<![CDATA[Hapsah Hapsah]]>;
<![CDATA[Priska Anggelina Wong]]>;
<![CDATA[Maisya Finistri Marzuki]]>;
<![CDATA[Milka Murua]]>;
<![CDATA[Mirnah Amir Makkau]]>
<![CDATA[ JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 11 No. 3 (2022): December 2022 ]]>
Publisher : <![CDATA[Universitas Muhammadiyah Yogyakarta ]]>
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DOI: 10.18196/jmmr.v11i3.16392
<![CDATA[The Covid-19 pandemic has made all healthcare providers experience extraordinary turbulence and tested the resilience of health workers towards burnout syndrome, especially nurses as front liners who serve 24 hours. Anxiety conditions and excessive workloads impact decreasing nurse work engagement in hospitals. This study aims to determine resilience's effect on nurses' work engagement at Hasanuddin University Hospital. The method used in this study is a quantitative study using an analytical observational design with a cross-sectional study approach. This research was conducted at Unhas Hospital in August 2022. The total sample is 166 people who are nurses who have worked for 1 year at Unhas Hospital. Data were collected with an online questionnaire using google forms which was divided into 3 parts, namely respondent characteristics, statements related to nursing resilience (CD-RISC), and statements related to work engagement (EES). Data were analyzed using descriptive tests and the Pearson correlation test on SPSS 25. The results showed that resilience affected work engagement (p<0.05). Designing a regular resilience program in the human resources department is crucial to enhance nurses' resilience capacity and work engagement.]]>
<![CDATA[Management of Hospital Customer Complaint Using E-Complaint ]]>
<![CDATA[Ajeng Fitri Setyani]]>;
<![CDATA[Bagoes Widjanarko]]>;
<![CDATA[Farid Agushybana]]>
<![CDATA[ JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 8 No. 2 (2019): August 2019 ]]>
Publisher : <![CDATA[Universitas Muhammadiyah Yogyakarta ]]>
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DOI: 10.18196/jmmr.8298
<![CDATA[Hospital customer complaints must be responded with good complaint management and assisted with e-complaint applications. As a hospital that has applied e-complaint applications for two years, there has never been an evaluation of complaint management using this e-complaint application at the hospital both in terms of the time of complaint completion and quality improvement of hospital services. This study aimed to analyze the implementation of an e-complaint system for managing customer complaint at one of the type-C private hospitals in Central Java using the HOT FIT approach. This study was qualitative research with an exploratory case study design through in-depth interviews using HOT FIT variables, such as Human, Organization, Technology, and Net Benefit. This study involves 8 main informants and 3 triangulation informants. This study showed that organizational aspects play an important role in encouraging people to the successful implementation of technology. Organizational problems can influence time to resolve complaints due to weak monitoring conducted by superiors who can also relate to the use of complaints data as input for quality improvement. Without the support of organizational commitment to run the technology-based system, the benefits of the system will not be obtained to support complaint management. It is recommended for hospitals to optimize organizational functions for the system and encourage staffs so that they achieve the benefits of the system for the organization's performance.]]>
<![CDATA[The Meaning of Breast Cancer Patients’ Experience in Hospital X: a Viewpoint From Patient Centered Care ]]>
<![CDATA[Farida Rozany]]>;
<![CDATA[Indah Winarni]]>;
<![CDATA[Viera Wardhani]]>
<![CDATA[ JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 8 No. 2 (2019): August 2019 ]]>
Publisher : <![CDATA[Universitas Muhammadiyah Yogyakarta ]]>
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DOI: 10.18196/jmmr.8299
<![CDATA[Patient experience is a significant factor in improving hospital service quality. This study aims to determine the meaning of treatment received by breast cancer patients during the treatment period. In the treatment of breast cancer, the patients require a personalized service or patient-centered care. This research is a qualitative analysis with phenomenology approach. Informants in this study were breast cancer patients who underwent chemotherapy treatment and had a mastectomy. Data were obtained through in-depth interviews in patients with breast cancer. The results of the study revealed there are 10 themes, namely worrying about something uncomfortable in the body, resigning to the doctor's recommendations, feeling comfortable and uncomfortable in the service received, feeling stress after recognizing the disease suffered, feeling fearful to the disease, experiencing pain before and after treatment, obtaining encouragement, refraining from thinking that slows down the healing, feeling of having no choice over the disease, and feeling of not obtaining explanation. There is relevance between theme and patient-centered care.]]>
<![CDATA[Satisfaction of Hypertension Patients Reviewed from Dimension Assurance at Community Health Center ]]>
<![CDATA[Nerissa Nasriza]]>;
<![CDATA[Herbert Wau]]>
<![CDATA[ JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 8 No. 2 (2019): August 2019 ]]>
Publisher : <![CDATA[Universitas Muhammadiyah Yogyakarta ]]>
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DOI: 10.18196/jmmr.82100
<![CDATA[Patient satisfaction in health care is a reflection of the quality of service provided. Assurance service quality includes knowledge, ability, friendliness, courtesy, and trustworthiness. If Assurance is not implemented properly, it will cause problems so that it can affect patient satisfaction. The purpose of this study was to determine the relationship between the quality of Assurance services and hypertension patient satisfaction. This study was a qualitative study, with a descriptive research design. The sample in this study were 4 hypertension patients and 2 health workers with a total of 6 informants. The indepth interview results showed that there was a clear relationship between information, hospitality and thoroughness in service to the satisfaction of hypertensive patients at the Community Health Center.]]>
<![CDATA[Knowledge and Skills as Main Predictors in Nurse Disaster Preparedness ]]>
<![CDATA[Ilfa Khairina]]>;
<![CDATA[Nelwati Nelwati]]>;
<![CDATA[Esthika Ariany Maisa]]>;
<![CDATA[Dally Rahman]]>;
<![CDATA[Aree Sanee]]>
<![CDATA[ JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 11 No. 3 (2022): December 2022 ]]>
Publisher : <![CDATA[Universitas Muhammadiyah Yogyakarta ]]>
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DOI: 10.18196/jmmr.v11i3.16292
<![CDATA[Information about the factors that affect nurses' preparedness in hospitals is currently inadequate. Therefore, knowing the predictors that most influence nurse preparedness for disasters is vital. This study aims to determine the predictor factors that affect the disaster preparedness of nurses at the Padang Hospital. A cross-sectional design method has been used in this study. The selection of respondents was carried out using a purposive sampling technique. The criteria were nurses involved as a team for natural and non-natural disasters, COVID-19, in two public hospitals in Padang. The data collection used the Disaster Preparedness Evaluation Tools, Self-Regulation Scale, and Practice Environment Scale-Nursing Work Index. Analysis of the data in this study using the Structural Equation Model. The findings showed that knowledge and skills in disaster preparedness significantly affect disaster preparedness with a p-value of 0.001. Overall, these factors explain 87% of the total variance. Optimizing knowledge and skills in disaster management can improve nurses' preparedness in disasters. The hospital can make structured programs and manage disaster mitigation team resources to increase disaster preparedness.]]>
<![CDATA[Has Job Satisfaction been Affected by Islamic Leadership, Remuneration, or Organizational Citizenship Behavior? ]]>
<![CDATA[Qurratul Aini]]>;
<![CDATA[Mustafa Musa Jaber]]>
<![CDATA[ JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 11 No. 3 (2022): December 2022 ]]>
Publisher : <![CDATA[Universitas Muhammadiyah Yogyakarta ]]>
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DOI: 10.18196/jmmr.v11i3.16993
<![CDATA[Numerous hospital managers are unsatisfied with their positions, limiting their capacity to enhance the quality of hospital services. Even though personnel demand better remuneration to enhance their performance, this may harm hospital impressions. By fostering a culture of Organizational Citizenship Behavior (OCB) and enhancing employee job satisfaction, Islamic leadership styles may assist in achieving a balance between employee compensation expectations and organizational resources. This study aims to determine the impact of Islamic leadership and compensation on organizational citizenship behavior and job satisfaction at a private hospital. Method: The research employed a quantitative cross-sectional methodology, collecting primary data with Google Forms and analyzing it with Smart PLS. Respondents who are permanent staff at private hospitals in Klaten were handed questionnaires. This study intended a total sample size of 98 employees, and only 90 responses meeting the inclusion criteria were gathered. This survey was conducted in July 2021, with questionnaires customized to the conditions of the research site based on previous research. Result: As a result of the inclusion criteria and data-gathering procedures, ninety replies were gathered. OCB is influenced by remuneration and Islamic leadership because Islamic leadership can operate as a counterweight to workers' desire for high remuneration due to the emergence of OCB behavior in the hospital setting. Generally, well-compensated employees are more content with their jobs. Consequently, OCB behavior has a minor impact on job satisfaction. Conclusion: The relationship between Islamic leadership and remuneration and organizational citizenship behavior and job satisfaction is significant.]]>
<![CDATA[Applying the Healthcare Failure Mode and Effect Analysis (HFMEA) Method for the Risk Management of Self-Developed Electronic Medical Records (EMRs) in Hospitals ]]>
<![CDATA[Luqman Hakiem]]>;
<![CDATA[Iwan Dewanto]]>;
<![CDATA[Sriyanto Sriyanto]]>;
<![CDATA[Babucarr Jassey]]>
<![CDATA[ JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 11 No. 3 (2022): December 2022 ]]>
Publisher : <![CDATA[Universitas Muhammadiyah Yogyakarta ]]>
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DOI: 10.18196/jmmr.v11i3.16845
<![CDATA[The organization of electronic medical records (EMR) in hospitals is vital. In cases where EMRs are developed independently, failures that hamper the hospital's operations could sometimes occur. Risk management is needed to identify, reduce, and eliminate potential failures. This study aimed to analyze a risk management by using the Healthcare Failure Mode and Effects Analysis (HFMEA) method to reduce the risk of failure in the outpatient EMR development process at Baitul Hikmah General Hospital (RSBH). This observational research applied an action research design and was conducted using the HFMEA method. It analyzed the outpatient EMR development process at RSBH. Research data was obtained through a mixed method where information was collected from focus group discussions (FGD) and calculated risk priority numbers (RPN). The research subjects were determined by the purposive sampling technique (HFMEA team). The HFMEA form was used as the research instrument. At least 33 failure modes were identified. These failure modes were evenly distributed throughout the outpatient EMR development process at RSBH. The top five failure modes received treatment actions and their outcomes were measured. Four out of the five failure modes showed a significant decrease in RPN value. In short, risk management analysis using the FMEA method could significantly reduce the potential for failure in the outpatient EMR development process at RSBH]]>
<![CDATA[Organizational Factors and Individual Factors on the Compliance Level of Nurses and Midwives in Observing Phlebitis ]]>
<![CDATA[Siti Hunainah]]>;
<![CDATA[Dewi Kusumawati]]>;
<![CDATA[Djazuly Chalidyanto]]>;
<![CDATA[Raissa Manika Purwaningtias]]>
<![CDATA[ JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 11 No. 3 (2022): December 2022 ]]>
Publisher : <![CDATA[Universitas Muhammadiyah Yogyakarta ]]>
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DOI: 10.18196/jmmr.v11i3.16811
<![CDATA[This study aimed to analyze the effect of organizational and individual factors on the level of compliance of nurses and midwives in phlebitis observation. This research is an observational analytic study with a cross-sectional design. Respondents of this study were nurses and midwives (n =48) at Inpatient Installation. Data were obtained from questionnaires and secondary data from the IV Usage Surveillance form. The results showed that policy, guidelines, knowledge, and motivation had a positive effect. In contrast, aspects of standard operating procedures and attitudes had an inverse effect on the compliance of nurses and midwives in observing phlebitis. Some nurses and midwives have the weak motivation and the assessment of nurses and midwives that phlebitis observation activities are not supported by the existence of standard operating procedures related to identifying phlebitis signs/scales. The conclusion of this study is the need for an organizational approach to motivate nurses and midwives and provide clear standard operating procedures so that they can change attitudes to become more obedient.]]>
<![CDATA[Relationship Between Work Stress and Nurse Work Shifts with Implementation of Patient Safety During Covid-19 ]]>
<![CDATA[Serri Hutahaean]]>;
<![CDATA[Nada Mutiara]]>
<![CDATA[ JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol. 11 No. 3 (2022): December 2022 ]]>
Publisher : <![CDATA[Universitas Muhammadiyah Yogyakarta ]]>
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DOI: 10.18196/jmmr.v11i3.14720
<![CDATA[The increase in Covid-19 cases has made nurses who handle Covid-19 patients feel work stress, which has led to poor patient safety implementation. Irregular work shift schedules for nurses can also lead to errors and poor patient safety implementation. The purpose of this study was to determine the relationship between work stress and nurses' work shifts in the Inpatient Room of RSUD X during the Covid-19 pandemic. This research method uses descriptive-analytic with a cross-sectional design. The data collection period is in June 2021. Sampling was carried out using the purposive sampling technique. The sample of this research is 48 nurses in the Inpatient Room. The research instrument used the IPSG questionnaire which was adopted from the Nasution questionnaire, (2013) and the NIOSH Generic Job Stress Questionnaire questionnaire. The results were analyzed using the chi-square test, indicating that there was a significant relationship between work stress and the implementation of patient safety (p=0.010) and there was a significant relationship between work shifts and the implementation of patient safety (p=0.022). It can be concluded that there is a significant relationship between work stress and nurse work shifts and the application of patient safety during the Covid-19 pandemic. Hospital management needs to pay attention to the mental condition of nurses, increase the number of workers and organize effective work shifts during the Covid-19 pandemic.]]>
