JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit)
JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) is peer reviewed journal published by Universitas Muhammadiyah Yogyakarta in collaboration with The Muhammadiyah Lecturer of Hospital Management Graduate Program Association (ADMMIRASI). ISSN: 2541-6715 (online) and 2088-2831 (print). JMMR focuses on the research and research review related to hospital management that is relevant for the development of the theory and practice of hospital management in Indonesia and southeast asia. JMMR is indexed by Directory Open Access Journal (DOAJ), Google Scholar, and Crossref (DOI), and neliti. JMMR covered various of research approach, namely: quantitative, qualitative and mixed method. JMMR focuses related on various themes, topics and aspects of accounting and investment.
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<![CDATA[Impact of Work Environment and Work Stressing on The Job Satisfaction of Medical Record Officers ]]>
<![CDATA[Deharja, Atma]]>;
<![CDATA[Rohman, Nonik Aisyah]]>;
<![CDATA[Wijayanti, Rossalina Adi]]>
<![CDATA[ JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 9, No 2 (2020): August ]]>
Publisher : <![CDATA[Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI ]]>
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DOI: 10.18196/jmmr.92123
<![CDATA[Factors that influence the work satisfaction of medical record officer is the work environment and work stress. Uncomfortable work environment and work stressing with a lot of work demands make the staff will experience severe pressure. Based on the preliminary study on April 1st, 2018, it's found that seven officers who often absent (above 10%), small workspace, awkward movement, inadequate facilities, double jobs, and double shifts that made 10 out of 13 officers experience unenjoyable in their work. The purpose is to analyze the effect in the work environment and work stressing on the work satisfaction of medical record officers in the X Hospital. It is analytical with a cross-sectional approach using ordinal logistic regression and questionnaire as an instrument. The sample used is 13 medical record officers—the work environment and work stressing as independent variables and work satisfaction as dependent variables. The significance value of the work environment and work stress variable is 0.002. It has a significance value α (P 0.05), proving that the work environment and work stressing have a significant effect on work satisfaction. This study's suggestions need to be the expansion of workspace, additional facilities, and officers to avoid double jobs and double shifts.]]>
<![CDATA[Medication Adherence of Tamoxifen to Breast Cancer Patients and the Affecting’s Factors in Dharmais Cancer Hospital Jakarta ]]>
<![CDATA[Halilintar, Via Dolorosa]]>;
<![CDATA[Nadjib, Mardiati]]>;
<![CDATA[Andalusia, Lucia Rizka]]>
<![CDATA[ JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 9, No 2 (2020): August ]]>
Publisher : <![CDATA[Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI ]]>
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DOI: 10.18196/jmmr.92120
<![CDATA[Several previous studies show that adherence to hormonal therapy increases the survival rate in Breast Cancer (BC) with ER+ or PR+. Tamoxifen is one of oral chemotherapy which is the most used hormonal therapy in breast cancer treatment regimens. The focus of the study was to determine the level of adherence and factors influencing the adherence of the treatment of BC patients undergoing hormonal therapy with Tamoxifen in patients at Dharmais Cancer Hospital in the year 2018. The study is an observational study with a cross-sectional design. The study was followed by 109 respondents. Medication adherence levels assessed via questionnaire modified MARS-5. Sociodemographic and clinical characteristics obtained from interviews using structured questionnaires. Medication adherence’s level of Tamoxifen was 90.9% with the proportion of adhering patients was 75.2% (82 of 109 patients). Multivariate analysis showed that the age of respondents, level of education, level of knowledge is the most influential factor and determine the level of treatment adherence. Education level is the variable that has the greatest effect on medication adherence. Through this study, it is recommended to pay more attention to patients with specific characteristics such as patients with low education and or low income.]]>
<![CDATA[The Relationship Between Characteristics of Health Workers on Handwashing Behavior ]]>
<![CDATA[Iriandoko, Ossy Wijaya]]>;
<![CDATA[Chalidyanto, Djazuly]]>
<![CDATA[ JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 9, No 2 (2020): August ]]>
Publisher : <![CDATA[Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI ]]>
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DOI: 10.18196/jmmr.92127
<![CDATA[Based on data from PPI Hospital X in Surabaya there are still nosocomial infections. If the incidence of this infection continues to recur, then the hospital's image will be bad and can cause hospital bed occupational rates to decrease. The purpose of this study was to determine the relationship between the characteristics of health workers (level of knowledge, level of education, age, and length of work) with the level of compliance of health workers doing hand washing at the "X" Hospital in Surabaya. This research is a descriptive correlation study. The sample in this study was 150 health workers working at X Hospital Surabaya, using proportional random sampling stratification technique. Data were collected using a questionnaire instrument. Data analysis using Pearson correlation test. The results revealed a significant relationship between the level of knowledge about handwashing (p = 0.001), an education level (p = 0.004), age (p = 0,000) and years of service (p = 0,000) to the level of compliance of health workers doing hand washing at the "X" Hospital in Surabaya. Surabaya "X" Hospital health workers have a level of compliance with handwashing with a maximum compliance category 75% (76%).]]>
<![CDATA[Spirituality in The Workplace: Solution to Reduce Nurse Turnover Intention ]]>
<![CDATA[Fitriasari, Nikma]]>
<![CDATA[ JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 9, No 2 (2020): August ]]>
Publisher : <![CDATA[Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI ]]>
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DOI: 10.18196/jmmr.92125
<![CDATA[A frequent problem in hospitals is nurse turnover, which reaches 27.3% annually in Indonesia. The solution to this problem is increasing spirituality intelligence through the formation of spirituality in the workplace. Good spirituality in the workplace can increase productivity and organizational commitment, and reduce turnover. The study was conducted to determine the effect of spirituality in the workplace on nurse turnover intention. The study used a quantitative design with a cross-sectional approach. The sample used was 92 nurses who were determined by Proportionate Random Sampling. Data were processed using Partial Least Square (PLS). The PLS results showed T statistics of 8.927 with direct coefficients of -0.423. The application of spirituality in the workplace shapes nurses’ perceptions more positively towards hospitals, so that, nurse turnover intention is low.]]>
<![CDATA[Research on Job Stress and Nurse Performance ]]>
<![CDATA[Merkusi, Sweetina]]>;
<![CDATA[Aini, Qurratul]]>
<![CDATA[ JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 9, No 2 (2020): August ]]>
Publisher : <![CDATA[Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI ]]>
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DOI: 10.18196/jmmr.92126
<![CDATA[In 2018-2019 there was an increase in patient visits at Kumala Siwi Kudus General Hospital, recorded to reach 4253 patients and an increase in BOR reaching 85.88%. This phenomenon resulted in an increased workload. Along with the increase in workload and the limited number of nurses providing services, it causes stress, which causes the nurse's condition to become unstable. In January 2019, a 2nd-year verification survey was carried out by KARS, which obtained recommendations to be followed up, especially reports of patient safety incidents. There was an increase in incidents from year to year, starting from 2016-2018. This study aims to determine the effect of work stress on the incidence of near injury and its impact on inpatient nurses' performance. This type of research is a quantitative study with a cross-sectional survey in this study amounted to 68 nurses in the Inpatient Installation of Kumala Siwi Kudus Hospital. This type of research is quantitative research; it is proven that stress affects nurses' perceptions of near misses and inpatient nurses' performance.]]>
<![CDATA[Patient Identification in Wards: What Influences Nurses’ Complicance? ]]>
<![CDATA[Rahmawati, Tri Wahyuning]]>;
<![CDATA[Sari, Dwi Ratna]]>;
<![CDATA[Ratri, Devita Rahmani]]>;
<![CDATA[Hasyim, Mafrurrochim]]>
<![CDATA[ JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 9, No 2 (2020): August ]]>
Publisher : <![CDATA[Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI ]]>
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DOI: 10.18196/jmmr.92121
<![CDATA[Patient safety is important because people have easy information and hospital reports related to medical errors. Patient identification is the most important cause of patient safety incidents. In 2019, 12 near misses due to misidentification of patients in the inpatient, laboratory, and pharmacy at the private class D hospital in Blitar. This prompted the authors to conduct a case study and analyze the causal factors of the problems. The method used in this research is descriptive and case study approach. Identification of the root problems was done by observation and interviews with implementing inpatients rooms nurses using observation sheets. Determination of the root problems is determined through a two-stage focus group discussion (FGD) using a fishbone diagram. Six root problems were found that affect the low compliance in the implementation of patient identification in inpatient installations, they are low supervision and supervision from the leadership, no resocialization regarding patient identification, a small number of patients, lack of safety culture, lack of supporting tools, and patients’ willingness to be served quickly. Knowing the root factors that affect the officers’ compliance is essential so supervision methods that are appropriate to the conditions of the hospital can be conducted.]]>
<![CDATA[Willingness to Pay for Maternity Waiting Homes in Rural Indonesia ]]>
<![CDATA[Dewi, Arlina]]>;
<![CDATA[Supriyatiningsih, Supriyatiningsih]]>;
<![CDATA[Sundari, Sri]]>;
<![CDATA[Sugiyo, Dianita]]>;
<![CDATA[Lellee, Ralph. J.]]>
<![CDATA[ JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 9, No 2 (2020): August ]]>
Publisher : <![CDATA[Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI ]]>
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DOI: 10.18196/jmmr.92122
<![CDATA[Distance to a health care facility has long been discussed as a key barrier to maternal health care utilization in rural areas. Maternity Waiting Homes (MWHs) has been proved to the reductions of maternal mortality. The objective of this study was to investigate the pregnant women’s Willingness to Pay (WTP) toward the maternity waiting homes (MWHs). The cross-sectional study was conducted in two rural areas in South Sulawesi, Indonesia. The data were collected through survey which was distributed to pregnant women and their families. A total of fifty-one pregnant women and forty-nine families participated in the study as two groups of respondents. For the results of this study, there were 66.7% of pregnant women agreed if they should stay at MWHs. For a group of pregnant women, the amount of WTP which was capable to be paid was 100.000 IDR in a month. Moreover, for a group of family, the amount of WTP which they could pay for staying at MWH was 200.000 IDR in a month. The pregnant women’s acceptance to stay in MWH is good, but their willingness to pay is still very low.]]>
<![CDATA[Hospital Readiness Assessment for Disasters Using the Hospital Safety Index in Several Accredited Hospitals in Yogyakarta Province ]]>
<![CDATA[Laily, Mufidatul]]>
<![CDATA[ JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 9, No 2 (2020): August ]]>
Publisher : <![CDATA[Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI ]]>
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DOI: 10.18196/jmmr.92124
<![CDATA[Indonesia is a disaster-prone country, so research on hospital preparedness for disasters is necessary. One of the tools to measure the readiness of hospitals in facing disasters using the Hospital Safety Index (HSI) from WHO. This study aims to determine the readiness of hospitals to deal with disasters using HSI. Research location in PKU Yogyakarta, PKU Bantul, PKU Kotagede, PKU Nanggulan, and PKU Wonosari. These PKU that have been accredited by the Hospital Accreditation Committee in Yogyakarta Province. The approach used is descriptive qualitative. The independent variable is the HSI from WHO, and the dependent variable is the Hospital Accreditation Committee (Komite Akreditasi Rumah Sakit/KARS) accredited hospital. The respondents are the person in charge of the structural part of the disaster management system. The checklist refers to the HSI form from WHO. Each statement provides three types of answers, namely low, medium, and high. All statements are a total number of low scores, medium scores, and high scores using the HSI calculator. The results of the study are that hospitals with plenary accreditation have higher HSI scores so that they prepared to face disasters than hospitals that have not been plenarily accredited.]]>
<![CDATA[Kahoot! Application in Medical Education: A Fact for Student Motivation Level ]]>
<![CDATA[Suryandari, Galuh]]>;
<![CDATA[Sudarmanto, Alfan Al-Ghifari]]>
<![CDATA[ JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 9, No 2 (2020): August ]]>
Publisher : <![CDATA[Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI ]]>
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DOI: 10.18196/jmmr.92128
<![CDATA[An implementation and effort of technology in medical education to increase student motivation of the large-scale classes are increasing worldwide. One of them is Kahoot!. This study measured student motivation level in medical school of FKIK UMY after the implementation of Kahoot! Quasi experimental method was implemented in this study. The data was collected by using Motivated Strategies for Learning Questionnaire (MSLQ). During the normality test by using Kolmogorof Smirnov method, all of the data has the amount of p 0,05, therefore we used non parametric analysis with independent sample T-test and one way ANOVA to figure out the relation of student batch and students motivation level. The result showed that only students in batch 2015 who decreased the motivation after implementing Kahoot! Different from students batch 2015, these three batches (2016, 2017, and 2018) increased the motivation after implementing Kahoot!]]>
<![CDATA[Research on Job Stress and Nurse Performance ]]>
<![CDATA[Sweetina Merkusi]]>;
<![CDATA[Qurratul Aini]]>
<![CDATA[ JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit) Vol 9, No 2 (2020): August ]]>
Publisher : <![CDATA[Universitas Muhammadiyah Yogyakarta in Clollaboration with ADMMIRASI ]]>
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DOI: 10.18196/jmmr.92126
<![CDATA[In 2018-2019 there was an increase in patient visits at Kumala Siwi Kudus General Hospital, recorded to reach 4253 patients and an increase in BOR reaching 85.88%. This phenomenon resulted in an increased workload. Along with the increase in workload and the limited number of nurses providing services, it causes stress, which causes the nurse's condition to become unstable. In January 2019, a 2nd-year verification survey was carried out by KARS, which obtained recommendations to be followed up, especially reports of patient safety incidents. There was an increase in incidents from year to year, starting from 2016-2018. This study aims to determine the effect of work stress on the incidence of near injury and its impact on inpatient nurses' performance. This type of research is a quantitative study with a cross-sectional survey in this study amounted to 68 nurses in the Inpatient Installation of Kumala Siwi Kudus Hospital. This type of research is quantitative research; it is proven that stress affects nurses' perceptions of near misses and inpatient nurses' performance.]]>
