Private Hospitals In Indonesia Research Articles

The Relationship Between Knowledge, Motivation, and Supervision Towards Documentation Among Nurses at Private Hospital in Indonesia

The Relationship Between Knowledge, Motivation, and Supervision Towards Documentation Among Nurses at Private Hospital in Indonesia

The effect of institutional pressures and dynamic managerial capability on strategic renewal: The case of strategic agility and digital readiness as mediators in healthcare industry

This research investigates the role of institutional pressures, dynamic managerial capabilities, strategic agility and digital readiness as mediating factors in the gap of the healthcare sector's post-pandemic digital transformation. This study employed strategic and managerial questionnaires involving 308 medium-sized private hospitals in Indonesia and LISREL 6.0 was used for the analysis. Findings indicated that strategic agility did not mediate dynamic managerial capability for strategic renewal. Moreover, the private healthcare sector was found to be influenced by pressures to imitate other hospitals and competitors, and digital readiness had a stronger mediating effect than strategic agility. The study enriches organization theory by investigating institutional pressures driving strategic renewal. It also enhances the literature on strategic management by exploring the mediating role of strategic agility and digital readiness in strategic change. Lastly, it highlights the association between digital readiness and managerial and organizational aspects resulting from strategic change and further emphasizes the need for integrated teams and digital health services in hospitals to achieve strategic renewal.

The effect of institutional pressures and dynamic managerial capability on strategic renewal: The case of strategic agility and digital readiness as mediators in healthcare industry

This research investigates the role of institutional pressures, dynamic managerial capabilities, strategic agility and digital readiness as mediating factors in the gap of the healthcare sector's post-pandemic digital transformation. This study employed strategic and managerial questionnaires involving 308 medium-sized private hospitals in Indonesia and LISREL 6.0 was used for the analysis. Findings indicated that strategic agility did not mediate dynamic managerial capability for strategic renewal. Moreover, the private healthcare sector was found to be influenced by pressures to imitate other hospitals and competitors, and digital readiness had a stronger mediating effect than strategic agility. The study enriches organization theory by investigating institutional pressures driving strategic renewal. It also enhances the literature on strategic management by exploring the mediating role of strategic agility and digital readiness in strategic change. Lastly, it highlights the association between digital readiness and managerial and organizational aspects resulting from strategic change and further emphasizes the need for integrated teams and digital health services in hospitals to achieve strategic renewal.

Navigating institutional pressure: Role of dynamic managerial capabilities and strategic agility in healthcare organizations’ renewal

ABSTRACT This paper aimed to analyze healthcare organizations’ pressures regarding digitalization caused by uncertainties after the pandemic. The study investigates the relationship among healthcare organizations‘ institutional pressure, dynamic managerial capabilities (DMC), strategic agility, and strategic renewal, focusing on selected private hospitals in Indonesia. Top executives and managerial personnel responded to our survey within five months before the investigation. Data were analyzed using partial least squares structural equation modelling (PLS-SEM) with hierarchical component models (HCMs). The study found that institutional pressures positively impacted strategic agility, whereas DMC strengthened the connection between institutional pressure and strategic agility. This study also indicates that strategic agility influences strategic renewal positively.

THE CORRELATION AMONG LEVEL OF KNOWLEDGE ABOUT ERGONOMIC POSITION AND LOW BACK PAIN COMPLAINTS IN INPATIENT NURSES

Low Back Pain (LBP) is a collection of several clinical symptoms that are marked by pain or discomfort in the lower back, which may or may not extend to the legs. Incorrect ergonomics is the primary factor contributing to lower back pain (LBP) among nurses. The objective of this study was to establish a correlation between the extent of ergonomics knowledge and the occurrence of lower back pain (LBP) complaints among nurses who work with hospitalised patients. This study employed a correlational quantitative design, utilising a cross-sectional technique. The sample size for this study consisted of 158 nurses working in the inpatient unit of a private hospital in Indonesia. The sampling technique employed was a total sampling, resulting in a sample size of 158 nurses. The research employed questionnaires that were both valid and trustworthy. The questionnaires assessing knowledge of ergonomics were devised by Bunga et al. (2019), whilst the questionnaire pertaining to low back pain was formulated by Deria (2021). The findings of the Pearson chi-square statistical test indicated a p-value of 0.105, suggesting that there was no statistically significant association between the level of knowledge of ergonomics postures and complaints of low back pain among inpatient nurses. Inpatient nurses have the ability to discover and implement ergonomic postures in their regular tasks. Further research could be undertaken on the elements that can induce low back discomfort.

The Effect of The Use of Birthball on The Intensity of First Stage Active Phase Labor Pain

Research in the United States around 70% to 80% of mothers who give birth expect the birth to take place without feeling pain. Currently, 20% to 50% of deliveries in private hospitals in Indonesia are carried out by Caesarean section. The current trend is for mothers to choose to give birth via cesarean section to avoid pain during normal birth. This study was to determine the effect of using a birthball on the intensity of labor pain during the first active phase. This type of research is quasi-experimental with a pretest-posttest two-group design. The population of this study is all mothers giving birth normally at the Az-Zahra clinic. The sample in the study consisted of 30 respondents. The research instrument uses the Numeric Rating Scale (NRS) sheet. Data were analyzed using the Paired T-test and Independent T-test. The average pretest labor pain score in the experimental group was 7.13, while the post-test was 3.33, and the p-value was 0.489. The average pretest labor pain score in the control group was 6.53, while the post-test was 7.80, and the p-value was 0.044. The results of the Independent T-test showed a p-value of 0.489. Giving the Birthball method can reduce the intensity of labor pain during the first active phase. It is hoped that the Birthball method can be applied in all maternity clinics or independent midwives in Indonesia.

Private Hospital Obstacles are Linked to Law No. 17 Of 2023 Concerning Health. in the Third Part Concerning the Hospital

Public institutions that focus on organizing and providing patient services to the community are hospitals. Private hospitals are health service bodies managed by foundations or certain groups of organizations together with educational institutions. The aim of this research is to find out what kind of constraints or barriers are experienced by private hospitals, especially those which are then linked to Law no. 17 of 2023 concerning health. This research method uses a qualitative phenomenological method aimed at describing or explaining a person's personal experiences, including experiences of relationships with other people, using literature study as a data collection procedure. The results of this research are that private hospitals in Indonesia are still not optimal in their efforts to fulfill the general provisions regarding hospitals that have been stipulated in Law no. 17 of 2023 concerning health. Due to the obstacles faced in its operations, such as the Bunda Lhokseumawe Hospital which is hampered by the lack of specialist doctors at the hospital which results in less than optimal treatment services at the hospital, then the Surya Husadha Nusa Dua Hospital which is located in Bandung, with problems. delays in the distribution of food preferences, as well as three private hospitals in Yogyakarta which were hampered by lack of medicine stock in these hospitals

The implementation of Tanner's Clinical Judgment Model and the Indonesian version of the Lasater Clinical Judgment Rubric in the clinical setting

A critical component for nurses to provide safe and quality care with strong patient outcomes is clinical judgment. This study aimed to identify the difference in the clinical judgment score in newly graduated nurses by implementing Tanner's Clinical Judgment Model. This study followed an experimental design with a pretest-posttest and involved thirty-two newly graduated nurses from three private hospitals in Indonesia. The intervention group had a scheduled post-conference with their preceptors using Tanner's Clinical Judgment Model's guidelines with high-level, open-ended questions for two consecutive weeks. Independent samples t-test was used to compare pre-and post-test scores utilizing the valid and reliable Indonesia version of the Lasater Clinical Judgment Rubric. There was no significant difference between the pre-test results of the intervention and control groups, with a significance value of 0.647. The results indicated a significant difference in the mean clinical judgment scores between the intervention and control groups after two weeks of intervention, where the intervention group's scores were higher than the control group's with a significance value of <0.001 with a mean difference of 6.75 and CI of 95 % (4.18–9.31). Tanner's Clinical Judgment Model showed a significant impact in increasing clinical judgment scores. The Indonesia version of the Lasater Clinical Judgment Rubric is a valuable tool for assessing and evaluating the development of clinical judgment and provides detailed targeted areas needing improvement. Preceptors and nursing leaders in the clinical setting should continue to use this model and tools to assist newly graduated nurses in developing clinical judgment skills during their transition period.

The Relationship Between Social Support, Fear, and Psychological Distress Among Frontline Nurses During the COVID-19 Pandemic in Indonesia.

The current cross-sectional study aimed to examine the relationship between social support, fear, and psychological distress among frontline nurses during the coronavirus disease 2019 (COVID-19) pandemic. Participants from 20 wards for adult patients from public and private hospitals in Indonesia were recruited. The Fear of COVID-19 Scale, Job Stress Scale, and Perceived Social Support Questionnaire were used to measure outcomes of interest. Questionnaires were completed by a total of 211 nurses. High risk working unit, higher fear score, younger age, less working experience, and less social support were significant influences on nurses' psychological distress. Social support as a modifiable factor is a potential target for intervention strategies to manage psychological issues among nurses. Findings can help policymakers and managers better understand how to support frontline nurses' psychological health and maintain well-engaged nursing staff. [Journal of Psychosocial Nursing and Mental Health Services, 61(5), 53-58.].

Self-Assessment of Patient Safety Reporting and Learning System in Private Hospitals in Indonesia.

Hospitals are required to implement patients safety incident (PSI) reporting, analysis, and problem-solving. Self-assessment is important for exploring gaps and strengthening PSI reporting and learning system. This study examined PSI reporting and learning systems through self-assessment based on WHO guidance, analysis of section scores by hospital class, and analysis of section relationships. This cross-sectional study was conducted on 193 health workers from 47 Indonesian non-profit private hospitals selected using non-probability sampling. Samples in each hospital consisted of seven hospital staff, including quality and patients' safety committee, infectious diseases control committee, manager/head of nursing, as well as functional staff comprising doctors, nurses, pharmacists, and nutritionists. Six aspects based on WHO guidance were measured in this study namely 1) environment for reporting, 2) reporting rules and content, 3) analysis and investigation, 4) governance, 5) action and learning, as well as 6) patients' and family engagement. The data obtained were analyzed using univariate and bivariate analysis. The results showed that the total average score was 64.7 ± 3.3, and the average score on all components of PSI reporting and learning system was minimum 59.3 and maximum 69.6 of a total score of 100. The lowest average score was found in patients' and family engagement component at 59.3 ± 8.4. Class B hospitals had higher average scores on each component than class C and D hospitals, except on the action and learning and patients' and family engagement section. There was a significant positive linear correlation between each section of PSI reporting and learning system (p-value < 0.01). The PSI reporting and learning system in hospitals is in need of improvement across all aspects. One specific area that requires attention is the implementation of mechanisms for patient and family engagement, which can play an important role in promoting safety programs.

THE IMPLEMENTATION OF FIVE RIGHTS MEDICATION ADMINISTRATION BY NURSES AT A PRIVATE HOSPITAL IN WESTERN INDONESIA

&lt;p&gt;This study aimed to observe how nurses implement the five rights. The initial survey of ten nurses in an inpatient department showed 50% did not adhere to hospital standard operating procedure when administrating the drugs to patients, and majority had never performed five rights check before, which harmful to patients. This study used a quantitative descriptive method. The sample for this study was a purposive sampling, researchers have observed 33 nurses from three departements including Emergency, Inpatient, and Intensive Care Unit departements at one private hospital in Indonesia. A standard operating procedure for hospital was used as an instrument. Researchers observed nurses without letting them knoe when the day observing would begin. 84.85% of them have worked more than a year in the hospital. 18.18% of nurses did not check the right patient, 12.12% did not check the right drug, 18.18% did not check the right dose, 9.09% did not give the medication at the right time, and 3.03% did not give the medicine with the right route. Most nurses followed hospital standard operating procedures by implementing all five rights checjs before administrating the medications to patients. For the hospital management, it is suggested to facilitate the nurses with more training or workshop about the implementation of five rights or the role of nurses as medication administrators.&lt;/p&gt;

Leadership Style and Hospital Performance: Empirical Evidence From Indonesia.

The COVID-19 pandemic created new conditions for the functioning of all organizations. Suddenly, there was a problem with the lack of appropriate leadership styles models in health care organizations (hospitals), which are particularly vulnerable to disruptions in a pandemic. Hospitals, in particular, have become exposed to organizational and managerial problems. The article aims to propose an appropriate leadership style model that will guarantee a high level of hospital efficiency, taking into account a pandemic situation in the example of private hospitals in Indonesia. Organizational identification is promoted as a mediating variable due to the high level of this variable in explaining hospital performance in Indonesia based on preliminary studies. During research used a structural equation model using 394 samples at the unit leadership level in private hospitals in Indonesia. The results of this study explain that there is an impact between innovative leadership and strategic leadership styles on hospital performance. Private hospitals in Indonesia need to improve themselves to use the most appropriate leadership style model based on the needs of the hospital itself.

Individual Characteristics, Motivation its Related on Patient Safety Nurse Performance at Private Hospital in Indonesia

BACKGROUND: Occupational safety is the most common issue in health services. The purpose of this study was for individual characteristics, intrinsic, and extrinsic motivation on the performance of nurses in patient safety. METHODS: This research is a correlation. The study was conducted in June–October 2021 at the Sembiring Hospital. The sample of this study consisted of 175 nurses with simple random sampling. The instruments used are the individual characteristics questionnaire, intrinsic motivation questionnaire and extrinsic motivation questionnaire, and performance questionnaire. The intrinsic motivation questionnaire has a Content Validity Index validity test value of 1 and a Cronbach’s alpha reliability test value of 0.88, the extrinsic motivation questionnaire has a Content Validity Index validity test value of 0.97, and a Cronbach’s alpha reliability test value of 0.81. The performance questionnaire has a validity test value content validity Index 1 and Cronbach’s alpha reliability test value 0.90. RESULT: The results showed that there was an effect (p &lt; 0.05) gender (p = 0.00; RR = 4.76), age (p = 0.00; RR = 0.52), work time (p = 0.00; RR = 10.12), marriage status (p = 0.00; RR = 4), responsibility (p = 0.00; RR = 3.72), achievement (p = 0.00; RR = 19.12), work result (p = 0.00; RR = 23.54), self-actualization (p = 0.01; RR = 10.07), work relationship (p = 0.00; RR = 4.77), work procedure (p = 0.00; RR = 17.31), and supervision (p = 0.00; RR = 4.82) on the nurse’s performance in patient safety. There was no effect (p &gt; 0.05) graduated (p = 0.91; RR = 1.20), self-development (p = 0.15; RR = 2.46), salary (p = 1.30; RR = 2.46), work condition (p = 0.29; RR = 1.90), and insurance (p =1; RR = 0.99) on the nurse’s performance in patient safety. CONCLUSIONS: The importance of strengthening self-character, namely, individual characteristics, intrinsic and extrinsic motivation to improve the performance of nurses to increase the provision of professional and optimal nursing care services.

B Vitamins, work-related stress and emotional mental disorders: a cross-sectional study among nurses in Indonesia.

AimThe aim of this study was to examine the relationship between intake of vitamins B1, B6, B9 and B12 with emotional mental disorders among nurses in Indonesia.DesignThis cross‐sectional study included nurses who have worked at least six months at a private hospital in Indonesia from March to April 2021.MethodsWe used the Food Frequency Questionnaire, Self‐Reporting Questionnaire 20 and the Expanded Nursing Stress Scale questionnaire to assess the B‐vitamin intake, emotional mental disorders and work‐related stress.ResultsOf 80 interviewed nurses, 8.8% experienced severe work‐related stress, and 22.5% had emotional mental disorders. Most nurses had inadequate intake of vitamins B1 and B9 but had adequate intake of vitamins B6 (72.5%) and B12 (56.3%). Emotional mental disorders are more probably to occur in nurses with less intake of vitamins B6 and B12, with respective aOR of 20.06, 95% CI 4.14–97.09 (p < .001) and 4.49, 95% CI 1.19–16.83 (p = .026).

Barriers and facilitators of personal health record adoption in Indonesia: Health facilities’ perspectives

BackgroundPersonal health record (PHR) has been extensively used in developed countries; however, it has been limitedly adopted in developing countries. This study was conducted in Indonesia: a developing country with the largest population in Southeast Asia. PHR that is integrated with health providers is needed to achieve a transformation from a health provider-centered to a patient-centered healthcare system. ObjectiveTo qualitatively analyze barriers and facilitators of PHR adoption by health facilities in Indonesia from the technological, organizational, environmental, and individual factors. MethodsIn this qualitative study, we used semi-structured interviews with three health facility directors, 17 IT heads, eight physicians, and three nurses from 10 primary healthcare facilities, nine government hospitals, and six private hospitals in Indonesia. Interview data were analyzed using thematic analysis in NVivo 12. The analysis stages involved familiarizing data, generating initial codes, searching themes, evaluating themes, defining and naming themes, and writing reports. ResultsRegarding technological factors, the barriers to PHR adoption include security and privacy, interoperability, and infrastructure. Organizational support can facilitate PHR adoption in terms of organizational factors, while a lack of human resources is a barrier to PHR adoption. Regarding environmental factors, the lack of government regulations is the barrier to PHR adoption, while competition between health facilities and vendor support could facilitate PHR adoption. Finally, regarding individual factors, perceived usefulness and ease of use can be facilitators of PHR adoption, while user attitudes and e-health literacy can be barriers to PHR adoption. ConclusionsThis study is expected to comprehensively understand PHR adoption in Indonesia and could be applied to other developing countries with similar technological, legal, or cultural characteristics as Indonesia. This study also provides information that can guide health regulators, health facilities, or PHR vendors in planning the implementation of integrated PHR.

RATIONALITY EVALUATION OF ANTIBIOTIC USE IN PEDIATRIC PNEUMONIA AT HOSPITALS IN INDONESIA

Indonesia is a developing country that has high morbidity and mortality rates due to infectious diseases, one of which is pneumonia. This study aims to describe the use of antibiotics, to determine the rationality of antibiotic use using the Gyssens method, and to determine the relationship between the rationality of antibiotic use on the therapeutic outcomes of pediatric pneumonia patients in one of the public hospitals and private hospitals in Indonesia without PPRA at the same time. This study is a cross sectional study with retrospective data collection from the patient's medical record. The analysis was carried out descriptively and analytically with the Chi-square method to see the relationship between rational use of antibiotics and therapeutic outcomes. A single antibiotic which is generally used in one of the hospitals and private hospitals in Indonesia is Ampicillin. In addition, antibiotics that are often prescribed are Ceftriaxone and Cefotaxim). The use of antibiotics in Public Hospitals found 83 irrational use of antibiotics (81,4%) and 75 total uses of antibiotics (86,2%) in Private Hospitals. Irrational category III A (long duration) mostly occurs in two hospitals. The results of the research on the relationship between rationality and therapeutic outcome were analyzed by Chi-square. The results showed that the rationality of empirical antibiotic therapy significantly improved therapeutic outcomes (p=0.008) in one of the hospitals in Indonesia. The results of research conducted in one of the Indonesian private hospitals obtained p value = 0,153.

RATIONALITY OF ANTIBIOTICS USE WITH QUANTITATIVE AND QUALITATIVE METHODS AT HOSPITAL IN INDONESIA

&#x0D; Infection is one of the biggest causes of death in Indonesia which can be influenced by the appropriate use of antibiotics. Irrational use of antibiotics can cause bacteria to become resistant to antibiotics so that the effectiveness of the drug decreases or even disappears. This study aims to evaluate the use of antibiotics given to inpatients at a private hospital in Indonesia both quantitatively and qualitatively in the period July to December 2021. This study is an observational study with retrospective data collection where qualitative analysis using the Gyssens Method and quantitative analysis uses the DDD method. The results of the qualitative analysis showed that from 30 cases observed, there were 9 cases (30%) irrational prescriptions, namely 1 case in category V, 4 cases in category IVA, 2 cases in category IIIB and 2 cases in category IIA. The results of the quantitative analysis showed that the antibiotics with the highest DDD/100 patient days in the period July to December 2021 were Ceftriaxone with a successive value of 39.15; 39.81; 36.22; 55.65; 41,48 and 49, 42 while antibiotics with the lowest DDD/100 patient-days values in the period July to December obtained different results. Based on research results, there are irrational antibiotic prescriptions and Ceftriaxone became the most commonly prescribed antibiotic.&#x0D; &#x0D; &#x0D; &#x0D; &#x0D; &#x0D; &#x0D; &#x0D; &#x0D; &#x0D;

The obedience of medical personnel to using personal protective equipment in preventing the transmission of COVID-19 at a private hospital in Indonesia

Background: As one of the vulnerable groups to be infected by COVID-19, healthcare workers are required to obey the hospital rules and protocols. However, it may remain challenging for them, especially related to the provision of using personal protective equipment.Objective: This study examined the obedience of medical personnel to personal protective equipment in preventing the transmission of COVID-19 at PKU Muhammadiyah Hospital Yogyakarta, Indonesia.Methods: This cross-sectional study examined 259 medical personnel (medical doctors, nurses, and midwives) in the hospital. Descriptive statistics, Chi-Square test, and multiple logistic regression were used for data analysis.Results: The majority of respondents were nurses (80.3%) and female (63.3%). Those who had a poor attitude would be three times more likely to have poor obedience to using personal protective equipment (Adj. OR: 2.81, 95% CI: 1.52 - 5.19). Sex, age, length of work, level of knowledge, level of motivation, and facility support were not correlated with obedience to using personal protective equipment.Conclusion: The finding reported that many medical personnel were not obedient to using personal protective equipment because their response to disease prevention was poor. The results can be used for further intervention and education or training programs for medical personnel.

BEST PRACTICE OF HOSPITAL MANAGEMENT STRATEGY TO THRIVE IN THE NATIONAL HEALTH INSURANCE (JKN) ERA

Background: The implementation of the National Health Insurance (JKN) program has created a transformation in the health care system in Indonesia. Many hospitals were stuttering and unable to adapt to the new payment system. Some hospitals complained about INA-CBG rates that were lower than the real rates, so that hospitals suffered losses.Aims: This research aims to take the best practice from one government hospital and one private hospital that is able to thrive in the JKN era.Methods: This study used qualitative research methods through in-depth interviews.Results: The similarity of strategies carried out by the two best practice hospitals to thrive in JKN era are efficiency in business process, investment in human resources, customer relationship management, and stakeholders collaboration.Conclusion: The results of this study can be used as a reference for government and private hospitals in Indonesia to be able to thrive in the JKN era.Keywords: best practice, hospital, National Health Insurance, strategy

Service Quality and Customer Satisfaction on WOM a Private Hospital in Indonesia

This research examines the effect of service quality and customer satisfaction on word of mouth. We carried out a survey of our sample, which consisted of 303 respondents. This study provides empirical evidence that service quality has a significant positive effect on customer satisfaction, service quality also has a significant positive effect on word of mouth and customer satisfaction has a significant positive effect on word of mouth.