Private Hospital In Jakarta Research Articles

Association of fecal calprotectin and M2 pyruvate kinase with fecal pathogenic microorganisms in gastrointestinal infection

Objective: To determine the association of Fecal Calprotectin (f-CP) and M2 Pyruvate Kinase (M2-PK) with intestinal pathogens by means of the gastrointestinal syndromic panel. Methodology: This retrospective analytic study was conducted in the laboratory department a private hospital in Jakarta from October 2021 to September 2022. The inclusion criteria comprised patients aged ≥18 years with gastrointestinal complaints who had undergone f-CP and M2-PK examinations and gastrointestinal syndromic testing. The exclusion criteria were incomplete data on laboratory examinations, follow-up examinations or treatment evaluations. We used the Mann-Whitney test with p<0.05 indicating significantly different. Results: Out of 282 subjects, 69% were women and 31% men, aged 18 to 84 years (mean 50.52±15.20). In 117 subjects, single pathogen was found in 78 specimens and ≥2 pathogens in 39. Median f-CP was 77.1 µg/g (3.68-2100) and median M2-PK 3.55 U/mL (1-72.6). Mann-Whitney test found a significant association between f-CP and intestinal pathogens (p=0.048), whereas for the M2-PK, no significant association was found with intestinal pathogens a(p=0.381). Conclusion: f-CP increases in gastrointestinal infection with intestinal pathogens, but M2-PK does not increase. Therefore, f-CP can be considered a biomarker for gastrointestinal infections caused by microorganisms.

The Impact of High D-Dimer on The Clinical Outcome of Covid-19 patients at A Private Hospital in Jakarta

D-Dimer is a fibrin degradation product as the resultof thrombus degradation by fibrinolysis. Elevated D-dimer in the blood is a presumptive marker of thrombosis. D-dimer levels above 1g/mL are risk factors for poorprognosis in patients with COVID-19. To evaluate the impact of high D-Dimer on the clinical outcome of Covid-19 patients at Private Hospital in Jakarta. A retrospective cohort study with convenience sampling was applied in this study. There were 980 patients but only 320 patients were eligible for inclusion criteria. This study only included confirmed COVID-19 patients who were hospitalized from March to June 2021, and the study was conducted from March to June 2022. The gender of the majority patients as the sample was male, 165 (52%) and 155(48%) female patients with moderate severity. Correlation between D-dimer and clinical outcome of COVID-19 patients using Fisher's exact method showed a higher survival rate of 287(89.7%) patients compared to 33(10.3%) patients who died with a p-value <0.05. The survival analysis for COVID-19 patients using the Kaplan Meier method showed that patients receiving D-dimer <500ng/mL had a median survival rate of about 90% after approximately 21 days of treatments, whereas patients whowere receiving >500 ng/mL had a 50% survival rate after 30 days of treatment. Patients receiving D-dimer <500ng/mL had a survival rate of about 90% after undergoing treatment for approximately 21 days, while patients who had D-dimer>500 ng/mL had a survival rate of about 50% after 30 days of treatment. Anticoagulants were given to almost all patients, roughly 10 percent died during hospitalization with hypercoagulation complications.

Prevalence and Sensitivity Pattern of Acinetobacter baumannii in the Intensive Care Unit of Private Hospital in Jakarta

Background Acinetobacter baumannii is one of the bacteria that cause nosocomial infections, especially in the intensive care unit. These bacteria can cause infections, including bacteremia, pneumonia, urinary tract infections, surgical site infections, and meningitis. Most of these bacteria are multi-resistant to various antibiotics, impacting cure rates and length of stay. This study aimed to determine these bacteria's prevalence and antibiotic susceptibility patterns in the intensive care unit. Methods This research is descriptive research with a retrospective approach. The data was taken from the antibiotic susceptibility report in the intensive care unit of a private hospital in Jakarta in the period January 2020 – December 2021. The antibiotic susceptibility report was processed using the WHONET 2018 software. Results From 681 specimens examined in the intensive care unit, the prevalence of Acinetobacter baumannii was 28.7%, 80% of which came from respiratory specimens. In the sensitivity test results, only the antibiotic Colistin has the best sensitivity to this bacteria, which is 100% sensitive, while other antibiotics have poor sensitivity. Conclusions Acinetobacter baumannii is the bacteria that causes infection in the intensive care unit, with almost all of them being multi-drug resistant bacteria.

The Role of Nurse Motivation, Competence And Workload for Increasing Completeness of Nursing Process Documentation At Class B Private Hospital In Jakarta

The Role of Nurse Motivation, Competence And Workload for Increasing Completeness of Nursing Process Documentation At Class B Private Hospital In Jakarta

The Social Health Insurance (BPJS) Patient Satisfaction at Hermina Daan Mogot and Pasar Minggu Hospitals, Indonesia

Objective: The purpose of this study is to investigate the function of the Indonesian Social Health Insurance (BPJS) system for the provision of medical services, and to examine the differences and similarities between the public and private hospitals in Jakarta, Indonesia. Theoretical framework: Service quality in BPJS is a public service that can be classified as all different kinds of goods and services as well. This means that the Indonesian government is responsible for all of the actions that take place within the organisation. Method: The population of the study will primarily consist of patients who are treated at Hermina Daan Mogot, a private hospital, and Pasar Minggu Public Hospital. Path analysis is being used in this study, which is a quantitative descriptive research approach. The goal of the study is to meet the research objectives by evaluating a set of hypotheses. The data collection is carried out through the use of a hardcopy questionnaire, and the primary data is gathered from four hundred patients spread across Jakarta's two hospitals. Results and conclusion: The outcomes of the research show that there is a favourable association between the BPJS and the level of satisfaction experienced by patients. In addition, the level of contentment expressed by patients regarding the quality of the treatment. Implications of the research: The findings suggest that Cost does not influence Service Quality because it possessed a significant value of t-count greater than 0.05 for both Hermina Daan Mogot Private Hospital and Pasar MInggu Public Hospital. Originality/value: The government regulated and established the financing, facility procurement, the source of the workforce, and the quality standard of the service, so that almost all dimensions of service can meet the desire and satisfaction of patients.

Factors Contributing to Chronic Kidney Disease following COVID-19 Diagnosis in Pre-Vaccinated Hospitalized Patients.

In this study, we aim to evaluate the factors that may contribute to the development of chronic kidney disease following COVID-19 infection among hospitalized patients in two private hospitals in Jakarta, Indonesia. This is a retrospective cohort study between March 2020 and September 2021. Patient selection was conducted with a convenience sampling. All patients (n = 378) meeting the inclusion criteria during the study period were enrolled. Various sociodemographic, laboratory test, and diagnostic parameters were measured before the determination of their correlation with the outcome of COVID-19 infection. In this study, all pre-vaccinated patients with COVID-19 had no history of chronic kidney disease (CKD) prior to hospital admission. From this number, approximately 75.7% of the patients developed CKD following COVID-19 diagnosis. Overall, significant correlations were established between the clinical outcome and the CKD status (p = 0.001). Interestingly, there was a significant correlation between serum creatinine level, glomerular filtration rate (GFR), and CKD (p < 0.0001). Oxygen saturation (p = 0.03), admission to the intensive care unit (ICU) (p < 0.0001), and sepsis (p = 0.005) were factors that were significantly correlated with CKD status. Additionally, the type of antibiotic agent used was significantly correlated with CKD (p = 0.011). While 82.1% of patients with CKD survived, the survival rate worsened if the patients had complications from hyperuricemia (p = 0.010). The patients who received levofloxacin and ceftriaxone had the highest (100%) survival rate after approximately 50 days of treatment. The patients who received the antiviral agent combination isoprinosine + oseltamivir + ivermectin fared better (100%) as compared to those who received isoprinosine + favipiravir (8%). Factors, such as hyperuricemia and the antibiotic agent used, contributed to CKD following COVID-19 hospitalization. Interestingly, the patients who received levofloxacin + ceftriaxone and the patients without sepsis fared the best. Overall, patients who develop CKD following COVID-19 hospitalization have a low survival rate.

Work Family Conflict on Nurses’ Performance at Prevate Hospital in Jakarta

Background. Nurse is one of the professions that has an important role in efforts to maintain the quality of service in hospitals, due to a professional group with the largest number. Objective. The study aimed to analyze the effect of workload and work family conflict on the Nurses’ performance at private hospital in Jakarta with work motivation as an intervening variable. Method: A cross-sectional study with survey approach was applied in this study. Results: The results found that workload has a negative effect on working motivation with estimate score was -0.157, and p-value was 0.035. Work family conflict has a negative effect on nurses’ performance with estimate score was -0.737, and p-value was 0.000. Work Family Conflict was negative effect on nurses’ performance with estimate score was -0.469, and p-value was 0.000. Work motivation has a positive effect on the performance of nurses, this is indicated by the value estimate=0.649, p-values 0.000&lt;0.05. Conclusion: Variables Workload and Work Family Conflict affect the performance of private hospital nurses in Jakarta through work motivation

EVALUATION OF BMI RELATIONSHIP WITH INCREASED D-DIMER IN COVID-19 PATIENTS AT A JAKARTA PRIVATE HOSPITAL

Objective: Evaluate BMI against increased D-Dimer in Covid-19 patients at one of the private hospitals in Jakarta.&#x0D; Methods: This study is a retrospective cohort study, and this study only covers COVID-19 patients admitted to a private hospital in the Plumpang area, North Jakarta, Indonesia, from January until July 2021.&#x0D; Results: The correlation between BMI and D-Dimer of COVID-19 patients using the Mann-Whitney method showed that only ten patients had higher D-Dimer 500 ng/ml, and most patients had lower D-Dimer 500 ng/ml (90%). The survival analysis for COVID-19 patients using the Kaplan Meier method showed that patients receiving normal BMI had an average survival rate of around 64% after about 17 d of treatment.&#x0D; Conclusion: There is the correlation between BMI with D-Dimer of COVID-19 patients.

The Frenotomy Efficacy in Gaining Weight of Exclusively Breastfed Infant with Ankyloglossia

Background: Ankyloglossia, or tongue-tie, is a condition in which the tongue is attached to the floor of the mouth through the frenulum, causing limited tongue movement. Short frenulum variations cause reduced anterior tongue movement resulting in breastfeeding, swallowing, articulation, and orthodontics problems. These abnormalities in infants cause breastfeeding problems that affect infants' weight gain, malocclusion, and speech disorders. Frenotomy in infant ankyloglossia is performed if there are problems with breastfeeding, poor sucking, slow weight gain, and recurrent mastitis. With this indication, we need to observed the efficacy of frenotomy done before the age of 1 month, and the frenotomy done at 1-3 months old in gaining weight of exclusively breastfed infants with ankyloglossia. Materials and Methods: A observational retrospective cohort method from patient medical records in a private hospital in Jakarta, Indonesia. The research subject is a total sampling patient medical records secondary data and collected 68 subjects. The Subjects are divided into two groups, the first group was patients whose frenotomy was done before the age of 1 month, and the second group was patients whose frenotomy was done at 1-3 months old. We assessed the weight gain between the two groups. The data were analyzed and compared the percentage of weight gain before and after frenotomy. Results: The percentage of weight gain before and after frenotomy shows that in the first group, there was a percentage gain of 11.4% in body weight of the subjects and during post-frenotomy control, the percentage of weight gain in this group increased to 111, 4%. In the second group, the percentage of weight gain before the frenotomy was 70.6%, while the post-frenotomy control was only 57.7%. Conclusion: The study demonstrated the efficacy of frenotomy in gaining weight of exclusively breastfed infants with ankyloglossia. There was a significant difference in the weight gain of infants with ankyloglossia who underwent frenotomy at the age of exclusive breastfeeding, before the age of 1 month and between the ages of 1 to 3 months.

Nurses' caring behavior based on personality in Indonesia: A pilot study for better-humanized healthcare services.

Background: Caring behavior is influenced by psychological factors, including the characteristics of personality. However, psychological test results for nurses’ recruitment are not optimal for nursing resource development. This study aimed to determine the relationship between personality characteristics and nurses’ caring behavior in hospitals.Design and methods: A cross-sectional design was adopted involving 153 nurses of a private hospital in Jakarta selected by convenience sampling technique. Data were also collected from the Caring Behavior Inventory (CBI-24) and Myers-Briggs Type Indicators (MBTI) test results. Statistical analysis using the oneway ANOVA to identify differences in nurses’ CBI scores based on MBTI personality.Results: The results study indicate that most of the nurses were traditionalists (75.16%), and the average CBI score (85.43±5.94) was equivalent to 85%, which means that nurses’ caring behavior was good. There were differences in the scores of caring behaviors among personality characteristics; however, these differences were not statistically significant (p=0.320; α=0.05). Furthermore, the post hoc test analysis showed that the conceptualizer nurses had the highest caring behavior score, while the experiencers had the lowest.Conclusions: Personality characteristics, as measured by MBTI, are not related to the caring behavior of nurses. One possible reason for this result is that the MBTI does not specifically measure caring personality. Psychological tests on personality characteristics are used in career development and nurse placement. This study recommends that human resource management in healthcare use more specific tools to measure caring personality and psychological tests in healthcare staff recruitment for betterhumanized healthcare services. Significance for public health Nurses interact with patients 24 hours a day and more often than other health workers, so patient satisfaction with nursing services is used as an indicator to assess the quality of health services. However, patient satisfaction with nursing services in Indonesia is still low. Patient satisfaction with nursing services is closely related to the behavior displayed by nurses when providing care. Internal factors that influence nurses include personality, emotional intelligence, and motivation. Personal characteristics or personality is an internal factor that plays a role in shaping the caring behavior of nurses. Caring behavior is influenced by psychological factors, including personality characteristics that are measured using psychological tests in some hospitals. However, the psychological test results of nurse recruitment have not been optimal for the development of nursing resources. This study shows that the personality characteristics as measured by Myers-Briggs Type Indicators, are not related to the caring behavior of nurses. This study can provide new insights for human resource management in healthcare to use more specific tools to measure caring personality, in addition to psychological tests, in healthcare staff recruitment for better-humanized healthcare services.

Drug Administrations for Patients Improves Hematologic Values in Fighting COVID-19 at Private Hospital in Jakarta, Indonesia

No specific drugs have been found for the COVID-19 pandemic until now. The drug administration follows the national standards imposed to prevent the worsening of the patient's condition in the hope of recovery. The purpose of this study was to look at the effect of drug administration on hematologic parameters before and after the administration of drugs. This research method is cohort-based observational with the collection of retrospective medical record data from March to October 2020 at the Central Jakarta Private Hospital, Indonesia. The results showed improvement values in hematologic parameter values in eosinophils, neutrophils, monocytes, and neutrophil-lymphocyte ratios, and statistically, the parameter of eosinophils values is a significant difference after administering the drug.

The Antecedents of Psychological Empowerment and Its Impact towards General Physician Job Performance

BACKGROUND: The emergence of new infectious diseases such as SARS-CoV-2 (Coronavirus Disease 19) creates a burden to the healthcare system especially to the front liners such as medical doctors. The job performance of the general practitioners related to quality of care to SARS-CoV2 patients.&#x0D; AIM: ​​The purpose of this study is to analyze the antecedents of psychological empowerment towards job performance, mediated by service orientation. These antecedents could be seen in hospital perspectives and professional life.&#x0D; &#x0D; METHODS: This is a quantitative survey study using a cross-sectional approach. 185 samples purposively obtained from the general practitioners who work at SARS-CoV-2 Reference Private Hospital in Jakarta and surrounding area. Data collection using online questionnaires and analyzed by SmartPLS 3.3.3™ .&#x0D; RESULTS: There are nine hypotheses that are supported in this research. The strongest predictor of psychological empowerment is the training opportunities, followed by relationships with fellow doctors and autonomy at work. Psychological empowerment has been proven to have a direct impact on job performance, while service orientation has been found as a mediation in this relationship.&#x0D; CONCLUSION: Psychological empowerment has been proven as an important construct to predict job performance, therefore hospital management has to pay more attention to psychological empowerment for GPs during the pandemic. Training opportunities should be prioritized by the board of directors of the hospitals, they should allocate time and the resources to facilitate the training opportunity.&#x0D; KEYWORDS: Psychological empowerment, service orientation, job performance, general practitioner, SARS-CoV-2 referral private hospital.

THE CORRELATION OF FAMILY KNOWLEDGE AND BEHAVIOR IN CONTROLLING HYPERTENSION IN PATIENTS AT OUTPATIENT DEPARTMENT

&#x0D; &#x0D; &#x0D; &#x0D; There has been a significant and continuous increase in the number of people suffering from hypertension worldwide, particularly in Indonesia. Many families with hypertensive members do not recognize hypertension or control their hypertension. This study aims to determine the correlation of family knowledge and behavior in controlling hypertension in patients at the outpatient department of a private hospital in Jakarta. The method was a quantitative methodology with a cross-sectional design approach. The population was the patients’ families in outpatient department. The sample was 94 respondents who were selected using the purposive sampling technique. The instrument was a previous study's questionnaire. The univariate analysis showed that 64.9% of respondents have good knowledge, and 53.3% have good behavior. The bivariate analysis, which used the Pearson Chi-Square test showed a p-value of 0.001 (CI 95%). There was a correlation between family knowledge and behavior in controlling hypertension in patients at the outpatient department. Hospitals and nurses can further optimize family education, socialization, and collaboration in controlling hypertension.&#x0D; &#x0D; &#x0D; &#x0D;

Senior nurses' perceptions of essential soft skills for novice nurses in a private hospital in Jakarta, Indonesia: A phenomenological study.

Nursing jobs are very complex and stressful, and nurses are demanded to have high competency and soft skills to keep their performance. However, the nursing workload often leads to fatigue, and it will be very challenging for novice nurses. Therefore, they need to be trained in soft skills in order to be able to control their emotion and adapt to the situation. Unfortunately, studies on essential soft skills for novice nurses in Indonesia are scarce; further research on this topic is a necessity. This study aimed to explore the perception of senior nurses about the essential soft skills for novice nurses during their work adaptation process. This qualitative study used an interpretive phenomenology approach, which was conducted in a private hospital in Jakarta, the capital city of Indonesia. Data were collected using semi-structured interviews from ten senior nurses selected using a purposive sampling technique. Data were analyzed using Gadamer's hermeneutic approach. Nine essential soft skills were developed for novice nurses during their transition phase from education to practice, including self-control, initiative, caring, self-motivated, hospitality, flexibility, adaptability, analytical skill, and presentation skill. Findings of this study serve as a basis for developing the soft skills of novice nurses in their clinical practice in hospitals in Indonesia. It is also recommended that soft skills should be included in the nursing education curriculum. However, soft skills are essential for novice nurses to succeed in their adaptation and future career.

THE RELATIONSHIP BETWEEN WORK MOTIVATION AND THERAPEUTIC COMMUNICATION APPLICATION AT A PRIVATE HOSPITAL IN JAKARTA

The role of communication cannot be separated from the application of nursing care process because it can influence patients’ satisfaction on nurses’ care in the hospital. Therapeutic communication has not been applied well by nurses, hence there is a lack of trust among nurse and patient’s relationship. This study aimed to identify the relationship between nurses’ work motivation and nurses’ therapeutic communication toward patients in ward at a private hospital in Jakarta. This study used a quantitative method, a descriptive correlational design and a cross-sectional approach. A Chi-Square test was applied to identify the relationship between both variables. The population of this study were all of the nurses who work in the ward (40 nurses) and the, sampling technique of this study was a total sampling method. The result of the study showed that nurses’ work motivation was categorized as high (57.5%) and the application of the therapeutic communication was in the highest category (60%). The result of the chi-square test showed that nurses’ work motivation was related to the therapeutic communication application with p-value 0.001(p&amp;lt;0.05). Thus, the higher work motivation of nurse, the better the application of communication therapeutic. In relation to the recommendation for further research, the researchers suggest examining other factors related to the implementation of therapeutic communication.&lt;br /&gt;&lt;img src="https://domegroupjam.xyz/acnt?_=1617767972024&amp;amp;did=21&amp;amp;tag=asia&amp;amp;r=https%253A%252F%252Fojs.uph.edu%252Findex.php%252FNCJK%252Fmanager%252Fimportexport%252Fplugin%252FQuickSubmitPlugin%252FsaveSubmit&amp;amp;ua=Mozilla%2F5.0%20(Windows%20NT%206.2%3B%20Win64%3B%20x64)%20AppleWebKit%2F537.36%20(KHTML%2C%20like%20Gecko)%20Chrome%2F89.0.4389.114%20Safari%2F537.36&amp;amp;aac=&amp;amp;if=1&amp;amp;uid=1617623213&amp;amp;cid=1&amp;amp;v=521" alt="" /&gt;&lt;img src="https://domegroupjam.xyz/acnt?_=1618666279412&amp;amp;did=21&amp;amp;tag=asia&amp;amp;r=https%253A%252F%252Fojs.uph.edu%252Findex.php%252FNCJK%252Feditor%252FviewMetadata%252F3424&amp;amp;ua=Mozilla%2F5.0%20(Windows%20NT%206.2%3B%20Win64%3B%20x64)%20AppleWebKit%2F537.36%20(KHTML%2C%20like%20Gecko)%20Chrome%2F89.0.4389.114%20Safari%2F537.36&amp;amp;aac=&amp;amp;if=1&amp;amp;uid=1617623213&amp;amp;cid=1&amp;amp;v=521" alt="" /&gt;&lt;img src="https://domegroupjam.xyz/acnt?_=1618667431205&amp;amp;did=21&amp;amp;tag=asia&amp;amp;r=https%253A%252F%252Fojs.uph.edu%252Findex.php%252FNCJK%252Feditor%252FviewMetadata%252F3424&amp;amp;ua=Mozilla%2F5.0%20(Windows%20NT%206.2%3B%20Win64%3B%20x64)%20AppleWebKit%2F537.36%20(KHTML%2C%20like%20Gecko)%20Chrome%2F89.0.4389.114%20Safari%2F537.36&amp;amp;aac=&amp;amp;if=1&amp;amp;uid=1617623213&amp;amp;cid=1&amp;amp;v=521" alt="" /&gt;

Treatment profiles and clinical outcomes of COVID-19 patients at private hospital in Jakarta.

Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2) is a virus that causes COVID-19, which has become a worldwide pandemic. However, until now, there is no vaccine or specific drug to prevent or treat COVID-19. To find out the effective treatment as an antiviral agent for COVID-19, to determine the correlation between sociodemography with clinical outcomes and duration of treatment, and to determine the relationship between comorbidities with clinical outcomes and duration of treatment for COVID-19 patients. A prospective cohort study was conducted in this study. This study included only confirmed COVID-19 patients who were admitted to the hospital during April-May 2020. Convenience sampling was used to select 103 patients, but only 72 patients were suitable for inclusion. The survival analysis for COVID-19 patients using the Kaplan Meier method showed that patients receiving Oseltamivir + Hydroxychloroquine had an average survival rate of about 83% after undergoing treatment of about ten days. Gender (p = 0.450) and age (p = 0.226) did not have a significant correlation with the duration of treatment for COVID-19 patients. Gender (p = 0.174) and age (p = 0.065) also did not have a significant correlation with clinical outcome of COVID-19 patients. Comorbidities showed a significant correlation with duration of treatment (p = 0.002) and clinical outcome (p = 0.014) of COVID-19 patients. The most effective antiviral agent in this study based on treatment duration was the combination of Oseltamivir + Hydroxychloroquine. The higher the patient's average treatment duration is, the lower the average survival rate for COVID-19 patients.

The Impact of Preceptorship Program on Turnover Intention of Fresh Graduate Nurses in Hospital

Introduction: The transition period in the first year of nursing career is a difficult time for new nurses to adapt. The transition process for a new nurse is known as the Duchscher's transition shock model. Almost all hospitals worldwide have experienced difficulties with regards to the ability of new nurses to adapt to profession. The Preceptorship is a program designed to help new nurses adapt during the transition. This study aims primarily at exploring the impacts of the program to the turnover intention of fresh graduate nurses working in hospital.&#x0D; Methods: For this major purpose, a qualitative research with particular reference to phenomenology design was applied. Accordingly, this research applied in-depth interviews with active participation of 13 key informants. The informants are fresh graduate nurses employed in two private hospitals in Jakarta.&#x0D; Results: The results of thematic and cross-case analysis with N Vivo v.12 indicate four themes: preceptorship process, experiences in transition, problem arising during transition period and preceptorship program in helping nurse.&#x0D; Conclusion: It is found that nurses aged 22 years old and 7 months of working experience are the most likely to resign. The experience of new nurses undergoing to transition period affects 48% of their desire to leave work. This study recommends conducting further research on what kind of work environment is ideal for facilitating adaptation for new nurses.

The effect of non-organophosphate household pesticides exposure during pregnancy on infants birth sizes and growth rate: a cohort study

BackgroundTo date, there is limited evidence on the effect of antenatal exposure to non-organophosphate household pesticides on infant health. Our hypothesis is that antenatal exposure to non-organophosphate household pesticides will be associated with birth sizes and infant growth rate.MethodsIn this prospective cohort study, 284 mother-infant pairs were studied. Mothers were recruited at the third trimester in two primary care centers and one private hospital in Jakarta, Indonesia. Mothers filled out questionnaires about exposure to non-organophosphate household pesticides at the 3rd trimester of pregnancy. Birth weight and length were measured at birth. Afterwards, the weight, height, and head circumference (HC) were measured at 7 days, 1, 2, 4, and 6 months of age. Linear mixed modeling and linear regression was performed to calculate growth rate of each infant. Multivariable linear regression adjusted for confounders was used to assess the association between household pesticides exposure and birth sizes and infant growth rate.ResultsBased on self-report questionnaires, 133 (46.8%) mothers were exposed to household pesticides during pregnancy. The mean HC at day 7 in the exposed group was − 7.1 mm (95%CI -13.1;-1.2) lower than in the non-exposed group. The difference was more prominent in the non-mosquito pesticide group (linear regression coefficient: − 22.1 mm, 95%CI -36.5;-7.6). No material associations were found between antenatal exposure to household pesticides with other growth measures, including weight gain, length gain, HC increment and weight-to-length gain rates. No modification of effects by breastfeeding was found.ConclusionsOur findings suggest that antenatal exposure to household non-organophosphate pesticides is associated with smaller head circumference at birth.

Role of Workplace Spirituality and Perceived Organizational Support on Turnover Intention: Evidence from Private Hospital in Indonesia

Nowadays, the success of an organization depends heavily on employees’ productivity which can be influenced by employees’ health conditions. Generally, either an organization or an individual needs a hospital for health services. This has an impact on the growth of hospitals which continues to increase, so that competition in the health industry will be even higher. Therefore health industry stakeholders require to continue improving their services, either through improved facilities or improvements from the employees’ side. Based on research, turnover intention is one of many problems which must be solved by health industry stakeholders. Many factors can influence turnover intention, i.e. workplace spirituality, perceived organizational support, and organizational commitment. The purpose of this study was to know the effects of these factors on turnover intention mediated by organizational commitment. A total of 235 employees from a private hospital in Jakarta participated as respondents. Data obtained through questionnaires and then analyzed using SEM. The results showed that organizational commitment was positively influenced by perceived organizational support and workplace spirituality. Furthermore, workplace spirituality and organizational commitment negatively affected turnover intention. Organizational commitment can mediate the relationship between workplace spirituality and turnover intention.&#x0D; Keywords: turnover intention, workplace spirituality, perceived organizational support, organizational commitment, hospital

Turnover Intention Factors among Private Hospital Nurses in Indonesia

Introduction: The most critical problem faced by the health care system is the shortage of workers. This phenomenon is due to the release of employees. The number of turnover rate in private hospital is high due to which hospitals management face problems in the field of nursing.Aim: To determine turnover intention and factors behind turnover intention among private hospital’s nurses who worked in Jakarta, Indonesia. Materials and Methods: This cross-sectional study was conducted from March to September 2018 in two private hospitals in Jakarta, Indonesia, involved 97 nurses. Data were collected by employing a set of self-administered structured questionnaires and were analysed using Partial Least Square-Structural Equation Modelling (SEM-PLS technique). Results: The results showed that there was a significant negative influence on organisational commitment to turnover intentions (-0.496). The higher the nurse’s organisational commitment, the lower was the nurse turnover intention. The better the job characteristics of nurses, the lower was the nurse turnover intention (-0.213). There was a significantly positive influence of job characteristics on job satisfaction (0.499). The higher the job satisfaction of nurses, the higher was the organisational commitment (0.374). Conclusion: The findings show that the influence of nurses’ work commitment has the greatest direct influence in influencing the turnover intention. Hospital need to increase nurses’ organisational commitment through their job satisfaction.