Based on preliminary data taken by researchers, with 15 nurses at BA Tangerang Public Hospital, from the questionnaires distributed, in the aspect of job satisfaction nurses obtained results that all nurses filled in at least 1 indicator of dissatisfaction, namely 80% dissatisfied in terms of salary, 60% dissatisfied in terms of job promotion and 6% dissatisfied in terms of supervision. In terms of workload, 4 nurses did not report workload issues, and 11 nurses, or 73 percent, reported workload issues. Specifically, 81 percent of respondents reported that their working hours increased during each shift, 27 percent reported that the shifts were too long, 9 percent reported receiving duplicate tasks, 9 percent worked in confined spaces, and 9 percent worked in uncooled rooms. In the aspect of Work Culture, it was found that 87% had a good work culture and 13% had work culture problems. In the aspect of nurse performance, it was found that 20% of nurses had performance problems. To analyze the influence of work culture, workload, and job satisfaction on the performance of nurses at BA Tangerang Public Hospital. The research method uses an exploratory causality research design conducted on 130 respondents. The results of the study show that Work Culture, Workload, and Job Satisfaction have a significant influence on the performance of nurses at BA Tangerang Public Hospital.
This research aims to determine the role of barriers to self-efficacy as mediation on the repeat visits by patients in the National Health Insurance (JKN) at Advanced Referral Health Facilities (FKRTL) Class C in Indonesia. This is an explanatory causality research with the purposive sampling method used to collect data from a cross-sectional survey of 225 patients of class C FKRLT in Jakarta, Bogor, Depok, and Bekasi using a questionnaire. The data collected were analyzed using structural equation modelling (SEM). The results showed that brand image and perception of patient-centered services positively affect barriers to self-efficacy and are a mediator to increasing patient return visits. These findings are helpful for stakeholders to make decisions in improving patient-centered regulations and service standards for the realization of hospital sustainability, good governance, and effective strategies to retain BPJS patients. Received: 17 October 2022 / Accepted: 29 December 2022 / Published: 5 January 2023
Infectious diseases are still one of the important public health problems, especially in developing countries. The high incidence of Antibiotic resistance due to the irrational use of antibiotics is a special concern at this time. The government is also trying to control it through the Antimicrobial Resistance Control Program, including the rational administration of prophylactic antibiotics in surgery. Prophylactic antibiotics are antibiotics given before, during, and after surgical procedures to prevent complications of infection or infection of the surgical site (IDO). A retrospective and observational (non-experimental) study to know Patient characteristics, surgical characteristics, characteristics of the use of prophylactic antibiotics, rationality and cost analysis of using prophylactic antibiotics in Sectio Caesarea surgery and Appendectomy of patients at Hospital X Type B Jakarta in the period January 1 2021 – September 30 2021. The results of the study found that the selection of prophylactic antibiotics was not right (55.8%), the timing difference for prophylactic antibiotics was not right (84.5%), the prophylactic Antibiotic dose was not right (85.3%), all were correct the route of administration of prophylactic antibiotics by intravenous drip (100%), all of which are not appropriate for giving prophylactic Antibiotic intervals (100%) and entirely irrational in the use of prophylactic antibiotics in hospitals (100%). Hospitals can save costs, reduce the rate of Antibiotic resistance and reduce the incidence of surgical site infections by increasing physician compliance in using prophylactic antibiotics under hospital guidelines.
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