Publication Search

Compliance with clinical pathways is a critical component in ensuring quality of care, patient safety, and cost efficiency in hospitals. However, its implementation continues to face challenges related to management systems and the work behavior of Healthcare Providers (HCPs). This study aimed to analyze the effect of performance-based remuneration systems and organizational support on clinical pathway compliance, with work discipline serving as an intervening variable among HCPs at Cabangbungin Regional General Hospital.This research employed a quantitative approach with an explanatory research design. Data were collected using structured questionnaires and analyzed through Structural Equation Modeling (SEM) with a Partial Least Squares (PLS) approach, supported by the three-box method analysis. The findings indicate that performance-based remuneration systems and work discipline have a significant positive effect on clinical pathway compliance. Furthermore, work discipline was found to strengthen the relationship between performance-based remuneration and compliance, confirming its mediating role. In contrast, organizational support did not show a significant direct or indirect effect on clinical pathway compliance.The study concludes that compliance with clinical pathways is more strongly influenced by performance control mechanisms and clinical work discipline than by general organizational support. These findings provide evidence-based insights for hospital management in designing sustainable strategies and policies to enhance clinical pathway adherence and improve service quality.

Drug stockouts in hospitals pose significant risks to service quality, patient safety, and operational efficiency. This study aimed to analyze how drug demand planning and procurement processes at Johar Baru Regional General Hospital contribute to stockout occurrences and to develop data-driven recommendations based on supply chain management principles. A qualitative descriptive design was employed using data triangulation. Data were collected through in-depth interviews with the Head of the Pharmacy Installation, procurement staff, and warehouse pharmacists, complemented by direct observation and analysis of 2024 planning and procurement documents. Thematic analysis was conducted with the support of NVivo software to identify patterns and relationships among key variables, including drug demand planning, procurement, and inventory management.Findings reveal that stockouts stem from interconnected weaknesses in planning accuracy, procurement coordination, and inventory control systems. Effective stock management depends not only on increasing supply but also on improving data quality, integrating inventory information systems with operational workflows, and enhancing cross-functional collaboration. Recommended strategies include implementing a minimum stock alert system integrated with the Hospital Management Information System (HMIS), strengthening standard operating procedures for stockout response and procurement confirmation, improving integration between HMIS, the National Formulary, and budgeting systems, and applying consumption based planning methods combined with ABC VEN analysis to optimize inventory control.

Medical personnel compliance in prescribing drugs according to the National Formulary (ForNas) is essential to ensure rational therapy, improve service quality, and enhance efficiency in health financing at government health facilities. However, compliance remains a challenge at Johar Baru Regional General Hospital, Central Jakarta. This study aimed to analyze factors influencing medical personnel compliance with ForNas-based prescribing, including drug availability, management policies, and the knowledge, attitudes, norms, and perceptions of medical staff.A qualitative approach was used through in-depth interviews with medical personnel, heads of supporting service sections, and pharmacy unit leaders. The study also involved observation and review of hospital formulary documents, minimum service standards reports for 2024, and monitoring and evaluation reports on prescribing compliance for 2024 and January June 2025. Data were analyzed using thematic analysis supported by NVivo software.The findings indicate that compliance is influenced by medical personnel’s understanding of ForNas policies, clinical experience, and professional attitudes toward prescribing standards. Management factors such as supervision, technological support, and procurement systems also play important roles. Limited drug stocks and suboptimal control systems were identified as major obstacles.The hospital is recommended to strengthen compliance by updating clinical practice guidelines, developing a ForNas-based hospital formulary, improving management support, optimizing information technology systems, ensuring drug availability, and proposing additional ForNas drugs to the Ministry of Health.

This research aims to analyse the role of archives as agents of change in the digital transformation of archives and as catalysts for bureaucratic reform in the era of digital government at the Sorong City Regional Secretariat. The research used a mixed-methods approach, combining a quantitative survey of 30 respondents with in-depth interviews with five key informants, and analysed the data using correlation statistics and thematic analysis. The study's results show that the digital transformation of archives is closely linked to bureaucratic reform and digital governance, and qualitative findings confirm that digitisation improves administrative efficiency, data integration, and organisational accountability. The research highlights the importance of strengthening technological infrastructure, integrating information systems, and improving the competence of the apparatus as prerequisites for the success of the digital transformation of archives. This study has limitations in its scope, involving only one local government agency and a relatively small number of respondents. Therefore, further research is recommended to broaden the scope, incorporate public service quality variables, and use a longitudinal design to examine the long-term impact of archive digitisation on the performance of bureaucratic reform and digital governance more comprehensively. These findings also provide practical contributions for local governments in designing integrated, sustainable electronic archive management policies that support effective, transparent, and responsive public services to meet the needs of modern society in the future, as well as strengthening data-driven governance.

This study aims to analyze the implementation of good governance principles in inclusive public services in Candisari District, Semarang City. The study used a descriptive qualitative approach with data collection techniques through questionnaires, interviews, and documentation. Research informants consisted of sub-district officials and community service users, including vulnerable groups. Data analysis was conducted through the stages of data reduction, data presentation, and conclusion drawing. The results of the study indicate that the implementation of good governance principles in Candisari District has begun, but has not been running optimally. The principle of transparency has been attempted through the provision of service information and the use of digital media, but accessibility of information for vulnerable groups is still limited. The principle of accountability has not been fully realized, as indicated by the less than optimal performance of the Women and Children Protection Task Force (Satgas PPA) in carrying out its duties and the less than optimal inclusive public complaint mechanism. From the aspect of participation, community involvement, especially vulnerable groups, in the planning and decision-making process is still limited and unstructured. In addition, legal certainty and regional security stability are relatively conducive, but still require institutional strengthening and synergy between stakeholders. This study concludes that the implementation of good governance in Candisari District still faces institutional, participation, and service accessibility constraints, so a strategy is needed to strengthen governance to realize inclusive and sustainable public services.

Bureaucratic reform at the village level is a crucial prerequisite for achieving professional, effective, and accountable village governance. One of the key pillars of this reform is the implementation of a merit system in the management of village human resources, particularly in the recruitment and appointment of village officials. In this context, the Computer-Assisted Test (CAT) has emerged as a policy innovation designed to enhance objectivity, transparency, and procedural fairness in the selection of village officials. This study aims to analyse the contribution of CAT implementation to strengthening the merit system and its impact on transforming village social conditions, especially in building public trust in village government. Quantitative data were collected through a survey of village residents and analysed using descriptive statistics, correlation analysis, and multiple linear regression in SPSS. Qualitative data were obtained through in-depth interviews, field observations, and document analysis to elaborate further and explain the quantitative findings. The results indicate that transparency, objectivity, and procedural fairness in the selection process have positive and significant effects on public trust in village government, with procedural fairness emerging as the most influential variable. Qualitative findings confirm that public acceptance of selection outcomes is more strongly influenced by perceptions of fairness and openness in the process than by the selection results themselves. This study concludes that the implementation of CAT functions not only serves as a technical selection instrument but also as an institutional mechanism that helps transform village social relations from patronage-based practices toward merit-based village governance.

The advancement of information technology has rapidly transformed trading patterns in Indonesia, shifting from conventional transactions to online transactions through marketplace platforms. On one hand, this transformation provides convenience and efficiency for both businesses and consumers. On the other hand, it has also given rise to various legal issues, particularly regarding consumer protection. This article aims to examine how legal protection for consumers is implemented in electronic sales agreements on marketplaces, while also identifying the obstacles encountered during its implementation. The study employs a normative juridical approach, using conceptual analysis and legislative review, supplemented by empirical data obtained from interviews. As described, legal protection for consumers in electronic transactions in Indonesia remains suboptimal. Specifically, these challenges include biased law enforcement, low levels of consumer literacy, and ineffective dispute resolution mechanisms. In practice, marketplaces have incorporated consumer protection features such as escrow systems, refund mechanisms, and complaint centers; however, their implementation still suffers from limited transparency and effectiveness. Furthermore, existing regulations are slow to respond to the dynamics of cross-border transactions and ongoing digital innovations. Therefore, comprehensive regulatory reform, stronger enforcement, and enhanced legal and digital literacy among the public are necessary to ensure effective consumer protection.

Malaria remains a major public health challenge in eastern Indonesia, particularly in the remote highland areas Papua, where access to health services is very limited. In early 2008, a suspected malaria outbreak with several deaths was reported in Agisiga District, a remote highland area in Papua. This study aimed to investigate the epidemiological characteristics, diagnostic results, and mortality patterns of the malaria outbreak as a basis for formulating future control strategies. The outbreak investigation was conducted using a cross-sectional design in Agisiga District from January to March 2008. Capillary blood samples were examined using Rapid Diagnostic Tests (RDTs) and thin blood smear microscopy. Malaria-related deaths were traced through verbal autopsy methods and interviews with families and community leaders. Descriptive analysis was performed to describe the demographic, clinical, and parasitological characteristics the cases. A total of 92 suspected malaria cases were identified, with the highest proportion coming from Tomosiga Village (52.2%), followed by Bigasiga Village (40.2%) and Agisiga Village (7.6%). Women accounted for 58.7% of all cases, and the most affected age group was 15–35 years (34.8%). Microscopic examination confirmed malaria infection in 55.0% of samples examined, with Plasmodium vivax predominating (45.0%), while the RDT positivity rate was much lower. The malaria outbreak in Agisiga District was characterized by high mortality, delayed diagnosis, and significant gaps in diagnostic capacity, particularly in remote villages. Strengthening the surveillance system, increasing diagnostic capacity, and improving access to timely treatment are crucial steps prevent similar outbreaks and reduce malaria mortality in the Papuan highlands.

This study aims to analyze the characteristics of the soil at PIT North with two highwall and lowwall locations at PT Karya Putra Borneo, Kutai Kartanegara Regency, East Kalimantan Province. The research method was carried out by collecting primary data from the results of field tests using the sondir method with the Cone Penetration Test(CPT) tool and laboratory tests using physical properties, specific gravity, grain size, soil consistency, and consolidation tests, as well as secondary data from the results of literature studies. The parameters analyzed for soil characteristics include the sondir cone resistance (qc) value, grain size fraction distribution, soil plasticity index, and the rate of land subsidence through consolidation. The results showed that at PIT North the highwall area had a qc value of 5.6 Mpa, Fr 0.2%, IP 8.06%, Cc 1, a large rate of land subsidence of 3.3 mm with a settlement period of 4 years. In the lowwall area with a qc value of 10.31 Mpa, Fr 0.16%, IP 6.39%, Cc 0.535, the rate of settlement was 4.4 mm with a settlement period of 3 years. From these results, it is concluded that the soil at the highwall and lowwall locations has different compressibility, seeing the different soil Cc values and the soil plasticity index that affect the compressibility level of the soil and the value of the land settlement rate.

Soil strength characteristics are strongly influenced by its physical and mechanical properties, one of which is shear strength. Soil shear strength is affected by cohesion (c), internal friction angle (ϕ), and soil moisture conditions. In open-pit mining conditions, soil moisture content is greatly influenced by rainfall and water seepage, which can increase the degree of saturation within the soil mass. An increase in the degree of saturation generally leads to a rise in pore water pressure, thereby reducing the effective normal stress and resulting in a decrease in soil shear strength. This study aims to determine the effect of the degree of saturation on soil shear strength. This research employs a quantitative method to analyze the influence of the degree of saturation under three conditions (natural, dry, and saturated) on soil shear strength through laboratory testing using the direct shear test. The tests conducted include soil physical properties testing in accordance with SNI 1965-2008, specific gravity testing based on SNI 1964-2008, and soil shear strength testing following SNI 3420-2016. The results indicate that the average degree of saturation under natural conditions is 64.63% with a cohesion value of 7.4 kN/m², under dry conditions is 33.18% with a cohesion value of 8.2 kN/m², and under saturated conditions is 83.08% with a cohesion value of 3 kN/m². It can be concluded that a higher degree of saturation or more saturated soil samples result in lower cohesion values, whereas a lower degree of saturation or drier soil samples lead to higher cohesion values.

The R05 Community Service Program (KKN), Subgroup 1 in Kalikatir Village, Gondang District, Mojokerto Regency, aims to implement hydram pump technology as an environmentally friendly and energy-efficient irrigation solution. This technology is designed to meet the water needs of 100 hectares of banana plantations, especially during the dry season. The implementation method includes initial surveys, design, manufacture, installation, and testing of the hydram pump, involving the participation of Kalikatir villagers. The results show that the pump is capable of lifting water to a height of 30 meters with 70% efficiency, although it has not yet reached the daily target. This technology has been proven to reduce operational costs and increase agricultural productivity. It is hoped that in the future, this technology can be further developed to improve its efficiency and sustainability.

This research aims to analyze the quality of electronic services (E-Service Quality) on user satisfaction of the DANA digital wallet application in the West Jakarta area. The evolution of financial technology (fintech) in Indonesia has encouraged rapid growth in the use of digital wallets, including DANA which is recorded to have more than 200 million users by 2024. However, this rapid growth is still marred by a number of user complaints regarding system reliability, service response speed and transaction security. Therefore, this study is important to evaluate how much e-service quality dimensions influence user satisfaction levels. The research method used is a quantitative approach with an associative type of research. Data was collected through questionnaires from 100 respondents who were active users of the DANA application in the West Jakarta area using a purposive sampling technique. Data analysis was carried out using SPSS software through validity tests, reliability tests, and simple linear regression analysis. The research results show that E-Service Quality has a positive and significant effect on user satisfaction of the DANA application with a coefficient of determination (R Square) of 0.907, which means that 90.7% of the variation in user satisfaction can be explained by the E-Service Quality variable, while the remaining 9.3% is influenced by other factors outside the research model. The results of the significance test (t test) show a significance value (Sig. < 0.05) which indicates that the influence of E-Service Quality on user satisfaction has been proven to be statistically significant. The results of this study are expected to serve as evaluation material for DANA application managers in improving the quality of digital services, particularly in terms of efficiency, system reliability, security, and user responsiveness. Furthermore, this research is expected to provide theoretical contributions to the development of studies in the field of information systems and digital service management.

Landslides in the Giritengah Catchment Area are influenced by several factors, including geological conditions, rainfall intensity, geomorphology, soil characteristics, and inappropriate land use practices, all of which affect regional spatial planning and environmental stability. This study presents a literature review that analyzes landslide vulnerability, evaluates the impact of land use changes, and proposes integrated Soil and Water Conservation Techniques (SWCT) to support sustainable land management. The analysis applies Geographic Information System methods using thematic map overlays such as rainfall distribution, slope gradient, geological structure, and land use patterns. The results show that areas categorized as having high landslide vulnerability cover 44.02% or approximately 158.69 hectares of the catchment area, while areas with very low vulnerability account for only 0.12% or about 0.79 hectares. Land use conversion, particularly mixed dryland agriculture, has increased landslide risk by reducing slope stability and increasing surface runoff. To address this issue, conservation strategies are recommended, including vegetative measures such as greening 38.51 hectares in settlement areas and implementing agroforestry systems across 218.48 hectares. In addition, structural measures such as three dam retainers and twenty gully plugs are proposed in both protected and cultivation zones to support disaster mitigation and align with regional spatial planning policies.

Acid mine drainage (AMD) is characterized by low pH and high concentrations of heavy metals such as iron (Fe) and manganese (Mn) that exceed environmental quality standards, thus requiring effective treatment to prevent environmental pollution. This study aims to evaluate the ability of a mixture of activated carbon derived from pineapple leaves mixed with coal to increase pH and reduce Fe, Mn, and Total Suspended Solids (TSS) levels in acid mine drainage at PT Alreksa Bara Mitra. The process to make activated carbon involved preparation, carbonization, and activation processes on the pineapple leaves and coal separately. The following step is to mix but pineapple leaves and coal the has been activated. The treatment was conducted using an adsorption method with variations in adsorbent mass of 4 g, 8 g, and 12 g and a contact time of 30 minutes. The parameters analyzed included pH, Fe, Mn, and TSS before and after treatment, and the results were compared with the quality standards stipulated in Minister of Environment and Forestry Regulation No. 05/2022. The results showed that the characteristics of the activated carbon mixture met the SNI 06-3730-1995 standard. Increasing the adsorbent mass contributed to the rise in pH from 5.5 to near the acceptable range of 6–9 and significantly reduced Fe, Mn, and TSS concentrations below the permitted limits.The findings indicate that the mixture of pineapple leaf- and coal-based activated carbon is an effective, economical, and environmentally friendly alternative adsorbent for acid mine drainage treatment.

The conversion of agricultural land to non-agricultural land continues to increase along with the pressures of urbanization, industrialization, and settlement expansion. This condition poses risks to food security, environmental sustainability, and farmer welfare. This article reviews literature based on 25 abstracts/research results on LP2B in Indonesia to map policy implementation patterns, the relationship between LP2B and regional spatial planning, inhibiting factors, and the direction of policy strengthening. The method used is a narrative review with thematic synthesis of normative legal studies, juridical-empirical, qualitative, mixed methods, and spatial-quantitative approaches. The results of the review indicate: (1) LP2B is highly dependent on the harmonization of spatial planning policies, especially RTRW/RDTR and licensing mechanisms based on KKPR-OSS; (2) many regions are still stuck at the land inventory-identification stage, not yet reaching the determination and operational protection through LP2B Regional Regulations; (3) dominant obstacles include regulatory asynchronous, weak law enforcement, minimal cross-agency coordination, limited data by name by address, suboptimal socialization, and conflicts of interest in non-agricultural development; (4) incentive-disincentive instruments have not been implemented consistently, although socially farmers tend to accept LP2B protection; and (5) quantitative evidence at the national level shows that LP2B policies have a positive effect on the percentage of rice fields, despite being suppressed by population density and real estate sector growth. This article emphasizes the need for an integrated spatial governance approach, strengthening regional institutions, and designing policies that are socially and environmentally just to ensure that LP2B is effective in maintaining regional food security.

Advances in information technology have driven the transformation of banking services towards digitalization through mobile banking. Bank Central Asia (BCA), one of the largest private banks in Indonesia, offers m-BCA services to facilitate quick, practical, and efficient customer transactions. However, issues such as delayed notifications, system disruptions, and login problems still exist. This study aims to evaluate m-BCA user satisfaction using the PIECES Framework, which consists of six dimensions: Performance, Information, Economy, Control and Security, Efficiency, and Service. A descriptive quantitative approach was used, with a questionnaire distributed to 105 active m-BCA users in South Jakarta. Data were analyzed using mean values to assess satisfaction levels for each dimension, and validity and reliability tests were conducted. The results showed average scores of 4.02 for Performance, 4.08 for Information, 4.08 for Economy, 4.18 for Control and Security, 4.20 for Efficiency, and 4.09 for Service. The overall score of 4.10 falls into the "Satisfied" category. The highest score was for Efficiency, indicating strong support for users’ banking activities, while the Performance dimension scored lower, suggesting room for improvement. Overall, users are satisfied with m-BCA, but system performance improvements are needed for service stability and sustained satisfaction.

This study aims to formulate a Blue Ocean Strategy to enhance business competitiveness through a SWOT analysis approach. The research was conducted using a descriptive qualitative method. Primary data were obtained through interviews with competent parties to identify the internal and external factors of the business, while questionnaires were used as supporting data to capture respondents’ perceptions of the identified factors. The interview results served as the basis for developing the IFAS and EFAS matrices to determine the business position within the SWOT matrix. Furthermore, the SWOT analysis results were used to formulate alternative strategies aimed at creating new value in line with the Blue Ocean Strategy concept. The questionnaire results indicate that respondents’ perceptions tend to support the internal and external factors identified through interviews, thereby strengthening the analytical findings. Based on the results, it can be concluded that formulating a Blue Ocean Strategy through SWOT analysis provides a more innovative and competitive strategic direction. The resulting strategies are expected to help businesses create sustainable competitive advantages and avoid direct competition in saturated markets.

The utilization of Bouke Ami fishing gear in Indonesian waters, particularly in PPN Muara Angke, plays a significant role in managing fishery resources and increasing production. This gear is commonly used by fishermen to catch pelagic fish such as mackerel, tuna, and squid. However, the environmental friendliness of Bouke Ami fishing gear is crucial for sustainable fisheries management. While effective in catching fish, this fishing gear can negatively impact the marine ecosystem, including damage to coral reefs and the capture of juvenile fish, which affects their growth. This research aims to assess the level of environmental friendliness of the Bouke Ami fishing gear used in PPN Muara Angke. Conducted from November 2025 to January 2026, the study employed a descriptive method, using interviews and questionnaires with Bouke Ami fishermen. The findings are expected to contribute to the literature on sustainable fisheries and highlight the importance of using environmentally friendly fishing gear, in line with the Code of Conduct for Responsible Fisheries.

Indonesia is the largest archipelagic country in the world, Belawan Ocean Fishing Port is one of the largest fishing ports in WPP-NRI 571, strategic position because it is located between the waters of the East Coast and the South China Sea. The status of fish resource utilization in Belawan Ocean Fishing Port which has been fully exploited makes a study to analyze the level of fishing gear use in Belawan Ocean Fishing Port. This study aims to determine the level of environmental friendliness of purse seine fishing gear. This study was conducted at Belawan Ocean Fishing Port in November-December 2025. The research method used was a survey method, direct observation and interviews using a questionnaire. The sample used was 30 respondents. The analysis of the level of environmental friendliness of fishing gear was carried out in accordance with the criteria of 9 Code of Conduct for Responsible Fisheries (CCRF). The results of the calculation of the environmental friendliness score were 30.2 out of a total of 908 points for the level of friendliness of purse seine fishing gear at Belawan Ocean Fishing Port, and this fishing method is categorized as a very environmentally friendly fishing gear.

This study explores the impact of interactive games on the English vocabulary mastery of grade XI Animal Nursing students at the Kupang State Agricultural Vocational School. Given the low level of vocabulary mastery in vocational high school students, the study aims to investigate how using Gamestolearnenglish.com, an interactive game-based platform, can enhance vocabulary skills. A quasi-experimental design with pre- and post-treatment assessments was implemented. The results showed a significant improvement in students' vocabulary mastery, with the average score rising from 73.70 to 83.52, an increase of 9.82 points. The Shapiro-Wilk test confirmed the normality of the data, and a paired-sample t-test revealed a significant difference between the pre- and post-assessment (p = 0.000). This suggests that the use of interactive games significantly contributes to the enhancement of students' ability to recognize, understand, spell, and use vocabulary. These findings highlight the effectiveness of game-based learning in improving English vocabulary skills among vocational high school students, particularly in agricultural fields.