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Hospital Information Systems (HIS), or Sistem Informasi Rumah Sakit (SIRS), play a critical role in enhancing administrative efficiency, decision support, and healthcare service quality. However, their implementation and effectiveness vary significantly across healthcare settings, particularly in low- and middle-income countries (LMICs). This study aims to systematically evaluate the existing literature on HIS effectiveness, implementation barriers, and administrative impact. Using a PRISMA-based Systematic Literature Review (SLR) approach, we examined 14 high-quality studies from multiple scholarly databases including PubMed, Scopus, ScienceDirect, and Garuda. The review applied a hybrid thematic synthesis grounded in HOT-FIT and DeLone & McLean models, combined with a normalized quality scoring system. The findings reveal that HIS implementations positively influence administrative workflow, billing accuracy, and patient throughput, though outcomes are context-dependent. Key challenges include lack of interoperability, resistance to change, and insufficient training. Notably, regulatory mandates and national digital health policies were found to significantly enhance HIS adoption and sustainability. This review contributes a multidimensional synthesis of HIS performance, highlighting the importance of human, organizational, and policy alignment. It offers an evidence-backed framework for HIS evaluation that bridges theory and practice. We conclude that integrated, context-sensitive HIS models are essential for advancing hospital management and public health systems, and recommend further empirical studies on long-term impact and cross-sector integration.

Applying ergonomic principles in work tool design for manufacturing industries is a crucial factor in improving productivity while maintaining worker health. This research aims to analyze the effectiveness of adaptive work tool design models based on cognitive and physiological ergonomic principles, identify interaction patterns between workstation design and operational performance, and develop a conceptual framework for integrating ergonomic principles into production cycles. The research method adopts a cognitive-physiological approach with qualitative analysis of human-machine interactions, biomechanical simulations using digital human modeling, and muscle load measurements through electromyography. Implementation was conducted using a participatory ergonomics approach and IMU sensor-based real-time monitoring systems. Results show that using materials with controlled deformation capabilities (15-20%) in work tools reduces muscle work by up to 27%, while adaptive automation system integration improves assembly accuracy by 18%. Workstations with ergonomic adjustments increase assembly speed by an average of 12%, and low-cost ergonomic interventions effectively improve productivity by 11-15% in resource-limited environments. Longitudinal analysis reveals that evidence-based ergonomic investments yield a 230% ROI through increased productivity, reduced injury compensation costs, and decreased employee turnover. IMU-based posture monitoring systems integrated with adaptive feedback loops reduced musculoskeletal disorder incidents by up to 41%. In conclusion, ergonomic optimization based on cognitive-physiological principles creates synergy between production efficiency and worker well-being, making it an essential component in achieving sustainable productivity.

Urban workers are increasingly vulnerable to heat stress due to rising global temperatures, especially in cities affected by the Urban Heat Island (UHI) effect. This heat stress poses significant risks to worker health and productivity, exacerbating health issues such as dehydration, heat exhaustion, and heat stroke, while also reducing work efficiency. The study aims to assess the effectiveness of green rooftop designs as a mitigation strategy for heat stress in urban workplace environments. Green rooftops are increasingly seen as a sustainable solution for urban heat management, offering benefits in temperature regulation, energy efficiency, and overall worker well-being. This study examines various heat stress mitigation strategies, including green roofs, industrial fans, and shading systems, focusing on their comparative effectiveness in reducing temperatures and improving worker comfort. The research involved environmental temperature measurements inside and outside urban workplaces, the use of wearable heat sensors to monitor workers’ heat stress levels, and building energy simulations to predict the impact of green rooftops on indoor climate control. Results indicate that green rooftops reduced workplace temperatures by an average of 3.8°C and decreased heat-stress-related complaints by 35%. In comparison to industrial fans and shading systems, green rooftops provided superior long-term relief, reducing heat stress and improving both worker productivity and environmental quality. The findings support the integration of green rooftops into urban workplace designs as a viable climate adaptation strategy. Future research should explore optimizing green rooftop designs for different climates and assessing their long-term benefits for worker health and urban resilience.

Cloud-based resource allocation and VM/container orchestration play a crucial role in ensuring performance, scalability, and energy efficiency in modern distributed computing environments. This study investigates the effectiveness of centralized and decentralized scheduling models combined with heuristic and optimization-based allocation strategies in container-based cloud infrastructures. A quantitative experimental approach was employed to evaluate system performance under varying workload intensities. Key evaluation metrics included response time, throughput, resource utilization, SLA violation rate, and energy consumption. The experimental results indicate that centralized scheduling mechanisms experience scalability limitations and increased latency under high workload conditions. Although optimization-based allocation improves performance within centralized architectures, coordination bottlenecks remain significant. In contrast, decentralized scheduling models demonstrate superior adaptability, reduced response time, and improved throughput due to distributed decision-making and reduced control overhead. The integration of intelligent optimization techniques further enhances resource utilization and energy efficiency, achieving the lowest SLA violation rates and highest system stability. Overall, the findings confirm that combining decentralized scheduling with optimization-driven resource allocation provides a more scalable and sustainable orchestration strategy for modern cloud environments. This approach is particularly suitable for dynamic, large-scale, and latency-sensitive applications in container-based and edge-integrated cloud systems.

This study analyzes the transformation of economic education towards educational investment as a means of strengthening human resources (HR) through a bibliometric approach. By utilizing Scopus basic data and the VOSviewer analysis tool, the study examines the trends in publications over the past ten years, focusing on key areas such as educational economics, educational investment, and HR development. The findings highlight that innovations in educational economics, including the integration of digital technology, project-based learning, and collaborations between educational institutions, government, and industry, are crucial in enhancing the effectiveness of educational investments. Additionally, the study reveals that the proper allocation of educational funds for infrastructure development, improving teaching quality, and implementing skills-based training programs significantly contributes to increasing workforce competitiveness and promoting sustainable economic growth. The research emphasizes that educational investment strategies must be aligned with the needs of industry and global challenges to foster adaptive and innovative human resources. Moreover, it stresses the importance of designing educational policies that are comprehensive, addressing the aspirations of individuals and the relevance of education to the labor market. Ultimately, the study offers valuable academic insights and practical recommendations for policymakers, educational institutions, and other stakeholders. It also provides guidance for developing effective strategies that optimize educational investment and support the cultivation of superior HR capable of driving future economic progress.

Job insecurity is a major concern among employees in various organizations, including public health centers in Banjarmasin City, Indonesia. A systematic literature review was conducted to investigate the influence of job insecurity on turnover intention among community health center employees in Banjarmasin. The results of the analysis carried out on 14 articles showed that job insecurity had a positive effect on turnover intention. Job insecurity can lead to stress, anxiety, and dissatisfaction, which can negatively impact an employee's commitment to their organization and increase their intention to leave. All studies used quantitative research methods with survey techniques for data collection. Strategies to enhance job security perceptions, such as improving communication transparency, offering career development opportunities, and implementing fair and consistent human resource practices, may help mitigate turnover intentions. The findings of the studies highlight the importance of addressing job insecurity to reduce turnover intention and improve employee retention in primary health care in Banjarmasin. Investing in initiatives that cultivate a sense of job security and stability among health workers can contribute to the long-term sustainability and effectiveness of primary healthcare service delivery in the region.

This qualitative study examines the effectiveness of logistics education within Indonesian transportation institutes' multimodal transportation programmes. Fifty cadets were analysed, revealing a positive perception of logistics education's importance and its significant impact on student competency and operational efficiency. Themes emerged highlighting cadets' strong understanding and application of logistical principles, leading to tangible improvements in transportation costs, service quality, and work processes. The findings underscore the critical role of logistics education in preparing students for careers in the transportation sector and improving the efficiency and sustainability of transportation systems. Recommendations include curriculum enhancement, professional development for educators, industry engagement, and the integration of technology. By implementing these recommendations, educational institutions can better align their programmes with industry needs and ensure graduates are equipped to address the sector's challenges. This research contributes to the discourse on transportation education, emphasising the importance of logistics education in shaping the future of multimodal transportation in Indonesia and beyond.

This study aims to analyze the effectiveness and influential factors in the application of technology-based attendance in supporting the work discipline of Civil Servants in Riau Islands. The research method used is descriptive research with a qualitative approach. The results showed that the application of technology-based attendance application innovation has significant effectiveness in improving the work discipline of Civil Servants. With the technology-based attendance application, the attendance process becomes more efficient and accurate. Employees can perform attendance quickly and easily through electronic devices such as smartphones or computers, without the need to use manual attendance that is prone to manipulation. In addition, factors that influence the effectiveness of technology-based attendance application implementation include management support, employee training, and employee awareness of the importance of work discipline. Strong management support in implementing and supervising the use of technology-based attendance applications is an important factor in successful implementation. Employee training in the use of the application is also key to ensuring proper and effective use. In addition, employee awareness of the importance of work discipline also plays a role in the successful implementation of this innovation.  This research makes an important contribution to understanding the effectiveness of technology-based attendance application innovations in improving the work discipline of civil servants. The implication of this research is the importance of developing and implementing technological innovation in improving work efficiency and effectiveness in the public sector.

In achieving good education knowledge is strongly influenced by the performance of teachers in carrying out their duties so that teacher performance becomes an important demand to achieve the success of educators. The purpose of this study was to determine the efforts in improving the teaching performance of teachers at SMAN 4 Medan. This type of research is descriptive qualitative research with literature study research method. The results of this study explain that the factors that support the performance of teachers of SMAN 4 Medan such as, the effectiveness and efficiency of the performance of teachers of SMAN 4 Medan is less supportive of the learning system applied, Orientation and Responsibility of teachers of SMAN 4 Medan giving assignments/activities to their students is considered less on target, discipline in punctuality and work discipline, the initiative of teachers of SMAN 4 Medan in carrying out their duties is considered less good enough but teachers as much as possible carry out their goals as a teacher by always thinking positively and trying to attract students' interest in learning. Efforts to improve teacher performance can be done by coaching, supervising teacher work, providing motivation, and evaluating teacher performance.

The purpose of this study was to analyze the simultaneous effect of Job Design and Work Effectiveness on Employee Performance in Medical Record Staff at Bhakti Dharma Husada Hospital, Surabaya. This research approach uses a quantitative approach. The collection of research data was carried out using a questionnaire instrument. The formula used in this normality test is the Kolmogorov-Smirnov formula. The results of the Simultaneous Test (F Test) that have been carried out can be seen that simultaneously it has a positive and significant effect. Based on the data obtained and the results of statistical data tests that have been carried out, it can be concluded: Job Design and work effectiveness simultaneously have a significant effect on employee performance at Bhakti Dharma Husada Hospital.

This research aims to examine internal conflict management in organizations through narrative analysis of crisis communication. Qualitative methods were used to understand the causes of conflict, crisis management strategies, leadership roles, the impact of conflict, communication techniques used, and policies and procedures implemented in the organization. Data were collected through in-depth interviews, participatory observation, and document analysis. The results revealed that internal conflicts are often caused by differences in interests, lack of effective communication, and organizational change. Effective crisis management strategies involve open communication, mediation, and a proactive approach. Responsive and thoughtful leadership plays a key role in conflict resolution. Poorly managed conflict negatively impacts productivity, employee morale, and team collaboration, and damages the organization's image. Communication techniques such as collaborative approaches and assertive communication are essential in managing crises.  The practical implications of these findings are the need for the development of clear conflict resolution policies, conflict management training, promotion of open communication, and periodic evaluation of policy effectiveness. With a comprehensive approach, organizations can improve work dynamics and strengthen teamwork.

This research is motivated by several problems, including the low effectiveness of employee work at the University of Struggle Tasikmalaya, this is thought to be caused by the suboptimal implementation of SOPs carried out by the university so that employee work results are not in accordance with the provisions set. In addition, the quality of work life is less supportive so that there are still employees who have not been able to complete a job according to the time that has been set. The purpose of this study is to determine the effect of standard operating procedures and quality of work life on work effectiveness at the University of Struggle, Tasikmalaya City. This study used a descriptive method with a quantitative approach. The respondents in this study were 132 employees at the University of Struggle Tasikmalaya, so the author took samples using the simple random sampling technique so that the number of samples in this study was 57 people. Analysis was carried out on data collected from observations, interviews, and questionnaires. The data analysis stage began with validity tests, reliability, transformation of ordinal values ​​to intervals, and data analysis in a verifiable/quantitative manner. The results of the study indicate that: 1) Standard operating procedures have an effect on work effectiveness at the University of Struggle Tasikmalaya. This means that the better the implementation of standard operating procedures for all employees in the University of Struggle environment, the more effective the employees' work will be. 2) Quality of work life has an effect on work effectiveness at the University of Struggle Tasikmalaya. This means that the better the quality of work life at the University of Struggle, the more effective the work will be. 3) Standard operating procedures and quality of work life on work effectiveness at the University of Struggle, Tasikmalaya City. This means that the better the implementation of standard operating procedures and the better the quality of work life at the University of Struggle, the more effective the work will be.

The problems faced in this study include (1) How is the management information system in the Banjarsari District Office, Ciamis Regency. (2) How is the effectiveness of employee work at the Banjarsari District Office, Ciamis Regency. (3) How does the management information system affect the effectiveness of employee work at the Banjarsari District Office, Ciamis Regency This study aims to study, find out, and analyze (1) The management information system in the Banjarsari District Office, Ciamis Regency. (2) The effectiveness of employee work at the Banjarsari District Office, Ciamis Regency. (3) The effect of the management information system on the effectiveness of employee work at the Banjarsari District Office, Ciamis Regency The method used in this study is an explanatory survey, while the technical data analysis, namely validity test, reliability test, descriptive statistics, Inductive Statistical Analysis (Inferential) with Simple Linear Regression. The results of the study inform that (1) The information management system in the Banjarsari District Office, Ciamis Regency is very high. The highest value on the system quality indicator and the lowest value on the usage indicator. (2) The effectiveness of employee work at the Banjarsari District Office, Ciamis Regency is very high. The highest value on the time measurement indicator and the lowest value on the result measurement indicator. (3) The information management system has a positive effect on the effectiveness of employee work at the Banjarsari District Office, Ciamis Regency. This means that if the information management system is improved, the effectiveness of employee work at the Banjarsari District Office, Ciamis Regency will also increase.

Background: Destruction is a process of physical destruction of medical record archives that have ended their function and use value. The knowledge of medical record officers greatly influences the ongoing process of shrinking and destroying medical record files. The main problem is the problem of inpatient medical records that are too many, resulting in storage of medical records not on available shelves, which are finally stored in cardboard boxes.Methods: Data collection techniques used are observation, interviews, and questionnaires. The sampling technique used a total saturation sampling technique of 12 PMIK. Research Results: The results of the Chi square test showed that there was a significant relationship between PMIK's knowledge regarding the eradication of Inactive RMs and the effectiveness of inpatient services, with a p-value of 0.003. A p-value of less than 0.05 indicates a significant relationship between PMIK's knowledge regarding the eradication of Inactive RMs and the effectiveness of inpatient services.Conclusion: Extermination is still unscheduled and has not been carried out because there are obstacles, namely medical record officers often work with double jobs where there is no division of tasks so that the extermination has not been carried out.      

This study aims to examine the implementation of performance evaluation system for teachers in Madrasah Ibtidaiyah (MI) Al-Hayah. Teacher performance evaluation is important in improving the quality of education and the effectiveness of learning in madrasah. This study used qualitative research methods with a case study approach. The research participants included 20 teachers of MI Al-Hayah, by collecting data through in-depth interviews, classroom observations, and document analysis related to performance evaluation. The results show that the implementation of the performance evaluation system at MI Al-Hayah still faces several challenges, such as a lack of understanding of the purpose of the evaluation, lack of management support, and limited resources. The results show that the implementation of an effective performance evaluation system provides significant benefits for teachers and administrative personnel at MI Al-Qur'an Al-Hayah. This performance evaluation system provides a clear picture of the quality of individual performance, identifies strengths and weaknesses, and provides constructive feedback for professional development. In addition, the system also contributes to increased motivation and work accountability.

This research aims to investigate the relationship between leadership style, level of work discipline, motivation and employee performance at the Economic Bureau of the Governor's Office of West Sumatra Province, with motivation as an intervening variable. The research method used is a qualitative approach to gain a deeper understanding of organizational dynamics. Data was collected through interviews and observations of employees and leaders at the Economic Bureau. The research results show that effective leadership styles, such as transformative and participative leadership, have a positive influence on employee motivation and performance. On the other hand, a high level of work discipline also has a positive impact on employee motivation and performance through creating a structured and supportive work environment. Employee motivation, as a mediator, plays an important role in linking leadership style, work discipline, and employee performance. This research provides valuable insight into the factors that influence employee performance in the Economic Bureau and their effectiveness on the effectiveness of economic management at the provincial level.

Background: The pregnancy period is a period of adaptation felt by pregnant women because they experience physical and psychological changes. All needs during pregnancy must be met, one of which is sleep. Sleep is one of the basic human needs that is needed and must be fulfilled by every human being, especially pregnant women, to maintain health before giving birth. In the third trimester of pregnancy, pregnant women will experience difficulty sleeping, resulting in reduced sleep quality. Research Objective: To determine the effectiveness of giving lavender aromatherapy on sleep quality in third trimester pregnant women. Research Method: This research uses a quasi experimental design method. The approach taken in this research used a two group pre test and post test design technique, namely research carried out to assess two groups as a whole. Results: the results of statistical tests using the Paired Samples Test, the P value produced by the inhalation intervention group was 0.000 < 0.05, and the results of statistical tests using the Paired Samples Test, the P value produced by the massage intervention group was 0.000 < 0.05. Conclusion: it can be concluded that there is an influence of giving lavender aromatherapy using the inhalation method on sleep quality and there is an influence of giving lavender aromatherapy using the massage method on the sleep quality of pregnant women in the third trimester in the UPTD Working Area of ??the Cibolang Kidul Community Health Center. Suggestion: It is recommended for people or pregnant women who have difficulty sleeping, to implement lavender aromatherapy to overcome difficulty sleeping.

This research is aqualitative research that aims to describe the Quality of Service Delivery of Cancer Health Training Pusdiklat Ministry of Health of the Republic of Indonesia and describes and analyzes the inhibiting and supporting factors for instructors in serving training participants at the Pusdiklat Health. Health services are activities or a series of activities to fulfill the service needs determined by law for each instructor, trainee and/or administrative services provided by the service provider. study uses the theory of quality of health services according to Kotler in Fendy Tjibtono (2016: 284), namely Assurance (guarantee) Emphty (empathy) Reliability (reliability) Responsiveness (responsiveness) Tangible (physical appearance), Quantity timeliness, effectiveness, independence and commitment work, analysis of research data is descriptive. Perfect research results. In terms of realism indicators, it has not worked perfectly, such as the skills of officers in using supporting facilities in the service process. On the responsive indicator, all officers who carry out health training services are classified as responsive to training participants. Assurance indicators in health training centers are very much determined by the performance of health services. Tangible indicators in the form of the appearance of the apparatus when carrying out services, comfort right when the service takes place. The Empathy Indicator puts the interests of training participants first, serves in a friendly, courteous and courteous manner, officers do not discriminate and are able to respect training participants.

The Department of Population and Civil Registration is an agency engaged in the field of public services. Nowadays, many people are aware of the importance of civil registration of Indonesian citizens. Currently there are still many people who feel dissatisfied with the performance provided by employees to the community. This is due to problematic employee performance, such as employee attitudes that are less than friendly, employee performance that does not satisfy the public, and employees not completing their work on time. The aim of this research at the Tangerang City Population and Registration Service is to determine and analyze the performance of employees at the Tangerang City Population and Civil Registration Service. The method used in this research is a descriptive method with a qualitative approach. The results of this study indicate that the performance of employees at the Department of Population and Civil Registration is not optimal. In terms of quality indicators, employee performance still needs to be improved due to the mismatch between job placement and their abilities and skills. On the quantity of work indicator, it can be said that it is quite good because the work plan every year can be carried out properly. In terms of punctuality indicators, it still cannot be said to be optimal, because there are still employees being late in coming to work and employees not being on time in completing work. On the effectiveness indicator, it is quite good, because the facilities and systems in the office are adequate. The independence indicator is quite good, because there has been progress in the employee's initiative in carrying out their duties. In terms of work commitment indicators, the research results show that the responsibilities of employees are good, but there is still a lack of employee discipline when coming to work.    

The research purposes to determine effectiveness of the Manpower Expansion and Placement Program towards reducing the unemployment rate in the Riau Islands. This research is qualitative research with a descriptive approach. Data collection techniques are carried out by literature and documentation studies which are collecting data from records, administration, documents, books, and scientific works. Data analysis techniques were by reducing data, presenting data, and drawing conclusions. The results of the study are seen from the achievement of effectiveness indicators, namely a good understanding of the program because there is community participation and collaboration with various parties, target accuracy are running well because there is absorption of job vacancies, the timeliness of the program for a year, the achievement of goals by decreasing the unemployment rate even though it is not too much, and real changes in the impact of job training so that people have jobs and are placed according to their experience.