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The implementation of Electronic Medical Records (EMR) has become an essential part of digital transformation in the healthcare sector, aiming to improve the quality, effectiveness, efficiency, and continuity of healthcare services. In Indonesia, the implementation of EMR is supported by the Regulation of the Minister of Health Number 24 of 2022, which mandates healthcare facilities to adopt electronic medical records. However, the implementation process is often challenged by various technical and non-technical factors that may affect its success. This study aims to analyze the success factors and barriers to EMR implementation in hospitals through a literature review approach. The research method used was a literature review by examining and analyzing 11 scientific articles obtained from Google Scholar and other relevant scientific sources. The findings indicate that the success of EMR implementation is influenced by three main aspects, namely human, organizational, and technological factors. Supporting factors include management commitment, user readiness, continuous training, availability of information technology infrastructure, system quality, and organizational support. Meanwhile, common barriers include limited digital literacy among healthcare workers, insufficient information technology personnel, unstable internet connectivity, system errors, inadequate facilities and infrastructure, budget limitations, and the absence of specific standard operating procedures. Furthermore, EMR implementation provides significant benefits, such as improving service efficiency, facilitating access to patient information, enhancing documentation quality, supporting communication among healthcare professionals, and increasing patient safety. Therefore, successful EMR implementation requires synergy between human resources, organizational readiness, and technological infrastructure to achieve optimal healthcare service delivery.

Industrial hygiene management plays a critical role in protecting worker health by controlling exposure to hazardous factors in the workplace. However, many work environments still show suboptimal implementation, leading to increased risks of occupational diseases. This study aims to analyze the implementation of industrial hygiene management systems in improving worker health based on a literature review approach. The method used is a literature review by collecting and analyzing scientific articles from national databases published between 2021 and 2026. A total of ten relevant articles were selected through a systematic screening process based on predefined inclusion criteria. The findings indicate that workplace hazards such as physical, chemical, and ergonomic factors are significantly associated with various health problems, including respiratory disorders, musculoskeletal issues, and work-related fatigue. The implementation of industrial hygiene management systems, including hazard identification, risk control measures, use of personal protective equipment, and environmental monitoring, has been shown to reduce health risks among workers. However, the effectiveness of implementation is influenced by factors such as worker compliance, management commitment, and availability of facilities. These results highlight the importance of a comprehensive and systematic approach to industrial hygiene in maintaining worker health and preventing occupational diseases. Therefore, strengthening the implementation of industrial hygiene management systems is essential to create a safe and healthy working environment and to support sustainable occupational health practices.

Construction projects have unique characteristics that differ from other operational activities, as they are time-limited, involve a variety of resources, and require coordination across organizations. Occupational safety and health (K3) is an important element in protecting the workforce as well as the company's assets. This study aims to analyze the implementation of K3 policies in the construction project of PT. X. The research method uses a qualitative approach with case studies, while data analysis is carried out thematically based on the George C. Edwards III policy implementation model, which includes aspects of communication, resources, disposition, and bureaucratic structure. The results of the study show that the implementation of the K3 policy has been running but has not been optimal. The communication aspect has not been carried out regularly and continuously, resources are still limited with task trapping, the disposition of policy implementers is not evenly distributed, marked by low worker compliance, and the bureaucratic structure has not been supported by standardized SOPs and coordination between work units is still weak. This condition creates a gap between the K3 policy and the implementation in the field, so that it has the potential to increase the risk of work accidents and reduce the effectiveness of labor protection. This research emphasizes the need to strengthen communication, increase resources, implement commitment, and improve the bureaucratic structure to support the implementation of more effective K3 policies.

Organizational commitment is essential for maintaining hospital performance, service quality, and healthcare continuity. Preliminary data from Brebes Regional General Hospital shows that 35% of medical doctors face issues with low organizational commitment, which may negatively impact the institution's effectiveness. This study examines how meritocracy strengthens the effects of transformational leadership and work motivation on medical personnel's organizational commitment. A quantitative approach with causal research design was used to analyze the relationships among these variables. The sample included 72 doctors, selected through purposive sampling. Data were collected via structured questionnaires and analyzed using Moderated Regression Analysis (MRA) to assess both direct and moderating effects. The findings show that transformational leadership, work motivation, and meritocracy together significantly influence organizational commitment. Transformational leadership and work motivation each have a positive impact on organizational commitment. Additionally, meritocracy serves as a moderating factor, enhancing the connection between leadership and commitment, as well as work motivation and commitment. These results suggest that meritocratic systems based on competence, performance, and achievement improve leadership effectiveness and motivation, fostering greater commitment among medical staff. The study suggests that hospital management should implement meritocratic principles consistently in leadership and human resource practices, alongside developing transformational leadership and motivation strategies, to maintain high levels of organizational commitment among medical personnel.

This study aims to analyze the role of human resource management (HRM) in improving performance and retention among healthcare professionals in health service facilities. Using a systematic literature review approach based on the PRISMA method, this study reviewed 25 international and national journal articles published between 2015 and 2025. The findings indicate that strategic HRM practices—such as competency-based recruitment, continuous professional development, fair compensation, and transformational leadership—positively influence both performance and retention of healthcare workers. Additionally, factors like organizational culture, work-life balance, and psychological well-being play a mediating role in enhancing job satisfaction and organizational commitment. The results highlight that HRM practices are not merely administrative functions but strategic elements that determine healthcare organizations’ sustainability and competitiveness. The study contributes to the development of theoretical frameworks in strategic HRM and provides practical recommendations for healthcare managers to design more adaptive, fair, and human-centered HR policies.

Informal workers are a group that contributes significantly to the Indonesian economy, but still have a low level of independent participation in the national health insurance program. This low participation is caused by minimal insurance literacy, income instability, and a lack of awareness of the importance of health protection. This activity aims to empower informal workers to have the ability and willingness to become independent participants in health insurance. The method used is a community-based participatory approach through three main stages: education on the benefits of health insurance, microfinance management training for regular premium payments, and assistance with independent registration for participation. The activity results showed a significant increase in participants' knowledge and understanding of the benefits of health insurance. In addition, there was an increase in the number of informal workers registering as independent participants and demonstrating a commitment to sustainable premium payments. This program demonstrates that community empowerment can be an effective strategy to expand Universal Health Coverage (UHC) and improve the welfare of informal workers through sustainable health protection.

Dr. Soedirman Kebumen Regional General Hospital has implemented PACS to replace traditional film, but limitations in IT infrastructure, RME integration, and human resource readiness require an integrated implementation model that combines cloud-hybrid, DICOM/HL7 with SSO, continuous training, and managerial support. To evaluate the implementation of the PACS system in the Radiology Department of Dr. Soedirman General Hospital in Kebumen and to analyze the factors that support and hinder the effectiveness of the PACS system in improving the quality of radiology services. The research used a qualitative approach with an interactive model. Data collection was conducted through in-depth interviews, Focus Group Discussions (FGD), direct observation, and documentation. The data obtained were analyzed using ATLAS.ti software to explain the PACS implementation and its impact on the effectiveness of radiology services. The PACS implementation improved the quality of radiology services by accelerating access to medical images and enhancing workflow efficiency. Some challenges, such as system downtime, integration with other systems, and technical limitations, need to be addressed. Integration of artificial intelligence (AI) and telemedicine technologies needs to be enhanced to achieve optimal radiology services. Factors supporting successful implementation include the adoption of advanced technologies (cloud computing and AI), adequate infrastructure, technical support from the IT team, and strong managerial commitment.  Barriers to success include imperfect system integration, power outages, downtime, storage capacity limitations, and a shortage of trained human resources. Proposed implementation models include improving PACS system infrastructure, developing ongoing training for staff, improving PACS system integration with other hospital systems, and improving interdepartmental communication to streamline workflows and reduce obstacles in the diagnostic process.

The Emergency Department (ED) plays a pivotal role as the frontline of hospital services, requiring rapid and accurate response to ensure patient safety and optimal care outcomes. This study aims to analyze the influence of nurse competence and inter-team coordination on the effectiveness of patient transfers from ED to inpatient units, with nurse work motivation as a mediating variable. A quantitative approach was employed with hypothesis testing using path analysis (Structural Equation Modeling - SEM). The study was conducted at Graha Juanda Hospital, Bekasi, involving a sample of 55 nurses selected through total sampling from both the ED and inpatient departments.Primary data were collected through structured questionnaires, and data analysis was performed using SPSS 26 The results demonstrate that nurse competence and team coordination significantly affect service effectiveness, both directly and indirectly through work motivation. The findings also indicate that low work motivation—linked to factors such as limited professional development opportunities and unbalanced workloads—contributes to delays in transferring patients to inpatient care, with the average Length of Stay (LOS) exceeding six hours.The study concludes that improving nurse competence, strengthening inter-team coordination, and enhancing nurse motivation are critical strategies to improve the quality and timeliness of emergency services. This integrated internal performance approach is vital for reducing LOS in the ED and ensuring seamless, patient-centered care transitions.

Pharmacist professionalism is a key component in ensuring the quality of pharmaceutical services, encompassing not only compliance with technical and scientific standards but also a deep commitment to moral and ethical principles. In the Indonesian cultural context, the concept of "medicine as a trust" (obat sebagai amanah) reflects a profound sense of responsibility, where medicine is viewed not merely as a commodity, but as a mandate that must be preserved with integrity and accountability in health care practices. This article conceptually explores the relationship between pharmacist professionalism and the moral value of trust within the framework of the Nusantara constitutional theory. This theory emphasizes the integration of legal, cultural, and moral dimensions in shaping professional conduct in Indonesia. Using a descriptive-critical approach through literature review, this study investigates how trust functions as both a legal expectation and a cultural imperative in the practice of pharmacy. The findings highlight that trust must be internalized as a core value in pharmaceutical services—manifested through ethical decision-making, transparency in drug management, and a commitment to prioritizing patient welfare. Pharmacists are not only required to uphold professional standards, but also to carry out their duties as custodians of public trust. To realize this vision, the integration of the value of trust into pharmacy education, legal regulations, and clinical practice is essential. Educational institutions, professional organizations, and regulatory bodies must work collaboratively to instill this value as part of a pharmacist’s identity. In doing so, the profession can contribute more effectively to building a health care system that is just, culturally grounded, and centered on the well-being of the people.

The implementation of Hospital Management Information Systems (SIMRS) has become a strategic necessity to improve healthcare service quality and operational efficiency. This study focuses on evaluating the performance of SIMRS in the outpatient registration unit of Nur Hidayah Hospital Bantul, where system disruptions, inconsistent SOP application, and limited user training were identified as core issues. The research aims to assess how well the SIMRS aligns with the Human, Organization, and Technology components through the HOT-Fit model framework. A descriptive qualitative method was employed using purposive sampling to select five informants directly involved in SIMRS operations, including registration officers, IT staff, and the head of the medical records unit. Data were collected through in-depth interviews, direct observation, and documentation, and analyzed thematically based on the HOT-Fit model. The findings show that SIMRS contributes positively to workflow efficiency and data management; however, human factors such as inconsistent training and input errors remain prevalent. Organizational support is visible but lacks structured evaluation routines, and although the technological infrastructure is generally stable, peripheral device and network issues persist. The study synthesizes that effective SIMRS performance requires not only technological readiness but also consistent organizational commitment and continuous human resource development. It concludes that strengthening user competence, formalizing SOP usage, and improving infrastructure are essential to optimize the system's functionality and alignment with the HOT-Fit model.

Background: Incomplete electronic medical record filling by doctors can hinder effective action or treatment by other health workers. This non-compliance problem includes incomplete filling and writing of less specific diagnoses, which can potentially lead to errors in nursing action planning. Purposes: This study aims to test the influence of management commitment and team orientation on compliance in filling electronic medical records with competence as an intervening variable in the inpatient installation of Hermina Hospital, Depok. Methods: This research method is quantitative with a cross-sectional study design. The population is doctors at Hermina Hospital Depok who work in the inpatient installation totaling 133 people. The results of the sample calculation obtained 100 respondents. The data collection technique used a questionnaire, and the analysis method used SEM-PLS. Result: The results of the study showed that management commitment, team orientation, and doctor competence had a simultaneous effect on compliance in filling electronic medical records at Hermina Hospital, Depok. Management commitment and team orientation had a significant effect on doctor competence, which in turn also had a direct effect on compliance in filling out medical records. In addition, doctor competence mediated the relationship between management commitment and team orientation on compliance. Improving doctor competence is the main key to ensuring compliance. Conclusion: The conclusion of this study confirms that to improve compliance in filling electronic medical records at Hermina Hospital, Depok, attention is needed to management commitment and team orientation. Improving doctor competence is the main key in ensuring compliance, with competence functioning as a mediator between management commitment and team orientation towards compliance.

. ISO 45001:2018 is an international standard for occupational health and safety (OHS) management systems designed to help organizations reduce the risk of workplace accidents and improve a safe and healthy work environment. This research uses a literature review method to explore the implementation of ISO 45001 in various industrial sectors, including construction, manufacturing, chemicals, and food processing. The study results show that the implementation of ISO 45001 has a significant positive impact on reducing workplace accidents, increasing productivity, and strengthening the safety culture. However, the implementation process also faces various challenges, such as limited resources, low commitment from top management, and organizational cultural barriers. Therefore, the success of the implementation requires a strategic, participatory, and sustainable approach.

This study aims to systematically examine the influence of transformational leadership and organizational culture on nurses' performance in hospitals. The method used is a Systematic Literature Review (SLR) with a qualitative approach. The findings indicate that transformational leadership has a significant impact on improving nurses’ performance, particularly through enhanced work motivation, job satisfaction, loyalty, and team effectiveness. Transformational leaders inspire nurses by providing a vision, encouraging innovation, and fostering a supportive environment that aligns with their values and goals. As a result, nurses exhibit increased commitment to their work, higher engagement levels, and a proactive attitude toward their tasks, leading to better overall performance. Organizational culture also plays a crucial role, especially values such as collaboration, human orientation, and integrity, which have been shown to support a positive work environment and nurse productivity. A culture that prioritizes teamwork, shared responsibility, and mutual respect enables nurses to work more cohesively and efficiently. Hospitals with a supportive and inclusive culture experience reduced turnover rates and higher job satisfaction, as nurses feel valued and respected within the organization. Additionally, when the culture encourages continuous learning and professional development, nurses are more likely to stay updated on best practices and provide high-quality care to patients. However, differences in findings across studies suggest the need for contextual understanding and consistent internalization of cultural values. Factors such as geographical location, hospital size, and leadership styles may influence the degree of impact that transformational leadership and organizational culture have on nurse performance. Therefore, it is essential to adapt leadership strategies and cultural initiatives to the unique needs and challenges of each healthcare setting.

Employee commitment in an organization is not just carrying out their duties and obligations as employees in accordance with their job descriptions, but doing their best with their thoughts, attention, ideas, and dedication to produce the best for the organization. The problem that occurred at X Hospital Central Jakarta was the decreasing employee commitment related to the lack of employee intensity to stay working for a long time at X Hospital Central Jakarta and there were still employees who left the work hours room with a percentage of 27%, thus reducing the overall performance of the hospital and the lack of supporting work facilities. The purpose of this study was to analyze the influence of democratic leadership style and organizational culture simultaneously on employee commitment mediated by the work environment. This research method is quantitative causality against 64 non-medical employees who have worked for at least 6 months at X Hospital Central Jakarta. The sampling method was total sampling. The data analysis method used was the Three Box Method and the Path Analysis Method with SEM AMOS. The results of the study found that democratic leadership style and organizational culture simultaneously have a positive effect on employee commitment with the mediation of the work environment, democratic leadership style does not affect employee commitment, democratic leadership style does not affect the work environment, organizational culture does not affect employee commitment, organizational culture has a positive effect on the work environment, the work environment has a positive effect on employee commitment. The implications of the study in theory will prove the influence of research variables and in managerial terms will further improve the system of facilities for work facilities and improve communication between leaders and employees in hospitals. Suggestions for the need for attention from the hospital management to improve work facilities and improve communication between leaders and employees.

Ntroduction: Nurses' organizational commitment is their wholehearted dedication to the mission, vision, and values of their employer or health care facility. The degree to which nurses value their work environment is a measure of their quality of work life. The methodology of this study was a cross-sectional research design based on total sampling and descriptive correlational analysis. Result: The results of analysis using software show that there is a significant relationship between the quality of nurses' work life and organizational commitment. Conclusion: Nurses' work life quality and organizational commitment are significantly related, with a p value of 0.001 (where p value <α = 0.05) and a correlation coefficient of 0.342, indicating a relationship between the two. The strength of the relationship between work life and organizational commitment is lower, tending towards a positive or equal relationship.

Performance is the result of work in terms of quality and quantity achieved by an employee in carrying out his duties in accordance with the responsibilities given to him. This study aims to identify the Relationship Between Organizational Commitment and Workload with Nurse Performance at Kembangan Hospital in 2024. The research method used is correlation analysis with a cross-sectional design approach. The sample of this study consisted of 88 nurses working at Kembangan Hospital, the technique used was total sampling. Data were collected through a questionnaire that measured the level of organizational commitment, workload, and nurse performance. The results showed that organizational commitment had a positive and significant effect on nurse performance (p <0.05). This means that the higher the organizational commitment of the nurse, the better the performance shown. Conversely, workload has a negative and significant effect on nurse performance (p <0.05). This shows that high workload tends to reduce nurse performance. Conclusion: The results of the study show a Relationship Between Organizational Commitment and Workload with Nurse Performance at Kembangan Hospital in 2024.

The quality of service at UPT Puskesmas Sibolangit is still not good. The quality of service at UPT Puskesmas Sibolangit is still not good which is related to the management of the health center which has not been able to carry out its functions properly including: planning, implementation and performance assessment. This study aims to determine the effect of planning, implementation and assessment of health center management work on service quality at UPT Puskesmas Sibolangit. This type of research is an analytical survey study with a cross-sectional design. The population of the study was all employees at the Sibolangit Health Center UPT as many as 52 people and using total sampling. The data collected were primary data and secondary data, primary data were obtained using a questionnaire. The data were analyzed using Multiple Logistic Regression statistical tests with a confidence level of 95%. The results showed that the majority of planning was less than good as many as 28 people (53.8%), the majority of implementation was less than good as many as 28 people (53.8%), the majority of assessment was less than good as many as 29 people (55.8%) and the majority of service quality was less than good as many as 29 people (55.8%). The conclusion of this study is that planning obtained p-value = 0.037 <α=0.05, implementation obtained p-value = 0.037 <α=0.05 and assessment obtained p-value = 0.022 <α=0.05 means that there is an influence of planning, implementation and assessment on the quality of service at the Sibolangit Health Center UPT and the most dominant health center management influencing the quality of service at the Sibolangit Health Center is the assessment variable that has an influence with a strength of influence of 29,153 times. It is recommended to the Head of the Health Center to increase the joint commitment of the leadership and employees and the Head of the Health Center to improve coordination, communication and cooperation by involving all program managers in the management process and for the Health Office to further improve technical guidance to the Health Center on health center management.

Organizational commitment throughout the world, especially in Indonesia, is still very low. Similarly, in RS Medika Lestari itself, it can be seen that the commitment of each is not optimal with high nurse turnover and the tenure of nurses, most of whom are less than 1 year. For this reason, this study will examine the factors that are thought to affect organizational commitment, especially in RS Medika Lestari.This study will use factors such as Career Development, Remuneration, and Work Motivation. This research is an explanatory research using a quantitative approach. This study uses a research instrument in the form of a questionnaire distributed to 80 respondents who are nurses at RS Medika Lestari. The results obtained from this study are career development and remuneration partially have a significant influence on organizational commitment and work motivation. Work motivation can mediate the influence between career development on organizational commitment, work motivation also can mediate the influence between remuneration on organizational commitmen.

This research explores the time management challenges of part-time students in meeting academic achievements. This research uses a qualitative method with an in-depth interview approach. The population in this study were students who were working or had previously worked. The results of this research identify the factors that motivate students to work part-time, including financial need, career path, study alignment, accessibility, and desire to gain experience. Although there are students who prioritize academics above their work, others view both responsibilities as equally important. These findings highlight the challenges part-time students face in managing work schedules, academic commitments, and personal well-being.    

This research was conducted with the aim of analyzing the relationship between the implementation of employee engagement, quality of work life and organizational commitment to nurses at Unand Hospital in 2023. This research was carried out at Unand Hospital throughout 2024 using a mix methods research method . This method was used. This was carried out with the aim of knowing the frequency distribution of the relationship between employee engagement, quality of work life and organizational commitment to the turnover intention of nurses at Unand Hospital and being able to explain this further through informant interviews. The research results then showed that there was a negative relationship between the employee engagement of nurses at Unand Hospital, the lower the level of turnover intention of nurses at Unand Hospital, the quality of work-life of nurses had a negative and significant effect on the turnover intention of nurses at Unand Hospital and organizational commitment had a negative and significant effect on the turnover intention of nurses at Unand Hospital. significant impact on the turnover intention of nurses at Unand Hospital. So this shows that if the implementation of employee engagement , quality of work life and organizational commitment is increasingly improved, the level of turnover intention that occurs will decrease. This was also expressed by nurses who stated their low level of turnover intention. while working at Unand Hospital due to the comfort of work, harmony with co-workers and greater career and study opportunities at Unand Hospital. So it is hoped that Unand Hospital will maintain the quality and quantity of its human resources by increasing employee engagement, quality of work life and organizational commitment so that it has an impact on the quality of service delivery to the public.