Journal of Nursing Education and Practice

Analisis Gaya Kepemimpinan Yang Efektif Terhadap Kinerja Karyawan Generasi Z (Gen Z) Di Rumah Sakit Umum Aulia Berdasarkan Key Performance Indicator (KPI) Tahun 2023–2024

Alfira Pangestika, Tri Budi Wahyuni Rahardjo, Haidar Istiqlal, Bachtiar Fanani — Tue, 29 Jul 2025 00:00:00 +0000

Introduction: Leadership styles appropriate for Generation Z employees require distinct approaches compared to those used with previous generations. As individuals who actively drive organizational and corporate development, Gen-Z employees currently within their most productive age range necessitate adaptive and effective leadership strategies.

Objectives: This study aims to analyze the influence of effective leadership styles on the performance of Gen-Z employees at RSU Aulia, measured through the Key Performance Index (KPI) for the years 2023–2024.

Method: A quantitative method with an associative approach was employed, using a cross-sectional design. A total of 150 Gen-Z employees (born between 1995 and 2010) participated in the study by completing a structured questionnaire.

Result: The findings indicate that transformational and situational leadership styles yield the most positive impact on the KPI performance of Gen-Z employees. Conversely, autocratic and participative leadership styles were found to be relatively less effective within this demographic. Hypothesis testing revealed that the calculated F-value (2.683) exceeded the F-table value (0.874), indicating a statistically significant influence of leadership style (Variable X) on employee performance. The coefficient of determination (R²) was 0.085, suggesting that leadership styles accounted for 8.5% of the variance in employee performance, with the remaining 91.5% influenced by other factors.

Conclution: The study concludes that transformational and situational leadership styles should be prioritized by RSU Aulia’s management to enhance Gen-Z employee performance. Furthermore, integrating coaching leadership approaches is recommended to support the fast-paced responsiveness and adaptability characteristic of Gen-Z employees.

Gambaran Tingkat Pengetahuan Ibu Balita tentang Stunting di Posyandu Camelia Kecamatan Rawalumbu Kota Bekasi

Ananda Prastuti Sutrisno, Ratna Komala, Rahmi Fitri Kentiasti, Shanti Hekmawati — Mon, 28 Jul 2025 00:00:00 +0000

Introduction: Stunting is a chronic nutritional problem that impairs children's physical and cognitive development. A mother's knowledge is a crucial factor in preventing stunting, as it influences her behavior and decisions regarding child nutrition and care.

Objectives: This study aimed to describe the level of knowledge about stunting among mothers of toddlers at the Posyandu Camelia, Rawalumbu District, Bekasi City.

Method: This quantitative descriptive study used a cross-sectional approach. A sample of 27 mothers was selected using consecutive sampling during February 2025. Data were collected using a questionnaire and analyzed using univariate analysis. Knowledge was categorized as good (76-100%), sufficient (56-75%), and poor (<56%).

Result: The majority of respondents were aged 20–30 years (55.56%), had a bachelor's degree (59.26%), and were unemployed (70.37%). The study found that most mothers (55.56%) had a poor level of knowledge about stunting, while 25.93% had a sufficient level, and only 18.52% had a good level.

Conclution: A significant portion of mothers at Posyandu Camelia have a poor level of knowledge regarding stunting, despite a high level of formal education. This highlights a gap between formal education and practical health literacy, emphasizing the need for more intensive and targeted health promotion programs.

Keywords: knowledge, mother, stunting

Analisis Kinerja Sistem Antrian di Loket Administrasi BPJS Kesehatan

Dewi Puspa; Rahma Yeni — Mon, 28 Jul 2025 00:00:00 +0000

Introduction: The performance of the queuing system is often associated with the quality of service received by users. Although online services are available, there is still a problem of queue buildup in providing insurance administration services for the JKN-KIS program at BPJS Kesehatan Cibinong Branch, Bogor Regency.

Objectives: The purpose of this study was to analyze the performance of the queuing system at the administrative counter of the BPJS Kesehatan Cibinong Branch Office.

Method: This research uses a qualitative approach with a case study, which focuses on the performance of the queuing system at the administrative counter of the BPJS Kesehatan Cibinong Office. Data obtained from observations, calculations, and processing using the Multi Channel Single Phase (M/M/3) queue model: (FIFO/∞/∞).

Result: The study revealed that the highest queue buildup occurred between 09:01 and 10:00, with 157 participants, an average of 24.2 people in line, and 27.09 people waiting in the system. In contrast, the lowest queue was observed between 13:01 and 14:00, with 64 participants and almost no waiting time. The longest average waiting time in the queue was 0.93 minutes, and the shortest was 0.01 minutes, while the total time in the system ranged from 1.04 minutes at peak hours to 0.12 minutes at off-peak hours.

Conclusion: This finding is expected to serve as a basis for improving the efficiency and quality of service in the queuing system at BPJS Kesehatan Cibinong Branch.

Pengaruh Kombinasi Kompres Dingin dan Teknik Distraksi Audiovisual Terhadap Tingkat Nyeri Saat Pemasangan Infus Pada Anak Usia Sekolah

Anita Putri, Nur Eni Lestari, Hari Ghanesia — Mon, 28 Jul 2025 00:00:00 +0000

Introduction: Pain during invasive procedures such as IV insertion in school-age children can lead to trauma and non-cooperative behavior. Non-pharmacological interventions like cold compresses and audiovisual distraction are recommended to reduce pain perception.

Objective: To determine the effect of the combination of cold compress and audiovisual distraction on pain levels during IV insertion in school-age children.

Methods: This research used a pre-experimental post-test only control group design with a total of 30 respondents divided into intervention and control groups. The sampling technique used was purposive sampling. The research instrument used to measure pain level was the Wong-Baker FACES Pain Rating Scale. Data were analyzed using the Mann–Whitney U test.

Results: The intervention group experienced significantly lower pain scores compared to the control group with a p-value = 0.018 (p < 0.05), indicating a statistically significant difference.

Conclusion: The combination of cold compress and audiovisual distraction is effective in reducing pain during IV insertion in children. The combination of cold compress and audiovisual distraction can be applied by nurses as a non-pharmacological intervention to reduce pain during invasive procedures in children. Furthermore, this intervention can be established as a Standard Operating Procedure (SOP) for pain management during IV insertion in pediatric care settings.

Peningkatan Kepatuhan Kebersihan Tangan Menggunakan Metode Plan-Do-Study-Act: Proyek Peningkatan Kualitas untuk Meningkatkan Kepatuhan Kebersihan Tangan

Verawaty Sitohang, Angela Yosica, Helen Kristin Tarigan — Tue, 29 Jul 2025 00:00:00 +0000

Introduction: Healthcare Associated Infections (HAI) menyebabkan peningkatan lama rawat, kecacatan, resistansi antimikroba, beban biaya kesehatan, dan mortalitas. Salah satu intervensi paling efektif adalah kebersihan tangan, namun kepatuhannya masih rendah dan belum mencapai standar WHO maupun Indikator Nasional Mutu (≥85%).

Tujuan: Penelitian Quality Improvement (QI) ini bertujuan meningkatkan kepatuhan kebersihan tangan tenaga kesehatan di Mayapada Hospital Tangerang dengan target ≥85% dalam 12 bulan.

Method: Studi QI prospektif kuasi-eksperimental (pra–pasca intervensi) dilakukan menggunakan empat siklus Plan–Do–Study–Act (PDSA). Observasi dilakukan pada tenaga kesehatan di unit pelayanan menggunakan formulir WHO yang diadaptasi dalam Google Form. Setiap sesi berlangsung 20 menit, mencatat seluruh peluang dan tindakan kebersihan tangan. Primary outcome adalah tingkat kepatuhan kebersihan tangan berdasarkan standar WHO.

Result: Pada pra-intervensi, 70 peluang diamati dengan kepatuhan 47,14%. Analisis akar masalah menggunakan diagram tulang ikan mengidentifikasi tiga penyebab utama: kurangnya pemahaman 5 Moments of Hand Hygiene, tidak adanya pemantauan konsisten oleh IPCN, serta tidak adanya simulasi langsung di unit pelayanan. Empat siklus PDSA diterapkan selama ±12 bulan. Pada fase pasca-intervensi, 170 peluang diamati dengan peningkatan kepatuhan menjadi 87,20%, meningkat sebesar 40,06 poin persentase. Peningkatan terjadi pada seluruh kategori tenaga kesehatan dan divisualisasikan menggunakan run chart serta boxplot.

Conclusion: Edukasi tenaga kesehatan, monitoring dan supervisi IPCN, serta simulasi langsung 5 Moments Hand Hygiene terbukti efektif meningkatkan kepatuhan kebersihan tangan di rumah sakit. Keterlibatan kepala unit berperan penting dalam mempertahankan kepatuhan. Intervensi keberlanjutan seperti penghargaan individual dan pelibatan staf dalam tujuan bersama direkomendasikan untuk memperkuat budaya keselamatan pasien.

Keyword: kebersihan tangan; siklus PDSA; layanan kesehatan