PRISMA International Journal of Social and Humanities Research
PRISMA-IJSHR is an international scientific journal dedicated to the publication of multidisciplinary research, covering a broad spectrum of disciplines, including social sciences, humanities, health, science, technology, education, law, economics, communication, administration, and philosophy. The journal serves as an academic platform for scholars, researchers, and practitioners to publish high-quality research that contributes to the advancement of knowledge, informs public policy, fosters technological innovation, and provides solutions to global challenges across diverse fields of study. As an open-access journal, PRISMA-IJSHR ensures unrestricted access to all published articles, facilitating the broad dissemination of scientific knowledge and supporting academic collaboration on an international scale. Each submitted manuscript undergoes a rigorous double-blind peer review process to maintain the highest standards of quality, originality, and academic impact. The journal welcomes research from various disciplines, with a particular focus on health and medical sciences, including hospital accreditation, patient safety, healthcare management, and health policies. It also covers public health and policy, encompassing topics such as universal health coverage, telemedicine, and the role of artificial intelligence in healthcare. In the social sciences and humanities, the journal publishes studies related to sociology, law, ethics, anthropology, and political science, while research in education and training includes curriculum development, teacher training, and medical education. In addition, PRISMA-IJSHR accepts research in business and economics, particularly in healthcare financing, hospital management, and entrepreneurship, as well as studies in science and technology, covering data science, artificial intelligence, environmental science, engineering, and mathematics. The journal also promotes research in agriculture and food science, including food security, nutrition, biotechnology, and sustainability, as well as studies in philosophy and cultural studies, which examine ethical issues, global perspectives, and the societal impact of research. Through its commitment to fostering interdisciplinary collaboration and knowledge exchange, PRISMA-IJSHR aims to contribute to the ongoing development of academic and professional fields by providing a platform for innovative and impactful research. Journal Title : PRISMA-International Journal of Social and Humanities Research Initials : PRISMA-IJSHR Frequency : 3 issues per year E-ISSN : On progress Chief Editor : Dr. H. Ahyar Wahyudi, S.Kep.Ns., M.Kep., CISHR, FIHFAA, FISQua, FRSPH DOI Prefix : On progress Publisher : PT. Ayootech Indonesia Industry Accreditation : On progress INDEXED :
Implementation of POCQI to Improve the Quality of Neonatal Care at the NICU of RSPAD Gatot Soebroto
The quality of neonatal health services is a key determinant in reducing newborn mortality rates. The Point of Care Quality Improvement (POCQI) method developed by WHO was implemented to enhance care quality at the NICU of RSPAD Gatot Soebroto. This initiative involved 35 NICU nurses organised into five quality improvement teams, focusing on infection control, lactation, resuscitation, respiratory aids, and parenteral therapy. Training, supervision, and application of the Plan-Do-Study-Act (PDSA) cycle were utilised. The programme produced 16 SMART-based recommendations and 11 sustaining improvement initiatives. Results showed significant outcomes including reduced incidence of VAP, increased breastfeeding rates, improved adherence to resuscitation protocols, and early detection of phlebitis using VIP scores. The project demonstrates the effectiveness of POCQI in building nurse capacity and efficiently using resources to improve neonatal service quality. Key success factors included full nurse participation, certified facilitator mentorship, and the use of local data for problem-solving. POCQI proved to be a practical, cost-effective approach suitable for replication in other hospital units. This study recommends integrating POCQI into long-term quality improvement strategies in hospital settings.
Copyright (c) 2025 Yenny Purnama, Tedjo Wahyu Putranto (Author)
Strategic Role of Psychiatric Department in Health Service System in Hospital
The psychiatry department plays a vital and strategic role in the healthcare system, offering substantial benefits not only to individual patients but also to hospital institutions. This article explores in depth the contribution of the psychiatry department in enhancing healthcare service efficiency, promoting patient psychological well-being, and generating both economic and social impacts for hospitals. The research employs a literature study method, drawing on relevant scientific journals and available empirical data. Findings indicate that the integration of psychiatry services within hospital systems contributes significantly to the delivery of holistic and comprehensive care, lowers the recurrence rate of various mental health disorders, enhances the effectiveness of treatment outcomes, and increases operational efficiency. Ultimately, it strengthens patient-centered care and improves the overall performance of healthcare facilities.
Determinant Factors of Gay, Transgender, and Men having Sex with Men (MSM) in Voluntary Counseling and Testing (VCT)
Key populations are populations at risk of contracting HIV/AIDS, such as Gay, Transgender, and Men having Sex with Men (MSM). To overcome this, people who are potentially infected with this deadly disease are expected to have their medical check through Voluntary Counseling and Testing (VCT). The aim of this study was to analyze the determinants of Gay, Transgender, and MSM in participating in the VCT. This study used a descriptive method with a qualitative approach and collected data through Focus Group Discussions and in-depth interviews. Research informants were eight people with HIV/AIDS who have done the VCT and two key informants from The National AIDS Commission of Tulungagung Regency. The sexual behavior of the research informants at high risk of contracting HIV/AIDS was studied. It was found that they got the benefits of VCT. Barriers that change the informants’ behavior include the strong stigma and debate in the community against HIV/AIDS sufferers. All informants received support from their communities, families, health workers, and healthcare providers that them more comfortable and confident about the VCT and ARV therapy. The Gay, Transgender and MSM community in conducting the VCT are influenced by various social and psychological support to increase motivation towards themselves.
VCT, HIV-AIDS, gay, transgender, Men having Sex with Men (MSM)
Copyright (c) 2025 Nelly Yuliana, H Setiawan (Author)
The Dynamics of Early Implementation of Antimicrobial Resistance Program
In an effort to control antimicrobial resistance, Awal Bros Botania Hospital has developed and implemented an Antimicrobial Resistance Control Program (PPRA) as part of its commitment to quality care and patient safety. Although the hospital is relatively new, with only two years of operation; based on national standards, antimicrobial resistence can be conducted and reduced effectively, recognizing that PPRA is also a core component of hospital accreditation in Indonesia. This program aims to reduce and prevent the resistant microorganisms incidence through interdisciplinary collaboration and rational antibiotic use. Moving forward, improvements are recommended in the turnaround time of culture and sensitivity test results, enhancement of both quantitative and qualitative antibiotic usage analysis, and broader dissemination of the PPRA to both internal and external hospital stakeholders
Copyright (c) 2025 Retno Kusumo, Friedrich Max Rumintjap, Hubert Subekti , Jendriella (Author)
Assessing the Role of Primary Health Care Accreditation in Post-COVID Service Recovery in Indonesia
The COVID-19 pandemic has disrupted the quality and continuity of health services at primary healthcare facilities. Accreditation of first-level health facilities (FKTP) is expected to ensure service standards and foster continuous quality improvement. This study explores the role of FKTP accreditation in the recovery of health services after the COVID-19 pandemic using a structured literature review method. The analysis highlights that accreditation serves not only as an evaluation mechanism but also as a catalyst for quality culture reinforcement and system resilience. Drawing from national and international literature, the study shows that accreditation effectiveness is shaped by institutional commitment, human resource capacity, and the adaptability of management structures. Post-pandemic challenges—such as service backlogs, human resource strain, and weakened patient trust—demand that accreditation be repositioned as a responsive and strategic governance tool, not merely a formalistic obligation.
Copyright (c) 2025 Mhd Husni Tarigan, Buyung Nazeli, Ahyar Wahyudi (Author)
Simulation, Reflection, and the Reality of Quality: Exploring Transformative Learning in the Fellow of Health Facility Accreditation Agency (FIHFAA) Program
In the evolving landscape of healthcare governance, accreditation is increasingly recognized not merely as a regulatory requirement but as a dynamic tool for quality improvement and systemic learning. This study explores the transformative learning experiences of participants in the Fellowship of Health Facility Accreditation Agency (FIHFAA) program—a capacity-building initiative designed to cultivate competent and reflective accreditation surveyors in Indonesia. Employing a qualitative-narrative approach with an exploratory-reflective design, this research draws from 32 narrative responses submitted by FIHFAA participants, from which 10–15 rich, contextually detailed narratives were purposively selected. Thematic analysis following Braun and Clarke’s (2006) framework was used to identify key themes such as professional identity transformation, ethical dilemmas in simulation, and the negotiation between standard compliance and contextual realities. Participants reported that simulations, case discussions, and mentorship sessions triggered deep reflection and critical awareness beyond technical competencies. Moreover, they highlighted the need for more inclusive learning environments—suggesting language adaptation, field simulation in primary care settings, and post-training alumni communities. This study contributes not only to the evaluation of FIHFAA but also to the global discourse on accreditation education by emphasizing the human, reflective, and contextual dimensions of surveyor training. The findings call for a pedagogical shift in accreditation training—towards programs that prioritize transformative, experience-based, and ethically grounded learning frameworks.
Copyright (c) 2025 Sukma Irianti, Ahyar Wahyudi, Buyung Nazeli, Iwan Trihapsoro, Friedrich Max Rumintjap (Author)
Literature Review: Hospital Risk Management Implementation For Enchance Patient Safety
Patient safety is a crucial aspect of healthcare services that requires effective risk management strategies. Therefore, the author is interested in conducting a literature review on implementing hospital risk management to enhance patient safety. This study employs a literature review method by gathering references from various relevant academic journals published between 2020 and 2025. The journal selection process follows the PRISMA method, which includes searching, screening, and assessing journal quality based on topic relevance and research methodology. Out of 1,396 identified journals, 20 with the highest relevance and quality were selected for analysis. The findings indicate that implementing risk management strategies, such as the Surgical Safety Checklist, patient identification systems, and risk management training, significantly contribute to improving patient safety. However, challenges in implementation remain, including low compliance with incident reporting systems, limited human resources, and inadequate technological infrastructure. Therefore, hospitals must enhance healthcare worker education, optimize technology, foster a safety culture, and conduct regular monitoring and evaluation. With these strategies, patient safety can be better ensured, and the risk of medical errors can be significantly reduced.
Copyright (c) 2025 Arisal Eben Zakaria, Iwan Trihapsoro (Author)
From Scores to Strategy: Strategic Recommendations Based on Patient Satisfaction Survey at dr. Nurdin Wahid Primary Inpatient Clinic
This study aims to analyze the dynamics of patient satisfaction across nine service units at Klinik Pratama Rawat Inap dr. Nurdin Wahid during the first quarter of 2025. Employing a descriptive quantitative approach with a longitudinal observational design, daily patient satisfaction scores were collected using a three-point Likert scale. The analysis covers registration, nursing, general practitioners, dental care, maternity, medical records, laboratory, pharmacy, and cashier units. Findings reveal that the nursing and general practitioner units maintained high and stable satisfaction levels, while maternity and laboratory units showed an upward trend. In contrast, the pharmacy and cashier units demonstrated a gradual decline in satisfaction scores, warranting further attention. The interpretation draws upon the SERVQUAL model, Donabedian’s quality framework, and the concept of patient-centred care. Strategic recommendations include the implementation of a digital queueing system, deployment of a patient experience officer, and integration of satisfaction surveys with service audits and operational incident reports. These findings provide a data-driven foundation for responsive, participatory, and experience-focused quality improvement in primary healthcare services.
Copyright (c) 2025 Marissa Primasari, Buyung Nazeli (Author)
The Influence of Inclusive Leadership on Hospital Staff's Innovative Behavior with Perceived Organizational Support as a Mediating Variable
This study aims to analyze the influence of inclusive leadership on the innovative behavior of hospital staff, with perceived organizational support (POS) as a mediating variable. Inclusive leadership is believed to foster an open, supportive environment that encourages active participation from all members of an organization, thereby strengthening motivation to innovate. The study employed a quantitative method using a survey of 80 staff members at RSUD dr. Slamet Garut between April and May 2025. Data were analyzed using Partial Least Squares Structural Equation Modeling (PLS-SEM). The results reveal that inclusive leadership significantly affects perceived organizational support but does not directly impact innovative behavior. Similarly, POS does not have a significant direct effect on innovative behavior, but serves as a partial mediator between leadership and innovation. A Q² value of 0.755 indicates a strong predictive capability of the model. These findings emphasize the importance of POS as a psychological prerequisite in cultivating an innovative organizational culture. The study suggests the need for systemic reinforcement of a supportive work climate and inclusive leadership training to create an environment where creativity and idea generation can thrive sustainably.
Copyright (c) 2025 Yuli Aryani Hermawan, Siswanto Pabidang (Author)
The Influence of Leadership and Communication on Employee Performance
Introduction: Employee performance is a key indicator of organizational success. Two major influencing factors are leadership style and the effectiveness of internal communication. Method: This study uses a literature review approach based on five peer-reviewed journal articles across multiple sectors, enriched by contemporary frameworks such as transformational leadership, communication satisfaction, and employee engagement theory. Results: The findings indicate that transformational leadership—characterized by inspirational motivation, individualized consideration, and intellectual stimulation—significantly enhances employee performance. Meanwhile, effective communication—whether vertical, horizontal, or diagonal—directly improves employee productivity, job satisfaction, and organizational loyalty. Communication also serves as a mediating factor that amplifies the impact of leadership on performance outcomes. Discussion: The integration of participative leadership with two-way communication based on the REACH model (Respect, Empathy, Audible, Clarity, Humble) proves to be a powerful strategy for cultivating a collaborative and high-performing organizational climate. Conclusion: This study affirms that leadership and communication are two complementary strategic elements that strongly influence employee performance. Their integration should be prioritized in both public and private sector management policies
Copyright (c) 2025 Rusli Gunawan, Ratna Indrawati (Author)
Implementation of Person-Centered Maternity Care (PCMC) on the Childbirth Experience of Mothers at RSI Siti Khadijah Palembang
Background: Person-Centered Maternity Care (PCMC) emphasizes respectful, autonomous, and emotionally supportive care. In Indonesia, its implementation remains suboptimal, especially regarding communication and decision-making. The integration of spiritual values, particularly in Islamic hospitals, has received limited attention. Methods: This interpretative phenomenological study involved 10 postpartum mothers at RSI Siti Khadijah Palembang. In-depth interviews explored three PCMC domains: dignity & respect, communication & autonomy, and supportive care. Thematic analysis was conducted following Braun & Clarke’s six-step method. Results: Most participants reported respectful treatment, such as informed consent and non-discriminatory care. However, some noted insufficient empathy and inadequate medical communication. Spiritual practices like reciting basmallah, guided dzikir, and communal prayers were appreciated for fostering emotional calm and a sense of control. Conclusion: Spiritual values enhance emotional comfort and autonomy within the PCMC framework. Their integration into maternity services at Islamic hospitals offers a culturally appropriate, holistic approach to respectful and empathetic care.
Copyright (c) 2025 Asdaria Tenri Abeng, Friedrich Max Rumintjap (Author)
From Anomaly to Strategy: Leveraging Positive Deviance to Enhance Patient Safety Culture at a Regional Public Hospital in Indonesia
Background:Patient safety culture is a critical determinant of healthcare quality and risk mitigation. This study aims to assess the patient safety culture at RSUD Pambalah Batung Hulu Sungai Utara using a positive deviance lens to identify and leverage internal strengths. Methods: A descriptive quantitative design was employed, involving 337 staff members selected from a total population of 526. The official HSOPSC instrument endorsed by the Ministry of Health, covering 10 dimensions, was used. Data were analyzed using AHRQ’s scoring classification. Results: The overall culture score was 68.4% (moderate). Top-performing dimensions included teamwork within units (79.2%), organizational learning (76.4%), and communication about error (72.1%). The lowest scores were found in non-punitive response to error (46.5%), staffing (48.2%), and event reporting (53.4%). The Surgery Unit (IBS) and Laboratory were identified as positive deviants. Conclusion: The emergence of high-performing units suggests the critical role of micro-leadership, localized climate, and peer-led strategies in cultivating a resilient safety culture. Positive deviance offers a replicable pathway to strategic cultural transformation.
Copyright (c) 2025 Deiby Rosari Marieta Saranti, Ahyar Wahyudi (Author)
The Influence of Military Leadership on the Implementation of Hospital Accreditation at Level III 04.06.04 Slamet Riyadi Military Hospital, Surakarta
Background: Military hospitals possess distinct organizational structures and leadership models compared to civilian institutions. The military leadership style, characterized by discipline and command hierarchy, may influence the effectiveness of hospital accreditation implementation. Objective: This study aims to examine the impact of military leadership on hospital accreditation performance, with employee performance acting as a mediating variable. Methods: A mixed-methods approach was employed, integrating quantitative regression analysis and qualitative in-depth interviews. The study was conducted at Tk. III 04.06.04 Slamet Riyadi Military Hospital, involving leadership style as the independent variable, accreditation quality as the dependent variable, and employee performance as a mediating factor. Results: Regression analysis indicated a significant impact of military leadership on employee performance (R = 0.545; p = 0.002), and a strong effect of employee performance on accreditation quality (R = 0.621; p = 0.000). The combined influence of leadership and performance on accreditation was 18.1% (R² = 0.181). Conclusion: Military leadership positively influences hospital accreditation implementation through enhanced employee performance. However, integrating transformational leadership values is essential to sustain long-term improvements in service quality
Copyright (c) 2025 Paryoto Paryoto, Arwita Mulyawati (Author)
The Role of Clinics in Tuberculosis Control Efforts to Support National Programs and Accreditation Fulfillment in Pati Regency in 2025
Tuberculosis is an infectious disease that is still a public health problem and is one of the causes of death. The Indonesian government has various national programs for the control of pulmonary tuberculosis (TB). The purpose of this study was to determine the role of the Clinic in efforts to eradicate pulmonary TB in order to support national programs and fulfill accreditation in Pati Regency. This study was conducted in May 2025. This type of research is a qualitative study with a simple random sampling technique. The subjects in this study were TB program holders as the main informants. The results of the study showed that health clinics in Pati Regency participated in efforts to eradicate pulmonary TB, recruit pulmonary TB patients, conduct screening/early detection of pulmonary TB, conduct health promotion for pulmonary TB prevention, and conduct external networking with health facilities obtained results of 100%, while the role of health clinics in Pati Regency in diagnosing pulmonary TB obtained results of 66.7%, the role of health clinics in Pati Regency in providing treatment for pulmonary TB patients obtained results of 40%, and the role of health clinics in Pati Regency in recording and reporting through the Tuberculosis Information System (SITB) obtained results of 90%. The conclusion of this study is that several types of activities carried out by health clinics in Pati Regency in efforts to eradicate pulmonary TB have been running well, but there are still some activities that have not been running optimally.
National Programs and Accreditation Fulfillment
Program Nasional dan Pemenuhan Akreditasi
Copyright (c) 2025 Mutiara Nilamsari, Siswanto Pabidang (Author)
A Critical Evaluation of National Quality Indicators
This study aims to critically evaluate the performance of National Quality Indicators (INM) in the first quarter of 2025 at Level III “X” Hospital, focusing on the gap between administrative compliance and substantive patient experience. Using an evaluative-comparative approach and the SERVQUAL framework, the study examines 15 national quality indicators through Donabedian’s model and clinical governance theory. Results show strong performance in structurally controlled indicators such as patient identification (100%), critical lab result reporting (100%), and compliance with the National Formulary (98.53%). However, systemic weaknesses emerge in indicators requiring inter-unit coordination, such as outpatient waiting time (63.29%) and specialist visit compliance (70.6%). These findings reflect an epistemic transition from compliance-based to learning-based quality governance. The study recommends repositioning quality strategies by promoting collective reflection, patient involvement, clinical data integration, and transformational leadership. The findings contribute to developing a hospital quality system that is more humanistic, value-driven, and sustainable.
Copyright (c) 2025 Adia Laskita, Friedrich Max Rumintjap, Ahyar Wahyudi (Author)
The Impact of Role Stressors, Job Insecurity, and Locus of Control on Turnover Intention
Turnover intention is one of the main challenges in human resource management in hospitals. This study aims to evaluate the influence of role stressors, job insecurity, and locus of control on turnover intention, with burnout as a mediating variable, in nurses working in the emergency room and Intensive Care units of Anugerah Sehat Afiat (ASA) Depok Hospital. The specific context of a type C government hospital in a buffer zone of the capital city, as well as the use of a multivariate approach with SmartPLS to integrate various psychological and organizational factors comprehensively are novel in this study. The results of the analysis indicate that role stressors, job insecurity, and locus of control have an influence on turnover intention, but the influence does not show statistical significance. In addition, burnout was not shown to play a role as a mediating variable in the relationship between these variables. These findings can serve as a reference for hospital management in designing psychological management-based nurse retention strategies, while enriching the literature and encouraging the development of more adaptive Human Resources Management models
Copyright (c) 2025 irene sathyaningrum, Ahyar Wahyudi (Author)
Hubungan Mutu Pelayanan Kesehatan Gigi dan Mulut Dengan Kepuasan Pasien di Unit Paviliun Serayu Rumah Sakit Gigi dan Mulut Pendidikan Universitas Jenderal Soedirman
Kepuasan pasien merupakan kebutuhan dan harapan dari perawatan kesehatan pasien yang terpenuhi. Mutu pelayanan yang baik menjadi hal penting untuk meningkatkan kepuasan pasien. Rumah sakit yang akan melakukan Upaya peningkatan mutu pelayanan kesehatan harus melakukan pengukuran kepuasan pasien karena kepuasan pasien berhubungan dengan mutu pelayanan kesehatan. Kepuasan pasien dapat dinilai berdasarkan lima dimensi mutu pelayanan meliputi tampilan fisik (tangibles), keandalan (reliability), jaminan (assurance), daya tanggap (responsiveness), dan hubungan antar manusia (emphaty). Penelitian ini bertujuan untuk menganalisis hubungan mutu pelayanan kesehatan gigi dan mulut dengan kepuasan pasien di Unit Paviliun Serayu Rumah Sakit Gigi dan Mulut Pendidikan (RSGMP) Universitas Jenderal Soedirman. Penelitian ini berbasis analytical observational dengan pendekatan cross-sectional. Sebanyak 38 responden didapatkan secara accidental sampling. Instrumen penelitian berupa kuesioner harapan, mutu pelayanan, dan kepuasan pasien yang didistribusikan secara langsung dan secara daring. Analisis data dilakukan secara univariat, bivariat dengan uji chi-square, dan multivariat dengan uji regresi logistik multinomial. Hasil penelitian menunjukkan adanya hubungan antara mutu pelayanan kesehatan gigi dan mulut dengan kepuasan pasien pada dimensi tangibles, reliability, assurance, responsiveness, dan emphaty (p<0,05). Simpulan penelitian ini adalah terdapat hubungan antara mutu pelayanan kesehatan gigi dan mulut dengan kepuasan pasien Unit Paviliun Serayu RSGMP Universitas Jenderal Soedirman.
Copyright (c) 2025 Irfan Dwiandhono, Linda Asih Rahmayanti, Rinawati Satrio, Fitri Diah Oktadewi, Arwita Mulyawati (Author)
Hospital Accreditation System in Indonesia
The hospital accreditation system in Indonesia serves as a key instrument in improving healthcare service quality, patient safety, and hospital operational efficiency. This article analyses the implementation of accreditation using the New Public Management (NPM) approach, Donabedian’s Structure-Process-Outcome (SPO) model, and Total Quality Management (TQM). The research method involves a literature review from various academic sources related to hospital accreditation, focusing on implementation effectiveness and challenges. The findings indicate that accreditation contributes to increased patient satisfaction, financial efficiency, and a stronger culture of safety, although challenges remain, such as high costs, limited human resources, and administrative bureaucracy. Therefore, accreditation reform strategies should incorporate information technology, financial support for small hospitals, and long-term evaluation to ensure that its benefits are effectively realised.
Copyright (c) 2025 Dedianto Dedianto, Rudy Handoko (Author)