Abstract:Hospital operations provide healthcare services while generating environmental impacts through medical waste, hazardous and toxic waste, wastewater, and the consumption of energy, water, and other resources. These impacts…
s require hospitals to adopt environmental management practices that extend beyond regulatory compliance and strengthen environmental awareness. This study aims to analyze the role of green accounting in fostering environmental awareness and supporting organizational sustainability at a specialized hospital (RSK X) in East Java, Indonesia. The study employed a qualitative approach within an interpretive paradigm using a case study design. Data were collected through in-depth interviews, observations, and documentation involving informants engaged in environmental management and hospital operations. Data were analyzed through data reduction, data display, conclusion drawing, and thematic analysis using NVivo 14 Pro. The findings indicate that green accounting practices at RSK X are reflected in medical and hazardous waste management, wastewater treatment plant operations, environmental monitoring, resource efficiency, environmental reporting, and environmental cost recording. These practices function not only as mechanisms for administrative compliance and cost control but also as instruments for fostering employees' environmental awareness through socialization, monitoring, habituation, and behavioral change. Green accounting implementation is supported by management commitment, government regulations, accreditation requirements, and organizational culture. However, constraints remain, particularly the absence of a dedicated green accounting report, limited integration of environmental information into the hospital information system, and varying employee understanding of green accounting. The study concludes that green accounting serves managerial and behavioral functions by improving environmental accountability, strengthening environmental awareness, and contributing to hospital sustainability.
Abstract:Adenina, S., & Tamzil, N. S. (2024). Management Of Diarrhea In Children And Its Relation To Stunting. Healthy Tadulako Journal (Jurnal Kesehatan Tadulako, 10(1). Anggraini, D., & Kumala, O. (2022). Diare Pada Anak. Scientific…
entific Journal, 1(4).
Annisa. (2022). Diagnosis Dan Penatalaksanaan Pada Anak Usia 5 Tahun Dengan Diare Akut Tanpa Dehidrasi. Jurnal Penelitian Perawat Profesional, 4(1). Http://Jurnal.Globalhealthsciencegroup.Com/Index.Php/Jppp
Aslan, Iriani, I., & Maryam. (2024). Asuhan Keperawatan Pada Anak Dengan Diagnosa Gangguan Sistem Pencernaan: Diare Di Ruangan Catelia Rumah Sakit Umum Daerah Undata Provinsi Sulawesi Tengah. Jurnal Kolaboratif Sains, 7(5).
Damayanty Syamsul, T., Karim, K., & Mappaoudang, A. (2024). Penanganan Dehidrasi Pada Anak Dengan Diare Akut: Kajian Literatur Tentang Terapi Dan Pendekatan Multidisipliner. Joa : Journal Omicron Adpertisi, 3(1). Https://Jurnal.Adpertisi.Or.Id/Index.Php/Joa
Dinkes Diy. (2026). Jumlah Kasus Penyakit Pada Manusia.
Dwijayanti, Y., Ketut Kencana, I., Gusti Agung Ari Widarti, I., & Gizi Poltekkes Kemenkes Denpasar, J. (2025). Hubungan Tingkat Asupan Protein Zat Gizi Mikro Dan Frekuensi Diare Dengan Status Gizi Balita Di Desa Patas Kecamatan Gerokgak Kabupaten Buleleng. Hubungan Tingkat Asupan Protein…) 54 | Jurnal Ilmu Gizi: Journal Of Nutrition Science, 14(1).
Fanggi, M. C., Riwu, Y. R., & Purnawan, S. (2025). Hubungan Penerapan Perilaku Hidup Bersih Dan Sehat Keluarga Dengan Kejadian Diare Pada Balitadi Puskesmas Tarus Kabupaten Kupang Tahun 2025. Medika Alkhairaat : Jurnal Penelitian Kedokteran Dan Kesehatan, 7(2), 1096–1107.
Fatmawati, Fatimah, S., Stianto, M., & Veronila, S. (2025). Efektivitas Zinc Untuk Atasi Diare Pada Balita. Jurnal Nusantara Medika, 9(2).
Fauziah, D. W., Mulyani, E., Syauqul, E., Haque, A. Fathkil, & Lestari, I. (2025). Evaluasi Penggunaaniantibiotik Pada Pengobatan Diare Dengan Metode Gyssensdi Puskesmas Kota Bengkulu. Jurnal Review Pendidikan Dan Pengajaran, 8(1).
Febrika, A., & Maria Lissanora Fernanda, S. (2025). Penerapan Manajemen Cairan Untuk Mengatasi Ketidakseimbangan Cairan Pada Anak Dengan Gastroenteritis. 10(1), 3123–5913. Https://Jurnal.Akperkesdamsiantar.Ac.Id/Index.Php/Wirasakti/
Gau, A. W., Fahirah Arsal, A. S., & Esa Darussalam, A. H. (2024). Gambaran Penggunaan Antibiotik Pasien Diare Akut Pada Anak Di Puskesmas Maroangin Kota Palopo Tahun 2021-2022. Prepotif : Jurnal Kesehatan Masyarakat, 8(1).
Jeanifer, U. M., Mediawati, A. S., & Somantri, I. (2026). Strategi Implementasi Standar Diagnosis, Intervensi, Luaran Keperawatan Indonesia Terhadap Perawat Di Rumah Sakit: Scoping Review. Jkmk : Jurnal Kepemimpinan Dan Manajemen Keperawatan, 6(1).
Kemenkes. (2022). Manajemen Terpadu Balita Sakit.
Kemenkes. (2024). Survei Kesehatan Indonesia 2023.
Khotimah, N. N., Yuniar, R. V., Puteri, S. E., & Hidayat, A. R. (2026). Efektivitas Dan Efek Samping Penggunaan Suplementasi Zinc Dalam Penatalaksanaan Diare Pada Anak: Literature Review. Jurnal Ilmiah Keperawatan, 12(1).
Kusmayanti, E., Ziah Sibualamu, K., Profesi Ners, P., Graha Edukasi Makassar, Stik., & Artikel Sejarah Artikel, I. (2023). Manajemen Cairan Pada Anak Dengan Diare: Scoping Review. Jurnal Ilmiah Kesehatan Diagnosis, 18, 2302–2531. Https://Doi.Org/10.05.2023
Malasi Tamaela, M., Juwita, H., Syahrir, A., Studi Profesi Ners, P., Amanah Makassar, S., Keperawatan, D., & Kesehatan Kemenkes Gorontalo, P. (2023). Evaluasi Implementasi Keperawatan Pada Anak Diare Dengan Masalah Hipovolemia Di Ruang Perawatan Anak Al-Kautsar Rsud Haji Makassar. Journal Nursing Care, 9(1). Http://Jurnal.Poltekkesgorontalo.Ac.Id/Index.Php/Jnc/Index
Manazir, S., Jamalvi, W., & Jawed, F. (2023). Electrolyte Abnormalities In Children With Diarrhea And Its Association With Inpatient Stay - A Single Centre Study From Karachi, Pakistan. Pakistan Pediatric Journal, 47(2).
Munir, S. (2025). Comparison Of Lactose Containing With Lactose Free Milk In The Management Of Acute Watery Diarrhea - Children Less Than 2 Years Of Age. Journal Of Population Therapeutics & Clinical Pharmacology, 459–465. Https://Doi.Org/10.53555/8c3ttq08
Nurhasanah, U., Ramdini, D. A., & Pardilawati, C. Y. (2025). Efektivitas Penggunaan Zinc Dalam Pengobatan Diare Anak: Studi Literatur. In Jurnal Inovasi Kesehatan Terkini Page | (Vol. 158, Number 2). Https://Journalversa.Com/S/Index.Php/Jiktt
Putri, A., Anugerah, H., Djannatun, T., & Azmi, S. (2026). Suplementasi Zinc Dalam Penatalaksanaan Dan Pencegahan Kekambuhan Diare Pada Balita Menurut Pandangan Islam. Scienntific Journal, 5(2). Http://Journal.Scientic.Id/Index.Php/Sciena/Issue/View/34
Rahayu, N. P. U., Widhiantari, N. P. K., & Kio, A. L. (2020). Hubungan Pola Makan Ibu Terhadap Kejadian Diare Pada Balita Di Banjar Tambak Sari Desa Kapal Kecamatan Mengwikabupaten Badung. Caring : Jurnal Keperawatan, 9(2), 73–78.
Rahmawati, H. (2024). Dampak Terapi Intravena Pada Balita Berdasar Vip (Visual Infusion Phlebitis) Score. Jurnal Ners Dan Kebidanan (Journal Of Ners And Midwifery), 1(2), 160–165. Https://Doi.Org/10.26699/Jnk.V1i2.Art.P160-165
Sagara, V., Aramico, B., Arifin, V. N., Kesehatan, F., Univeristas, M., & Aceh, M. (2023). Faktor Risiko Kejadian Diare Pada Anak Usia 1-4 Tahun Di Wilayah Kerja Puskesmas Batoh Kota Banda Aceh Tahun 2022. Jurnal Kesehatan Tambusai, 4(2).
Sari, K., Nirnasari, M., & Putriani, K. (2024). Pendidikan Kesehatan Dan Pemberian Makanan Tambahan Untuk Penanganan Diare Pada Balita Dengan Formula Bubur Tempe Di Wilayah Puskesmas Sei Jang. 2(1).
Shinta Dewi, B., Soleha, T. U., & Septiani, L. (2024). Eschercia Coli Causes Diarrhea: Pathogenesis, Diagnosis And Management. Medula (Medical Professional Journal Of Lampung), 14(5).
Suhartini, T., Washilah, W., & Hadi, W. N. (2023). Implementasi Standar Diagnosis Keperawatan Indonesia Berdasarkan Aspek Motivasi Kerja, Beban Kerja, Supervisi, Model Kepemimpinan Dan Organisasi, Fasilitas Layananan Terhadap Pendokumentasian Asuhan Keperawatan. Jurnal Keperawatan Muhammadiyah, 8(2).
Unicef. (2026, March 18). Progress In Reducing Child Deaths Slows As 4.9 Million Children Under Five Die In 2024. Unicef.
Who. (2024). Dhiarrhoeal Disease. Who.
Who. (2025). Diarrhoea: Why Children Are Still Dying And What Can Be Done.
Yousuf, M., Khanzada, B., Channa, M. J., Mangi, A. H., & Khan, F. U. (2024). Clinical Assessment And Demographic Insights Of Lactose Intolerance Among Diarrheal Children At Hyderabad, Pakistan. Pakistan Biomedical Journal, 40–44. Https://Doi.Org/10.54393/Pbmj.V7i02.1030
Zhaqila, Q., Ruspandi, S., & Wiedyaningsih, C. (2024). The Effect Of Zinc And Probiotics Supplements In Children Under 5 Years Old With Diarrhea. Indonesian Journal Of Pharmacology And Therapy, 5(2). Https://Doi.Org/10.22146/Ijpther.10289
Abstract:Mahasiswa kepaniteraan klinik menghadapi tuntutan akademik dan klinis yang tinggi sehingga rentan mengalami stres yang berpotensi memengaruhi kemampuan refleksi diri sebagai keterampilan metakognitif penting dalam pendidikan…
ikan kedokteran. Penelitian ini bertujuan mengetahui hubungan antara tingkat stres dan kemampuan refleksi diri pada mahasiswa kepaniteraan klinik Fakultas Kedokteran Universitas Lampung. Penelitian ini merupakan penelitian analitik observasional dengan desain cross-sectional yang melibatkan 82 mahasiswa kepaniteraan klinik yang dipilih menggunakan teknik convenience sampling. Tingkat stres diukur menggunakan Medical Student Stressor Questionnaire (MSSQ) dan kemampuan refleksi diri diukur menggunakan Reflection-in-Learning Scale (RLS). Analisis bivariat dilakukan menggunakan uji Fisher-Freeman-Halton Exact Test. Hasil uji bivariat menunjukkan nilai p=0,302 yang menunjukkan tidak terdapat hubungan signifikan antara tingkat stres dan kemampuan refleksi diri pada mahasiswa kepaniteraan klinik. Faktor lain seperti mekanisme koping, dukungan sosial, dan pengalaman klinis perlu dipertimbangkan pada penelitian selanjutnya.
Abstract:Mental and spiritual health are crucial aspects of the patient's recovery process in hospitals. In addition to medical treatment, patients also require psychological and spiritual support to help them cope with the various…
us challenges that arise from their illness. This article aims to describe the implementation of Islamic Guidance and Counseling services to strengthen the mental and spiritual health of patients at Padangsidimpuan Indonesian National Armed Forces Hospital. Services provided include spiritual guidance, religious motivation, prayer guidance, individual counseling, and emotional support for patients and their families. Through an Islamic approach, counselors strive to help patients increase their patience, sincerity, optimism, and inner peace in facing their illness and treatment. The results of the service implementation indicate that Islamic Guidance and Counseling contribute positively to patients' psychological and spiritual well-being. Patients who receive support tend to have a better zest for life, lower anxiety levels, and a stronger ability to accept and cope with their health conditions. Furthermore, spiritual guidance activities also help patients maintain their religious practices during treatment, providing a sense of comfort and increasing hope for recovery. The presence of Islamic Guidance and Counseling services in hospitals not only complements existing healthcare services but also plays a crucial role in achieving holistic and humane care. Therefore, strengthening these services requires continued development to optimally support patients' mental and spiritual well-being and improve the overall quality of healthcare.
Abstract:The healthcare industry has historically been viewed as a non-cyclical, defensive, safe haven for investors. However, the post-pandemic period has revealed the industry's susceptibility to disruptions in global supply chains…
ains and geopolitical tensions. The present research examines the effects of Geopolitical risk (GPR) on the stock performance of 76 publicly listed healthcare companies in Southeast Asia (Indonesia, Malaysia, the Philippines, Thailand, Vietnam, and Singapore) during 2015-2024. According to the Caldara and Iacoviello GPR Index, this study utilizes Panel Autoregressive Distributed Lag (ARDL) the results show that though general Geopolitical Risk and Inflation are strongly negatively impacting the stock performance, specific Geopolitical Acts (GPRA) and Threats (GPRT) are having a positive response indicating a necessity premium in which investors expect a boom in demand of medical supplies once a conflict is realized. It concludes that the healthcare industry is not a safe haven but a highly fragmented environment in which inflation poses a greater threat to companies than political instability. The study advises that investors should consider a bottom-up approach, specifically micro-resilience screening, and that corporate managers should focus on supply chain decoupling and inflation hedging to address the Resilience Gap identified in the region.
Abstract:The advancement of information technology has accelerated digital transformation in healthcare, particularly through the implementation of Electronic Medical Records (EMRs). However, many healthcare facilities still use…
hybrid systems that combine manual and digital record-keeping without proper integration, resulting in inefficient patient data management. This study aims to develop an integrated hybrid Electronic Medical Record system at Damai Clinic to improve healthcare services and patient data management. A descriptive research method with a system development approach was employed through system analysis, problem identification, and system design. The results indicate that the proposed system successfully integrates patient registration, medical examination, pharmacy services, payment, and reporting into a single system. The hybrid implementation allows paper-based records to remain as supporting archives while electronic records become the primary source of patient information. The developed system is expected to improve service efficiency, reduce documentation errors, enhance data security, and support digital transformation in healthcare facilities.
Abstract:Pelaksanaan kebijakan pemasyarakatan dalam pemenuhan hak pelayanan kesehatan warga binaan dengan HIV/AIDS masih menghadapi persoalan mendasar yang bersifat menyeluruh. Meskipun Undang-Undang Nomor 22 Tahun 2022 tentang Pemasyarakatan…
emasyarakatan secara tegas mengamanatkan bahwa setiap warga binaan berhak mendapatkan pelayanan kesehatan yang setara dengan standar nasional, realitas di lapangan menunjukkan bahwa keterbatasan tenaga medis, lemahnya sosialisasi regulasi kepada pelaksana di level operasional, prosedur birokrasi yang belum sepenuhnya disesuaikan dengan regulasi terbaru, serta melemahnya jejaring pendampingan dari lembaga swadaya masyarakat menjadi hambatan nyata dalam pelaksanaannya. Penelitian ini bertujuan menganalisis implementasi kebijakan pemasyarakatan dalam pemenuhan hak pelayanan kesehatan warga binaan dengan HIV/AIDS di Lapas Narkotika Kelas IIA Jakarta menggunakan model implementasi kebijakan George C. Edwards III. Metode yang digunakan adalah kualitatif deskriptif dengan teknik pengumpulan data melalui wawancara mendalam, observasi lapangan, dan studi dokumentasi terhadap 13 informan. Hasil penelitian menunjukkan bahwa implementasi telah berjalan, namun belum optimal, dengan dimensi disposisi menjadi kekuatan utama, sementara keterbatasan tenaga medis dan kesenjangan sosialisasi regulasi menjadi hambatan paling kritis. Melalui empat dimensi Edwards III, yaitu komunikasi, sumber daya, disposisi, dan struktur birokrasi, penelitian ini mengidentifikasi celah sekaligus kekuatan dalam pelaksanaan kebijakan agar warga binaan dengan HIV/AIDS dapat memperoleh pelayanan kesehatan yang manusiawi dan bermartabat.
Kata Kunci: Pelayanan Kesehatan, HIV/AIDS, Implementasi Kebijakan, Pemasyarakatan.
The implementation of correctional policy faces ongoing systemic obstacles in fulfilling the health service rights of inmates with HIV/AIDS. Despite Law Number 22 of 2022 on Corrections mandating equivalent health services for inmates, practical challenges persist, including a shortage of medical personnel, inadequate dissemination of regulations, misaligned bureaucratic procedures, and limited support from non-governmental organizations. This study argues that these barriers significantly hinder the realization of humane and dignified health services for inmates with HIV/AIDS. Using George C. Edwards III's policy implementation model, the study examines these issues at the Class IIA Narcotics Correctional Institution in Jakarta. Employing a descriptive qualitative approach, it draws on in-depth interviews, field observations, and document analysis with 13 informants. Findings indicate that while policy implementation is underway, it is not yet fully optimal; disposition emerges as a strength, but medical resource limitations and weak regulatory communication remain significant barriers. Through Edwards III’s four dimensions—communication, resources, disposition, and bureaucratic structure—the study identifies gaps and strengths to guide more effective health service delivery for inmates with HIV/AIDS.
Keywords: Health service, HIV/AIDS, Policy Implementation, Prisoner
Abstract:This study explores how Bugis-Makassar women construct and navigate plural reproductive knowledge in response to abortus imminens (threatened miscarriage), drawing on Talcott Parsons’ AGIL framework to analyze the sociocultural…
ocultural functions of care practices. Based on ethnographic fieldwork in Makassar, Indonesia, including interviews and participant observation with ten pregnant women, the study reveals that reproductive behavior is shaped by adaptive strategies (A), collective goals (G), moral integration (I), and intergenerational transmission of norms (L). Rather than following a singular medical logic, women mobilize syncretic forms of care that blend biomedical treatment, spiritual rituals, and ancestral taboos. These plural responses reflect not only epistemic hybridity but also reproductive governance enacted through kinship, religious authority, and clinical institutions. Women's agency is expressed not through open resistance, but through strategic moral navigation and embodied alignment with normative expectations—a form of what Mahmood terms the ethics of self-formation. The findings challenge biomedical-centric approaches to maternal health and highlight the need for culturally responsive interventions that respect local logics of risk, protection, and care. This study contributes to sociological debates on medical pluralism, moral regulation, and the reproduction of gendered knowledge in the Global South.
Abstract:This study aims to analyze the concept and application of hospital criminal liability in cases of medical malpractice in the Indonesian criminal law system, as well as examine the relationship between the individual responsibility…
onsibility of medical personnel and the responsibility of hospital institutions. This study uses a qualitative approach with case study methods and a juridical-normative approach enriched with empirical data. Data was collected through in-depth interviews with legal practitioners, medical personnel, and hospital managers, accompanied by a documentary study of laws and regulations, court rulings, and related literature. The results of the study show that criminal liability in cases of medical malpractice is generally still focused on individual medical personnel as direct perpetrators, while the accountability of hospital institutions has not been optimally applied in criminal law enforcement practices. In addition, it was found that there is a complex relationship between the professional responsibilities of medical personnel and the institutional obligations of hospitals in ensuring health service standards, including aspects of supervision, risk management, and medical service systems. This study concludes that it is necessary to strengthen the concept of corporate criminal liability for hospitals in cases of medical malpractice in order to create legal certainty and more balanced protection for patients, medical personnel, and health service institutions. The findings of this study contribute to the development of health law studies and become a basis for consideration for policymakers in formulating more effective regulations and law enforcement mechanisms.
Abstract:Digital transformation has fundamentally reshaped healthcare service delivery worldwide, particularly in tertiary hospitals that rely heavily on integrated digital systems such as Electronic Health Records (EHRs), telemedicine,…
dicine, clinical decision support systems, and data-driven healthcare technologies. Despite rapid technological advancement, limited empirical evidence explains how healthcare professionals’ digital competence contributes to healthcare service performance within the context of healthcare transformation in Saudi Arabia. Previous studies have primarily focused on technological adoption or technical outcomes, while the psychological and organizational mechanisms underlying digital healthcare performance remain underexplored. Drawing upon the Job Demands–Resources (JD-R) Theory and Resource-Based View (RBV), this study investigates the influence of Digital Health Competence (DHC) on Healthcare Service Performance (HSP), examining the mediating role of Work Engagement (WE) and the moderating role of Organizational Support (OS). This study employed a quantitative cross-sectional explanatory design using Structural Equation Modeling–Partial Least Squares (SEM-PLS). Data were collected from 312 healthcare professionals at King Abdullah Medical City (KAMC), Saudi Arabia, selected through stratified random sampling. The study included physicians, nurses, pharmacists, and allied healthcare professionals actively utilizing digital healthcare systems in clinical practice. Measurement instruments were adapted from internationally validated scales, including the European Digital Competence Framework for Health Professionals, Utrecht Work Engagement Scale (UWES), and Perceived Organizational Support Scale. Data analysis included assessment of the measurement model, structural model evaluation, mediation analysis, moderation analysis, effect size (f²), predictive relevance (Q²), and model fit indices. The findings demonstrated that Digital Health Competence had a positive and significant effect on Healthcare Service Performance (β = 0.328, p < 0.001) and Work Engagement (β = 0.541, p < 0.001). Work Engagement significantly influenced Healthcare Service Performance (β = 0.462, p < 0.001) and partially mediated the relationship between Digital Health Competence and Healthcare Service Performance (β = 0.250, p < 0.001). In addition, Organizational Support significantly moderated the relationship between Digital Health Competence and Work Engagement (β = 0.217, p < 0.001). The structural model demonstrated substantial explanatory power (R² HSP = 0.683) and satisfactory predictive relevance. This study contributes theoretically by extending the application of JD-R Theory and RBV within the context of digital healthcare transformation in tertiary hospitals. The study proposes an integrated model demonstrating that digital competence functions not only as a technical capability but also as a strategic personal resource that enhances work engagement and healthcare service quality. Practically, the findings emphasize the importance of strengthening digital competency development, supportive organizational climates, and adaptive digital infrastructures to improve healthcare professionals’ performance and accelerate sustainable healthcare transformation in Saudi Arabia.