Abstract:Transformational leadership and organizational culture are key determinants of nursing innovation in complex healthcare systems. However, limited qualitative evidence exists regarding how these factors interact with knowledge-sharing…
ledge-sharing practices to foster innovation, particularly within healthcare organizations undergoing transformation in Saudi Arabia. This study aims to explore how transformational leadership and organizational culture influence nursing innovation through knowledge-sharing practices in the Makkah Health Cluster, Saudi Arabia. A qualitative exploratory design was conducted within six hospitals in the Makkah Health Cluster. The study included King Abdullah Medical City, Noor Specialist Hospital, Maternity and Child Hospital, King Abdulaziz Hospital, Hiraa General Hospital, and King Faisal Hospital. A total of 48 participants, including nursing managers, ICU head nurses, and clinical nurses with at least two years of experience, were selected using purposive sampling until data saturation was reached. Data were collected between January and March 2026 through semi-structured interviews, focus group discussions (FGDs), non-participant observations, and document analysis. All interviews and FGDs were audio-recorded, transcribed verbatim, and conducted in English or Arabic based on participant preference. Data were analyzed using Braun and Clarke’s thematic analysis approach, and study rigor was ensured through triangulation, member checking, and audit trail procedures following COREQ guidelines. Four key themes emerged: (1) transformational leadership as a catalyst for psychological safety and innovation engagement, (2) organizational culture characterized by a dual structure of collaboration and hierarchy, (3) knowledge sharing as a mechanism for collective clinical learning and problem-solving, and (4) nursing innovation as an emergent, practice-based, and collaborative process. Findings indicate that transformational leadership enhances nurses’ motivation and openness to innovation, while organizational culture shapes the environment for collaboration. Knowledge sharing functions as a critical process that transforms clinical experience into practical innovation in nursing care. Nursing innovation in the Makkah Health Cluster is a socially constructed and dynamic process shaped by the interaction of transformational leadership, organizational culture, and knowledge-sharing practices. Strengthening leadership capacity, fostering collaborative organizational culture, and developing structured knowledge management systems are essential to sustain nursing innovation and improve healthcare service quality.
Abstract:The complexity of modern healthcare services has led nursing personnel to face high workloads, intensive emotional demands, and dynamic, high-risk working environments. These conditions make nursing resilience an essential…
al psychological factor in maintaining the effectiveness and efficiency of nursing performance. This study aimed to analyze the determinant factors influencing nursing resilience and its impact on nursing work efficiency at King Fahad Specialist Hospital in 2026. This study employed a quantitative cross-sectional design using the Structural Equation Modeling–Partial Least Squares (SEM-PLS) approach. The study population consisted of all active nurses at the Qassim Health Cluster, totaling 4,425 nurses. A total of 356 respondents were selected using stratified random sampling. Data were collected using the Nursing Resilience Scale, Nursing Work Efficiency Scale, Utrecht Work Engagement Scale, and Perceived Organizational Support Scale, all of which had been tested for validity and reliability. Data analysis was conducted using SmartPLS 4. The results showed that organizational support (β = 0.431; p < 0.001), work engagement (β = 0.388; p < 0.001), psychological well-being (β = 0.362; p < 0.001), and a supportive work environment (β = 0.295; p < 0.001) had significant positive effects on nursing resilience. Conversely, high workload negatively affected nursing resilience (β = -0.276; p < 0.001). Nursing resilience was also found to have a significant positive effect on nursing work efficiency (β = 0.614; p < 0.001). The R-square value of 0.71 indicated that the research model explained 71% of the variance in nursing work efficiency. Nursing resilience is a strategic psychological resource influenced by organizational, psychological, and work environment factors in improving nursing work efficiency. This study is expected to provide theoretical contributions to the development of nursing management and healthcare organizational behavior literature, as well as practical contributions for hospitals in designing strategies to strengthen healthcare workers’ psychological resilience based on human-centered healthcare management.
Abstract:Improving the quality of modern healthcare services largely depends on the effectiveness and efficiency of nursing personnel as the frontline providers of patient care. The complex and high-pressure work environment of specialized…
pecialized hospitals requires nurses to cope with emotional demands, heavy workloads, and rapid decision-making in critical situations. These conditions make emotional intelligence one of the important psychological factors influencing nursing performance quality. This study aimed to analyze the relationship between emotional intelligence and nursing work efficiency at King Fahad Specialist Hospital – Qassim Cluster, Saudi Arabia, in 2026. This study employed a quantitative approach with a cross-sectional design. The study population consisted of all active nurses working at King Fahad Specialist Hospital, Qassim Health Cluster. A total of 312 nurses were selected using stratified random sampling. Data were collected using the Emotional Intelligence Scale and Nursing Work Efficiency Scale, both of which had been tested for validity and reliability. Data analysis was conducted using Structural Equation Modeling–Partial Least Squares (SEM-PLS) with SmartPLS 4 software. The results revealed that emotional intelligence had a positive and significant effect on nursing work efficiency, with a path coefficient of 0.642, t-statistics of 9.871, and p-value < 0.001. The R-square value of 0.58 indicated that emotional intelligence explained 58% of the variance in nursing work efficiency. Emotional regulation and empathy emerged as the dominant indicators contributing to improved communication quality, clinical decision-making, and patient care effectiveness. This study concludes that emotional intelligence is an important psychological resource in improving nursing work efficiency in specialized hospitals. The findings strengthen the Job Demands–Resources (JD-R) Theory and Emotional Intelligence Theory in explaining the relationship between psychological resources and nursing performance. This study is expected to provide theoretical contributions to the development of nursing management literature and practical contributions for hospitals in designing healthcare human resource development strategies based on psychological well-being.
Abstract:The Bilateral Swap Agreement (BSA) aims to assist the financial sector by facilitating cooperation between Indonesia and Japan, providing developmental aid from the Japanese government to developing countries in the form…
of loans, yen loans, grants, and aid extended to Indonesia to stabilize the country's finances. This collaboration strengthens financial sectors and bilateral cooperation under the Bilateral Swap Agreement (BSA), implemented with the principle of pacta sunt servanda. Article 1320 explains the cooperation between Indonesia and Japan, where they extend agreements and enhance financial stability within a country, applying “lex specialis derogat legi generalis” agreements implemented by ministers and governors to recognize legally binding agreements between Indonesia and Japan, expanding the Bilateral Swap Agreement (BSA) framework in the financial sector. These agreements are advanced and legally recognized under established laws and regulations.
Abstract:The objective of this study is to create augmented reality educational tools for teaching software introduction topics at Singkawang 4 State Middle School. Evaluating the viability and user reception of educational content…
nt delivered through augmented reality technology. Methods of data collection involving interviews and questionnaires. The data analysis technique employs descriptive statistics. The ADDIE paradigm is employed in the research and development process. This learning media is developed through a sequential process consisting of five stages: analysis, design, development, implementation, and evaluation. The participants in this study were eighth-grade students from Singkawang 4 State Middle School. The product feasibility testing step was conducted by a pair of media specialists and one material specialist. The research findings indicated that the feasibility evaluation conducted by media specialists obtained a score of 155 out of a total possible score of 168, placing it in the “very feasible” category. The examination conducted by material experts achieved a score of 71 out of a possible 80, placing it in the “very feasible” category. The mean score attained from the extensive evaluation of 33 eighth-grade students at Singkawang State Middle School 4 was 2550 out of a possible maximum score of 3036. The assessment categorized the score as “highly appropriate” for utilization as a learning tool.
Abstract:Abstract : Dental and oral health is an important part of your overall health and well-being. Maintaining healthy teeth and gums is a lifelong commitment. The earlier you learn proper oral hygiene habits such as brushing,…
, flossing, and limiting sugar intake, the easier it is to avoid expensive dental procedures and long-term health problems. One of the Community Health Centers located in Sijabut Village has problems in serving people who experience oral and dental diseases due to the lack of medical personnel, especially dental and oral specialists to provide accurate diagnoses regarding the types of oral and dental diseases suffered. Another reason is that the doctors who work at Zihad Insani Clinic are mostly general practitioners who may not understand about oral and dental diseases so that the services received by the community are not satisfactory. Therefore, in supporting the success of services at the Zihad Insani Clinic, a system is needed that can assist in providing effective services to provide effective diagnoses based on the understanding and knowledge of specialist doctors or dental and oral experts designed in an Expert System.
Keywords: Expert System; Oral Disease; Certainty Factor
Abstrak : Kesehatan gigi dan mulut adalah bagian penting dari kesehatan dan kesejahteraan Anda secara keseluruhan. Menjaga kesehatan gigi dan gusi adalah komitmen seumur hidup. Semakin dini Anda mempelajari kebiasaan kebersihan mulut yang tepat seperti menyikat gigi, flossing, dan membatasi asupan gula , semakin mudah untuk menghindari prosedur gigi yang mahal dan masalah kesehatan jangka panjang. Salah satu Pusat Kesehatan Masyarakat yang berada di Desa Sijabut memiliki kendala dalam melayani masyarakat yang mengalami penyakit mulut dan gigi disebabkan kurangnya tenaga medis khususnya dokter Spesialis Gigi dan mulut untuk memberikan diagnosa yang akurat mengenai jenis penyakit mulut dan gigi yang diderita. Penyebab lainnya karena dokter yang bertugas di Klinik Zihad Insani tersebut sebagian besar dokter umum yang mungkin kurang memahami mengenai penyakit mulut dan gigi sehingga pelayanan yang diperoleh oleh masyarakt kurang memuaskan. Oleh sebab itu dalam menunjang keberhasilan pelayanan pada Klinik Zihad Insani diperlukan sebuah sistem yang dapat membantu dalam memberikan pelayanan yang efektif untuk memberikan diagnosa yang efektif berdasarkan pemahaman dan keilmuan dari dokter spesialis ataupun pakar gigi dan mulut yang dirancang dalam suatu Expert System.
Kata Kunci : Expert System; Penyakit Mulut; Certainty Factor
Abstract:Abstract: THT-KL Specialist Practice Dr. Julius Dariar is a practice that provides medical services and sells medicines for ear, nose, throat and head and neck surgery. The problem experienced is that drug preparation is…
still done manually, so it requires time, effort and a high level of accuracy and precision. This study aims to design an information system that can process incoming and outgoing drug supply data at the THT Specialist Practice-KL Dr. Julius Dariar by implementing Supply Chain Management. The result of his research is the design of a website-based Supply Chain Management application that can be used by users in managing drug stocks in the practice of THT-KL specialist Dr. Julius Dariar.
Keywords: Practice; SCM; Specialist; THT-KL
Abstrak: Praktek Spesialis THT-KL Dr. Julius Dariar merupakan salah satu praktek yang melayani jasa pengobatan dan penjualan obat mengenai telinga, hidung, tenggorokan, dan bedah kepala leher. Adapun masalah yang dialami ialah penyiapan obat masih dilakukan dengan manual, sehingga memerlukan waktu, tenaga serta tingkat ketelitian dan kecermatan yang tinggi. Penelitian ini bertujuan untuk merancang sistem informasi yang dapat mengolah data persediaan obat masuk dan keluar di Praktek Spesialis THT-KL Dr. Julius Dariar dengan menerapkan Supply Chain Management. Hasil penelitiannya adalah rancangan aplikasi Supply Chain Management berbasis website yang dapat digunakan oleh user dalam pengelolaan stok obat-obatan pada praktik spesialis THT-KL dr.Julius Dariar.
Kata kunci: Praktik; SCM; Spesialis; THT-KL
Abstract:The rights of justice collaborators (JCs) to obtain sentence reductions in murder cases remain inconsistently applied within Indonesia’s criminal justice system. This research addresses three core issues: the normative legal…
legal basis for JC rights, the consistency of judicial decisions in granting those rights, and the necessity for legal reform. Using a normative juridical approach supported by document analysis and expert interviews, the study examines Law No. 31/2014, SEMA No. 4/2011, and recent judicial decisions, including the high-profile cases of Richard Eliezer and Abdul Khoir. Findings reveal that while legal provisions exist, the absence of detailed indicators, formal mechanisms for status determination, and binding multi-institutional coordination leads to implementation gaps. Judicial discretion remains unchecked, resulting in unequal treatment of justice collaborators with similar contributions. The study concludes that a lex specialis law is urgently needed to standardize definitions, evaluation mechanisms, and inter-agency protection schemes. Recommendations include harmonization of technical norms, incorporation of JC recognition in verdicts, and alignment with UNCAC and UNTOC standards. This would strengthen legal certainty, uphold the principle of nulla poena sine lege, and enhance the effectiveness of the criminal justice system in addressing serious crimes through systemic cooperation.
Abstract:The Indonesian capital market plays a pivotal role in mobilising long-term financing for corporations and providing investment opportunities to the public. However, persistent stock fraud cases undermine market integrity…
and investor confidence. This study aims to evaluate the effectiveness of the existing legal framework for investor protection against stock fraud, analyse its practical implementation, and recommend measures to strengthen both preventive and repressive mechanisms. Employing a normative legal research design with a qualitative approach, the study integrates statute, conceptual, and case approaches, focusing on Law No. 8 of 1995 on Capital Markets, OJK regulations, the Criminal Code, and notable cases such as PT Hanson International Tbk. The findings reveal that while the legal framework normatively aligns with the Legal Protection Theory, Justice Theory, and Legal Effectiveness Theory, substantial gaps remain between regulation and enforcement. Weak supervisory coordination, delayed intervention, lengthy judicial processes, and low investor legal literacy reduce effectiveness. Recommended reforms include adopting regtech and suptech, enhancing cross-agency data integration, implementing AI-based surveillance, establishing a specialised capital market court, and strengthening investor education. The study concludes that combining regulatory improvements, adaptive enforcement, and public legal empowerment is essential to safeguard investors, maintain market integrity, and promote sustainable economic growth.
Abstract:Tulisan ini mengkaji peraturan dan perlindungan hukum terhadap wanita yang berperan sebagai korban kekerasan “domestik” (KDRT) yang berujung pada pembunuhan berencana. Penelitian ini bertujuan untuk menganalisis konsekuensi…
ekuensi hukum yang melindungi hak-hak korban, serta menelaah bagaimana sistem peradilan menangani kasus yang melibatkan perempuan sebagai pelaku pembunuhan berencana setelah mengalami KDRT. Metode yang digunakan dalam penulisan ini adalah yuridis normatif, dengan menganalisis peraturan perundang-undangan yang relevan, seperti Kitab Undang-Undang Hukum Pidana (KUHP) dan Undang-Undang Penghapusan Kekerasan Dalam Rumah Tangga (UU PKDRT). Teknik analisis dilakukan dengan menggali penerapan kedua undang-undang tersebut dalam kasus-kasus pembunuhan berencana yang melibatkan perempuan sebagai pelaku, serta membandingkan antara ketentuan umum dalam KUHP dan ketentuan khusus dalam UU PKDRT. Hasil penelitian menunjukkan bahwa pembunuhan berencana yang dilakukan oleh perempuan sering kali dipicu oleh trauma psikologis yang dialami akibat kekerasan dalam rumah tangga. Trauma ini, yang sering kali tidak terlihat, mempengaruhi kondisi mental pelaku dan dapat menjadi faktor utama dalam motif tindakannya. Dalam penegakan hukum, penting untuk memperhatikan konteks kekerasan domestik yang dialami oleh korban. Sistem peradilan harus mengutamakan penerapan UU PKDRT sebagai lex specialis, yang memberikan perlindungan kepada perempuan korban KDRT. Penulisan ini, mengeksplorasi kewajiban hukum yang diberikan kepada perempuan pelaku pembunuhan berencana dalam konteks trauma psikis. Penulis berharap penelitian ini dapat memberikan pemahaman yang lebih mendalam dalam perumusan kebijakan hukum yang responsif terhadap kondisi korban KDRT dan memperbaiki sistem perlindungan hukum bagi perempuan.