Transforma Jurnal Manajemen

The Impact Of Healthcare Worker Burnout On Hospital Service Quality: A Systematic Review

2026-09-25T22:39:45+07:00

Burnout among healthcare workers has become a crucial issue in the healthcare system due to its significant impact on the quality of hospital services. This study aims to systematically examine the impact of healthcare worker burnout on hospital service quality, identify the most influential burnout dimensions, and summarize relevant managerial implications. The method used was a Systematic Literature Review with the PRISMA approach. A literature search was conducted through Google Scholar, PubMed, Scopus, and Web of Science databases for articles published between 2021 and 2026. Of the 66 identified articles, 10 met the inclusion criteria. The synthesis results showed that the most frequently reported burnout dimensions refer to the Maslach Burnout Inventory and Copenhagen Burnout Inventory frameworks, with emotional exhaustion and depersonalization as the dimensions most impactful on service quality. Burnout has been shown to reduce the quality of healthcare worker-patient interactions, increase the risk of medical errors, and negatively impact patient safety and the sustainability of healthcare organizations. These findings confirm that burnout is a systemic problem that requires comprehensive managerial and policy interventions to improve hospital service quality.

An Integrative Model of Green Marketing and Green Human Resource Management in Improving MSME Performance through Operational Efficiency and Financial Performance

2026-08-30T16:15:19+07:00

The demand to integrate environmental sustainability and business performance enhancement has become a strategic challenge for Micro, Small, and Medium Enterprises (MSMEs) in river basin areas. This study aims to analyze the effect of Green Marketing and Green Human Resource Management (GHRM) on the Financial Performance of MSMEs in Banjarmasin City, with Operational Efficiency positioned as a mediating variable. A mixed-methods approach with an explanatory sequential design was employed. The quantitative stage involved a structured questionnaire survey of MSME owners/managers, analyzed using Partial Least Squares Structural Equation Modeling (PLS-SEM) via SmartPLS. The qualitative stage was followed through in-depth interviews, observations, and documentation, analyzed using thematic descriptive analysis. Structural testing results indicate that Green Marketing (? = 0.289) and GHRM (? = 0.496) have a significant positive effect on Operational Efficiency, and contribute directly to Financial Performance by 0.496 and 0.381, respectively. Operational Efficiency is also proven to significantly mediate the increase in Financial Performance (ß = 0.226). The coefficient of determination indicates that the combined variables explain 53.3% of the variance in Operational Efficiency (R² = 0.533) and 75.7% of the variance in Financial Performance (R² = 0.757). Qualitative findings reinforce that the synergistic adoption of eco-friendly packaging, production energy efficiency, and green work culture successfully reduces material waste and enhances market competitiveness. This study concludes that implementing green business practices is not merely environmental compliance, but a strategic investment proven to sustainably improve MSME financial performance.

The Effect Of Digital Promotion And Word Of Mouth On University Choice Interest Among 12th-Grade Students In West Java Province

2026-08-30T20:03:09+07:00

Competition among higher education institutions in West Java Province has intensified as the number of public and private universities, polytechnics, and colleges offering competitive study programs continues to grow, compelling each institution to build a strong appeal in an increasingly saturated education market. This study aims to examine the effect of digital promotion and word of mouth (WOM), both partially and simultaneously, on the interest of 12th-grade students in choosing a university in West Java Province. A quantitative approach with a survey method was applied to 150 twelfth-grade students from senior high schools, vocational high schools, and Islamic senior high schools in West Java, selected through purposive sampling. Data were collected using an online questionnaire based on a 1–5 Likert scale and analyzed using multiple linear regression following tests of validity, reliability, and classical assumptions. The results indicate that digital promotion has a positive but not statistically significant effect on university choice interest (? = 0.128; sig. = 0.162), whereas word of mouth has a positive and significant effect (? = 0.256; sig. = 0.003). Simultaneously, the two variables affect university choice interest, with a coefficient of determination (R²) of 0.021, indicating that digital promotion and WOM jointly explain only 2.1% of the variance in university choice interest, while the remaining 97.9% is explained by other factors outside the model. These findings confirm that word of mouth is a more dominant determinant than digital promotion in shaping 12th-grade students' interest in choosing a university, suggesting that universities should strengthen alumni- and counselor-based interpersonal communication strategies while simultaneously improving the quality of their digital promotional content.

Default Risk Mitigation Strategy and Debt Management for Micro, Small, and Medium Enterprises in the Digital Lending Ecosystem

2026-08-30T20:47:32+07:00

Access to financing through financial technology (FinTech P2P Lending) provides capital convenience for Micro, Small, and Medium Enterprises (MSMEs), yet simultaneously introduces new financial risks in the form of potential default risk due to daily interest structures and rigid repayment deadlines. Most previous literature focuses on quantitative approaches to statistical risk modeling, creating a gap in deep understanding regarding the dynamics of debt management at the operational level. This study aims to analyze default risk mitigation strategies and digital debt management mechanisms implemented by MSME owners to maintain business financial resilience. This study employs a qualitative approach with a multiple-case study design involving six MSME owners using registered digital lending platforms who have experienced liquidity vulnerabilities. Data were collected through semi-structured in-depth interviews, daily transaction documentation, and field notes, then analyzed using Thematic Analysis following the Miles, Huberman, and Saldana model. Data trustworthiness was established through source triangulation and member checking. The findings reveal four main themes: (1) default risk identification is based on operational intuitive indicators such as inventory turnover rates; (2) the implementation of a daily cash flow partitioning mechanism for debt repayment allocations; (3) emergency mitigation strategies through stock efficiency, tenor negotiation, and the use of internal cash reserves; and (4) high barriers of information asymmetry and psychological pressure from digital debt collection. This study concludes that MSME financial resilience relies on disciplined daily cash allocation and the rejection of chain-debt practices. The implications of this study emphasize the importance of digital contract transparency by regulators and healthy digital debt governance education for micro-business owners

The Influence of Job Training and Organizational Culture on Teacher and Staff Performance Through Work Motivation at Al-Ikhlas Elementary School Tangerang

2026-09-04T16:08:45+07:00

This study aims to analyze the influence of job training and organizational culture on teacher and staff performance through work motivation as an intervening variable. The study was conducted at Al-Ikhlas Elementary School, Cipondoh, Tangerang using a quantitative approach with a quantitative descriptive method and a saturated sample of 74 teachers and staff. Data collection techniques through observation, interviews and questionnaires with a Likert scale (1–5), data analysis tests using SEM ?PLS to test direct and indirect effects (mediation). The results of the study obtained that job training had a significant positive effect on work motivation with a p-value of 0.010 (<0.05) ; Organizational culture had a significant positive effect on work motivation with a p-value of 0.000 (<0.05); Job training has a significant positive effect on performance with a p-value of 0.000 (<0.05) ; Organizational Culture does not have a direct effect on teacher and staff performance. with a p-value of 0.183 (>0.05); Work motivation has a significant positive effect on performance with a p-value of 0.005 (<0.05); Job training has a significant positive indirect effect on performance through work motivation. with the original sample value of 0.097 and p-value of 0.037 (< 0.05); Organizational culture has a significant positive indirect effect on performance through work motivation . original sample value 0.191 and p-value 0.023 (< 0.05).

The Effect Of Competitive Advantage Strategy On The Competitiveness Of Cracker Msmes In Tlasih Village, Tulangan District, Sidoarjo Regency

2026-09-21T18:29:13+07:00

This study aims to analyze the influence of low-cost strategies, differentiation strategies, and focus strategies on the competitiveness of cracker MSMEs in Tlasih Village, Tulangan District, Sidoarjo Regency. The study used a quantitative approach with multiple linear regression. The study population consisted of 40 cracker MSMEs, while the sample selection used purposive sampling based on the criteria of businesses having a formal organization in decision-making. The low-cost strategy variable was measured through production cost efficiency, raw material control, production scale, and competitive prices; the differentiation strategy variable through innovation, quality, packaging, and brand image; the focus strategy variable through segmentation, specialization, and special services; while the competitiveness variable through sales, market share, customer loyalty, and business sustainability. The regression results showed R of 0.789 and R² of 0.622. The simultaneous test produced F (3,12) = 6.593 with p = 0.00699, so that the three strategies together had a significant effect on competitiveness. However, partial testing showed that low-cost, differentiation, and focus strategies were not yet significant at the 5 percent level. These findings suggest that MSME competitiveness is better understood as the result of a complementary strategic configuration rather than a single strategy. The research implications emphasize the integration of cost efficiency, value differentiation, market segmentation, and simple digitalization as the basis for strengthening the competitiveness of Tlasih Village's cracker MSMEs.

Classification Of Students' Academic Competencies Using The K-Nearest Neighbor (Knn) Method At State Vocational High School 2 Medan

2026-10-01T19:24:44+07:00

The Vocational Competency Test (UKK) is an evaluation instrument to determine the level of competency mastery of Vocational High School (SMK) students. However, the process of determining student eligibility to participate in the UKK is still carried out conventionally, so it takes a relatively long time and risks causing inconsistencies in the assessment. This study applies the K-Nearest Neighbor (KNN) algorithm to group students' academic competencies into two classifications: Ready to Participate in the UKK and Not Ready to Participate in the UKK. The data used comes from a 15-item knowledge aspect questionnaire given to 78 students majoring in Electrical Power Installation Engineering (TITL) at SMK Negeri 2 Medan. The data is separated into 62 training data or 80% and 16 test data or 20%. The data processing stage begins with preprocessing through Min-Max transformation and normalization. Next, classification is carried out using KNN with K = 3 and Euclidean Distance as the distance measurement method. Model performance is analyzed through a Confusion Matrix based on Accuracy, Precision, Recall, and F1-Score. The test yielded an accuracy of 81.25%, precision of 76.92%, recall of 100%, and an F1-score of 86.96%. These findings demonstrate that the KNN algorithm can be effectively used to identify students' academic competency readiness levels for the UKK. Furthermore, the developed web-based system can assist teachers in identifying students' readiness levels more quickly, systematically, and objectively as a basis for decision-making in facing the Skills Competency Test (UKK).

Analysis Of Score Changes And Ceiling Effects On The Asn Integrity Training Test: Implications For The Ministry Of Transportation's Learning Evaluation

2026-10-06T18:46:44+07:00

Civil servant integrity training requires evaluation frameworks that distinguish recorded cognitive test performance from ethical workplace behavior. This study examines score changes and ceiling effects in the ASN Berintegritas training program and their implications for learning evaluation within Indonesia’s Ministry of Transportation. A retrospective quantitative design analyzed Learning Management System (LMS) records from March 18 to September 3, 2026. The primary analysis involved 24,174 paired participant records after excluding 38 invalid time-sequence pairs. Data were processed in R using descriptive statistics, paired t-tests, and McNemar’s test. Mean scores increased significantly from 90.25 to 95.27, representing a 5.02-point gain (95% CI: 4.85–5.19; p < .001). However, the median individual score difference was 0.00: 41.49% of participants improved, 41.10% remained unchanged, and 17.41% declined. The proportion of maximum scores (100) expanded from 43.18% at pretest to 57.30% at posttest (p<.001). High upper-end score concentration indicates a substantial ceiling effect that constrains the measurement of true learning gains. Furthermore, the lack of a control group and test-equating evidence precludes causal conclusions about training efficacy or the development of behavioral integrity. These findings highlight the need for Kemenhub Corporate University to refine question banks, implement Situational Judgment Tests (SJTs), and integrate cognitive assessments with workplace behavioral observations and Zona Integritas frameworks.

Effectiveness Of Live Learning Programs In The Directorate Of Technical And Functional Learning Of State Administrative Institutions

2026-10-07T14:56:21+07:00

This study aims to analyze the factors causing the fluctuation in the number of viewers and the effectiveness of the Live Learning program in developing the competence of the State Civil Apparatus (ASN) at the Directorate of Technical and Functional Learning of the State Administrative Institute (LAN). This research employs a qualitative descriptive approach using the CIPP (Context, Input, Process, Product) evaluation model combined with the Training Needs Analysis (TNA) approach. Data were collected through in-depth interviews, documentation, and literature review involving informants consisting of the Director, Team Leader, Competence Development Analyst, Operators, Speakers, and Participants. The results indicate that the fluctuation in viewer numbers is influenced by a combination of factors: the relevance of the topic to ASN work needs, the credibility of the speaker, the reach of promotion, execution time that often conflicts with working hours, and the participants' workload. Overall, the Live Learning program is considered quite effective but not yet optimal. The program successfully provides flexible access, convenience, and an increase in participants' knowledge and insights. However, its effectiveness is still hindered by non-systematic competence needs identification (TNA), inconsistent schedules, limited interaction, technical constraints, and a tendency toward administrative orientation (eg, pursuing certificates) rather than deep competence mastery. This study recommends strengthening TNA in topic selection, adjusting and ensuring schedule consistency, expanding promotion strategies, enhancing participant interaction, and developing a more comprehensive evaluation of learning outcomes that goes beyond just viewer counts and attendance.

HR Development Strategies To Boost Sme Productivity In The Digital Economy Era: A Quantitative And Qualitative Approach

2026-10-09T22:22:54+07:00

This study aims to analyze human resource (HR) development strategies for enhancing the productivity of MSMEs in the digital economy era. The study employs a mixed-methods approach, using SWOT analysis and SEM-PLS (version 3.0) for data analysis. Data were collected through a survey of 303 MSME owners in the South Tangerang region using purposive random sampling. Statistical analysis results indicate that HR development strategies have a positive and significant impact on MSME productivity in South Tangerang. SWOT analysis reveals that these MSMEs possess strengths such as business owner experience, product quality, high commitment, social media utilization, and strong customer relationships. However, they still face weaknesses, including low digital literacy, suboptimal HR training, limited human resources, and conventional management systems. Externally, the growth of online marketplaces, government support, digital training, and rising online market demand present opportunities to be leveraged, while global competition, rapid technological advances, imported products, and cybersecurity threats pose challenges that must be anticipated.