The Effectiveness of Organizational Design in Improving Performance at the Emergency Department of Luwuk Banggai Regional General Hospital

Anggun Puspita; Rinawati

doi:10.53697/emak.v7i1.3265

Authors

Anggun Puspita Universitas Adhirajasa Reswara Sanjaya
Rinawati Universitas Adhirajasa Reswara Sanjaya

DOI:

https://doi.org/10.53697/emak.v7i1.3265

Keywords:

Organizational Design, Effectiveness, Performance, Emergency Department, Hospital

Abstract

This study aims to analyze the effectiveness of organizational design and its impact on the performance of the Emergency Department at Luwuk Banggai Regional General Hospital. A quantitative descriptive-analytic method was used, involving all 75 health and non-health workers in the ED selected through total sampling. Data were collected using a Likert-scale questionnaire and analyzed using Pearson correlation and simple linear regression tests. The findings indicated that the effectiveness of organizational design and ED performance were both in the high category, with means of 4.12 and 4.18 respectively. The correlation test showed a positive and significant relationship between organizational design effectiveness and ED performance (r = 0.713, p = 0.000). Regression analysis revealed that organizational design contributed 50.8 percent to ED performance (R² = 0.508). In conclusion, effective implementation of organizational design through clear structure, task distribution, communication, and interprofessional coordination leads to higher performance in the emergency department. The study emphasizes the importance of adaptive and collaborative organizational design in enhancing hospital service performance.

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References

A Zainal, & Mahfudz A. (2022). The influence of organizational design and work environment on employee performance in hospital management. Jurnal Manajemen Kesehatan Indonesia, 10(2), 123–134.

Alowad Ali, Premaratne Samaranayake, Kazi Ahsan, Hisham Alidrisi, & Azharul Karim. (2021). Enhancing patient flow in emergency department (ED) using lean strategies–an integrated voice of customer and voice of process perspective. Business Process Management Journal, 32(5), 408–423.

Arsalan Gharaveis, D. Kirk Hamilton, & Debajyoti Pati. (2018). The Impact of Environmental Design on Teamwork and Communication in Healthcare Facilities: A Systematic Literature Review. HERD: Health Environments Research & Design Journal, 11(1), 119–137.

Emami, S. G., Lorenzoni, V., & Turchetti, G. (2024). Towards Resilient Healthcare Systems: A Framework for Crisis Management. International Journal of Environmental Research and Public Health, 21(3). https://doi.org/10.3390/ijerph21030286

Griffiths, P., Ball, J., Bloor, K., Böhning, D., Briggs, J., Dall’Ora, C., Iongh, A., Jones, J., Kovacs, C., Maruotti, A., Meredith, P., Prytherch, D., & Saucedo, A. (2018). Nurse staffing levels, missed vital signs and mortality in hospitals: retrospective longitudinal observational study. Health Services and Delivery Research, 38(6). https://ora.ox.ac.uk/objects/uuid:f5d91ef7-7e92-47cd-94c0-6b4d6505c974

Hitti, E. A., El-Eid, G. R., Tamim, H., Saleh, R., Saliba, M., & Naffaa, L. (2017). Improving Emergency Department radiology transportation time: A successful implementation of lean methodology. BMC Health Services Research, 17(1). https://doi.org/10.1186/s12913-017-2488-5

Iflaifel, M., Lim, R. H., Ryan, K., & Crowley, C. (2020). Resilient Health Care: A systematic review of conceptualisations, study methods and factors that develop resilience. BMC Health Services Research, 20(1). https://doi.org/10.1186/s12913-020-05208-3

John W. Creswell, & J David Creswell. (2018). Research design: Qualitative, quantitative, and mixed methods approaches (5th ed.). SAGE Publication.

Jonathan Back, Alastair J. Ross, Myanna D. Duncan, Peter Jaye, Katherine Henderson, & Janet E. Anderson. (2017). Emergency Department Escalation in Theory and Practice: A Mixed-Methods Study Using a Model of Organizational Resilience. Annals of Emergency Medicine, 70(3), 401–413.

Jum C. Nunnally. (2018). Psychometric theory (4th ed.). McGraw-Hill.

Rabiei, R., & Almasi, S. (2022). Requirements and challenges of hospital dashboards: a systematic literature review. BMC Medical Informatics and Decision Making, 22(1). https://doi.org/10.1186/s12911-022-02037-8

Richard L Daft. (2016). Organization Theory and Design (12th ed.). Cengage Learning.

Souza, D. L., Korzenowski, A. L., Alvarado, M. M., Sperafico, J. H., Ackermann, A. E. F., Mareth, T., Scavarda, A. J., Gargiulo, P., & Giansanti, D. (2021). healthcare A Systematic Review on Lean Applications’ in Emergency Departments. https://doi.org/10.3390/healthcare

Stephen P. Robbins, Rolf Bergman, Ian Stagg, & Marry Coulter. (2018). Management (14th ed.). Pearson Education.

Sugiyono. (2019). Metode penelitian kuantitatif, kualitatif, dan R&D. Alfabeta.

Tlapa, D. , et al. (2020). Effects of lean healthcare on patient flow: A systematic review. Value in Health, 23(7), 897–905.

WHO. (2018). Framework on integrated, people-centred health services Report by the Secretariat. http://apps.who.int/iris/bitstream/10665/174536/1/9789241564977_eng.pdf?ua=1,