Jurnal Health Sains

Implementation of the Remuneration System on the Level of Job Satisfaction of Nurses in Hospitals

2025-05-23T02:42:15+00:00

Nurse job satisfaction is critical for healthcare quality, yet existing research often narrowly focuses on remuneration without considering its interplay with organizational culture, leadership, and post-pandemic demands. This study examines how pay systems interact with non-financial factors to influence nurse satisfaction, aiming to identify context-specific strategies for hospitals. A narrative review analyzed 10 years of literature from PubMed, ScienceDirect, and EBSCOhost using keywords like "remuneration," "nurse satisfaction," and "hospital compensation." Competitive wages boost morale and retention, but holistic satisfaction requires supportive leadership, career growth opportunities, and mental health support. Gaps persist in qualitative insights and regional adaptability. Hospitals should adopt flexible, data-driven pay models aligned with nurses' needs, while future research must employ mixed methods and cross-regional comparisons to refine policies.

The Impact of Precocious Puberty on Oral Health and Craniofacial Development in Children: a Scoping Review

2025-05-23T02:24:14+00:00

Precocious puberty is defined as the appearance of developmental characteristics of secondary puberty before the age of 8 years in girls and before the age of 9 years in boys. Hormonal changes related with this condition can influence oral health and craniofacial growth, not only general physical development. Children experiencing precocious puberty may have advanced dental age, expedited skeletal maturation, malocclusion, temporomandibular disorders (TMD), and alterations in oral microbiota. This study aims to identify the current evidence on the structural and functional impacts of precocious puberty on oral health and craniofacial development in children.

Methods: This scoping review followed the Preferred Reporting Items for Systematic Reviews and Meta-analysis extension for Scoping Reviews (PRISMA-ScR) guidelines. A systematic literature search was retrieved using PubMed and EBSCOhost, includes publications from 2015 to 2025. The search focused on oral and craniofacial changes in children with precocious puberty, using specific keywords and the Population, Concepts and Context framework.

Results: Total of nine studies conducted from 2015 to 2025 on oral and craniofacial characteristics in children with precocious puberty. The studies used various designs, including cross-sectional, case-control, observational, and systematic review. Main topics included dental development, craniofacial growth, TMD, maloclusion, and oral microbiota changes. Most of the research involved children with precocious puberty and performed in several countries, and majority was in South Korea.

Conclusion: Children with precocious puberty have substantial anatomical and functional changes in the oral and craniofacial complex. Dental and craniofacial changes occur earlier and progress more rapidly, necessitating timely diagnosis and interdisciplinary management. Awareness of these manifestations is essential for pediatric dentists, orthodontists, and endocrinologists to ensure optimal treatment planning during the critical growth period.

The Influence of Top Management Team Competencies on Strategic Decision-Making in Hospital

2025-05-23T01:51:45+00:00

Top management team (TMT) competencies are pivotal in navigating hospitals’ strategic challenges, yet their collective impact remains underexplored amid evolving healthcare complexities. This narrative review synthesizes 15 studies (2010–2025) to analyze how TMT competencies—leadership, communication, strategic thinking, and adaptability—shape strategic decision-making and identifies gaps in cross-cultural applicability. A systematic search across PubMed, Scopus, and ScienceDirect employed PICO criteria, prioritizing peer-reviewed empirical studies. Data were analyzed thematically, integrating quantitative and qualitative findings. TMT competencies significantly enhance decision-making quality, particularly in resource-limited settings. Key themes include: (1) team synergy outweighing individual prowess, (2) adaptive training as a critical enabler, and (3) unmet needs for context-specific competency frameworks. The study underscores the urgency of developing culturally tailored training programs and leveraging mixed-methods research to optimize TMT effectiveness. Policymakers and hospitals must prioritize competency integration to foster resilient, patient-centered leadership.

Craniocervical Posture Improvement Using Twin Block: A Scoping Review

2025-05-23T02:12:41+00:00

Functional appliances, such as twin block, effectively treat for skeletal class II malocclusion. The twin block exerts a significant influence on mandibular growth, that contributes to the improvement of craniocervical posture.

Objective: This scoping review aims to systematically map and evaluate the current literature on the effects of twin block appliance treatment on craniocervical posture.

Methods: A scoping review followed to PRISMA-ScR guidelines. A comprehensive research conducted in three online databases-Scopus, Pubmed, Springer Link- from 2014-2024. Article selection followed the PCC framework. Studies about the impact of twin block appliance on craniocervical posture were included.

Result: A total of 49 articles selected after eliminating duplicates, four articles met the inclusion criteria. The findings from these studies indicate the effect of twin block appliance usage on craniocervical posture.

Conclusion: The twin block appliance not only impacts skeletal and dentoalveolar changes, but also craniocervical posture. Evidence suggest that mandibular advancement may induce postural adaptations by altering the craniofacial and cervical spine relationship.

The Effect of Leadership and Reward System on Patient Safety Culture Mediated by Nurses' Motivation in Satya Negara Sunter Hospital

2025-05-22T09:01:57+00:00

This study examines the impact of leadership and reward systems on patient safety culture at Satya Negara Sunter Hospital, with nurse motivation serving as a mediating factor. The need for effective patient safety practices in healthcare environments underscores the importance of leadership, rewards, and motivation. This quantitative study used a cross-sectional design and surveyed 120 nurses through a structured questionnaire. Data analysis was performed using Partial Least Squares (PLS) to assess the direct and indirect effects of the variables. The results indicate that both leadership and reward systems significantly influence patient safety culture, with nurse motivation mediating these relationships. The findings emphasize that leadership enhances nurse motivation, while a transparent reward system further boosts motivation and strengthens the patient safety culture. This study contributes to organizational behavior theory by highlighting the interconnections between leadership, reward systems, and motivation in fostering a culture of safety. Practical recommendations include strengthening leadership capabilities, optimizing reward programs, and improving nurse motivation to ensure high-quality healthcare services.