Navigating NGO Sustainability: Stakeholders, Operational Efficiency, and Innovation in Floating Hospitals
DOI:
https://doi.org/10.62951/ijecm.v3i2.1211Keywords:
DoctorSHARE, Floating Hospital, Operational Efficiency, Organizational Innovation, Organizational SustainabilityAbstract
This study aims to evaluate the determinants of organizational sustainability within the Doctor Peduli Foundation (doctorSHARE), specifically regarding its Floating Hospital program. Specifically, it examines the influence of stakeholder support and operational efficiency on organizational sustainability, while analyzing the role of organizational innovation as a mediating variable in ensuring the continuity of medical services in remote areas. Employing a quantitative approach with a survey method, data were collected from 81 respondents comprising staff and volunteers directly involved in the Floating Hospital's operations. Structural Equation Modeling (SEM) was utilized to analyze the data and test the proposed hypotheses.The results reveal that stakeholder support does not have a significant direct impact on either organizational sustainability or innovation performance. Conversely, operational efficiency emerged as a dominant factor with a significant positive influence. Furthermore, organizational innovation was found to play a crucial role as a mediator, strengthening the impact of operational efficiency on organizational sustainability.This study concludes that the sustainability of non-profit organizations such as doctorSHARE is determined more by management's ability to optimize internal resources efficiently and innovatively than by reliance on external support. Consequently, strengthening internal operational systems should be a primary strategic priority to ensure long-term organizational existence.
Downloads
References
Barbier, E. B. (1987). The concept of sustainable economic development. Environmental Conservation, 14(2), 101–110. https://doi.org/10.1017/S0376892900011449
Barney, J. (1991). Firm resources and sustained competitive advantage. Journal of Management, 17(1), 99–120. https://doi.org/10.1177/014920639101700108
Bryson, J. M. (2018). Strategic planning for public and nonprofit organizations: A guide to strengthening and sustaining organizational achievement. Wiley. https://books.google.co.id/books?id=xqVFDwAAQBAJ
Clarkson, M. E. (1995). A stakeholder framework for analyzing and evaluating corporate social performance. Academy of Management Review, 20(1), 92–117. https://doi.org/10.2307/258888
Cyert, R. M., & March, J. G. (2020). A behavioral theory of the firm. Barakaldo Books.
De Rome, C., & Meadows, D. H. (1972). The limits to growth: A report for the Club of Rome’s project on the predicament of mankind. Universe Books.
Donaldson, T., & Preston, L. E. (1995). The stakeholder theory of the corporation: Concepts, evidence, and implications. Academy of Management Review, 20(1), 65–91. https://doi.org/10.1349/ddlp.1
Elkington, J. (1998). Cannibals with forks: The triple bottom line of 21st century business. New Society Publishers. https://doi.org/10.1002/tqem.3310080106
Enders, J. C., & Remig, M. (2014). Theories of sustainable development: An introduction. In J. C. Enders & M. Remig (Eds.), Theories of sustainable development (pp. 1–5). Routledge.
Freeman, R. E. (2010a). Stakeholder theory: The state of the art. Cambridge University Press.
Freeman, R. E. (2010b). Strategic management: A stakeholder approach. Cambridge University Press. https://doi.org/10.1017/CBO9781139192675
Heizer, J., Render, B., Munson, C. L., & Griffin, P. (2020). Operations management: Sustainability and supply chain management. Pearson.
Jones, T. M., & Wicks, A. C. (1999). Convergent stakeholder theory. Academy of Management Review, 24(2), 206–221.
OECD. (2018). Oslo manual 2018. OECD Publishing. https://doi.org/10.1787/9789264304604-en
O’Reilly, C. A., & Tushman, M. L. (2021). Lead and disrupt: How to solve the innovator’s dilemma. Stanford University Press. https://doi.org/10.1515/9781503629639
Poole, M. S., & Van de Ven, A. H. (2004). Handbook of organizational change and innovation. Oxford University Press. https://doi.org/10.1093/oso/9780195135008.001.0001
Rees, W., & Wackernagel, M. (2008). Urban ecological footprints: Why cities cannot be sustainable—and why they are a key to sustainability. In J. M. Marzluff et al. (Eds.), Urban ecology: An international perspective on the interaction between humans and nature (pp. 537–555). Springer. https://doi.org/10.1007/978-0-387-73412-5_35
Ruggerio, C. A. (2021). Sustainability and sustainable development: A review of principles and definitions. Science of the Total Environment, 786, 147481. https://doi.org/10.1016/j.scitotenv.2021.147481
Schaltegger, S., & Wagner, M. (2017). Managing and measuring the business case for sustainability: Capturing the relationship between sustainability performance, business competitiveness and economic performance. In S. Schaltegger & M. Wagner (Eds.), Managing the business case for sustainability (pp. 1–27). Routledge. https://doi.org/10.4324/9781351280525-1
Schumpeter, J. A. (2013). Capitalism, socialism and democracy. Routledge. https://doi.org/10.4324/9780203202050
Siregar, S. (2013). Metode penelitian kuantitatif: Dilengkapi dengan perhitungan manual & SPSS. Kencana.
Solomon, J. (2020). Corporate governance and accountability. John Wiley & Sons.
Starr, S. G. (2014). Production and operations management systems. Productivity Press.
Sugiyono. (2019). Metode penelitian kuantitatif, kualitatif, dan R&D. CV Alfabeta.
Svendsen, A. (1998). The stakeholder strategy: Profiting from collaborative business relationships. Berrett-Koehler Publishers.
Teece, D. J., Pisano, G., & Shuen, A. (1997). Dynamic capabilities and strategic management. Strategic Management Journal, 18(7), 509–533. http://www.jstor.org/stable/3088148
Tiwari, R., & Herstatt, C. (2012). Frugal innovation: A global networks’ perspective. Unternehmung: Swiss Journal of Business Research and Practice, 66(3). https://doi.org/10.5771/0042-059X-2012-3-245
Wernerfelt, B. (1984). A resource-based view of the firm. Strategic Management Journal, 5(2), 171–180. https://doi.org/10.1002/smj.4250050207
World Commission on Environment and Development. (1987). Our common future. Oxford University Press. https://books.google.co.id/books?id=iu6b4FzPoSAC
Yin, R. K. (2009). Case study research: Design and methods (5th ed.). Sage.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 International Journal of Economics, Commerce, and Management

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.



