Impact of Organizational Climate, Workload, and Patient-Centered Care in Hospital to Improve Nursing Service Quality
Anita Widi Hastuti 1*, Qurrotul Aini 1
Journal of Angiotherapy 8(5) 1-6 https://doi.org/10.25163/angiotherapy.859702
Submitted: 08 April 2024 Revised: 24 June 2024 Published: 29 May 2024
Abstract
Background: The quality of hospital services is crucially influenced by employee professionalism, service effectiveness, and patient satisfaction. Poor service quality leads to increased patient dissatisfaction and complaints, reducing overall healthcare satisfaction. Enhancing nursing service quality is essential, focusing on factors like organizational climate, nurses' workload, and patient-centered care. Methods: A quantitative correlation study with a cross-sectional design was conducted at Roemani Muhammadiyah Semarang Hospital. The study involved 170 randomly selected nurses from the inpatient unit. Data were collected using structured questionnaires addressing organizational climate, nurses' workload, patient-centered care, and quality of nursing services. Statistical analysis was performed using the Spearman Rho Test to identify significant relationships between variables. Results: The majority of nurses reported a moderate organizational climate (81.2%), low workload (70.0%), and moderate patient-centered care (78.8%). Nursing service quality was predominantly moderate (76.5%). Significant positive relationships were found between organizational climate and nursing services (r=0.868, p<0.05), nurses' workload and nursing services (r=0.578, p<0.05), and patient-centered care and nursing services (r=0.934, p<0.05). Conclusion: The study demonstrates that a positive organizational climate, optimal nurses' workload, and effective patient-centered care are significantly associated with improved nursing service quality. Hospital management should prioritize these factors to enhance care quality.
Keywords: Nursing Service Quality, Organizational Climate, Nurses' Workload, Patient-Centered Care, Hospital Management
References
Aapro, M., Bossi, P., Dasari, A., Fallowfield, L., Gascón, P., Geller, M., Jordan, K., Kim, J., Martin, K., & Porzig, S. (2020). Digital health for optimal supportive care in oncology: benefits, limits, and future perspectives. Supportive Care in Cancer, 28, 4589–4612.
Banunaek, C. D., Dewi, Y. E. P., & Andadari, R. K. (2021). Dilema Etik pada Profesionalisme Perawat terhadap Kualitas Pelayanan Keperawatan. Jurnal Kepemimpinan Dan Manajemen Keperawatan, 4(2), 110–120.
Delima, M., Nofriadi, N., & Idral, M. (2020). Hubungan Gaya Kepemimpinan Kepala Ruangan Dengan Kinerja Perawat Yang Dipersepsikan Oleh Perawat Pelaksana. Prosiding Seminar Kesehatan Perintis, 3(1), 19.
Fadilah, A., & Yusianto, W. (2019). Hubungan Kualitas Pelayanan Keperawatan Dengan Kepuasan Pasien Rawat Inap Bedah Di Rsud Dr. Loekmono Hadi Kudus. Jurnal Keperawatan Dan Kesehatan Masyarakat Cendekia Utama, 8(1), 35–44.
Gethin, G., Probst, S., Stryja, J., Christiansen, N., & Price, P. (2020). Evidence for person-centred care in chronic wound care: a systematic review and recommendations for practice. Journal of Wound Care, 29(Sup9b), S1–S22.
Hayati, S. N., & Rusnandar, S. Y. (2021). Nurse’s Work Climate and the Application of Patient Safety Measure in Sartikah Asih Hospital, Bandung. The 4th International Virtual Conference on Nursing, 657–670. https://doi.org/10.18502/kls.v6i1.8740
Herlambang, P. G. D., Mastrini, N. L. P. S., & Sukanti, N. K. (2022). Pengaruh Etika Kerja, Iklim Organisasi dan Keadilan Organisasi Terhadap Kinerja Karyawan Pada Rumah Sakit Ibu dan Anak (RSIA) Puri Bunda Denpasar. Bisma: Jurnal Manajemen, 8(3), 632–637.
Kundariyah, S., Tjahjono, H. K., Aini, Q., & Setyonugroho, W. (2021). Employee Performance Measurements at ‘Aisyiyah Klaten Hospital using the Human Resources Scorecard approach. Disease Prevention and Public Health Journal, 16(1), 47–54. https://doi.org/10.12928/dpphj.v16i1.4585
Maghsoud, F., Rezaei, M., Asgarian, F. S., & Rassouli, M. (2022). Workload and quality of nursing care: the mediating role of implicit rationing of nursing care, job satisfaction and emotional exhaustion by using structural equations modeling approach. BMC Nursing, 21(1), 1–10. https://doi.org/10.1186/s12912-022-01055-1
Mariana, D. (2019). Hubungan kualitas pelayanan keperawatan rawat inap dengan proses pengambilan keputusan pasien untuk memilih rumah sakit. Jurnal Ilmiah Multi Scinece Kesehatan, 10(2), 145–162.
Mawikere, Y., Manampiring, A. E., & Toar, J. M. (2021). Hubungan Beban Kerja Perawat dengan Tingkat Kepuasan Pasien dalam Pemberian Asuhan Keperawatan di Ruang Rawat Inap RSU Gmim Pancaran Kasih Manado. Jurnal Keperawatan, 9(1), 71–77.
Neill, D. (2011). Nursing Workload and the Changing Health Care Environment: A Review of the Literature. Administrative Issues Journal, 1(2). https://doi.org/10.5929/2011.1.2.11
Pérez-Francisco, D. H., Duarte-Clíments, G., Del Rosario-Melián, J. M., Gómez-Salgado, J., Romero-Martín, M., & Sánchez-Gómez, M. B. (2020). Influence of workload on primary care nurses’ health and burnout, patients’ safety, and quality of care: Integrative review. Healthcare (Switzerland), 8(1), 1–14. https://doi.org/10.3390/healthcare8010012
Safitri, A. E., Maidin, A., & Syamsuddin. (2021). The Influence of Organizational Climate and Public Service Motivation on The Performance of Nurses at The Haji Hospital in South Sulawesi Province. Journal of Asian Multicultural Research for Medical and Health Science Study, 2(4), 70–81.
Sesrianty, V., Machmud, R., & Yeni, F. (2019). Analisa kepuasan pasien terhadap mutu pelayanan keperawatan. JURNAL KESEHATAN PERINTIS (Perintis’s Health Journal), 6(2), 116–126.
Sultan, A. A., Alfaiza, S. A., & Riyadh, H. A. (2022). Impact of mass collaboration on knowledge sharing process using mediating role of innovation capability. International journal of organizational analysis, 30(5), 1085-1099.
Sultan, A. A., Hassan, M. G., & Noor, S. M. (2017). E-Commerce Adoption Among Iraqi Companies: Does Context Matters? QALAAI ZANIST JOURNAL, 2(4), 339-348.
Sultan, A. A., & Noor, S. M. (2017). Absorptive capacity, civil conflict and e-commerce adoption among Iraqi firms. Advanced Science Letters, 23(8), 7992-7995.
Sultan, A. A., Noor, S. M., & Nasirun, N. (2018). Technological factors and e-commerce adoption among small medium enterprises in Kurdistan, Iraq. Int. J. Eng. Technol, 7(3.5), 98-101.
Wahyuhadi, J., Hidayah, N., & Aini, Q. (2023). Remuneration, Job Satisfaction, and Performance of Health Workers During the COVID-19 Pandemic Period at the Dr. Soetomo Hospital Surabaya, Indonesia. Psychology Research and Behavior Management, 16(February), 701–711. https://doi.org/10.2147/PRBM.S396717
Wahyuni, N. P. S., & Darmawan, E. S. (2019). Patient-Centered Care Model to Improve the Quality and Safety of Patient Care in Hospital: A Systematic Review. The 6th International Conference on Public Health, 291–291. https://doi.org/10.26911/the6thicph.04.53
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