The Relationship Between Nurse Burnout and Patient Safety Culture with The Quality of Nursing Care in Type B Hospitals in Central Sulawesi
DOI:
https://doi.org/10.46799/jhs.v5i6.1293Keywords:
nurse burnout, patient safety culture, quality nursing careAbstract
The hospital provides health services such as inpatient, outpatient, and emergency departments. The quality of nursing care is crucial as patients rely on nurses to address their complaints. This study aims to determine the relationship between nurse burnout and patient safety culture with the quality of nursing care. An analytical observational design with a cross-sectional study approach was conducted in two Type B Hospitals in Central Sulawesi Province with 235 nurse respondents in the inpatient room, using purposive sampling. Data analysis included the Pearson product-moment test and multivariate modeling. Results indicated a significant relationship between nurse burnout and nursing care quality (p-value <0.05), as well as between patient safety culture and nursing care quality. The dominant variable related to the quality of nursing care was patient safety culture (β = 0.723). The study highlights that nurse burnout negatively impacts the quality of nursing care, whereas a strong patient safety culture improves it. Theoretically, this research expands the understanding of the interplay between nurse burnout, patient safety culture, and nursing care quality, emphasizing the need for organizational support and effective communication. Practically, it suggests that hospital administrators should implement strategies to reduce nurse burnout and foster a positive patient safety culture, such as stress management programs and a supportive work environment, to enhance nursing care quality and improve patient outcomes.
References
Astuti, W. (2023). Faktor yang mempengaruhi peran perawat dalam peningkatan keselamatan pasien. 4, 709–718.
Brewer, K. C., Nguyen, J., Ziegler, H., Dodson, M., & Kurdian, S. (2023). Relationships of organizational behavior/mission congruence with burnout, secondary traumatic stress, and compassion satisfaction among nurses. Applied Nursing Research, 73. https://doi.org/10.1016/j.apnr.2023.151700
Burnitt, E., Grealish, L. A., Crilly, J., May, K., & Ranse, J. (2024). Providing end of life care in the emergency department: A hermeneutic phenomenological study. Australasian Emergency Care. https://doi.org/10.1016/j.auec.2024.01.002
Camala, A., Marwati, T. A., & Akrom, A. (2022). Faktor-Faktor yang Berhubungan dengan Kepuasan Pasien terhadap Pelayanan Keperawatan Ruang Rawat Jalan Rumah Sakit Umum Daerah Bahteramas Provinsi Sulawesi Tenggara di Masa Pandemi Covid-19. Syntax Literate ; Jurnal Ilmiah Indonesia, 7(2), 2443. https://doi.org/10.36418/syntax-literate.v7i2.5593
Denning, M., Goh, E. T., Scott, A., Martin, G., Markar, S., Flott, K., Mason, S., Przybylowicz, J., Almonte, M., Clarke, J., Beatty, J. W., Chidambaram, S., Yalamanchili, S., Tan, B. Y. Q., Kanneganti, A., Sounderajah, V., Wells, M., Purkayastha, S., & Kinross, J. (2020). What has been the impact of COVID-19 on safety culture? A case study from a large metropolitan healthcare trust. International Journal of Environmental Research and Public Health, 17(19), 1–12. https://doi.org/10.3390/ijerph17197034
Elfina, Syam, B., & Nasution, S. Z. (2022). KEPEMIMPINAN KLINIS TERHADAP KUALITAS PELAYANAN KEPERAWATAN. Journal of Telenursing (Joting), 4(2), 1–23. https://doi.org/https://doi.org/10.31539/joting.v4i2.4233
Galleryzki, A. R., Tutik, R., Haryati, S., & Bardah, D. (2023). Faktor-faktor yang Mempengaruhi Sikap Perawat dalam Keselamatan Pasien : Systematic Review. 5(1), 16–26.
Hasan, N. N., Hama Rash, M. Q., & Mahmood, N. A. (2023). Burnout and resilience among nurses during COVID-19 in Kirkuk city. Informatics in Medicine Unlocked, 43. https://doi.org/10.1016/j.imu.2023.101392
Heidari, S., Parizad, N., Goli, R., Mam-Qaderi, M., & Hassanpour, A. (2022). Job satisfaction and its relationship with burnout among nurses working in COVID-19 wards: A descriptive correlational study. Annals of Medicine and Surgery, 82. https://doi.org/10.1016/j.amsu.2022.104591
Hetherington, D., Wilson, N. J., Dixon, K., & Murphy, G. (2024). Emergency department Nurses’ narratives of burnout: Changing roles and boundaries. International Emergency Nursing, 74. https://doi.org/10.1016/j.ienj.2024.101439
Hidayat, R., & Sureskiarti, E. (2020). Hubungan Beban Kerja Terhadap Kejenuhan (Burnout ) Kerja pada Perawat di Ruang Rawat Inap Rumah Sakit Umum Daerah Inche Abdoel Moeis Samarinda. Borneo Student Research, 1(3), 2168–2173.
Hughes, R. V. (Vickie), Hudson, K. W., Wright, E., Swoboda, S. M., Frangieh, J., & D’Aoust, R. F. (2024). Cultivating Self-Compassion to Protect Nurses From Burnout and Secondary Traumatic Stress. Nursing for Women’s Health, 28(2), 159–167. https://doi.org/10.1016/j.nwh.2024.01.003
Kadir, L. P., Syukur, S. B., & Syamsuddin, F. (2023). Hubungan Kualitas Pelayanan Keperawatan Dengan Kepuasan Pasien Di Rumah Sakit Umum Daerah Tombulilato. Jurnal Riset Rumpun Ilmu Kesehatan (JURRIKES), 2(1), 159–171.
Kakemam, E., Chegini, Z., Rouhi, A., Ahmadi, F., & Majidi, S. (2021). Burnout and its relationship to self-reported quality of patient care and adverse events during COVID-19: A cross-sectional online survey among nurses. Journal of Nursing Management, 29(7), 1974–1982. https://doi.org/10.1111/jonm.13359
Kim, D. K., Scott, P., Poghosyan, L., & Martsolf, G. R. (2024). Burnout, job satisfaction, and turnover intention among primary care nurse practitioners with their own patient panels. Nursing Outlook, 72(4). https://doi.org/10.1016/j.outlook.2024.102190
Kim, N. Y., & Jeong, S. Y. (2021). Perioperative patient safety management activities: A modified theory of planned behavior. PLoS ONE, 16(6 June), 384–392. https://doi.org/10.1371/journal.pone.0252648
Kulakaç, N., & Uzun, S. (2023). The Effect of Burnout and Moral Sensitivity Levels of Surgical Unit Nurses on Job Satisfaction. Journal of Perianesthesia Nursing, 38(5), 768–772. https://doi.org/10.1016/j.jopan.2023.01.012
Kuraesin, D., Mutiara, R., Kusumapradja, R., & Unggul, U. E. (2023). RUANG RAWAT INAP.
Labrague, L. J. (2024). Emergency room nurses’ caring ability and its relationship with patient safety outcomes: A cross-sectional study. International Emergency Nursing, 72. https://doi.org/10.1016/j.ienj.2023.101389
Lee, S. E., Seo, J. kyung, & Squires, A. (2024). Voice, silence, perceived impact, psychological safety, and burnout among nurses: A structural equation modeling analysis. International Journal of Nursing Studies, 151. https://doi.org/10.1016/j.ijnurstu.2023.104669
Lestari, R., Setyawan, F. E. B., Supriyanto, S., & Ernawaty, E. (2020). Understanding patient satisfaction and loyalty in public and private primary health care. Journal of Public Health Research, 9(2), 140–143. https://doi.org/10.4081/jphr.2020.1823
Lusiyana, A., Handiyani, H., & Pujasari, H. (2021). The Relationship Between Case Manager Competence and Nurse Burnout in Indonesia. KnE Life Sciences, 2021, 953–968. https://doi.org/10.18502/kls.v6i1.8772
Mahmoudi, S., Barkhordari-Sharifabad, M., Pishgooie, A. H., Atashzadeh-Shoorideh, F., & Lotfi, Z. (2020). Burnout among Iranian nurses: a national survey. BMC Nursing, 19(1), 1–9. https://doi.org/10.1186/s12912-020-00461-7
Majannang, E. A. D., Kadir, A., & Hamsinah, S. (2021). Hubungan Motivasi Dan Masa Kerja Terhadap Kinerja Perawat Di Ruang Rawat Inap Rumah Sakit Umum Daerah Haji Makassar. Jurnal Ilmiah Mahasiswa & Penelitian Keperawatan, 1(27), 90157.
Mirza, M. N., Rukun, P., & Luhur, A. (2022). Exploratory Study of Burnout Incidence on Inpatient Nurses in Kaliwungu District , Kudus Regency Studi Eksplorasi Kejadian Burnout pada Perawat Rawat Inap di Kecamatan Kaliwungu Kabupaten Kudus LATAR BELAKANG Burnout merupakan masalah yang sering muncul p. Menara Journal of Health Science, 196–204.
Monsalve C, San Luis C, Gómez J, Albendín L, Aguayo R, & Cañadas G. (2018). Burnout syndrome and its prevalence in primary care nursing: a systematic review and meta-analysis. BMC Family Practice, 1–7.
Muir, K. J., Keim-Malpass, J., & LeBaron, V. T. (2022). “You have to ask yourself when you’ve had enough”: An ethnography of multi-level nurse burnout cultural impacts in the emergency department. SSM - Qualitative Research in Health, 2. https://doi.org/10.1016/j.ssmqr.2022.100111
Nikpour, J., & Carthon, J. M. B. (2023). Characteristics, work environments, and rates of burnout and job dissatisfaction among registered nurses in primary care. Nursing Outlook, 71(4). https://doi.org/10.1016/j.outlook.2023.101988
Ningrum, E., Evans, S., & Soh, S. E. (2019). Validation of the Indonesian version of the Safety Attitudes Questionnaire: A Rasch analysis. PLoS ONE, 14(4), 1–11. https://doi.org/10.1371/journal.pone.0215128
Owuor, R. A., Mutungi, K., Anyango, R., & Mwita, C. C. (2020). Prevalence of burnout among nurses in sub-saharan africa: A systematic review. JBI Evidence Synthesis, 18(6), 1189–1207. https://doi.org/10.11124/JBISRIR-D-19-00170
Paramitha, D. S., Kusumawati, N., Hidayat, R., Al Ashri, A., Tauhidah, N. I., Nurman, M., Rahayu, S. F., Ningsih, N. F., Amaliah, N., & Sinthania, D. (2021). Nilai Esensial Dalam Praktik Keperawatan. Penerbit Insania.
Putra, K. R., Sutadi, H., Setyowati, S., & Hariyati, R. T. S. (2021). The impact of nurse manager caring behaviors and work environment on burnout syndrome among nurses. Kontakt, 23(2), 90–96. https://doi.org/10.32725/kont.2021.019
Roth, C., Berger, S., Krug, K., Mahler, C., & Wensing, M. (2021). Internationally trained nurses and host nurses’ perceptions of safety culture, work-life-balance, burnout, and job demand during workplace integration: a cross-sectional study. BMC Nursing, 20(1), 1–15. https://doi.org/10.1186/s12912-021-00581-8
Sabrina, A., Tusrini, W., & Dwi Tamara, M. (2023). Faktor-Faktor yang Berhubungan dengan Kejadian Burnout pada Perawat di Rumah Sakit (Literature Review). Jurnal Sehat Masada, 17(1), 49–57. https://doi.org/10.38037/jsm.v17i1.409
Singal, E. M., Manampiring, A. E., & Nelwan, J. E. (2021). Analisis Faktor-Faktor Yang Berhubungan Dengan Stres Kerja Pada Pegawai Rumah Sakit Mata Provinsi Sulawesi Utara. Sam Ratulangi Journal of Public Health, 1(2), 040. https://doi.org/10.35801/srjoph.v1i2.31988
Smiley, R., Reid, M., & Martin, B. (2024). The Registered Nurse Workforce: Examining Nurses’ Practice Patterns, Workloads, and Burnout by Race and Ethnicity. Journal of Nursing Regulation, 15(1), 65–79. https://doi.org/10.1016/S2155-8256(24)00030-9
Sujanah, W., Pratiwi, A. D., & Akifah, A. (2021). Faktor-Faktor Yang Berhubungan Dengan Burnout Syndrome Pada Perawat Di Rsud Bahteramas, Sulawesi Tenggara. Jurnal Kesehatan Masyarakat (Undip), 9(5), 675–680. https://doi.org/10.14710/jkm.v9i5.30697
Sureskiarti, E., Masnina, R., Wijayanti, T., Zulaikha, F., Praja, A., & Husnia. (2021). Nursing care to improve the quality of nursing services. Indonesian Journal of Global Health Research, 3(2), 229–236.
Taskin, O., Disel, N. R., & Yilmaz, M. (2024). Amidst the clamor: Effects of emergency department noise on Physicians’ health and attention. American Journal of Emergency Medicine, 76, 87–92. https://doi.org/10.1016/j.ajem.2023.11.007
Tucker, C. M., Jaffe, R., & Goldberg, A. (2023). Supporting a culture of patient safety: Resident-led patient safety event reviews in a pathology residency training program. Academic Pathology, 10(1). https://doi.org/10.1016/j.acpath.2023.100069
Wirati, N. P. R., Wati, N. M. N., & Saraswati, N. L. G. I. (2020). Hubungan Burnout Dengan Motivasi Kerja Perawat Pelaksana. Jurnal Kepemimpinan Dan Manajemen Keperawatan, 3(1), 8. https://doi.org/10.32584/jkmk.v3i1.468
Woo, T., Ho, R., Tang, A., & Tam, W. (2020). Global prevalence of burnout symptoms among nurses: A systematic review and meta-analysis. Journal of Psychiatric Research, 123(August 2019), 9–20. https://doi.org/10.1016/j.jpsychires.2019.12.015
World Health Organization. (2020). Quality health services.
Xue, L., Zhong, Q., Xu, N., Zheng, Y., & Liu, Y. (2024). Investigation in image quality and immediate patient safety using pre-dual-flow injection for low-contrast dose spectral pulmonary artery CT angiography. European Journal of Radiology Open, 12. https://doi.org/10.1016/j.ejro.2024.100571
Zimmermann, N., Küng, K., Sereika, S. M., Engberg, S., Sexton, B., & Schwendimann, R. (2013). Assessing the safety attitudes questionnaire (SAQ), German language version in Swiss university hospitals - A validation study. BMC Health Services Research, 13(1). https://doi.org/10.1186/1472-6963-13-347
Zulkhulaifah, S. A., Pasinringi, S. A., & Sari, N. (2022). Persepsi Kepuasan Pasien Terhadap Kualitas Pelayanan Keperawatan Di Rawat Inap Tahun 2022. Hasanuddin Journal of Public Health, 3(3), 246–256. https://doi.org/10.30597/hjph.v3i3.23370
Published
Issue
Section
License
Copyright (c) 2024 Fitria Dewi Susanti, Sri Andarini, Kuswantoro Rusca Putra
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under aCreative Commons Attribution-ShareAlike 4.0 International (CC-BY-SA). that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.