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Articles
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Published: 2022-07-29

Relationship of Nursing Management Functions with Missed Nursing Care: A Cross-Sectional Study

Faculty of Nursing, Universitas Indonesia, Depok 16424
Faculty of Nursing, Universitas Indonesia, Depok 16424
Faculty of Nursing, Universitas Indonesia, Depok 16424

Abstract

A crucial role of the nurse is to provide safe nursing care without missing anything. Unsafe care is a key contributor to morbidity and mortality in the world. This study aimed to identify the relationship between management functions and nursing care that were missed at three inpatient installations at regional general hospitals. The research used a quantitative approach with an analytic research and cross-sectional design. The sample consisted of 238 nursing staff comprising team leaders and implementing nurses who worked at Regional Hospitals A, B, and C. The management function (p = 0.001) and all its components of planning, organizing, staffing, direction, and control (p = 0.001; p = 0.001 p = 0.001; p = 0.001; p = 0.001) were significantly related. The management function and all its components are thus related to missed nursing care. The recommendation is to improve the quality of the implementation of the nursing management function.

Keywords: management function, missed nursing care

 

Abstrak

 

Hubungan Fungsi Manajemen Keperawatan dengan Asuhan Keperawatan yang Terlewatkan: Studi Cross Sectional. Peranan penting seorang perawat salah satunya adalah pemberian asuhan keperawatan yang aman tanpa ada yang terlewatkan. Hal ini dikarenakan perawatan yang tidak aman adalah salah satu sumber morbiditas dan mortalitas terpenting di dunia. Penelitian ini adalah untuk mengidentifikasi hubungan antara fungsi manajemen dengan asuhan keperawatan yang terlewatkan di 3 (tiga) Instalasi Rawat Inap Rumah Sakit Umum Daerah. Penelitian ini menggunakan pendekatan kuantitatif dengan desain penelitian analitik dan rancangan cross-sectional. Sampel berjumlah 238 staf pelaksana keperawatan yang terdiri dari ketua tim dan perawat pelaksana yang bekerja di Rumah Sakit Umum Daerah A, B, dan C. Fungsi manajemen (p = 0,001) dengan seluruh komponennya perencanaan, pengorganisasian, ketenagaan, pengarahan dan pengendalian (p = 0,001; p = 0,001 p=0,001; p = 0,001; p= 0,001) berhubungan secara signifikan. Fungsi manajemen dan seluruh komponennya berhubungan dengan asuhan keperawatan yang terlewatkan. Rekomendasi yaitu meningkatkan kualitas pelaksanaan fungsi manajemen keperawatan.

Kata Kunci: asuhan keperawatan yang terlewatkan, fungsi manajemen

References

  1. Allah, A.R.G., Elshrief, H.A., & Ageiz, M.H. (2020). Developing trategy: A guide for nurse managers to manage nursing staff’s work-related problems. Asian Nursing Research, 14 (3), 178–187. doi: 10.1016/j.anr.2020.07.004.
  2. Amri, A., & Ardenny, A. (2015). Hubungan pelaksanaan fungsi manajerial kepala ruangan dengan motivasi perawat pelaksana di ruang rawat inap Rumah Sakit Umum Daerah Kabupaten Bengkalis. JONAH: Journal of Nursing and Homecare, 1 (1), 1–9.
  3. Babaeipour-Divshali, M., Amrollahimishavan, F., Vanaki, Z., Abdollahimohammad, A., & Firouzkouhi, M. (2016). Effect of head nurse empowerment program on staff nurses’ job satisfaction at two educational hospitals in Rasht, Iran. Iran Journal of Nursing and Midwifery Research, 21 (3), 306–309. doi: 10.4103/1735-9066.180379.
  4. Ball, J.E., Bruyneel, L., Aiken, L.H., Sermeus, W., Sloane, D.M., Rafferty, A.M., Lindqvist, R., Tishelman, C., & Griffiths, P. (2018). Post-operative mortality, missed care and nurse staffing in nine countries: A cross-sectional study. International Journal of Nursing Studies, 78, 10–15. doi: 10.1016/j.ijnurstu.2017.08.004.
  5. Cho, E., Lee, N.J., Kim, E.Y., Kim, S., Lee, K., Park, K.O., & Sung, Y.H. (2016). Nurse staffing level and overtime associated with patient safety, quality of care, and care left undone in hospitals: A cross-sectional study. International Journal of Nursing Studies, 60, 263–271. doi: 10.1016/j.ijnurstu.2016.05.009.
  6. Diab, G.M.A.E.-H., & Ebrahim, R.M.R. (2019). Factors leading to missed nursing care among nurses at selected hospitals. American Journal of Nursing Research, 7 (2), 136–147. doi: 10.12691/AJNR-7-2-5.
  7. dos Reis Dutra, C.K., Salles, B.G., & Guirardello, E.de B. (2019). Situations and reasons for missed nursing care in medical and surgical clinic units. Revista Da Escola de Enfermagem, 53, 1–7. doi: 10.1590/S1980-220X2017050203470e03470.
  8. Fukada, M. (2018). Nursing competency: Definition, structure and development. Yonago Acta Medica, 61 (1), 1–7. doi: 10.33160%2Fyam.2018.03.001.
  9. Global Centre for Nursing Executives. (2015). Re-envisioning the nurse unit manager role toolkit. The Advisory Board Company.
  10. Griffiths, P., Recio-Saucedo, A., Dall’Ora, C., Briggs, J., Maruotti, A., Meredith, P., Smith, G.B., & Ball, J. (2018). The association between nurse staffing and omissions in nursing care: A systematic review. Journal of Advanced Nursing, 74 (7), 1474–1487. doi: 10.1111/jan.13564.
  11. Gunawan, D., Hariyati, R.T.S., Afifah, E., & Afriani, T. (2021). The relationship between the roles and management function of the head nurse and handover implementation [Supplement]. Enfermería Clínica, 31 (Supplement 2), S157-S160. doi: 10.1016/j.enfcli.2020.12.013.
  12. Hadi-Moghaddam, M., Karimollahi, M., & Aghamohammadi, M. (2021). Nurses’ trust in managers and its relationship with nurses’ performance behaviors: A descriptive- correlational study. BMC Nursing, 20 (1), 1–6. doi: 10.1186/s12912-021-00653-9.
  13. Janatolmakan, M., & Khatony, A. (2022). Explaining the consequences of missed nursing care from the perspective of nurses: a qualitative descriptive study in Iran. BMC Nursing, 21 (1), 1–7. doi: 10.1186/s12912-022-00839-9.
  14. Jones, T.L., Hamilton, P., & Murry, N. (2015). Unfinished nursing care, missed care, and implicitly rationed care: State of the science review. International Journal of Nursing Studies, 52 (6), 1121–1137. doi: 10.1016/j.ijnurstu.2015.02.012.
  15. Kallio, T.J., Tevameri, T., & Vähätalo, M. (2018). Nurses’ organizational roles— Stakeholders’ expectations. In Professions and Professionalism (Vol. 8, Issue 2). doi: 10.7577/pp.1973.
  16. Kendall, J.M. (2018). Nurse manager span of control and the impact on employee engagement [Doctoral dissertation, University of Kentucky]. University of Kentucky, UKnowledge. https://uknowledge.uky.edu/dn p_etds/185
  17. Lake, E.T., Smith, J.G., Staiger, D.O., Hatfield, L.A., Cramer, E., Kalisch, B.J., & Rogowski, J.A. (2020). Parent satisfaction with care and treatment relates to missed nursing care in neonatal intensive care units. Frontiers in Pediatrics, 8 (March), 1–9. doi: 10.3389/fped.2020.00074.
  18. Lake, E.T., Staiger, D.O., Cramer, E., Hatfield, L.A., Smith, J.G., Kalisch, B.J., & Rogowski, J.A. (2018). Association of patient acuity and missed nursing care in U.S. neonatal intensive care units. Medical Care Research and Review, 1–18. doi: 10.1177/1077558718806743.
  19. Marquis, B.L., & Huston, C.J. (2017). Leadership roles and management functions in nursing theory and application (9th Ed.). Wolters Kluer Health.
  20. Moghaddam, N.M., Jame, S.Z.B., Rafiei, S., Sarem, A.A., Ghamchili, A., & Shafii, M. (2019). Managerial competencies of head nurses: A model and assessment tool. British Journal of Nursing, 28 (1), 30–37. doi: 10.12968/bjon.2019.28.1.30.
  21. Muthmainnah, M., Yetti, K., & Gayatri, D. (2017). Hubungan kepuasan remunerasi dengan motivasi kerja dan kinerja perawat pelaksana di Rumah Sakit Umum Daerah Kota Depok [Master's thesis, Universitas Indonesia]. Universitas Indonesia, Lontar UI. https://lontar.ui.ac.id/detail?id=20455653
  22. Nilasari, P., Anisah, S., & Hariyati, R.T.S. (2020). Analisis SWOT asuhan keperawatan yang terlewatkan. Jurnal Keperawatan Stikes Kendal, 12 (1), 125–134. doi: 10.32583/keperawatan.v12i1.709.
  23. Noer’aini, I., Yunita, A., Fatmawati, A., & Sari, A.R. (2016). Hubungan fungsi manajemen kepala ruang dengan pelaksanaan asuhan keperawatan pasien penyakit menular di SMC RS Telogorejo. Jurnal Ilmu Keperawatan dan Kebidanan, 8 (3), 8.
  24. Nopriyanto, D., Sukmana, M., & Emelia, T. (2020). The role of head nurse , critical thinking nurse and documentation of integrated patient progress note: Cross Sectional. SJIK: STRADA: Jurnal Ilmiah Kesehatan, 9 (2), 316–324. doi: 10.30994/sjik.v9i2.293.
  25. Ofei, A.M.A., & Paarima, Y. (2021). Perception of nurse managers’ care coordination practices among nurses at the unit level. International Journal of Care Coordination, 24 (1), 17–27. doi: 10.1177/2053434521999978.
  26. Ofei, A.M.A., Paarima, Y., & Barnes, T. (2020). Exploring the management competencies of nurse managers in the Greater Accra Region, Ghana. International Journal of Africa Nursing Sciences, 13, 100248. doi: 10.1016/j.ijans.2020.100248.
  27. Ofei, A.M.A., Paarima, Y., Barnes, T., & Kwashie, A.A. (2019). Planning practices of nurse managers in Ghana. IJRDO - Journal of Health Sciences and Nursing, 4 (10), 1–23. doi: 10.53555/hsn.v4i10.3255.
  28. Parreira, P., Santos-costa, P., Neri, M., & Queir, P. (2021). Work methods for nursing care delivery. International Journal Environmental Research Public Health, 18 (4); 202 (4), 1–18. doi: 10.3390/ijerph18042088.
  29. Patarru, F., Weu, B.Y., Handini, F.S., & Heryyanoor, H. (2019). Systematic review the role of the nurse unit manager function on nursing work performance: A systematic review. Jurnal Ners, 14 (3), 231–235. doi: 10.20473/jn.v14i3.17108.
  30. Potter, P.A., Perry, A.G., Stockert, P., & Hall, A. (2020). Fundamental of nursing (10th Ed.). Elsevier Health Sciences.
  31. El-Housary, N.M.A., Shabaan, F.M., El-Demerdash, S.M., & Shokier, M.E. (2021). Effect of educational program on head nurses’ coaching skills to manage novice nurses role ambiguity. Tanta Scientific Nursing Journal, 21 (2), 144–171. doi: 10.21608/tsnj.2021.185220.
  32. Smeulers, M.V.H., Smeulers, M., Lucas, C., Vermeulen, H., Dall’ora, C., Griffiths, P., Redfern, O., Recio-Saucedo, A., Meredith, P., Ball, J., Twigg, D. E., Myers, H., Duffield, C., Pugh, J. D., Gelder, L., Roche, M., Bruyneel, L., Li, B., Ausserhofer, D., … Echevarria, M. (2019). Organization of hospital nursing, provision of nursing care, and patient experiences with care in Europe. Journal For Healthcare Quality, 14(6), 2–4. doi: 10.1177/1077558715589188.
  33. Toney-Butler, T., & Thayer, J. (2019). Nursing process. In StatPearls [Internet]. Treasure Island (FL). StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK499937/

How to Cite

Nilasari, P., Hariyati, R. T. S., & Rahman, L. O. A. (2022). Relationship of Nursing Management Functions with Missed Nursing Care: A Cross-Sectional Study. Jurnal Keperawatan Indonesia, 25(2), 103–111. https://doi.org/10.7454/jki.v25i2.850