Enhancing Patient Safety: The impact of nursing work life quality on nurse performance in hospital inpatient wards

Lidya Maryani; Herwinda Sinaga; Juliyanti; Ria Angelina Marbun; Sontina Saragih

doi:10.31893/multiscience.2026066

Keywords:

Abstract

Lower performance of nurses is capable of hindering the achievement of organizational goals. The health work carried out by nurses individually and in groups should be properly executed to improve work performance and service quality. Additionally, work life quality is among the essential factors requiring significant improvement to ensure that nurses achieve satisfaction for fulfilling individual needs. A high quality of nursing work life is essential in optimizing the general effectiveness and efficiency of healthcare delivery. Nurses are commonly expected to perform optimally in implementing safety measures, particularly in inpatient settings where care complexity and the potential for clinical risks are significantly higher. Therefore, this study aimed to determine the relationship between work life quality and performance of nurses in implementing patient safety. A quantitative study method with a cross-sectional design was used, and the examined population were nurses in the inpatient ward at a private hospital in Karawang, West Java, Indonesia. A sample size of 111 nurses were selected through total sampling, then performance questionnaire and Quality of Nursing Work Life (QNWL) scale were used to collect data for analysis with the chi-square test. The results showed that QNWL exceeded half of the high category, and more than half of nurses had good performance in implementing patient safety. QNWL was found to have a significant relationship with performance in implementing patient safety (P Value 0.003 <0.05). This should be improved through the provision of support from hospital management, specifically in setting appropriate workloads. The improvement of QNWL could also be achieved through management participation in making decisions for patient and adjusting work outside of the primary nursing duties, as well as conducting performance programs, particularly voluntary engagement in patient safety.
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This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

How to cite

Maryani, L., Sinaga, H., Juliyanti, Marbun, R. A., & Saragih, S. (2025). Enhancing Patient Safety: The impact of nursing work life quality on nurse performance in hospital inpatient wards. Multidisciplinary Science Journal, 8(1), 2026066. https://doi.org/10.31893/multiscience.2026066

[1] Accreditation standards for hospitals: including standards for academic medical center hospitals. (2017). Edisi, 6.

[2] Brooks, B. A., & Anderson, M. A. (2004). Defining quality of nursing work life. https://www.researchgate.net/publication/7314185

[3] Christian, M. S., Bradley, J. C., Wallace, J. C., & Burke, M. J. (2009). Workplace safety: a meta-analysis of the roles of person and situation factors. Journal of Applied Psychology, 94(5), 1103–1127. https://doi.org/10.1037/a0016172

[4] Fadhillah, H., Nursalam., & Hadi, M. (2018). Effect of Nurse Performance in Patient Safety Target Based on Knowledge Management: SECI on Quality of Nursing Services. International Journal of Indonesian National Nurses Association (IJINNA, 1(1), 1–12. https://doi.org/10.32944/ijinna.v1i1.29

[5] Hafid, A. (2014). Hubungan kinerja perawat terhadap tingkat kepuasan pasien pengguna yankestis dalam pelayanan keperawatan di RSUD Syech Yusuf Kab. Gowa. Jurnal Kesehatan [Internet, 7(2), 368–375.

[6] Hafizurrachman., T., L., & Bachtiar, A. (2011). Kesehatan dan Kualitas Kehidupan Kerja terhadap Kinerja Perawat di Rumah Sakit Umum Tangerang. Jurnal Kesehatan Masyarakat Nasional, 6(2).

[7] Hayulita, S., Andriani, M., & Ningsih, A. M. (2023). Hubungan Kualitas Kehidupan Kerja Perawat Dengan Kinerja Perawat Di Rsi Ibnu Sina Padang Panjang. Jurnal Ners, 7(1), 20–26. https://doi.org/10.31004/jn.v7i1.8301

[8] Hidayah, N., & Putri, A. (2020). Enhancing Nurse Performance by Improving Quality of Work Life, Knowledge and Attitude. JMMR (Jurnal Medicoeticolegal Dan Manajemen Rumah Sakit, 9(1), 30–40. https://doi.org/10.18196/jmmr.91114

[9] Horrigan, J., M., L., N, E., Lariviera, M., A., & Jacklin, K. (2017). Evaluating and improving nurses health and quality of work life. Workplace Health and Safety, 6(4), 212–219.

[10] Huber, diane L. (2010). Leadership and nursing care management ( diane L. Huber, Ed.; 4th ed.). Saunders Elsevier.

[11] Hutauruk, P. M., & Fauza, R. (2021). Determinan Kinerja Perawat Dalam Penerapan Patient Safety di Rs Imelda Pekerja Indonesia Tahun 2020. Jurnal Ilmiah Keperawatan Imelda, 7(1).

[12] Iqbal, M., Fachrin, A., S., & Saleh, L. M. (2020). Hubungan Antara Pengetahuan, Sikap dan Kualitas Kerja Dengan Kinerja Perawat Dalam Penerapan Sistem Keselamatan Pasien Di RSUD Sinjai Tahun 2020. Journal of Aafiyah Health Research (JAHR, 1(2), 44–57. https://doi.org/10.52103/jahr.v1i2.238

[13] Kau, S. T. A., Dulahu, W. Y., & Hiola, D. S. (2020). Description Of Nurses Quality Of Work Life In RSUD DR. M.M. Dunda Limboto. Jambura Journal of Health Sciences and Research, 4(1).

[14] Kemenkes. (2015). Pedoman nasional keselamatan pasien rumah sakit (patient safety. Edisi, 3.

[15] Kim, S. A., & Lee, T. (2023). Impact of patient-safety incidents on korean nurses’ quality of work-related life: A descriptive correlational study. Nursing Open, 10(6), 3862–3871. https://doi.org/10.1002/nop2.1644

[16] Komisi akreditasi rumah sakit. (2012). Instrumen akreditasi rumah sakit standar akreditasi versi 2012. Edisi, 1.

[17] Kuncoro, T. (2012). Hubungan antara Pengetahuan, Sikap dan Kualitas Kehidupan Kerja dengan Kinerja Perawat.

[18] Lubis, Y. W. (2014). Hubungan Kualitas Kehidupan Kerja dengan Kinerja Perawat di Rumah Sakit Umum Tanjung Pura Kabupaten Langkat.

[19] Maher, A., Ayoubian, A., Rafiei, S., Sheibani Tehrani, D., Mostofian, F., & Mazyar, P. (2019). Developing strategies for patient safety implementation: a national study in Iran. International Journal of Health Care Quality Assurance, 32(8), 1113–1131. https://doi.org/10.1108/IJHCQA-02-2019-0043

[20] Mappanganro, A. (2015). Faktor yang berhubungan dengan kinerja perawat dalam menerapkan patient safety goals di Rumah Sakit Ibnu Sina YBW-UMI Makassar. In Tesis. Fakultas kedokteran, universitas hasanuddin.

[21] Damanik, M. S., Nurbaity Lubis, A., Sudaryati, E., & Saidah Nasution, S. (2022). The Influence of the Quality of Nurses’ Work-Life against Performance of Nurses at Hospital Dr. Pirngadi Hospital Medan. Dunia Keperawatan: Jurnal Keperawatan Dan Kesehatan, 10(1), 27–31. https://doi.org/10.20527/JDK.V10I1.17

[22] Maryani, L. (2022). Hubungan antara Kepemimpinan Kepala Ruangan dengan Kinerja Perawat dalam Penerapan Keselamatan Pasien di Ruang Rawat Inap Rumah Sakit. An Idea Health Journal, 2(01), 24–31. https://doi.org/10.53690/IHJ.V3I01.71

[23] Morika, H. D., Suharizal, & Yasmi. (2019). Characteristics and motivation with nurse performance in applying patient safety in hospital. International Journal of Community Medicine and Public Health, 6(1). https://doi.org/10.18203/2394-6040.ijcmph20185225

[24] Muthiah, L., Dulahu, W. Y., & Hunawa, R. D. (2022). Hubungan Usia Dan Pengalaman Kerja Dengan Quality Of Nursing Work Life (QNWL) Perawat. Jurnal Keperawatan Dan Fisioterapi (JKF, 4(2), 2655–0830.

[25] Nursalam. (2014). Metodologi penelitian ilmu keperawatan: pendekatan praktis. Edisi, 4.

[26] Pratama, M. Y. (2016). Analisis kualitas kehidupan kerja perawat pelaksana di rumah sakit Putri Hijau Medan. Jurnal Jumantik, 1(1), 147–154.

[27] Puspita, A. P. W., Susilaningsih, F. S., & Somantri, I. (2017). Pengaruh Faktor Demografi Terhadap Quality Of Nursing Work Life (QNWL) Perawat Rumah Sakit Muhammadiyah Bandung. Jurnal Pendidikan Keperawatan Indonesia, 3(1), 13. https://doi.org/10.17509/JPKI.V3I1.7475

[28] Raeissi, P., Rajabi, M. R., Ahmadizadeh, E., Rajabkhah, K., & Kakemam, E. (2019). Quality of work life and factors associated with it among nurses in public hospitals, iran. Journal of the Egyptian Public Health Association, 94(1), 1–8. https://doi.org/10.1186/s42506-019-0029-2

[29] Rahmawati, I. N. (2017). Kualitas Kehidupan Kerja dan Kepuasan Kerja Perawat Di Rumah Sakit. Jurnal Keperawatan Malang (JKM, 2(2), 57–62.

[30] Rohmayanti, E., & Wijayanti, C. D. (2023). Quality of Nursing Work Life terhadap Kinerja Perawat: Quality of Nursing Work Life on Nurse Performance. Open Access Jakarta Journal of Health Sciences, 2(7), 810–816.

[31] Salas. (2013). Developing and enhancing teamwork in organizations: Evidence-based best practices and guidelines (E. Salas, S. Tannenbaum, D. Cohen, & G. Latham, Eds.; Vol. 33). John Wiley & Sons.

[32] Simarmata, R. N., Pasinringi, S., & Thamrin, Y. (2020). Relationship of Work Engagement and Quality of Work Life with Nurses Performance in Installations of General Regional Hospital Makassar. Journal of Asian Multicultural Research for Medical and Health Science Study, 1(2), 25–32. https://doi.org/10.47616/JAMRMHSS.V1I2.33

[33] Sobirin, A. (2014). Konsep Dasar Kinerja dan Manajemen Kinerja. Manajemen Kinerja, 1–67.

[34] Sukesi, I., Soeharto, S., & Ahsan. (2016). Analisis faktor yang berhubungan dengan kinerja perawat melaksanakan keselamatan pasien. Jurnal Keperawatan [Internet, 7(1), 34–42.

[35] Susanti, E., Saam, Z., & Rany, N. (2020). Analisis Kinerja Perawat Ditinjau dari Kualitas Kehidupan Kerja (Quality of Work Life) di RSIA X Pekanbaru Tahun 2019. JHMHS : Journal of Hospital Management and Health Science, 1(1), 12–21. https://doi.org/10.55583/JHMHS.V1I1.22

[36] Viselita, F., Handiyani, H., & Pujasari, H. (2019). Quality level of nursing work life and improvement interventions: Systematic review. Enfermería Clínica, 29(2), 223–228,. https://doi.org/10.1016/j.enfcli.2019.06.001.

[37] Wang, L., Wang, X., Liu, S., & Wang, B. (2020). Analysis and strategy research on quality of nursing work life. Medicine (United States, 99(6). https://doi.org/10.1097/MD.0000000000019172

[38] WHO. (2017). Patient safety: global action on patient safety. Seventy-Second World Health Assembly A72/26. Provisional Agenda Item, 12(5).

Abstract

References

How to cite