Analysis of the Relationship Between Knowledge, Perception, and Workload of Nurses on Patient Safety Culture
Abstract
Patient safety culture refers to a pattern of behavior of both individuals and organizations that consistently seek to reduce the risk of harm or injury to patients due to the services provided, based on shared beliefs and values. This study aims to analyze the relationship between knowledge, perceptions, and workload of nurses on patient safety culture at Beriman Hospital, Balikpapan City. The method used in this study is a quantitative approach with a cross-sectional design, involving all nurses working in the service unit of Beriman Hospital, Balikpapan City, totaling 129 respondents (total sampling). This study was conducted from February to March 2025, with data collection using a questionnaire that had been tested for validity and reliability. Univariate data analysis, chi-square test, and logistic regression. The results showed good knowledge 81.4%, good perception 51.2%, high workload 50.4% and patient safety culture value 58.9%. The results of the chi-square test sig value of knowledge: 0.600 and perception: 0.302, both (p> 0.05) indicating no relationship between knowledge and perception of nurses towards patient safety culture. However, the sig value for workload is 0.006 (p <0.05) indicating a relationship between workload and patient safety culture. The results of the logistic regression test show that nurses' workload has a significant effect on patient safety culture with a significance value (Sig) of 0.009. The Odds Ratio (OR) value of 2.712 indicates that nurses with a higher workload are 2.7 times more likely to influence patient safety culture compared to those with a low workload. The conclusion is that workload is the factor most related to patient safety culture.
References
Al Rahmi Nurul, et. al. (2021). The Relationship between Knowledge, Attitude, and Motivation of Nurses and the Implementation of Patient Safety at Labuang Baji Regional Hospital. Window of Public Health.
Asmawati, NL, & Idealistiana, L. (2024). Analysis of Nurses' Perceptions on the Effectiveness of Using the SBAR Method in Handover in Relation to Patient Safety at Mekar Sari Hospital. Malahayati Nursing Journal, 6(4), 1456–1466. https://doi.org/10.33024/mnj.v6i4.11186
Ekawardani, N., Manampiring, AE, & Kristanto, EG (2022). Analysis of Factors Associated with Health Workers Perceptions about the Implementation of Patient Safety Culture at Prof. Dr. Medical Scope Journal, 4(1), 79–88. https://doi.org/10.35790/msj.v4.i1.44770
Gunarni Sri, AA (2021). The Relationship Between Nurses' Knowledge and the Implementation of Procedures for Patients at Risk of Falling at Dustira Hospital. Journal of Health Science.
Handriana, I., & Yuningsih, E. (2021). The Relationship between Nurses' Knowledge Level and the Implementation of Patient Safety in the Emergency Room of Gunung Jati Hospital, Cirebon City in 2020. Jurnal Health Sains, 2(5), 621–628. https://doi.org/10.46799/jhs.v2i5.162
Hastono, SP (2006). Data Analysis.
Hutauruk, PM, & Fauza, R. (2021). Determinants Of Nurses' Performance In The Implementation Of Patient Safety At Imelda Hospital, Indonesia Workers In 2020. Imelda Scientific Journal of Nursing, 7(1). http://jurnal.uimedan.ac.id/index.php/JURNALKEPERAWATAN
Inas Syabanasyah, & Solehudin Solehudin. (2023). The Relationship between Nurses' Knowledge and Compliance with the Implementation of Patient Safety Culture. USADA NUSANTARA: Traditional Health Journal, 2(1), 229–238. https://doi.org/10.47861/usd.v2i1.720
Kakemam, E., Gharaee, H., Rajabi, M.R., Nadernejad, M., Khakdel, Z., Raeissi, P., & Kalhor, R. (2021). Nurses' perception of patient safety culture and its relationship with adverse events: a national questionnaire survey in Iran. BMC Nursing, 20(1). https://doi.org/10.1186/s12912-021-00571-w
Kaplan, G.S., & Stokes, C.D. (2017). Leading a Culture of Safety: A Blueprint for Success. Institute for Healthcare Improvement, 48. www.npsf.org/LLI.%0Ahttp://c.ymcdn.com/sites/www.npsf.org/resource/resmgr/lli/Leading_a_Culture_of_Safety_.pdf
Director General of Health Services Decree No. Hk.02.02/D/43463/2024. (2024). GUIDELINES FOR PATIENT SAFETY CULTURE SURVEY.pdf.
KMKP RSUD Beriman. (2023). Report on the Results of the Safety Culture Survey at RSUD Beriman Balikpapan.
Kustini, TY (2023). The Influence of Nurses' Knowledge of Patient Safety Culture on Reporting Patient Safety Incidents.
Lestari, IGAAP, Widiati, S., & Hendrartini, J. (2024). The Relationship between Education, Experience and Work Unit with Perception of Patient Safety Culture at Panti Rahayu Hospital. Open Access Jakarta Journal of Health Sciences, 3(3), 1131–1142. https://doi.org/10.53801/oajjhs.v3i3.344
Lumenta, Nico. A. (2021). Patient Safety is Non-negotiable. Rayyana Komunikasindo.
Masnitarini, C., Thamrin, Y., & Ahri, RA (2023). Analysis of Factors Influencing the Implementation of Patient Safety in Nurses in the Inpatient Unit of Labuang Baji Regional Hospital, South Sulawesi Province in 2022. Journal of Aafiyah Health Research (JAHR) 2023, 4(1), 121–130. https://doi.org/10.52103/jahr.v5i2.1616
Nasrija, H., Triharini, M., & Purwaningsih. (2024). Personal Factors of Nurses and Their Relationship with the Implementation of Patient Safety Culture in Hospitals. Journal of Nursing, 16(1), 383–396.
Minister of Health Regulation No. 11. (2017). Patient Safety. PMK No. 11 of 2017 concerning Patient Safety, 14(7), 450. https://tel.archives-ouvertes.fr/tel-01514176%0Ahttps://www.kemhan.go.id/itjen/wp-content/uploads/2017/03/bn308-2017.pdf
Profile of Beriman Regional Hospital, Balikpapan City. (nd).
Risqiandri, AA, Amelia, AR, & Hamzah, W. (2024). The Effect of Nurses' Physical Workload on the Implementation of Patient Safety with OCB at Pelamonia Class II Hospital, Makassar. Journal of Aafiyah Health Research (JAHR) 2024, 5(2), 350–357. https://doi.org/10.52103/jahr.v5i2.1773
Rizki Amelia, A., Puspita Halim, I., Baharuddin, A., Aril Ahri, R., Semmaila, B., & Aulia Yusuf, R. (2022). Relationship Between Nurses' Workload And Unexpected Events. http://journal.stikeskendal.ac.id/index.php/Keperawatan
Safira, R., & Imanuddin, B. (2023). The Relationship Between Workload And Patient Safety Application Towards Work Stress In Nurses At Balaraja Regional Hospital In 2022. Nusantara Hasana Journal, 2(8), 198–204.
Safitri, W., Naviatun Maesaroh, U., Dwi Sulisetyawati, S., & Murharyati, A. (nd). Workload Of Nurses With The Implementation Of Patient Safety In The Emergency Installation (Igd). http://jurnal.globalhealthsciencegroup.com/index.php/JPPP
Sari, AN, Setiawan, H., & Rizany, I. (2022). The Relationship between Nurses' Knowledge and the Implementation of Patient Safety at RSD Idaman, Banjarbaru City. Journal of Nursing Leadership and Management, 5(1), 8–15. https://doi.org/10.32584/jkmk.v5i1.1371
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