FACTORS AFFECTING NURSE WORKLOAD IN PROVIDING NURSING CARE IN INPATIENT WARDS; A LITERATURE REVIEW

Authors

  • Gustian Satria Pratama Universitas Muhammadiyah Yogyakarta, Yogyakarta, Indonesia
  • Elsye Maria Rosa Universitas Muhammadiyah Yogyakarta, Yogyakarta, Indonesia

DOI:

https://doi.org/10.34011/jmp2k.v35i2.2678

Keywords:

nursing care, nurses' workload, workload factor

Abstract

Beban kerja perawat yang tinggi menjadi faktor penurunan kinerja unit keperawatan. Penelitian ini menggunakan metode kualitatif dengan tinjauan pustaka berdasarkan Arksey dan O’Malley. Tujuannya adalah menganalisis faktor yang memengaruhi beban kerja perawat di ruang rawat inap. Data diperoleh dari 1404 dokumen literatur Scopus (2020-2024), menggunakan kata kunci “beban kerja perawat,” dan dianalisis dengan VOSViewer. Hasil menunjukkan adanya faktor internal dan eksternal. Faktor internal mencakup jumlah pasien yang meningkat, jam kerja panjang, kerja shift, infrastruktur tidak memadai, serta kekurangan staf, yang terkait dengan manajemen rumah sakit dan sumber daya manusia. Faktor eksternal meliputi kendala anggaran dan kebijakan kesehatan nasional yang berdampak pada rumah sakit. Beban kerja fisik terlihat dari ketidakseimbangan rasio perawat-pasien dan tugas tambahan. Beban kerja mental muncul dari perbedaan volume pekerjaan antar shift, dengan shift pagi lebih berat dibanding shift lainnya. Beban kerja sosial berkaitan dengan konflik rekan kerja di satu ruangan. Penggunaan teknologi menjadi kunci untuk mengurangi beban kerja perawat. Implikasi penelitian ini menyoroti pentingnya pendekatan strategis untuk meningkatkan kualitas pelayanan, mengoptimalkan kinerja, dan memastikan kepuasan pasien terhadap asuhan keperawatan.

 

References

F. R. Ramadani, R. F. Arifin, and A. Abiyoga, “Hubungan Beban Kerja dan Motivasi Kerja Perawat dengan Kelengkapan Pendokumentasi Asuhan Keperawatan di Ruang Bedah dan Interna RSUD dr. H. Andi Abdurrahman Noor Kabupaten Tanah Bumbu,” Dinamika Kesehatan: Jurnal Kebidanan Dan Keperawatan, vol. 9, no. 2, pp. 313–327, 2018.

R. Prima, S. Oktaini, and S. A. Putri, “Hubungan Beban Kerja Dengan Kinerja Perawat Pelaksana Di Ruang Rawat Inap Rumah Sakit,” Media Bina Ilmiah, vol. 15, no. 4, pp. 4319–4326, 2020.

D. M. Halawa, T. P. Nadapdap, and M. Silaen, “Kinerja perawat di ruangan rawat inap Rumah Sakit Bhayangkara Tingkat II Medan ditinjau dari kompetensi, motivasi dan beban kerja,” Jurnal Prima Medika Sains, vol. 2, no. 2, pp. 42–51, 2020.

A. N. Tilley, “Registered Nurses and The Culture of Nursing Burnout in a Canadian Surgical Burn Unit,” Calgary, 2019.

I. Gillis, “Cognitive workload of train drivers,” in People and Rail Systems, London: CRC Press, 2016, pp. 115–126.

U. L. Safitri, B. Widagdo, and K. R. Novianti, “The Influence of Work Motivation and Workload on Employee Performance with Job Satisfaction as a Mediation Variable,” Jurnal Manajemen Bisnis dan Kewirausahaan, vol. 2, no. 02, pp. 120–128, 2022, doi: https://doi.org/10.22219/jamanika.v2i02.21964.

T. I. Pujiyanto, S. Suprihati, N. Nursalam, and A. Ediyati, “Improving nursing work services through development model of quality of nursing work life,” Jurnal Ners, vol. 12, no. 2, p. 212, 2017.

D. Retnaningsih and D. Fatmawati, “Beban kerja perawat terhadap implementasi patient safety di ruang rawat inap,” Jurnal Keperawatan Soedirman (The Soedirman Journal of Nursing), vol. 11, no. 1, p. 44â, 2016.

S. Nurjanah, “Analisis Beban Kerja Tenaga Perawat di Instalasi Rawat Inap Rumah Sakit Umun Daerah (RSUD) Kota Kendari Tahun 2016,” Jurnal Ilmiah Mahasiswa Kesehatan Masyarakat Unsyiah, vol. 2, no. 5, pp. 1–11, 2017.

I. Hariyadi and Q. Aini, “Global Trends in Key Hospital Performance Indicators: A Decade of Research Insights (2014-2023),” Journal of Angiotherapy, vol. 8, no. 7, pp. 1–13, 2024, doi: https://doi.org/10.25163/angiotherapy.879701.

E. Nora and S. Sopiah, “Review Of The Scoping: The Value Of Diversity Management In Preventing Deviant Behavior At Work,” International Journal of Education, Language, Literature, Arts, Culture, and Social Humanities, vol. 1, no. 2, pp. 1–13, 2023.

C. Ye, “Bibliometrical analysis of international big data research: Based on citespace and vosviewer,” in 2018 14th International Conference on Natural Computation, Fuzzy Systems and Knowledge Discovery (ICNC-FSKD), 2018, pp. 927–932.

S. Hamid, A. U. Malik, I. Kamran, and M. Ramzan, “Job satisfaction among nurses working in the private and public sectors: a qualitative study in tertiary care hospitals in Pakistan,” Journal of multidisciplinary healthcare, vol. 7, no. 1, pp. 25–35, 2013.

C. Phillips, “Relationships between workload perception, burnout, and intent to leave among medical–surgical nurses,” JBI Evidence Implementation, vol. 18, no. 2, pp. 265–273, 2020, doi: 10.1097/XEB.0000000000000220.

M. T. Utomo et al., “Nurse workload, missed nursing care, and the contributing factors in the Neonatal Intensive Care Unit in a limited resource setting: A case from Indonesia,” F1000Research, vol. 11, p. 468, 2022.

T. L. Jones, P. Hamilton, and N. Murry, “Unfinished nursing care, missed care, and implicitly rationed care: State of the science review,” International journal of nursing studies, vol. 52, no. 6, pp. 1121–1137, 2015.

C. Ahlstedt, C. E. Lindvall, I. K. Holmström, and Å. M. Athlin, “What makes registered nurses remain in work? An ethnographic study,” International journal of nursing studies, vol. 89, no. 4, pp. 32–38, 2019.

V. Todaro-Franceschi, Compassion fatigue and burnout in nursing: Enhancing professional quality of life. New York: Springer Publishing Company, 2024.

P. Griffiths et al., “Nursing workload, nurse staffing methodologies and tools: A systematic scoping review and discussion,” International journal of nursing studies, vol. 103, no. 1, p. 103487, 2020.

K. F. Barahama, M. Katuuk, and W. M. Oroh, “Hubungan beban kerja dengan kepuasan kerja perawat di ruangan perawatan dewasa rsu gmim pancaran kasih manado,” Jurnal Keperawatan, vol. 7, no. 1, 2019.

A. K. Worang, A. J. M. Rattu, and T. Kaunang, “Faktor-Faktor Yang Berperan Terhadap Beban Kerja Perawat Di RSU GMIM Tonsea Airmadidi Di Era Pandemi Covid 19,” Jurnal Kesehatan Medika Saintika, vol. 13, no. 1, pp. 244–258, 2022.

M. Bahadori, R. Ravangard, M. Raadabadi, S. M. Mosavi, M. G. Fesharaki, and F. Mehrabian, “Factors affecting intensive care units nursing workload,” Iranian Red Crescent Medical Journal, vol. 16, no. 8, pp. 1–7, 2014, doi: 10.5812/ircmj.20072.

P. R. Kusumaningrum, E. Rusminingsih, and R. N. Jayadi, “Hubungan Beban Kerja Dengan Tingkat Stres Kerja Perawat Di Instalasi Gawat Darurat,” Jurnal Kepemimpinan Dan Manajemen Keperawatan, vol. 5, no. 1, pp. 31–37, 2022.

E. Erlina, A. Arifin, and A. U. Salamah, “Pengaruh beban kerja terhadap kinerja perawat di instalasi rawat inap RSUD Labuang Baji Makassar,” Jurnal Kesehatan Masyarakat Maritim, vol. 1, no. 3, 2018.

H. Wei, K. A. Sewell, G. Woody, and M. A. Rose, “The state of the science of nurse work environments in the United States: A systematic review,” International journal of nursing sciences, vol. 5, no. 3, pp. 287–300, 2018.

E. Cho et al., “Effects of nurse staffing, work environments, and education on patient mortality: an observational study,” International journal of nursing studies, vol. 52, no. 2, pp. 535–542, 2015.

A. Driscoll et al., “The effect of nurse-to-patient ratios on nurse-sensitive patient outcomes in acute specialist units: a systematic review and meta-analysis,” European journal of cardiovascular nursing, vol. 17, no. 1, pp. 6–22, 2018, doi: https://doi.org/10.1177/1474515117721561.

A. M. Aldosari et al., “The Impact Of Nurse-To-Patient Ratios On Patient Outcomes,” Journal of Namibian Studies: History Politics Culture, vol. 31, no. 3, pp. 453–463, 2022, doi: https://doi.org/10.59670/enda0f05.

W. H. Organization, Digital health platform handbook: building a digital information infrastructure (infostructure) for health. New York: World Health Organization, 2020.

M. Senbekov et al., “The recent progress and applications of digital technologies in healthcare: a review,” International journal of telemedicine and applications, vol. 2020, no. 1, p. 8830200, 2020.

R. A. Alshehri and A. T. Alanazi, “Asthma Patients’ Use of Cell Phone Features and Their Willingness to Use Them for Self-Management,” Cureus, vol. 14, no. 3, 2022.

D. L. McBride and S. A. LeVasseur, “Personal communication device use by nurses providing in-patient care: Survey of prevalence, patterns, and distraction potential,” JMIR human factors, vol. 4, no. 2, p. e5110, 2017.

T. Manyazewal and M. C. Matlakala, “Beyond patient care: The impact of healthcare reform on job satisfaction in the Ethiopian public healthcare sector,” Human Resources for Health, vol. 15, no. 1, 2017, doi: 10.1186/s12960-017-0188-1.

H. Inegbedion, E. Inegbedion, A. Peter, and L. Harry, “Perception of workload balance and employee job satisfaction in work organisations,” Heliyon, vol. 6, no. 1, 2020.

A. Miller, M. Balapuria, and M. M. M. Sesay, “Facilitating project success by eliminating interpersonal conflicts,” Journal of Information Technology and Economic Development, vol. 6, no. 1, p. 41, 2015.

D. E. Guest, “Human resource management and employee well-being: towards a new analytic framework,” Human Resource Management Journal, vol. 27, no. 1. pp. 22–38, 2017, doi: 10.1111/1748-8583.12139.

C. Duffield et al., “Nursing staffing, nursing workload, the work environment and patient outcomes,” Applied nursing research, vol. 24, no. 4, pp. 244–255, 2011.

L. E. Lines, A. E. Hutton, and J. Grant, “Integrative review: nurses’ roles and experiences in keeping children safe,” Journal of advanced nursing, vol. 73, no. 2, pp. 302–322, 2017.

Downloads

Published

2025-06-03

How to Cite

Pratama, G. S., & Rosa, E. M. (2025). FACTORS AFFECTING NURSE WORKLOAD IN PROVIDING NURSING CARE IN INPATIENT WARDS; A LITERATURE REVIEW. Media Penelitian Dan Pengembangan Kesehatan, 35(2), 490–503. https://doi.org/10.34011/jmp2k.v35i2.2678