Assessment of the quality of independent nursing practice in Indonesia based on total quality management indicators
PDF

Keywords

total quality management
nursing services
personnel management
independent nursing practice
Indonesia

How to Cite

Sahputra, D., Lumbantobing, P., & Tuppal, C. P. (2021). Assessment of the quality of independent nursing practice in Indonesia based on total quality management indicators. Belitung Nursing Journal, 7(4), 294-303. https://doi.org/10.33546/bnj.1324

Abstract

Background: The quality of management has become a problem and significant issue of the late decade in Indonesia's professional nursing practice. By implementing total quality management (TQM), the organization would identify a health organization system's performance to improve patient satisfaction and patient safety for independent nursing practice services. 

Objective: This study aimed to assess the quality of independent nursing practice in Indonesia based on TQM indicators.

Methods: This study employed a sequential explanatory mixed methods design. Participants were 105 Chief Executive Officers (CEOs) of independent nursing practices who answered a TQM survey using The Malcolm Baldrige Criteria for Performance Excellence (MBCfPE). The quantitative responses were analyzed using SmartPLS version 3.0. For qualitative data, selected six participants from total respondents were interviewed to explore the participants' understanding of TQM. All the responses were transcribed and uploaded using NVIVO ver. 11 for thematic analysis.

Results: Leadership positively influenced strategic planning, customer attention, assessment analysis, and information management (focusing on personnel process management and efficiency) (p <0.001). In addition, process management indicated a positive influence on performance results (<0.001). Interview transcriptions concentrated on the following themes that emerged, such as quality focus, service focus, human resource focus, performance result, leadership, service system design, strategic planning, and information system.

Conclusion: TQM with the adaptation of MBCfPE criteria improves the organization's performance and serves as a strategic component in assessing and implementing sustainability change. The findings of this study can be used by CEOs of independent nursing practices for continuous improvement. In addition, the results serve as a basis for the ministry of health for accreditation to ensure the high quality of health care services.

https://doi.org/10.33546/bnj.1324
PDF

References

Alolayyan, M. N., Ali, K. A. M., & Idris, F. (2011). The influence of total quality management (TQM) on operational flexibility in Jordanian hospitals: Medical workers' perspectives. Asian Journal on Quality, 12(2), 204-222. https://doi.org/10.1108/15982681111158751

Andreoli, K. (1992). Total quality management--a new culture. Journal of Professional Nursing, 8(2), 72. https://doi.org/10.1016/8755-7223(92)90065-7

Balasubramanian, M. (2016). Total quality management [TQM] in the healthcare industry–challenges, barriers and implementation developing a framework for TQM implementation in a healthcare setup. Science Journal of Public Health, 4(4), 271. https://doi.org/10.11648/j.sjph.20160404.11

Berglund, M., Laarhoven, P. v., Sharman, G., & Wandel, S. (1999). Third-party logistics: Is there a future? The International Journal of Logistics Management, 10(1), 59-70. https://doi.org/10.1108/09574099910805932

Creswell, J. W. (2012). Educational research: Planning, conducting, and evaluating quantitative and qualitative research. Boston, MA: Pearson.

Government of Indonesia. (2014). Indonesian Nursing Law (Law No. 38 of 2014) Retrieved from https://peraturan.bpk.go.id/Home/Details/38782/uu-no-38-tahun-2014

Gunawan, J., Aungsuroch, Y., & Fisher, M. L. (2019). Competence‐based human resource management in nursing: A literature review. Nursing Forum, 54(1), 91-101. https://doi.org/10.1111/nuf.12302

Hair, J. F., Risher, J. J., Sarstedt, M., & Ringle, C. M. (2019). When to use and how to report the results of PLS-SEM. European Business Review, 31(1), 2-24. https://doi.org/10.1108/EBR-11-2018-0203

Kaluarachchi, K. (2010). Organizational culture and total quality management practices: A Sri Lankan case. The TQM Journal. https://doi.org/10.1108/17542731011009612

Lauring, J., & Selmer, J. (2012). Knowledge sharing in diverse organisations. Human Resource Management Journal, 22(1), 89-105. https://doi.org/10.1111/j.1748-8583.2010.00158.x

Manghani, K. (2011). Quality assurance: Importance of systems and standard operating procedures. Perspectives in Clinical Research, 2(1), 34. https://doi.org/10.4103/2229-3485.76288

Manurung, J. M., Oktamiati, P., Bachtiar, A., Junadi, P., Rijadi, S., & Muhammad, S. (2017). Kajian implementasi mutu dengan pendekatan integrasi six sigma dan TQM melalui penilaian Malcolm Baldridge di rumah sakit Charitas Palembang [Integration six sigma and TQM through Malcolm Baldrige assesment in Charitas Palembang Hospital]. Jurnal ARSI (Administrasi Rumah Sakit Indonesia), 3(2), 127-138. http://dx.doi.org/10.7454/arsi.v3i2.2218

Mun, T. W., Ghani, A., & Faizal, M. (2013). Continuous improvement in nursing education through Total Quality Management (TQM). Journal of Education and Learning, 7(4), 193-198. https://doi.org/10.11591/EDULEARN.V7I4.192

Musker, K. (2011). Nursing theory-based independent nursing practice: A personal experience of closing the theory-practice gap. Advances in Nursing Science, 34(1), 67-77. https://doi.org/10.1097/ANS.0b013e31820944b1

National Institute of Standard and Technology (NIST). (2020). Baldrige excellence framework: Proven leadership and management practices for high performance. USA: NIST Publication.

Porter, M. E., & Lee, T. H. (2021). Integrated practice units: A playbook for health care leaders. NEJM Catalyst Innovations in Care Delivery, 2(1). https://doi.org/10.1056/CAT.20.0237

Sadikoglu, E., & Olcay, H. (2014). The effects of total quality management practices on performance and the reasons of and the barriers to TQM practices in Turkey. Advances in Decision Sciences, 2014, 537605. http://dx.doi.org/10.1155/2014/537605

Sintari, M. N., & Novitasari, A. W. (2020). Hospital’s performance measurement with Malcolm Baldrige method. Journal of Public Health Research and Community Health Development, 3(2), 108-119.

Sugandini, D., & Wendry, B. (2017). Influence of quality relationship and satisfaction on loyalty: Study on supplier in Indonesia. Journal of Business & Retail Management Research, 11(4), 46-51. https://doi.org/10.24052/jbrmr/v11is04/ioqrasolsosii

Talib, F., Rahman, Z., & Azam, M. (2011). Best practices of total quality management implementation in health care settings. Health Marketing Quarterly, 28(3), 232-252. https://doi.org/10.1080/07359683.2011.595643

Wang, K. Y., Chou, C. C., & Lai, J. C. Y. (2019). A structural model of total quality management, work values, job satisfaction and patient‐safety‐culture attitude among nurses. Journal of Nursing Management, 27(2), 225-232. https://doi.org/10.1111/jonm.12669

Wocare. (2020). Report of Wocare care clinician 2020. Retrieved from https://www.wocare.co.id

Copyright (c) 2021 Devi Sahputra, Paul Lumbantobing, Cyruz P. Tuppal
Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.



Article Metrics

Abstract views: 377 | PDF views: 109

Downloads

Download data is not yet available.