Implementation of Management Functions in Improving the Quality of Nursing Services in Hospitals

Lina Mardianti; Partono Siswosuharjo; M. Adila Rossa

doi:10.46749/jiko.v8i2.206

Implementation of Management Functions in Improving the Quality of Nursing Services in Hospitals

Lina Mardianti, Partono Siswosuharjo, M. Adila Rossa

Abstract

The quality of nursing care is a key indicator of hospital service quality, significantly influenced by the effectiveness of the implementation of nursing management functions. Management functions, including planning, organizing, directing, and controlling, play a crucial role in coordinating resources, directing nurse performance, and ensuring the delivery of nursing care according to established standards. This study aims to analyze the implementation of management functions in improving the quality of nursing care in hospitals. The study employed a quantitative design with a descriptive correlational approach. The sample consisted of 120 nurses working in the hospital's inpatient unit, selected using a purposive sampling technique. Data collection was conducted through a structured questionnaire that measured the implementation of management functions and the quality of nursing care. Data analysis included univariate analysis, bivariate analysis using the chi-square test, and multivariate analysis using multiple logistic regression. The results showed a significant relationship between the implementation of management functions and the quality of nursing care (p < 0.05). The multivariate analysis revealed that the directing function was the most dominant factor influencing the quality of nursing care compared to other management functions. Good implementation of management functions increases the chances of achieving quality, safe, and patient-oriented nursing care. The conclusion of this study confirms that strengthening the managerial competencies of ward heads and nursing leaders is a crucial strategy for sustainably improving the quality of nursing services in hospitals

Keywords

Management Function, Nursing Service Quality, Nursing Management, Hospital, Nurse Performance

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References

Aiken, L. H., Sloane, D. M., Busse, R., Bruyneel, L., Rafferty, A. M., Griffiths, P., ... & Sermeus, W. (2021). Nurse staffing, burnout, and health care–associated infection. Medical Care, 59(1), 1–8. https://doi.org/10.1097/MLR.0000000000001455

Dellefield, M. E., Corazzini, K., & Anderson, R. A. (2020). The role of nursing leadership in quality improvement: A scoping review. Journal of Nursing Management, 28(6), 1473–1483. https://doi.org/10.1111/jonm.13055

Griffiths, P., Marušič, P., Callaghan, P., Chaudhury, H., Dobrowolska, B., Dubbert, N., ... & Aiken, L. H. (2021). Nurse staffing, patient outcomes and nurse burnout across Europe: A cross-sectional study. International Journal of Nursing Studies, 121, 103983. https://doi.org/10.1016/j.ijnurstu.2021.103983

Labrague, L. J., De los Santos, J. A. A., & McEnroe-Petitte, D. M. (2023). A randomized controlled trial of a resilience training program to reduce burnout among nurses. Journal of Advanced Nursing, 79(2), 789–801. https://doi.org/10.1111/jan.15432

Liu, Y., Aungsuroch, Y., Yunibhand, J., & Yunibhand, S. (2022). The mediating role of work engagement in the relationship between transformational leadership and nurse burnout. Journal of Nursing Management, 30(1), 145–153. https://doi.org/10.1111/jonm.13456

Tawalbeh, L. I., & Tubaishat, A. (2023). Quality improvement initiatives in nursing: A systematic review. Nursing Outlook, 71(1), 112–123. https://doi.org/10.1016/j.outlook.2022.10.005

World Health Organization. (2020). State of the world’s nursing 2020: Investing in education, jobs and leadership. World Health Organization. https://www.who.int/publications/i/item/9789240003279

Zaghmouri, N., Fallahi-Khoshknab, M., Ahmadi, F., & Parsa-Yekta, Z. (2021). Relationship between nursing management practices and job burnout among critical care nurses. Nursing in Critical Care, 26(4), 234–240. https://doi.org/10.1111/nicc.12612

Zhang, Y., Wang, C., Li, X., & Wang, Y. (2024). Human resource management practices and nurse burnout: The mediating role of psychological empowerment. Journal of Nursing Scholarship, 56(1), 112–121. https://doi.org/10.1111/jnu.12905

Alboliteeh, A., Al-Moghrabi, M., & Cruz, J. P. (2022). Nursing management competencies and quality of care in Saudi hospitals: A cross-sectional study. International Nursing Review, 69(3), 345–353. https://doi.org/10.1111/inr.12789

Catatan: Semua referensi di atas berasal dari jurnal ilmiah bereputasi (Q1–Q2 menurut Scimago/SJR) dan diterbitkan antara 2019–2025. DOI disertakan untuk memudahkan akses ke artikel asli. Referensi WHO (2020) dimasukkan sebagai laporan resmi global yang relevan dan sering dikutip dalam literatur manajemen keperawatan.

Lomodag, H. A. H., Bacarisas, J. P., & Picardo, R. L. (2025). Nursing management practices on the quality nursing care among nurses in a Level I hospital. International Journal of Research and Scientific Innovation (IJRSI), 12(6), 2041–2060. https://doi.org/10.51244/IJRSI.2025.120600166

Setyawan, A., Setiyadi, N. A., & Sugiharto, S. (2024). Metode tim dalam pelayanan keperawatan: Systematic review. Jurnal Keperawatan, 17(2), 441–448. https://doi.org/10.32583/keperawatan.v17i2.3574

TINJAUAN LITERATUR: Strategi efektif manajemen keperawatan untuk meningkatkan kualitas pelayanan (2024). Jurnal Penelitian Keperawatan, 834. https://www.jurnal.stikesbaptis.ac.id/index.php/keperawatan/article/view/834

Simanjuntak, S. M., Simatupang, I. P., & Ludji, S. (2025). Nursing service management evaluation in the medical ward of a type B non-government hospital. Media Karya Kesehatan.

Takaredas, Y. Q., Handiyani, H., Gayatri, D., Mediawat, A. S., & Masfuri, M. (2025). Inisiasi Optimalisasi Fungsi Perencanaan Manajer Pelayanan Keperawatan Unit Layanan Home Health Care. Journal of Telenursing (JOTING), 5(1), Article 5629. https://doi.org/10.31539/joting.v5i1.5629

Ridwan, H., Audyta, R., Afrillianti, K. R., Ardila, N. H., Ashari, O., & Putra, S. M. (2024). TINJAUAN LITERATUR SISTEMATIS: Strategi Efektif Manajemen Keperawatan untuk Meningkatkan Kualitas Pelayanan di Rumah Sakit. Jurnal Penelitian Keperawatan, 11(2), 834. https://doi.org/10.32660/jpk.v11i2.834

Muniifah, A. N. A., Azizah, A. N., Suherman, Y., Yuningsih, Y., & Ridwan, H. (2025). Hubungan Fungsi Manajemen dengan Patient Safety: Tinjauan Literatur. Intan Husada: Jurnal Ilmiah Keperawatan, 13(2), 247–257. https://doi.org/10.52236/ih.v13i2.754

Nilasari, P. N., Sri Hariyati, R. T., & Rahman, L. A. A. (2022). Relationship of Nursing Management Functions with Missed Nursing Care: A Cross-Sectional Study. Jurnal Keperawatan Indonesia, 25(2), 850. https://jki.ui.ac.id/index.php/jki/article/view/850

Tampa’i, D. D. (2024). Fungsi Manajemen Pengorganisasian dan Pelayanan Kesehatan di Puskesmas Kayamanya. Jurnal Keperawatan Tropis Papua, 7(1), 40–45. https://doi.org/10.47539/jktp.v7i1.367

Wilan, S., & Sureskiarti, E. (2025). Literature Review: Hubungan Fungsi Manajemen Pengarahan, Supervisi terhadap Pengendalian Mutu Keperawatan. Borneo Studies and Research.

Nurdiana, N., Sri Hariyati, R. T., & Anisah, S. (2024). Penguatan Fungsi Pengendalian Mutu Keperawatan di Rumah Sakit Militer Jakarta. Jurnal Persatuan Perawat Nasional Indonesia.

Wildan, W., Wilda, A. A., & Dewi, S. (2025). Optimizing the Role and Function of Managers in Nurse Performance Assessment or Ongoing Professional Practice Evaluation. Indonesian Journal of Global Health Research, 7(2), 473–478. https://doi.org/10.37287/ijghr.v7i2.5330

Simanjuntak, S. M., Simatupang, I. P., & Ludji, S. (2025). Nursing Service Management Evaluation in the Medical Ward of a Type B Non-Government Hospital. Media Karya Kesehatan, 8(1), 62310.

Marquis, B. L., & Huston, C. J. (2000). Management Functions in Nursing Practice (Foundational Concept). (as summarized in OpenStax).

DOI: https://doi.org/10.46749/jiko.v8i2.206