THE RELATIONSHIP BETWEEN NURSE WORKLOAD AND THE QUALITY OF NURSING CARE IN THE INPATIENT WARD AT MUHAMMADIYAH BABAT GENERAL HOSPITAL
DOI:
https://doi.org/10.62354/jurnalmedicare.v5i4.538Abstract
Background: The quality of nursing care represents a core barometer of clinical hospital performance, heavily modulated by staff workload. An excessive or disproportionate nursing workload provokes physical and emotional exhaustion, delays clinical responsiveness, and increases missed nursing care, directly threatening patient safety and clinical satisfaction.
Objective: To analyze the empirical relationship between nurse workload and the quality of nursing care in the inpatient ward at Muhammadiyah Babat General Hospital (RSU Muhammadiyah Babat). Methods: A quantitative correlational study utilizing a cross-sectional approach was conducted in 2026. The study recruited all 43 registered nurses assigned to inpatient wards (Jannatun Naim/Firdaus, Jannatul Ma’wa, and ICU) using a total sampling technique. Primary data were gathered using validated structured Likert-scale questionnaires measuring multidimensional workload (physical, mental, emotional, temporal, and non-clinical demands) and nursing care quality (safety, timeliness, efficiency, effectiveness, patient-centeredness, equity, and integrated care). Data were evaluated through descriptive univariate analysis and bivariate Spearman's rank correlation.
Results: The majority of respondents perceived their workload in the moderate category (53.5%, n = 23), with 32.6% (n = 14) reporting low workload and 14.0% (n = 6) reporting high workload. Similarly, nursing care quality was predominantly appraised in the moderate category (58.1%, n = 25), while 20.9% (n = 9) rated it as high and 20.9% (n = 9) as low. Bivariate statistical analysis revealed a statistically significant relationship between nurse workload and nursing care quality (Spearman's rho = 0.579, p < 0.001), reflecting a moderate positive correlation.
Conclusion: Nurse workload is significantly correlated with the quality of nursing care delivered in the inpatient wards of RSU Muhammadiyah Babat. Optimizing nursing workforce management, reallocating non-clinical documentation tasks, and balancing nurse-to-patient ratios are vital to maintaining clinical excellence.
Background: The quality of nursing care represents a core barometer of clinical hospital performance, heavily modulated by staff workload. An excessive or disproportionate nursing workload provokes physical and emotional exhaustion, delays clinical responsiveness, and increases missed nursing care, directly threatening patient safety and clinical satisfaction.
Objective: To analyze the empirical relationship between nurse workload and the quality of nursing care in the inpatient ward at Muhammadiyah Babat General Hospital (RSU Muhammadiyah Babat). Methods: A quantitative correlational study utilizing a cross-sectional approach was conducted in 2026. The study recruited all 43 registered nurses assigned to inpatient wards (Jannatun Naim/Firdaus, Jannatul Ma’wa, and ICU) using a total sampling technique. Primary data were gathered using validated structured Likert-scale questionnaires measuring multidimensional workload (physical, mental, emotional, temporal, and non-clinical demands) and nursing care quality (safety, timeliness, efficiency, effectiveness, patient-centeredness, equity, and integrated care). Data were evaluated through descriptive univariate analysis and bivariate Spearman's rank correlation.
Results: The majority of respondents perceived their workload in the moderate category (53.5%, n = 23), with 32.6% (n = 14) reporting low workload and 14.0% (n = 6) reporting high workload. Similarly, nursing care quality was predominantly appraised in the moderate category (58.1%, n = 25), while 20.9% (n = 9) rated it as high and 20.9% (n = 9) as low. Bivariate statistical analysis revealed a statistically significant relationship between nurse workload and nursing care quality (Spearman's rho = 0.579, p < 0.001), reflecting a moderate positive correlation.
Conclusion: Nurse workload is significantly correlated with the quality of nursing care delivered in the inpatient wards of RSU Muhammadiyah Babat. Optimizing nursing workforce management, reallocating non-clinical documentation tasks, and balancing nurse-to-patient ratios are vital to maintaining clinical excellence.
Downloads
Keywords:
Hospital administration, Inpatient care, Nursing care quality, Nursing management, Nurse workload, Spearman correlationReferences
Asjanti, L., Irbantoro, D., & Rahayu, D. R. (2021). Beban kerja perawat: Faktor apakah yang mempengaruhi? Jurnal Kepemimpinan dan Manajemen Keperawatan, 4(1), 60–65. https://doi.org/10.32584/jkmk.v4i1.892
Bakker, A. B., & Demerouti, E. (2017). Job demands-resources theory: Taking stock and looking forward. Journal of Occupational Health Psychology, 22(3), 273–285. https://doi.org/10.1037/ocp0000056
Banin, B. B., Fauzia, L., & Kadir, A. (2021). Hubungan beban kerja terhadap kualitas pemberian pelayanan keperawatan pada pasien di ruang rawat inap. Jurnal Keperawatan Silampari, 5(1), 331–337. https://doi.org/10.31539/jks.v5i1.2842
Belo, S. F. (2025). Mutu pelayanan keperawatan dan kepuasan pasien di rumah sakit daerah. Jurnal Ilmiah Kesehatan Komprehensif, 9(1), 74–86. DOI: 10.31004/jn.v9i1.29518
Dewi, Y. K., Arisandy, T., & Pristina, N. (2025). Hubungan beban kerja dengan kualitas pelayanan pada perawat pelaksana di ruang IGD RSUD Dr. Doris Sylvanus Palangka Raya. Jurnal Surya Medika, 10(3), 112–120. DOI: 10.55606/detector.v2i3.4339
Donabedian, A. (1988). The quality of care: How can it be assessed? JAMA, 260(12), 1743–1748. https://doi.org/10.1001/jama.1988.03410120089033
Hasibuan, E. K., Riang, A., Gulo, B., & Saragih, M. (2023). Hubungan beban kerja dengan kinerja perawat di ruang rawat inap. Jurnal Keperawatan Priority, 6(1), 46–52. https://doi.org/10.34012/jukep.v6i1.3214
Lavenia Dwi Pratiwi, Basit, M., & Tholib, R. (2024). Hubungan beban kerja perawat terhadap missed nursing care di ruang rawat inap. Media Keperawatan Indonesia, 16(2), 133–146. https://doi.org/10.26714/mki.16.2.2024.133-146
Maghsoud, F., Rezaei, M., Asgarian, F. S., & Rassouli, M. (2022). Workload and quality of nursing care: The mediating role of implicit rationing of nursing care, job satisfaction and emotional exhaustion by using structural equations modeling approach. BMC Nursing, 21(1), Article 291. https://doi.org/10.1186/s12912-022-01055-1
Misnawaty, A. M., Abdullah, R., & Arman, J. (2020). Analisis pengaruh beban kerja dan motivasi perawat terhadap kualitas pelayanan di ruang rawat inap RS Islam Faisal Makassar. Jurnal Ilmiah Kesehatan Diagnosis, 15(4), 315–332. https://doi.org/10.35892/jikd.v15i4.412
Nursalam. (2020). Manajemen keperawatan: Aplikasi dalam praktik keperawatan profesional (Edisi ke-6). Salemba Medika.
Sugiyono. (2019). Metode penelitian kuantitatif, kualitatif, dan R&D. Alfabeta.
Suryani, E., & Rambe, N. (2022). Analisis pengaruh beban kerja perawat terhadap kualitas pelayanan keperawatan di RSUD Kota Padangsidimpuan. Jurnal Kesehatan Ilmiah Indonesia, 5(1), 88–96. DOI: 10.51544/jmn.v5i1.1956
Tyneke, Y., Harold, B., & Kairupan, R. (2023). Dimensi reliability, responsiveness, assurance, empathy, dan tangible di Rumah Sakit Tingkat II Robert Wolter Mongisidi. Jurnal Kesmas Prima Indonesia, 4(2), 387–395. https://doi.org/10.34012/jkpi.v4i2.3892
Yolanda Maweikere, Manampiring, A. E., & Tumurang, J. M. (2021). Hubungan beban kerja perawat dengan tingkat kepuasan pasien dalam pemberian asuhan keperawatan di ruang rawat inap. Jurnal KESMAS, 9(1), 71–77.
Yulian Ernest Kissinger, & Wahyuni, C. I. (2023). Analisis beban kerja perawat pelaksana dalam mengevaluasi kebutuhan tenaga perawat di RS X: Literature review. Jurnal Syntax Transformation, 6(10), 1914–1926. https://doi.org/10.46799/jst.v6i10.812
Yusefi, A. R., Sarvestani, S. R., Kavosi, Z., Bahmaei, J., & Mehrizi, M. M. (2022). Patients’ perceptions of the quality of nursing services in teaching hospitals. BMC Nursing, 21(1), Article 94. https://doi.org/10.1186/s12912-022-00906-1
Zheng, J., Feng, S., Gao, R., Gong, X., Ji, X., Li, Y., Wang, X., & Xue, B. (2024). The relationship between organizational support, professional quality of life, decent work, and professional well-being among nurses: A cross-sectional study. BMC Health Services Research, 24(1), Article 112. https://doi.org/10.1186/s12913-024-10612-4
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Jurnal Medicare
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Licensing for Data Publication
-
Open Data Commons Attribution License, http://www.opendatacommons.org/licenses/by/1.0/ (default)
-
Creative Commons CC-Zero Waiver, http://creativecommons.org/publicdomain/zero/1.0/
-
Open Data Commons Public Domain Dedication and Licence, http://www.opendatacommons.org/licenses/pddl/1-0/
