Nurses' Clinical Competence as a Predictor of Patient Safety Target Compliance in Surgical Procedures
Abstract
Background: The implementation of patient safety goals in hospitals, including operating rooms, is inseparable from the competence of nurses. High levels of competence also contribute to improving the quality of nursing care and enhancing patient safety. This study aims to gain a deeper understanding of the relationship between the clinical competence of operating room nurses and the achievement of patient safety goals. Methods: This study used a cross-sectional design and collected data from seven private hospitals in Ambon City, with a sample of 66 surgical nurses. The sampling technique used was simple random sampling, a method of selecting participants from a population without regard to the strata within that population. Results: The clinical competence of surgical nurses was measured using three subdomains aligned with competency areas: ethical and legal professional practice and cultural sensitivity; nursing care provision and management; and personal and professional quality development. The frequency distribution of respondents was analyzed based on these clinical competence domains. There was a significant relationship between the clinical competence of surgical nurses and patient safety goals, particularly regarding surgical procedures. Conclusions: Clinical competence is a critical component of patient safety, as it helps ensure that nurses provide safe and effective care while promoting active involvement and participation in achieving patient safety goals.
Full Text:
PDFReferences
Widiyaningsih W, Kusyati E, Hidayat A. Hubungan Pelaksanaan Surgical Safety Checklist dan Kejadian Infeksi Post Operasi Mayor. Journal of Health Science (Jurnal Ilmu Kesehatan). 2018;2(1):29–33. http://dx.doi.org/10.24929/jik.v2i1.394
Gousario Y, Manafe HA, Perseveranda ME, Paridy A. Penerapan Keselamatan Pasien Preoperasi dan Post Operasi di Rumah Sakit. Jurnal Ilmiah Universitas Batanghari Jambi. 2023;23(2):2018-2025. http://dx.doi.org/10.33087/jiubj.v23i2.3579
Hui T, Zakeri MA, Soltanmoradi Y, Rahimi N, Rafsanjanipoor SMH, Nouroozi M, Dehghan M. Nurses’ clinical competency and its correlates: before and during the COVID-19 outbreak. BMC Nursing. 2023;22(1):156. http://dx.doi.org/10.1186/s12912-023-01330-9
Zaitoun RA, Said NB, de Tantillo L. Clinical nurse competence and its effect on patient safety culture: a systematic review. BMC Nursing. 2023;22(1):173. http://dx.doi.org/10.1186/s12912-023-01305-w
Pertiwi B. Evaluasi Pelaksanaan Kewenangan Klinis Perawat Klinis di Rumah Sakit. The Journal of Hospital Accreditation. 2020;2(1):15–20. http://dx.doi.org/10.35727/jha.v2i1.61
Noprianty R, Kusumah NAR, Laelasari L. Evaluasi Pelaksanaan Kompetensi Berdasarkan Jenjang Karir Profesional Perawat. Jurnal Kesehatan Vokasional. 2019;4(2):90. http://dx.doi.org/10.22146/jkesvo.44840
Keliobas AA, Handiyani H, Afriani T, Suryani CT. Kesesuaian Kompetensi dan Area Kerja Perawat Rawat Jalan. Journal of Telenursing (JOTING). 2021;3(2):699–710. http://dx.doi.org/10.31539/joting.v3i2.2992
Supriyanto S, Ernawaty DW, Ratna, Wahyanto T. Health Management Research Methodology. Sidoarjo: Zifatama Jawara; 2022.
Mualimah S, Wulandari RY, Amirudin I, Ardinata A. Hubungan Tingkat Pengetahuan Perawat Terhadap Identifikasi Patient Safety di Ruang Rawat Inap Rumah Sakit Permata Hati Lampung Timur. Journal of Current Health Sciences. 2021;1(1):29–34. http://dx.doi.org/10.47679/jchs.v1i1.6
Puspitasari NW, Nurkholis N, Kusumawati FT, Atmanto AP, Zuhri M, Sulistiyaningsih S, Diel MM, Elmonita Y, Agustina C, Dwidiyanti M. Supervisi Klinik Dalam Pelayanan Keperawatan Sebagai Upaya Peningkatan Kompetensi Perawat di Rumah Sakit. Jurnal Perawat Indonesia. 2018;2(2):51. http://dx.doi.org/10.32584/jpi.v2i2.12
Tuasikal H, Margawati A, Dwiantoro L. Determinants of Independent Nursing Actions in Daily Living Activities, Caring & Support, and Rehabilitation in Inpatient Wards of the General Hospital of Dr. M. Haulussy Ambon. Belitung Nursing Journal. 2017;3(5):478–486. http://dx.doi.org/10.33546/bnj.187
Wahyuni ED, Nursalam N, Dewi YS, Arifin H, Benjamin LS. Electronic nursing documentation for patient safety, quality of nursing care, and documentation: a systematic review. Journal of the Pakistan Medical Association. 2024;74(9):1669–1677. http://dx.doi.org/10.47391/jpma.9996
Indrawati E, Erlena, E. Penerapan manajemen asuhan keperawatan model tim dan model primer terhadap mutu asuhan keperawatan. Holistik Jurnal Kesehatan. 2023;17(1):71–78. http://dx.doi.org/10.33024/hjk.v17i1.9745
Gillespie BM, Harbeck E, Chaboyer W. The Association between Operating Room Nurses’ Characteristics, Competence, and Missed Nursing Care: A National Survey. Journal of Nursing Management. 2023;2023:6671866. http://dx.doi.org/10.1155/2023/6671866
Fatah MAA, Madjodjo F, Dahlan F. Pengaruh Budaya Organisasi, Keselamatan Kerja Dan Kemampuan Kerja Terhadap Kinerja Perawat Di Era New Normal Pada RSD Kota Tidore Kepulauan. Jurnal Sinar Manajemen. 2023;10(1):54–63. http://dx.doi.org/10.56338/jsm.v10i1.3068
Murtiningtyas RA, Dhamanti I. Analisis Implementasi Identifikasi Pasien di Rumah Sakit Untuk Meningkatkan Keselamatan Pasien di Indonesia. Media Gizi Kesmas. 2022;11(1):313–317. http://dx.doi.org/10.20473/mgk.v11i1.2022.313-317
Ningsih SR, Novita RVT, Bandur A. Pengaruh Supervisi dan Gaya Kepemimpinan Transformasional terhadap Kinerja Perawat dalam Kepatuhan Hand Hygiene sdan Pencegahan Resiko Jatuh di RSU GMIBM Monompia Kotamobagu. Media Publikasi Promosi Kesehatan Indonesia (MPPKI). 2022;3(3):236–243. http://dx.doi.org/10.56338/mppki.v3i3.1231
Tuasikal H. Hubungan Pengalaman, Beban Kerja, Dan Kemampuan Perawat Dengan Tindakan Mandiri Di Rumah Sakit. Journal of Healthcare Technology and Medicine. 2020;6(1):515. http://dx.doi.org/10.33143/jhtm.v6i1.752
Amalia RA, Hidayat M, Daud A. The Effect of Workload Analysis, Job Description, and Competence on Nurse Productivity at the Buki Community Health Center in the Selayar Islands. Cendekia Akademika Indonesia (CAI). 2023;2(1):97–111. Available from: https://e-jurnal.nobel.ac.id/index.php/cai/article/view/3545 (Accessed on 01 May 2026)
Pertiwi B. Evaluasi Pelaksanaan Kewenangan Klinis Perawat Klinis di Rumah Sakit. The Journal of Hospital Accreditation. 2020;2(1):15–20. http://dx.doi.org/10.35727/jha.v2i1.61
Tuasikal H, Dhamanti I, Mahmudah. Nurses’ Autonomy and Its Determinants in Clinical Practice: A Scoping Review. Health Leadership and Quality of Life. 2025;4:700. Available from: https://hl.ageditor.ar/index.php/hl/article/view/700 (Accessed on 01 May 2026)
Wijaya IWS, Mutiarahati NLAC, Rosita NPI, Wira IAD. Competency in Improving Nurse Job Satisfaction: Literature Review. Media Bina Ilm. 2023;4(1):88–100. Available from: https://binapatria.id/index.php/MBI/article/view/341 (Accessed on 01 May 2026)
Tuasikal H. Nurses’ Experiences Improving the Quality of Independent Nursing Actions. MOLUCCAS HEALTH JOURNAL. 2020;2(1):1-10. http://dx.doi.org/10.54639/mhj.v2i1.423
DOI: https://doi.org/10.33846/hd30606
Refbacks
- There are currently no refbacks.
____________________________________________________________________________________________________________________________________________
Health Dynamics || Open Access Journal || Online version only || Publisher: Knowledge Dynamics || ISSN: 3006-5518 (online) || Contact: healthdynamics.journal@gmail.com; +8801814901991; +6282136364408
