Analysis of dominant factors related to the implementation of patient safety culture in the inpatient installation
DOI: https://doi.org/10.33024/minh.v9i2.2128
Attitude Communication & Patient Safety Culture Knowledge Leadership Motivation
Abstract
Background: Patient safety` culture in Indonesia is regulated through ministerial policies emphasizing leadership, teamwork, and staff support. Despite initiatives such as HSOPSC and SAQ, implementation remains partial, with strengths in leadership and teamwork but weaknesses in incident reporting and communication. Leadership, knowledge, attitudes, motivation, and communication significantly influence safety culture outcomes.
Purpose: To analyze the dominant factors related to patient safety culture.
Method: Correlation research design with cross-sectional and analysis approaches was conducted at Batang Hari Hospital from February – March 2025. A simple random sampling technique was applied, yielding a final sample of 99 respondents. Data collection was conducted using a structured questionnaire. Data analysis was conducted using the chi-square test with a 95% confidence level, where p-values below 0.05 indicated statistical significance. Multivariate analysis was subsequently performed through binary logistic regression with a stepwise approach
Results: Leadership, knowledge, attitude, motivation, and communication in relation to patient safety culture yielded p-values less than 0.05. The dominant factors in patient safety implementation culture are leadership (p=0.045), knowledge (p=0.000), and communication (p=0.017).
Conclusion: There is a relationship between leadership, knowledge, attitude, motivation, communication and patient safety culture. Knowledge emerges as the most dominant factors in the implementation of patient safety culture.
Downloads
References
Amalia F. (2018). Hubungan Quality of Nursing Work Life dengan Kinerja Perawat di RSUD Syarifah Ambami Rato Ebu Kabupaten Bangkalan. Program Studi Pendidikan Ners, Fakultas Keperawatan, Universitas Airlangga. Retrieved from: https://repository.unair.ac.id/85200/4/full%20text.pdf
Asmaryadi, A., Pasinringi, S. A., Thamrin, Y., & Muis, M. (2020). Influence of patient experience and hospital image on patient loyalty in Meloy Public Hospital of Sangatta, East Kutai Regency. Open Access Macedonian Journal of Medical Sciences, 8(T2), 147-151.
de Carvalho, R. E. F. L., & Bates, D. W. (2025). Understanding the concept of patient safety culture: constitutive and operational definitions for health care organizations. Journal of Nursing Care Quality, 40(1), E8-E14.
Diah, T., & Pratiwi, P. A. (2023). Hubungan Pengetahuan Perawat Dengan Penerapan Patient Safety. Jurnal Ilmiah Kesehatan Media Husada.12(1), 50-56
Herawati, P., D. (2023). Hubungan Motivasi Perawat Dengan Sasaran Keselamatan Pasien (Doctoral dissertation, Universitas Islam Sultan Agung Semarang).
Irwanti, F., Guspianto, G., Wardiah, R., & Solida, A. (2022). Hubungan komunikasi efektif dengan pelaksanaan budaya keselamatan pasien di RSUD Raden Mattaher Provinsi Jambi. Jurnal Kesmas Jambi, 6(1), 32-41.
Karlien, B., Nababan, D., Sitorus, M. E. J., Tarigan, F. L., & Brahmana, N. B. (2022). Analisis faktor-faktor yang berhubungan dengan budaya keselamatan pasien di rumah sakit putri hijau medan. prepotif: jurnal kesehatan masyarakat, 6(3), 2168-2179.
Ministry of Health of the Republic of Indonesia. (2011). Peraturan Menteri Kesehatan Nomor 1691/Menkes/per/VIII/2011, tentang Keselamatan Pasien Rumah Sakit. Retrieved from: https://peraturan.go.id/id/permenkes-no-1691-menkes-per-viii-2011-tahun-2011.
Mistri, I. U., Badge, A., & Shahu, S. (2023). Enhancing patient safety culture in hospitals. Cureus, 15(12), e51159.
Munandar, A., Setyorini, D., Cahyono, I., Rahman, I., Wahyuni, F., Desnita, D. F. A. R. & Minarti, T. H. P. (2023). Falsafah dan teori keperawatan. Penerbit Media Sains Indonesia.
Northouse, P. G. (2022). Leadership: Theory and practice (9th ed.). SAGE Publications.
Nursalam, M., N. (2014). Manajemen Keperawatan. Aplikasi dalam Praktik Keperawatan Profesional. Penerbit Salemba Medika. Retrieved from: https://www.scribd.com/document/639382165/Untitled
Nursalam, N., Fardiana, A., Asmoro, C. P., Fadhillah, H., & Efendi, F. (2018). The correlation between the quality of nursing work life and job performance. Indian Journal of Public Health Research & Development, 9(10).
Nursalam, A., & Febriani, N. (2023). Pengetahuan Komunikasi Terapeutik dalam Meningkatkan Perilaku Caring Perawat. Pradina Pustaka.
Pertiwi, R. A., Sjaaf, A. C., Andriani, H., & Oktamianti, P. (2024). Peningkatan Pelaporan Insiden Keselamatan Pasien dengan Digitalisasi di Rumah Sakit Pemerintah di Jakarta. Syntax Literate; Jurnal Ilmiah Indonesia, 9(9), 5155-5163.
Ramos, M., J., R. & Abós, S., C. (2024). Patient safety culture: nurses’ perspective in the hospital setting. In Healthcare (Vol. 12, No. 10, p. 1010). MDPI.
Rahmawan, M. I., & Basuki, D. (2024). Pelaksanaan Komunikasi Efektif SBARr (Situation, Background, Assesment, Recomendation) dan Tulbakon (Tulis, Baca Ulang, Konfirmasi) di Ruang Kerjawijaya RSUD dr. Wahidin Sudiro Husodo Kota Mojokerto (Doctoral dissertation, Perpustakaan Universitas Bina Sehat PPNI).
Salsabila, A. N., & Dhamanti, I. (2023). Faktor-faktor yang mempengaruhi perawat dalam penerapan keselamatan pasien di rumah sakit: Literature Review. Jurnal Ners, 7(1), 524-530.
Sinum, M. S., Garnida, A. P., & Kodyat, A. G. (2024). Analisa Hubungan Sikap Motivasi dan Budaya Kerja Terhadap Pelaksanaan Patient Safety di IGD Rumah Sakit Islam Ar Rasyid Palembang. Jurnal Manajemen dan Administrasi Rumah Sakit Indonesia (MARSI), 8(1), 71-77.
Wijayanti, W., Lesmana, N. K., Yulia, S., & Widyawati, M., & Fithriyani, F. (2024). Kepemimpinan dan Manajemen Keperawatan di Era Layanan Kesehatan Berkelanjutan: Transformasi Kinerja, Karir, dan Keselamatan Pasien. Nuansa Fajar Cemerlang.
Zuliani Z., Hariyanto, S., Maria, D., Urifah, S. T. I., Sugiarto, A., Muhsinah, S., Marisi, D. L., Juliani, E. M., & Kuswati, A. (2023). Keperawatan Profesional. Yayasan Kita Menulis. Retrieved from: https://kitamenulis.id/2023/01/14/keperawatan-profesional-2/
Downloads
Published
Issue
Section
License
Copyright (c) 2026 zuharni mukhtaruddin
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
