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

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 sa...

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Autores principales:	Devi Sahputra, Paul Lumbantobing, Cyruz P. Tuppal
Formato:	article
Lenguaje:	EN
Publicado:	Belitung Raya Foundation 2021
Materias:	total quality management nursing services personnel management independent nursing practice indonesia Nursing RT1-120
Acceso en línea:	https://doaj.org/article/af2f9244e7a14c7eb87f89c2ff3ab80e
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spelling	oai:doaj.org-article:af2f9244e7a14c7eb87f89c2ff3ab80e2021-12-02T18:46:11ZAssessment of the quality of independent nursing practice in Indonesia based on total quality management indicators2477-407310.33546/bnj.1324https://doaj.org/article/af2f9244e7a14c7eb87f89c2ff3ab80e2021-08-01T00:00:00Zhttps://belitungraya.org/BRP/index.php/bnj/article/view/1324https://doaj.org/toc/2477-4073Background: 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 (p <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.Devi SahputraPaul LumbantobingCyruz P. TuppalBelitung Raya Foundationarticletotal quality managementnursing servicespersonnel managementindependent nursing practiceindonesiaNursingRT1-120ENBelitung Nursing Journal, Vol 7, Iss 4, Pp 294-303 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	total quality management nursing services personnel management independent nursing practice indonesia Nursing RT1-120
spellingShingle	total quality management nursing services personnel management independent nursing practice indonesia Nursing RT1-120 Devi Sahputra Paul Lumbantobing Cyruz P. Tuppal Assessment of the quality of independent nursing practice in Indonesia based on total quality management indicators
description	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 (p <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.
format	article
author	Devi Sahputra Paul Lumbantobing Cyruz P. Tuppal
author_facet	Devi Sahputra Paul Lumbantobing Cyruz P. Tuppal
author_sort	Devi Sahputra
title	Assessment of the quality of independent nursing practice in Indonesia based on total quality management indicators
title_short	Assessment of the quality of independent nursing practice in Indonesia based on total quality management indicators
title_full	Assessment of the quality of independent nursing practice in Indonesia based on total quality management indicators
title_fullStr	Assessment of the quality of independent nursing practice in Indonesia based on total quality management indicators
title_full_unstemmed	Assessment of the quality of independent nursing practice in Indonesia based on total quality management indicators
title_sort	assessment of the quality of independent nursing practice in indonesia based on total quality management indicators
publisher	Belitung Raya Foundation
publishDate	2021
url	https://doaj.org/article/af2f9244e7a14c7eb87f89c2ff3ab80e
work_keys_str_mv	AT devisahputra assessmentofthequalityofindependentnursingpracticeinindonesiabasedontotalqualitymanagementindicators AT paullumbantobing assessmentofthequalityofindependentnursingpracticeinindonesiabasedontotalqualitymanagementindicators AT cyruzptuppal assessmentofthequalityofindependentnursingpracticeinindonesiabasedontotalqualitymanagementindicators
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Assessment of the quality of independent nursing practice in Indonesia based on total quality management indicators

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