Sahputra Devi, Lumbantobing Paul, Tuppal Cyruz P
Hospital Administration, Faculty of Medicine, Universitas Pelita Harapan, Indonesia.
Faculty of Business, Universitas Pelita Harapan, Indonesia.
Belitung Nurs J. 2021 Aug 27;7(4):294-303. doi: 10.33546/bnj.1324. eCollection 2021.
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.
This study aimed to assess the quality of independent nursing practice in Indonesia based on TQM indicators.
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.
Leadership positively influenced strategic planning, customer attention, assessment analysis, and information management (focusing on personnel process management and efficiency) ( <0.001). In addition, process management indicated a positive influence on performance results ( <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.
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.
在印度尼西亚的专业护理实践中，管理质量已成为近十年来的一个问题和重要议题。通过实施全面质量管理（TQM），组织将确定健康组织系统的绩效，以提高患者满意度和独立护理实践服务的患者安全性。
本研究旨在基于TQM指标评估印度尼西亚独立护理实践的质量。
本研究采用了序列解释性混合方法设计。参与者为105名独立护理实践的首席执行官（CEO），他们使用《马尔科姆·波多里奇卓越绩效准则》（MBCfPE）回答了一项TQM调查。定量回答使用SmartPLS 3.0版本进行分析。对于定性数据，从全部受访者中挑选了6名参与者进行访谈，以探讨参与者对TQM的理解。所有回答都进行了转录，并使用NVIVO 11版本上传以进行主题分析。
领导力对战略规划、客户关注、评估分析和信息管理（侧重于人员流程管理和效率）有积极影响（<0.001）。此外，流程管理对绩效结果有积极影响（<0.001）。访谈转录集中在以下出现的主题上，如质量关注、服务关注、人力资源关注、绩效结果、领导力、服务系统设计、战略规划和信息系统。
采用MBCfPE标准的TQM提高了组织的绩效，并作为评估和实施可持续性变革的战略组成部分。本研究的结果可供独立护理实践的CEO用于持续改进。此外，这些结果为卫生部进行认证提供了依据，以确保医疗服务的高质量。
