RELATIONSHIP BETWEEN NURSING TEAMWORK AND MISSED NURSING CARE IN INTENSIVE CARE UNITS
DOI:
https://doi.org/10.24269/ijhs.v10i1.12222Abstract
Nurses play a vital role in providing nursing care, especially in intensive care units. Low levels of nursing teamwork can contribute to the occurrence of missed nursing care, which refers to nursing actions that are delayed or not performed. Given that patients in intensive care units require comprehensive and continuous care, optimal nursing teamwork is essential to ensure the quality of patient care. This research aimed to determine the relationship between the level of nursing teamwork and the incidence of missed nursing care in patient care in the intensive care units of dr. Soebandi General Hospital, Jember. Method: This research was non-experimental quantitative study with a correlational design and a cross-sectional approach. The study sample consisted of 72 active nurses who worked in the intensive care units of RSD dr. Soebandi Jember. Data analysis was conducted using the Spearman Rank correlation test. Results: The results of the analysis showed a moderate level of teamwork and low missed nursing care with a significant negative correlation between the level of nursing teamwork and the incidence of missed nursing care, with a p value <0.05 (0.000 <0.05) and a correlation coefficient of -0.404. Conclusion: The bivariate analysis showed that there was a significant relationship between teamwork and missed nursing care. Hospitals need to support nurse training programs, particularly in enhancing teamwork skills.
Downloads
References
[1] P. Nilasari, T. S. Hariyati, dan S. Anisah, “Analisis Swot Asuhan Keperawatan Yang Terlewatkan,†J. Keperawatan, vol. 12, 2020.
[2] S. Muharni, U. C. Wardhani, dan Sumarlini, “Hubungan Lingkungan Kerja dan Budaya Keselamatan Pasien dengan Missed Nursing Care di Rumah Sakit X,†vol. 07, no. 01, hlm. 29–41, 2023.
[3] H. Cho, K. Han, E. Ryu, dan E. Choi, “Work Schedule Characteristics , Missed Nursing Care , and Organizational Commitment Among Hospital Nurses in Korea,†vol. 2017, hlm. 1–9, 2020, doi: 10.1111/jnu.12612.
[4] N. M. Rahmah, R. Tutik, S. Hariyati, R. Sekarsari, dan T. Pakasi, “The Factor Associated with Missed Nursing Care in Hospital : A Systematic Review,†vol. 10, hlm. 563–570, 2022.
[5] A. Hessels, M. Paliwal, S. H. Weaver, D. Siddiqui, dan T. A. Wurmser, “Impact of Patient Safety Culture on Missed Nursing Care and Adverse Patient Events,†hlm. 287–294, 2019, doi: 10.1097/NCQ.0000000000000378.Impact.
[6] A. M. Assaye, R. Wiechula, T. J. Schultz, dan R. Feo, “Missed nursing care, nurse staffing levels and patient safety outcomes in low-income country acute care settings: An observational study,†Int. J. Nurs. Pract., vol. 28, no. 1, 2022, doi: 10.1111/ijn.13031.
[7] J. E. Ball dkk., “Post-operative mortality, missed care and nurse staffing in nine countries: A cross-sectional study,†Int. J. Nurs. Stud., vol. 78, no. August 2017, hlm. 10–15, 2018, doi: 10.1016/j.ijnurstu.2017.08.004.
[8] B. Wieczorek-Wojcik, A. Gaworska-Krzemińska, A. J. Owczarek, dan D. Kilańska, “In-hospital mortality as the side effect of missed care,†J. Nurs. Manag., vol. 28, no. 8, hlm. 2240–2246, 2020, doi: 10.1111/jonm.12965.
[9] P. A. Scott dkk., “Resource allocation and rationing in nursing care: A discussion paper,†Nurs. Ethics, vol. 26, no. 5, hlm. 1528–1539, 2019, doi: 10.1177/0969733018759831.
[10] A. Hessels, L. Flynn, J. P. Cimiotti, E. Cadmus, dan R. R. M. Gershon, “The impact of the nursing practice environment on missed nursing care,†Clin. Nurs. Stud., vol. 3, no. 4, 2015, doi: 10.5430/cns.v3n4p60.
[11] M. Nobahar, M. Ameri, dan S. Goli, “The relationship between teamwork, moral sensitivity, and missed nursing care in intensive care unit nurses,†BMC Nurs., vol. 22, no. 1, hlm. 1–7, 2023, doi: 10.1186/s12912-023-01400-y.
[12] S. M. Soliman dan N. M. Eldeep, “The Relationship among Workload , Teamwork , and Missed Nursing Care at Intensive Care Units Methods : Aim :,†vol. 11, no. 3, hlm. 603–611, 2020.
[13] A.-C. Falk, C. Nymark, K. E. Goransson, dan A.-C. von Vogelsang, “Missed nursing care in the critical care unit, before and during the COVID-19 pandemic: A comparative cross-sectional study,†2022.
[14] R. A. Amalia, K. R. Putra, dan I. N. Rahmawati, “Hubungan Kerja Tim Dengan Missed Nursing Care Dalam Perawatan Pasien Di Rumah Sakit,†J. Perawat Indones., vol. 5, no. 2, hlm. 731–739, 2021.
[15] M. Asmirajanti, A. Y. S. Hamid, dan R. T. S. Hariyati, “Nursing care activities based on documentation,†BMC Nurs., vol. 18, no. Suppl 1, hlm. 1–5, 2019, doi: 10.1186/s12912-019-0352-0.
[16] B. J. Kalisch, D. Tschannen, H. Lee, dan C. Friese, “Hospital Variation In Missed Nursing Care,†Am J Med Qual, vol. 26, no. 4, hlm. 291–299, 2011, doi: 10.1177/1062860610395929.HOSPITAL.
[17] F. Amrolahi-Mishavan, A. Emami-Sigaroudi, F. Jafaraghaee, H. Shahsavari, dan S. Maroufizadeh, “Factors affecting missed nursing care in hospitals: A scoping review,†Health Sci. Rev., vol. 4, no. August, hlm. 100053, 2022, doi: 10.1016/j.hsr.2022.100053.
[18] P. Q. L. Goh, T. F. Ser, S. Cooper, L. J. Cheng, dan S. Y. Liaw, “Nursing teamwork in general ward settings: A mixed-methods exploratory study among enrolled and registered nurses,†J. Clin. Nurs., vol. 29, no. 19–20, hlm. 3802–3811, 2020, doi: 10.1111/jocn.15410.
[19] B. J. Kalisch, H. Lee, dan E. Salas, “The development and testing of the nursing teamwork survey,†Nurs. Res., vol. 59, no. 1, hlm. 42–50, 2010, doi: 10.1097/NNR.0b013e3181c3bd42.
[20] B. J. Kalisch, H. Lee, dan E. Salas, “The development and testing of the nursing teamwork survey,†Nurs. Res., vol. 59, no. 1, hlm. 42–50, 2010, doi: 10.1097/NNR.0b013e3181c3bd42.
[21] B. J. Kalisch, G. L. Landstrom, dan A. S. Hinshaw, “Missed nursing care: A concept analysis,†J. Adv. Nurs., vol. 65, no. 7, hlm. 1509–1517, 2009, doi: 10.1111/j.1365-2648.2009.05027.x.
[22] D. Kohanova, A. Solgajova, M. Lu, dan D. Barton, “The level of teamwork and associated factors in the selected hospitals from the nurses ’ perspective,†Nurs. Pract. Today, vol. 10, no. 4, 2023, doi: 10.18502/npt.v10i4.14082.
[23] S. Amelia dan B. A. Sulistyanto, “Tingkat Kecemasan Perawat ICU Dimasa Pandemi COVID-19 : Literature Review,†Semin. Nas. Kesehat., vol. 105, no. Imd, hlm. 766–771, 2021.
[24] A. U. Ezdha, “Budaya Keselamatan Pasien Di Rumah Sakit Kelas C,†hlm. 10–20, 2018.
[25] W. Susanto, Supriyadi, E. Sukamto, dan A. Parellangi, “Hubungan Shift Kerja Perawat Dengan Stres Kerja Pada Perawat di Ruang Rawat Inap RSD dr . H . Soemarno Sosroatmodjo Kabupaten Bulungan,†J. Sains Teknol. Dan Kesehat., vol. 2, no. 3, hlm. 349–354, 2023.
[26] J. A. Pardede, M. Saragih, dan M. Simamora, “Tipe Kepribadian Berhubungan dengan Perilaku Caring Perawat,†J. Keperawatan Silampari, vol. 3, no. 2, 2020, doi: 10.31539/jks.v3i2.1207.
[27] I. Sugiarti dan R. Rohayati, “Hubungan Motivasi Perawat dengan Pelaksanaan Dokumentasi Edukasi Keperawatan Di Ruang Intensif Rumah Sakit A Bekasi,†J. Kemitraan Kesehat., vol. 05, no. 01, hlm. 27–32, 2022, doi: 10.47522/jmk.v5i1.161.
[28] T. Handayani, F. Pringgayuda, I. A. Putri, dan S. A. Sari, “Faktor-Faktor Motivasi Perawat D3 Melanjutkan Pendidikan Ke Jenjang S1 Ilmu Keperawatan Di Universitas Muhammadiyah Pringsewu Tahun 2023,†vol. 8, no. 2, hlm. 89–95, 2023, doi: 10.52822/jwk.v8i2.534.
[29] P. A. Potter dan A. G. Perry, Fundamentals Of Nursing. 2021.
[30] R. A. Amalia, K. R. Putra, dan I. N. Rahmawati, “Hubungan Kerja Tim Dengan Missed Nursing Care Dalam Perawatan Pasien Di Rumah Sakit,†J. Perawat Indones., vol. 5, no. 2, hlm. 731–739, 2021.
[31] N. M. Attia, M. A. Abdeen, dan S. H. El Sayed, “Impact of Nursing Teamwork on Missed Nursing Care in Intensive Care Units at Zagazig University Hospitals,†Zagazig Nurs. J., vol. 10, no. 2, hlm. 201–217, 2014, doi: 10.12816/0029158.
[32] S. M. Soliman dan N. M. Eldeep, “The Relationship among Workload , Teamwork , and Missed Nursing Care at Intensive Care Units Methods : Aim :,†vol. 11, no. 3, hlm. 603–611, 2020.
[33] H. Baek, K. Han, H. Cho, dan J. Ju, “Nursing teamwork is essential in promoting patient-centered care: a cross-sectional study,†BMC Nurs., vol. 22, no. 1, hlm. 1–8, 2023, doi: 10.1186/s12912-023-01592-3.
[34] J. Castner, Y. W. B. Wu, dan S. Dean-Baar, “Multi-Level Model of Missed Nursing Care in the Context of Hospital Merger,†West. J. Nurs. Res., vol. 37, no. 4, hlm. 1–21, 2014, doi: 10.1177/0193945914535670.
[35] M. Costello, K. Rusell, dan T. Coventry, “Examining the average scores of nursing teamwork subscales in an acute private medical ward,†BMC Nurs., vol. 20, no. 1, hlm. 1–10, 2021, doi: 10.1186/s12912-021-00609-z.
[36] M. Costello, K. Rusell, dan T. Coventry, “Examining the average scores of nursing teamwork subscales in an acute private medical ward,†BMC Nurs., vol. 20, no. 1, hlm. 1–10, 2021, doi: 10.1186/s12912-021-00609-z.
[37] T. N. Ghezeljeh, S. Gharasoflo, dan S. Haghani, “Nursing Practice Today 2021;,†vol. 8, no. 2, hlm. 103–112, 2021.
[38] D. Kohanova, A. Solgajova, M. Lu, dan D. Barton, “The level of teamwork and associated factors in the selected hospitals from the nurses ’ perspective,†Nurs. Pract. Today, vol. 10, no. 4, 2023, doi: 10.18502/npt.v10i4.14082.
[39] M. L. Grubaugh dan L. Flynn, “Relationships among Nurse Manager Leadership Skills, Conflict Management, and Unit Teamwork,†J. Nurs. Adm., vol. 48, no. 7–8, hlm. 383–388, 2018, doi: 10.1097/NNA.0000000000000633.
[40] D. Kohanova dan E. Gurkova, “Unfinished nursing care and its relationship to level of teamwork : the perspective of postgraduate nursing students,†Cent. Eur. J. Nurs. Midwifery, vol. 15, no. 2, hlm. 1115–1125, 2024, doi: 10.15452/cejnm.2024.15.0010.
[41] A. M. Assaye, R. Wiechula, T. J. Schultz, dan R. Feo, “Missed nursing care, nurse staffing levels and patient safety outcomes in low-income country acute care settings: An observational study,†Int. J. Nurs. Pract., vol. 28, no. 1, 2022, doi: 10.1111/ijn.13031.
[42] S. Muharni, U. C. Wardhani, dan Sumarlini, “Hubungan Lingkungan Kerja dan Budaya Keselamatan Pasien dengan Missed Nursing Care di Rumah Sakit X,†vol. 07, no. 01, hlm. 29–41, 2023.
[43] H. Kassie, “Missed Nursing Care And Associated Factors Among Nurses At University Of Gondar Comprehensive Specialized Hospital , Northwest Ethiopia,†vol. 14, no. 1, hlm. 1–21, 2022, doi: https://doi.org/10.21203/rs.3.rs-2362996/v1.
[44] R. Zelenikova, D. Jarosova, E. Mynarikova, E. Janikova, dan I. Plevova, “Inadequate number of staff and other reasons for implicit rationing of nursing care across hospital types and units,†Nurs. Open, vol. 10, no. 8, hlm. 5589–5596, 2023, doi: 10.1002/nop2.1802.
[45] B. J. Kalisch, “Missed Nursing Care,†J. Nurs. Care Qual., vol. 21, no. 4, hlm. 314–315, 2006, doi: 10.1097/00001786-200610000-00007.
[46] B. J. Kalisch dan K. H. Lee, “The impact of teamwork on missed nursing care,†Nurs. Outlook, vol. 58, no. 5, hlm. 233–241, 2010, doi: 10.1016/j.outlook.2010.06.004.
[47] C. W. Kassahun, K. Endalkachew, dan C. K. Mekonnen, “Missed nursing care and associated factors among nurses at University of Gondar Comprehensive Specialized Hospital , Ethiopia , Hospital Length of Stay,†hlm. 1–9, 2024.
[48] Z. Chegini, T. J. M. Kheiri, A. Behforoz, S. Aliyari, U. Mitra, dan S. Mohammed, “Missed nursing care and related factors in Iranian hospitals : A cross-sectional survey,†J Nurs Manag, vol. 28, no. 8, hlm. 1–11, 2020, doi: 10.1111/jonm.13055.
[49] E. Gurkova, J. Singlarova, dan K. Ziakova, “Nurses’ and patients’ perspectives of missed nursing care in surgical units: a correlation cross-sectional study,†Cent. Eur. J. Nurs. Midwifery, vol. 15, no. 4, 2024, doi: 10.15452/cejnm.2024.15.0021.
[50] B. J. Kalisch, D. Tschannen, H. Lee, dan C. Friese, “Hospital Variation In Missed Nursing Care,†Am J Med Qual, vol. 26, no. 4, hlm. 291–299, 2011, doi: 10.1177/1062860610395929.HOSPITAL.
[51] M. He dkk., “Exploring the role of communication in missed nursing care: A systematic review,†J. Adv. Nurs., vol. 78, no. 12, hlm. 9, 2022, doi: https://doi.org/10.1111/jan.15444.
Downloads
Published
Issue
Section
License
Copyright (c) 2026 Indonesian Journal for Health Sciences

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.









