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All Journal JIKO(Jurnal Ilmiah Keperawatan Orthopedi) JIKO (Jurnal Ilmiah Keperawatan Orthopedi)
M. Adila Rossa
Department of Management, University of Muhammadiyah Jakarta – Indonesia
Health Professions Medicine & Pharmacology Nursing Public Health Veterinary

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Implementation of Integrated Quality Management in Nursing Services M. Adila Rossa; Hardjito S Darmojo; Al-Bahra Al-Bahra
J I K O (Jurnal Ilmiah Keperawatan Orthopedi) Vol 4, No 2 (2020): JIKO (Jurnal Ilmiah Keperawatan Orthopedi)
Publisher : LPPM AKPER FATMAWATI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46749/jiko.v4i2.190

Abstract

Integrated Quality Management (IQM) is a strategic approach oriented towards continuous improvement to enhance the quality of healthcare services, including nursing care. Nurses, as frontline care providers, play a crucial role in ensuring patient quality and safety. Therefore, the implementation of IQM in nursing care is a relevant issue that merits in-depth study. This study aims to explore the implementation of IQM in nursing care and identify supporting factors, barriers, and its impact on service quality. The study employed a qualitative approach with a phenomenological design. Data were collected through in-depth interviews, participant observation, and document review in the nursing care unit. The informants included nurses, ward heads, nursing managers, and the quality management team, selected purposively. Data were analyzed using thematic analysis to identify key patterns and themes. The results indicate that the implementation of IQM in nursing care has been ongoing, but remains partial and tends to be administrative. Nursing leadership and active nurse involvement play a crucial role in the success of IQM implementation. Key barriers include high workload, limited resources, and lack of ongoing training. Nevertheless, the implementation of Integrated Quality Management (TMM) has had a positive impact on compliance with care standards, nursing documentation, and patient safety awareness. This study concludes that strengthening a culture of quality, visionary leadership, and nurse empowerment are necessary to optimize the implementation of Integrated Quality Management (TMM) in nursing services
Exploring Risk Management in Nursing Services to Improve Patient Safety M. Adila Rossa; Fathiyati Fathiyati; Muhammad Hudzaifah Nasrullah
J I K O (Jurnal Ilmiah Keperawatan Orthopedi) Vol 10, No 2 (2026): Vol 10, No 2 (2026): JIKO (Jurnal Ilmiah Keperawatan Orthopedi)
Publisher : LPPM AKPER FATMAWATI

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46749/jiko.v10i2.225

Abstract

Patient safety is a crucial aspect in improving the quality of healthcare services, particularly in nursing services that interact directly with patients. Risk management is essential for identifying, preventing, and controlling various potential risks that can lead to adverse events. This study aims to explore the implementation of risk management in nursing services as an effort to improve patient safety. The study employed a qualitative method with a descriptive qualitative design. Informants were selected using purposive sampling based on their involvement and experience in nursing services and patient safety. Data were collected through in-depth semi-structured interviews, observation, and documentation. Data were analyzed using thematic analysis through coding, category grouping, theme identification, and data interpretation. Data validity was verified through source and technique triangulation and member checking. The results revealed five main themes: nurses' understanding of risk management and patient safety, risk identification and prevention in nursing services, communication and reporting of patient safety incidents, barriers to implementing risk management, and strategies for improving patient safety through strengthening a culture of safety. Barriers identified included workload, limited staff, suboptimal communication, time constraints, and concerns about the consequences of reporting incidents. Effective risk management requires nurse involvement, open communication, a supportive reporting system, ongoing training, and organizational and leadership support.
Co-Authors Abdul Qohar Abdul Qohar Al-Bahra Al-Bahra Al-Bahra Al-bahra Al-Bahra Al-bahra Al-Bahra Al-Bahra Al-Bahra Ewin Suciana Fathiyati, Fathiyati Filda Fairuza Hardjito S Darmojo Hardjito S Darmojo Hardjito S. Darmojo Lina Mardianti Muhammad Hudzaifah Nasrullah Partono Siswosuharjo