Lilis Suryani
Horizon University Indonesia

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Quality of Nursing Work Life (QNWL): A Scoping Review of Concepts, Determinants, and Outcomes Lilis Suryani
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 12 No. 1 (2026): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v12i1.981

Abstract

Background: Quality of Nursing Work Life (QNWL) is increasingly recognized as a critical determinant of nurses’ well-being, retention, and performance. However, heterogeneity in conceptualization, measurement, and methodological approaches limits comparability and practical application. Objective: This scoping review aimed to map and synthesize contemporary evidence on QNWL, focusing on its definitions, measurement instruments, determinants, outcomes, and research gaps. Methods: A scoping review was conducted following the Joanna Briggs Institute (JBI) methodological framework and reported in accordance with PRISMA-ScR. Searches were performed in PubMed/MEDLINE, Scopus, Web of Science, CINAHL, and PsycINFO for studies published in English between January 2019 and February 2025. Google Scholar (first 200 results, sorted by relevance) and reference list screening were used as supplementary sources. Eligibility was defined using the Population–Concept–Context (PCC) framework. Data were charted descriptively and synthesized narratively. Methodological appraisal using JBI tools was conducted to describe study quality, not to exclude evidence. Results: Fifteen studies met inclusion criteria, encompassing cross-sectional surveys, psychometric validation studies, and contextual reviews from diverse geographic settings. The Brooks Quality of Nursing Work Life scale and the Work-Related Quality of Life instrument were most frequently used, reflecting continued conceptual heterogeneity. Key determinants of QNWL included leadership quality, workload, staffing adequacy, and organizational climate. Higher QNWL was consistently associated with greater job satisfaction, organizational commitment, and intention to stay, whereas lower QNWL was linked to burnout and turnover intention. Most studies were cross-sectional, limiting causal inference. Conclusions: QNWL is a multidimensional, context-sensitive construct shaped primarily by organizational and leadership factors. While evidence consistently links QNWL with workforce stability and well-being, methodological limitations and conceptual variability remain. Future research should prioritize longitudinal and interventional designs, standardized measurement, and broader contextual coverage to inform sustainable nursing workforce policies
Determinants of Quality of Nursing Work Life among Staff Nurses at a Public Hospital in Indonesia: A Cross-Sectional Study Lilis Suryani
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 12 No. 3 (2026): JURNAL KEPERAWATAN KOMPREHENSIF (COMPREHENSIVE NURSING JOURNAL)
Publisher : STIKep PPNI Jawa Barat

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33755/jkk.v12i3.1022

Abstract

Background: The quality of nurses’ work life has received increasing attention because it is associated with workforce sustainability, nurse well-being, and healthcare outcomes. In Indonesian public hospitals, nurses may face resource constraints, high service demands, and organizational pressures that can affect their work experiences. Evidence on the simultaneous contribution of individual, organizational, and psychological factors to Quality of Nursing Work Life (QNWL) in public-hospital nurses remains limited. Objective: This study aimed to identify factors associated with Quality of Nursing Work Life among staff nurses at Karawang General Hospital, Indonesia. Methods: An analytical cross-sectional study was conducted from November 2025 to April 2026 among 100 staff nurses working in inpatient wards, intensive care units, emergency departments, and outpatient services. Participants were selected using proportional stratified random sampling across service units. Data were collected using self-administered questionnaires, including the Brooks Quality of Nursing Work Life Survey and adapted instruments assessing workload, managerial support, reward system, work environment, job satisfaction, and organizational commitment. Data were analyzed using descriptive statistics, bivariate tests appropriate to variable type, and multiple linear regression with SPSS version 25. Results: More than half of the participants reported moderate QNWL (57%), followed by high QNWL (28%) and low QNWL (15%). QNWL was significantly associated with age (p = 0.041), educational attainment (p = 0.032), and length of employment (p = 0.018). Organizational factors were also significantly associated with QNWL, including workload (p = 0.001), managerial support (p < 0.001), reward system (p = 0.005), and work environment (p = 0.003). Psychological factors, namely job satisfaction (p < 0.001) and organizational commitment (p = 0.001), were significantly associated with QNWL. In the adjusted regression model, managerial support had the largest standardized coefficient (β = 0.524, p < 0.001), followed by job satisfaction (β = 0.411, p = 0.001), workload (β = −0.321, p = 0.002), and work environment (β = 0.298, p = 0.004). Conclusion: Organizational and psychological factors were important correlates of QNWL among staff nurses. Managerial support showed the strongest association in the adjusted model, suggesting that leadership development, structured feedback, workload review, and supportive work-environment initiatives may help create conditions for improved nurses’ work life. Because of the cross-sectional design, the findings should be interpreted as associations and not as causal effects