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All Journal International Journal of Public Health Science (IJPHS) Jurnal Keperawatan Indonesia JOURNAL OF HEALTH SCIENCE (JURNAL ILMU KESEHATAN) Belitung Nursing Journal Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Jurnal Ilmiah Edunomika (JIE) PRIMA : Portal Riset dan Inovasi Pengabdian Masyarakat Journal of Sustainable Community Service SAMBARA: Jurnal Pengabdian Kepada Masyarakat International Journal of Social Science and Community Service
Lilis Suryani
Universitas Horizon Indonesia
Religion Aerospace Engineering Arts Humanities Automotive Engineering Chemical Engineering, Chemistry & Bioengineering Civil Engineering, Building, Construction & Architecture Decision Sciences, Operations Research & Management Economics, Econometrics & Finance Education Environmental Science Health Professions Immunology & microbiology Industrial & Manufacturing Engineering Languange, Linguistic, Communication & Media Law, Crime, Criminology & Criminal Justice Library & Information Science Medicine & Pharmacology Nursing Physics Public Health Social Sciences Veterinary

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Effectiveness and User Satisfaction of an ePRO-Based mHealth Application for Near Miss Reporting and Patient Safety Culture in the ICU Lilis Suryani
Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal) Vol. 11 No. 4 (2025): 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.v11i4.924

Abstract

Background: Near miss reporting and patient safety culture are critical to quality improvement in intensive care units (ICUs), yet conventional reporting systems are often constrained by underreporting, delayed submission, and limited feedback. Mobile health (mHealth) applications integrated with electronic patient-reported outcomes (ePRO) offer a promising approach to facilitate real-time reporting and strengthen safety culture in high-risk clinical environments. Objective: This study evaluated the effectiveness and user satisfaction of an ePRO-based mHealth application in improving near miss reporting and patient safety culture in ICU settings. Methods: A mixed-methods study was conducted in the ICU of a level B hospital in Karawang, Indonesia, involving 250 healthcare workers, primarily nurses. The intervention was implemented over six months using a user-centered design approach. Outcomes included near miss reporting rates, reporting timeliness, and Hospital Survey on Patient Safety Culture (HSOPSC) scores. Quantitative data were analyzed using paired t-tests and multiple linear regression, while user satisfaction and implementation experiences were explored using the System Usability Scale (SUS) and focus group discussions. Results: Near miss reporting increased 2.3-fold after implementation, and timely reporting within one hour rose from 21.4% to 68% (p < 0.001). Significant improvements were observed in patient safety culture domains, particularly non-punitive response to error and communication openness. User satisfaction was high, with a mean SUS score of 82.3. Technical challenges and initial staff resistance were identified as key barriers. Conclusion: The ePRO-based mHealth application significantly improved near miss reporting, enhanced patient safety culture, and demonstrated high usability in ICU settings. Despite technical and cultural challenges, the intervention aligns with the WHO Global Patient Safety Action Plan 2021–2030 and underscores the importance of integrating digital innovation with safety culture initiatives in resource-limited healthcare systems
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
Increasing Knowledge About Patient Safety Culture Among Nurses In Karawang District Lilis Suryani
International Journal of Social Science and Community Service Vol. 2 No. 2 (2024): APRIL
Publisher : CV. Proaksara Global Transeduka

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.70865/ijsscs.v2i2.29

Abstract

Patient safety culture is an important multidimensional concept in healthcare. Despite efforts to improve safety culture, there are still many preventable medical incidents. Nurses play a vital role in maintaining patient safety due to the intensity and duration of their interactions with patients. This study aims to improve nurses' knowledge of patient safety culture through comprehensive training, so as to reduce adverse events and improve the quality of health services. The training was conducted online on April 5-6, 2024 with 243 participants from various hospitals in Karawang Regency. The activity included pre-test, material delivery, case study simulation, and post-test to measure the participants' knowledge improvement. The results showed that there was a significant increase in nurses' knowledge of patient safety culture after the training. The pre-test and post-test showed that the training was effective in improving nurses' understanding and competence related to patient safety. It can be concluded that the patient safety culture training for nurses is effective and able to improve nurses' knowledge and skills in maintaining patient safety. With this improvement, it is expected that nurses can optimally implement patient safety culture, reduce the risk of adverse events, and improve the quality of health services in hospitals.
PENINGKATAN PENGETAHUAN TENTANG PERILAKU HIDUP BERSIH SEHAT (PHBS) KEPADA WARGA DESA TANJUNGPURA KABUPATEN KARAWANG Lilis Suryani
JOURNAL OF SUSTAINABLE COMMUNITY SERVICE Vol. 4 No. 1 (2023): DECEMBER
Publisher : Transpublika Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55047/jscs.v4i1.524

Abstract

The Clean and Healthy Living Behavior (CHLB) is a government health promotion program aimed at enhancing community self-reliance in maintaining and improving health. CHLB at the household level strives to empower members to be conscious, willing, and capable of adopting clean and healthy living behaviors to preserve and enhance their health. This initiative not only prevents the risk of diseases but also shields individuals from health threats while actively participating in the broader public health movement. The Clean and Healthy Living pattern should commence at the household level, recognizing that a healthy household serves as a developmental asset for the future that requires safeguarding. Given the susceptibility of certain household members to both infectious and non-infectious diseases, it becomes imperative for households to adhere to Clean and Healthy Living Behaviors (CHLB) to mitigate these risks effectively. This study underscores the importance of integrating CHLB into daily household routines to foster a healthier community and contribute to long-term societal development.
Co-Authors Faldy Irwiensyah Faridah Binti Moch Said Faridah Mohd Said Hanny Handiyani Lindayani, Linlin Lukman Permana Masmulyadi Masmulyadi, Masmulyadi Neneng Sayidah Nurmauli Banjarnahor Perdani, Agni Laili Santhna Letchmi Santhna Letchmi Sutanto Priyo Hastono Tuti Asmala