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A Literature Review: on the Implementation of the 5S Leadership Model to Improve the Quality of Nursing Care Documentation Julaiha Julaiha; Iskim Luthfa; Dyah Wiji Puspita Sari; Iwan Ardian
Indonesian Journal of Global Health Research Vol. 8 No. 2 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i2.1782

Abstract

The Quality and Safety Education for Nurses (QSEN) program is an educational initiative designed to equip nurses with the knowledge, skills, and attitudes necessary to continuously improve quality and patient safety within healthcare systems. Junior nurses, as frontline providers of nursing care, require adequate competencies in patient safety aspects. This study aims to identify and synthesize scientific findings regarding the effectiveness of the QSEN program in improving the knowledge, skills, and attitudes of junior nurses. This study employed a Systematic Literature Review following the PRISMA guidelines. Articles published between 2021 and 2026 were retrieved from PubMed, Scopus, ScienceDirect, and Google Scholar. The initial search identified 3,500 records. After removing 1,150 duplicates, 1,900 records were screened. A total of 1,600 records were excluded based on title and abstract. Of the remaining 300 articles, 120 could not be retrieved. Subsequently, 180 full-text articles were assessed for eligibility, and 158 were excluded due to not meeting inclusion criteria. Finally, 22 studies were included in the synthesis. The findings indicate that the implementation of the QSEN program has a positive impact on improving junior nurses’ knowledge of patient safety (60–85%), enhancing clinical skills (55–80%), and improving professional attitudes in nursing practice (70–90%). Several factors such as organizational support, effective leadership, clinical supervision, and continuous training play a crucial role in the successful implementation of the QSEN program. The QSEN program is effective in improving the knowledge, skills, and attitudes of junior nurses. The success of its implementation is strongly influenced by organizational support, leadership, and an adequate supervision system.
An Integrative Analysis of Therapeutic Communication, Nurse Competence, and Nursing Service Quality on Patient Satisfaction in Primary Health Care Centers: A Literature Review Hasniati Hasniati; Iwan Ardian; Muh. Abdurrouf; Wahyu Endang Setyowati
Indonesian Journal of Global Health Research Vol. 8 No. 4 (2026): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v8i4.2024

Abstract

Patient satisfaction is a key indicator of service quality in primary health care centers. However, it remains influenced by suboptimal therapeutic communication, nurse competence, and the quality of nursing care. Empirical evidence regarding the relationships among these factors is still fragmented and lacks integration. This literature review aims to analyze the influence of therapeutic communication, nurse competence, and the quality of nursing care on patient satisfaction in primary health care settings. A systematic search was conducted in PubMed, ScienceDirect, Google Scholar, and DOAJ for studies published between 2020 and 2025, following the PRISMA 2020 guidelines. The search strategy was guided by the PICO framework using the keywords “Nurse Competence,” “Patient Satisfaction,” “Primary Health Care Centers,” “Service Quality,” and “Therapeutic Communication.” Inclusion criteria comprised original research articles with cross-sectional designs involving healthcare patients and examining therapeutic communication, nurse competence, service quality, and patient satisfaction. A total of 1,972 articles were initially identified, of which 524 duplicates were removed. After the screening process, 15 articles met the inclusion criteria. Study quality was assessed using the Joanna Briggs Institute (JBI) critical appraisal tool. All included studies demonstrated a statistically significant association between therapeutic communication, nurse competence, and the quality of nursing care with patient satisfaction (p < 0.05). Service quality emerged as the dominant factor, mediating the relationship among variables. Patient satisfaction is influenced by the integration of therapeutic communication, nurse competence, and service quality. Strengthening these three aspects is essential to improve the quality of care in primary health care centers.
Efektivitas Digital Adherence Technologies dalam Meningkatkan Kepatuhan Pengobatan Tuberkulosis: Literature Review Tsalsa Putri Damayanti; Iwan Ardian; Iskim Luthfa
Malahayati Nursing Journal Vol 8, No 9 (2026): Volume 8 Nomor 9 (2026)
Publisher : Universitas Malahayati Lampung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33024/mnj.v8i9.25835

Abstract