MISSED NURSING CARE SEBAGAI INDIKATOR MUTU DAN KESELAMATAN PASIEN DI RUANG RAWAT INAP: TINJAUAN SISTEMATIS
Abstract
Latar Belakang: Missed nursing care merupakan asuhan keperawatan yang tertunda, tidak lengkap, atau tidak diberikan sesuai kebutuhan pasien. Fenomena ini sering tidak tampak sebagai insiden besar, tetapi dapat menjadi tanda awal penurunan mutu pelayanan dan keselamatan pasien di ruang rawat inap.Tujuan :Tinjauan sistematis ini bertujuan menganalisis missed nursing care sebagai indikator mutu dan keselamatan pasien dalam perspektif manajemen keperawatan. Metode: Penelusuran artikel dilakukan melalui PubMed, ScienceDirect, Google Scholar, Garuda, dan SINTA dengan kata kunci missed nursing care, mutu asuhan, keselamatan pasien, manajemen keperawatan, beban kerja perawat, dan ruang rawat inap. Artikel yang dikaji diterbitkan tahun 2021-2025, relevan dengan missed nursing care di rumah sakit, dan tersedia dalam teks lengkap. Sintesis dilakukan secara naratif terhadap artikel nasional dan internasional yang memenuhi kriteria. Hasil telaah menunjukkan bahwa missed nursing care berhubungan dengan beban kerja, kecukupan staf, fungsi manajemen, kerja tim, lingkungan kerja, budaya keselamatan pasien, dan kejadian tidak diharapkan. Simpulan ;Missed nursing care perlu dipahami sebagai indikator manajemen karena mampu menunjukkan risiko mutu sebelum berubah menjadi insiden klinis. Rumah sakit perlu mengintegrasikan pemantauan missed nursing care dalam supervisi kepala ruangan, evaluasi staffing, dan program keselamatan pasien.
Keywords
Full Text:
PDFReferences
Abere, Y., Biresaw, H., Misganaw, M., Netsere, B., & Adal, O. (2024). Missed nursing care and its associated factors in public hospitals of Bahir Dar City, Northwest Ethiopia: A cross-sectional study. BMJ Open, 14(4), e081647. https://doi.org/10.1136/bmjopen-2023-081647
Ahansaz, N., Adib-Hajbaghery, M., & Baghaei, R. (2024). Missed nursing care and its relationship with nurses’ moral sensitivity: A descriptive-analytical study. BMC Nursing, 23, 1-8. https://doi.org/10.1186/s12912-024-01854-8
Amalia, R. A., Putra, K. R., & Rahmawati, I. N. (2021). Hubungan kerja tim dengan missed nursing care dalam perawatan pasien di rumah sakit. Jurnal Perawat Indonesia, 5(2), 731-739.
Babaei, S., Amini, K., & Ramezani-Badr, F. (2024). Unveiling missed nursing care: A comprehensive examination of neglected responsibilities and practice environment challenges. BMC Health Services Research, 24, 1-8. https://doi.org/10.1186/s12913-024-11386-1
Dewi, F. M., Putra, K. R., & Wardhani, V. (2022). The relationship between nurse workload and missed nursing care in the inpatient room. JMMR (Jurnal Medicoeticolegal dan Manajemen Rumah Sakit), 8(2), 124-132. https://doi.org/10.18196/jmmr.v11i2.14708
Imam, A., Obiesie, S., Gathara, D., Aluvaala, J., Maina, M., & English, M. (2023). Missed nursing care in acute care hospital settings in low-income and middle-income countries: A systematic review. Human Resources for Health, 21, 1-21. https://doi.org/10.1186/s12960-023-00807-7
Kassahun, C. W., Endalkachew, K., Mekonnen, C. K., & Kassie, H. (2024). Missed nursing care and associated factors among nurses at University of Gondar Comprehensive Specialized Hospital, Ethiopia, 2022. Scientific Reports, 14, 25571. https://doi.org/10.1038/s41598-024-76325-w
Khajoei, R., Balvardi, M., Eghbali, T., & Yousefi, M. S. (2025). Missed nursing care and related factors: A cross-sectional study. BMC Nursing, 24, 375. https://doi.org/10.1186/s12912-025-02984-3
La Ede, A. R., Budhiana, J., & Ida, I. (2025). Factors associated with the incidence of missed nursing care (MNC). Indonesian Journal of Global Health Research, 7(4), 169-178. https://doi.org/10.37287/ijghr.v7i4.6308
Labrague, L. J., Cayaban, A. R. R., & colleagues. (2025). Association between patient safety culture and missed nursing care in healthcare settings: A systematic review and meta-analysis. Journal of Advanced Nursing. https://doi.org/10.1111/jan.16758
Mainz, H., Tei, R., Andersen, K. V., Lisby, M., & Gregersen, M. (2024). Prevalence of missed nursing care and its association with work experience: A cross-sectional survey. International Journal of Nursing Studies Advances, 6, 100196.
https://doi.org/10.1016/j.ijnsa.2024.100196
Muharni, S., Wardhani, U. C., & Mayasari, E. (2022). Hubungan kepuasan kerja perawat dengan missed nursing care di ruang rawat inap RS X Kota Batam. Al-Asalmiya Nursing: Jurnal Ilmu Keperawatan, 11(2), 189-194. https://doi.org/10.35328/keperawatan.v11i2.2291
Nantsupawat, A., Srisuphan, W., Kunaviktikul, W., & Aiken, L. H. (2022). Nurse staffing, missed care, quality of care and adverse events. Journal of Nursing Management, 30(2), 447-454. https://doi.org/10.1111/jonm.13501
Nilasari, P., Hariyati, R. T. S., & Rahman, L. O. A. (2022). Relationship of nursing management functions with missed nursing care: A cross-sectional study. Jurnal Keperawatan Indonesia, 25(2), 103-111. https://doi.org/10.7454/jki.v25i2.850
Papathanasiou, I., Tzenetidis, V., Tsaras, K., Zyga, S., & Malliarou, M. (2024). Missed nursing care; prioritizing the patient’s needs: An umbrella review. Healthcare, 12(2), 224. https://doi.org/10.3390/healthcare12020224
Pratiwi, L. D., Basit, M., & Tasalim, R. (2024). Hubungan lingkungan kerja dan beban kerja perawat terhadap missed nursing care. Jurnal Keperawatan, 16(1), 133-146. https://doi.org/10.32583/keperawatan.v16i1.1466
Putra, K. R., Hany, A., Ningrum, E., Arisetijono, E., Taji, M., & Vatmasari, R. (2025). Patient safety culture, missed nursing care, and adverse events in university hospitals: A cross-sectional study. Iranian Journal of Nursing and Midwifery Research, 30(3), 349-355. https://doi.org/10.4103/ijnmr.ijnmr_210_23
Putri, R. F., Wardhani, U. C., & Muharni, S. (2024). Faktor-faktor yang berhubungan dengan kejadian missed nursing care di ruang rawat inap Rumah Sakit Bakti Timah Karimun. Protein: Jurnal Ilmu Keperawatan dan Kebidanan, 2(3), 77-88. https://doi.org/10.61132/protein.v2i3.494
DOI: https://doi.org/10.31596/jprokep.v13i2.250
Refbacks
- There are currently no refbacks.
Copyright (c) 2026 Jurnal Profesi Keperawatan
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
View My Stats