Synthesizing the Organizational Factor with the Rule of Parent and Pediatric Nursing Behavior toward Hospital Performance: Evidence from Indonesia
DOI:
https://doi.org/10.58344/locus.v5i6.5882Keywords:
Pediatric nursing, hospital performance, parents, nursing behavior, organizational factorAbstract
This study examines the influence of organizational factors and parental engagement on pediatric nurse caring behavior and perceived hospital performance in Indonesian private hospitals. Despite global improvements in healthcare quality, challenges persist in maintaining high standards of nursing care, particularly in pediatrics, where parental involvement significantly affects patient outcomes. The research aims to identify how managerial support, nurse-nurse collaboration, doctor-nurse relationships, promotion of patient safety, and staffing/resources impact nurses’ caring behavior, mediated by parents’ education and involvement. A quantitative cross-sectional survey was conducted with 104 pediatric nurses from five private hospitals, and data were analyzed using Partial Least Squares Structural Equation Modeling (PLS-SEM) to evaluate reliability, validity, and hypothesized relationships. Results indicate that pediatric nurse caring behavior is primarily influenced by parental involvement, which is enhanced by the promotion of patient safety and parental education. Managerial support, nurse-nurse collaboration, and doctor-nurse relationships showed limited direct effects on parental engagement. The findings highlight that structural and process factors, such as resource allocation and patient safety initiatives, indirectly improve hospital performance through increased parental participation and nurse caring behavior. The study concludes that hospital management should prioritize strategies fostering parental involvement, support nurses’ caring practices, and promote patient safety to enhance both perceived hospital performance and overall quality of pediatric care.
References
Aamir, A. (2018). The role of hospital service quality in developing the satisfaction of the patients and hospital performance. Management Science Letters.
Aamir, A. (2018). The role of hospital service quality in developing the satisfaction of patients and hospital performance. Management Science Letters.
Appiah, E. O., Appiah, S., Kontoh, S., Mensah, S., Awuah, D. B., Menlah, A., & Baidoo, M. (2022). Pediatric nurse–patient communication practices at Pentecost Hospital, Madina: A qualitative study. International Journal of Nursing Sciences, 9(4), 481–489. https://doi.org/10.1016/j.ijnss.2022.09.004
Burney, V., McCann, C. M., & Arnold-Saritepe, A. (2024). Parent engagement in child-focused interventions: A systematised review of qualitative allied health literature. Child & Youth Care Forum, 53(6), 1451–1486. https://doi.org/10.1007/s10566-024-09797-6
Cintra, C., Garcia, P., Brandi, S., Crestani, F., Lessa, A., & Cunha, M. (2022). Parents’ satisfaction with care in pediatric intensive care units. Revista Gaúcha de Enfermagem, 43, e20210003.
Graban, M. (2018). Lean hospitals: Improving quality, patient safety, and employee engagement (3rd ed.). Productivity Press.
Handayani, E. T., & Kuntarti, K. (2021). Nurses' caring behavior based on personality in Indonesia: A pilot study for better-humanized healthcare services. Journal of Public Health Research, 10(4), 2741. https://doi.org/10.4081/jphr.2021.2741
Janhunen, K. (2021). Pediatric care quality in emergency departments: A view of children, parents, nursing staff, and administrative data.
Johnson, J. K., & Sollecito, W. A. (2018). McLaughlin & Kaluzny’s continuous quality improvement in health care (5th ed.). Jones & Bartlett Learning.
Johnson, S., & Antonio, F. (2024). The interplay between hospital operational efficiency and hospital benevolence and its relation to hospital performance in private hospitals. Journal of Hospital Administration Studies, 1–11.
Kee, J. W. Y., Khoo, H. S., Lim, I., & Koh, M. Y. H. (2018). Communication skills in patient–doctor interactions: Learning from patient complaints. Health Professions Education, 4(2), 97–106. https://doi.org/10.1016/j.hpe.2017.03.006
Kwame, A., & Petrucka, P. M. (2024). Effective nursing leadership as a catalyst for person-centered care and positive nursing–patient interactions: Evidence from a public Ghanaian hospital. Discover Health Systems, 3(1), 50. https://doi.org/10.1007/s44250-024-00050-0
Lake, E. T., Gil, J., Moronski, L., McHugh, M. D., Aiken, L. H., & Lasater, K. B. (2024). Validation of a short form of the Practice Environment Scale of the Nursing Work Index: The PES-5. Research in Nursing & Health, 47(4), 450–459. https://doi.org/10.1002/nur.22388
Liao, C., Qin, Y., He, Y., & Guo, Y. (2015). The nurse–nurse collaboration behavior scale: Development and psychometric testing. International Journal of Nursing Sciences, 2(4), 334–339. https://doi.org/10.1016/j.ijnss.2015.10.005
Oldland, E., Hutchinson, A. M., Redley, B., Mohebbi, M., & Botti, M. (2024). Validation of the Nurses’ Responsibility in Healthcare Quality Questionnaire: An instrument design study. Nursing and Health Sciences, 1–13. https://doi.org/10.1111/nhs.12844
Otokwala, O., Peretomode, E., Eunice, U., Elizabeth, N., & Faith, C. (2020). Mothers’ satisfaction with nursing care received by pediatric patients in a tertiary hospital in South-South Nigeria. SSRG International Journal of Nursing and Health Science, 6, 29–35.
Parush, A., Parush, D., & Ilan, R. (2017). Human factors in healthcare: A field guide to continuous improvement. Morgan & Claypool Publishers.
Rayan, A. H. (n.d.). Nurse–nurse collaboration and performance among nurses in intensive care units.
Rehman, F., et al. (2024). Parental satisfaction with health care during child hospitalization at tertiary care hospital Karachi: Parental satisfaction with health care during child hospitalization. Pakistan Journal of Health Sciences, 45–49.
Um, K. H., & Lau, A. K. W. (2018). Healthcare service failure: How dissatisfied patients respond to poor service quality. International Journal of Operations & Production Management, 38(5), 1245–1270. https://doi.org/10.1108/IJOPM-04-2017-0242
Zheng, S., Tucker, A. L., Ren, Z. J., Heineke, J., McLaughlin, A., & Podell, A. L. (2018). The impact of internal service quality on preventable adverse events in hospitals. Production and Operations Management, 27(12), 2201–2212. https://doi.org/10.1111/poms.12880
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