Implementation of Integrated Quality Management in Nursing Services

M. Adila Rossa; Hardjito S Darmojo

doi:10.46749/jiko.v4i2.190

Implementation of Integrated Quality Management in Nursing Services

M. Adila Rossa, Hardjito S Darmojo

Abstract

Integrated Quality Management (IQM) is a strategic approach oriented towards continuous improvement to enhance the quality of healthcare services, including nursing care. Nurses, as frontline care providers, play a crucial role in ensuring patient quality and safety. Therefore, the implementation of IQM in nursing care is a relevant issue that merits in-depth study. This study aims to explore the implementation of IQM in nursing care and identify supporting factors, barriers, and its impact on service quality. The study employed a qualitative approach with a phenomenological design. Data were collected through in-depth interviews, participant observation, and document review in the nursing care unit. The informants included nurses, ward heads, nursing managers, and the quality management team, selected purposively. Data were analyzed using thematic analysis to identify key patterns and themes. The results indicate that the implementation of IQM in nursing care has been ongoing, but remains partial and tends to be administrative. Nursing leadership and active nurse involvement play a crucial role in the success of IQM implementation. Key barriers include high workload, limited resources, and lack of ongoing training. Nevertheless, the implementation of Integrated Quality Management (TMM) has had a positive impact on compliance with care standards, nursing documentation, and patient safety awareness. This study concludes that strengthening a culture of quality, visionary leadership, and nurse empowerment are necessary to optimize the implementation of Integrated Quality Management (TMM) in nursing services

Keywords

Integrated Quality Management, Nursing Services, Service Quality, Qualitative Research, Patient Safety

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References

Hidayat, A. A., Pratiwi, A., & Agustin, R. (2016). Implementasi sistem manajemen mutu pelayanan keperawatan melalui kepemimpinan mutu kepala ruangan. Jurnal Ners, 11(1). https://doi.org/10.20473/jn.v11i1.1450

Agiwahyuanto, F., Octaviasuni, S., & Fajri, M. U. N. (2019). Analisis implementasi Total Quality Management (TQM) pada kasus pending klaim Jaminan Kesehatan Nasional (JKN) di RSUD Kendal. Jurnal Manajemen Kesehatan Indonesia, 7(3), 15–24. https://doi.org/10.14710/jmki.7.3.2019.15-24

Vituri, D. W., & Évora, Y. D. M. (2015). Total quality management and hospital nursing: an integrative literature review. Revista Brasileira de Enfermagem, 68(5), 945–952. https://doi.org/10.1590/0034-7167.2015680525i

Mosadeghrad, A. M. (2015). Developing and validating a total quality management model for healthcare organisations. The TQM Journal, 27(5), 544–564. https://doi.org/10.1108/TQM-04-2013-0051

Mohammad Mosadeghrad, A. (2014). Why TQM does not work in Iranian healthcare organisations. International Journal of Health Care Quality Assurance, 27(4), 320–335. https://doi.org/10.1108/IJHCQA-11-2012-0110

Talib, F., Asjad, M., Attri, R., Siddiquee, A., & Khan, Z. (2019). Ranking model of total quality management enablers in healthcare establishments using the best-worst method. The TQM Journal, 31(5), 790–818. https://doi.org/10.1108/TQM-04-2019-0118

Al-Shdaifat, E. A. (2015). Implementation of total quality management in hospitals. Journal of Taibah University Medical Sciences, 10(4), 461–466. https://doi.org/10.1016/j.jtumed.2015.05.004

Nguyen, T. L. H., & Nagase, K. (2019). The influence of total quality management on customer satisfaction. International Journal of Healthcare Management, 12(4), 277–286. https://doi.org/10.1080/20479700.2018.1528180

Hietschold, N., Reinhardt, R., & Gurtner, S. (2014). Measuring critical success factors of TQM implementation successfully – a systematic literature review. International Journal of Production Research, 52(21), 6254–6272. https://doi.org/10.1080/00207543.2014.918288

Lashgari, M. H., Arefanian, S., & Mohammadshahi, A. (2015). Effects of total quality management implication on patient satisfaction in the Emergency Department of military hospitals. Journal of Archived Military Medicine, 3(1).

Creswell, J. W. (2012). Educational research: Planning, conducting, and evaluating quantitative and qualitative research (4th ed.). Pearson.

Munhall, P. (2021). Qualitative research: A guide to design and implementation. … (terkait terapi fenomenologis dan wawancara mendalam dalam kesehatan).

Agiwahyuanto, F., Octaviasuni, S., & Fajri, M. U. N. (2019). Analisis implementasi Total Quality Management (TQM) pada kasus pending klaim JKN di RSUD Kendal tahun 2018. Jurnal Manajemen Kesehatan Indonesia, 7(3), 15-24. https://doi.org/10.14710/jmki.7.3.2019.15-24

Al-Shdaifat, E. A. (2015). Implementation of Total Quality Management in hospitals. Journal of Taibah University Medical Sciences. https://doi.org/10.1016/j.jtumed.2015.05.004

Alzoubi, M. M., Hayati, K. S., Rosliza, A. M., Ahmad, A. A., & Al-Hamdan, Z. M. (2019). Total quality management in the health-care context: integrating the literature and directing future research. Risk Management and Healthcare Policy, 12, 167–177. https://doi.org/10.2147/RMHP.S197038

Hietschold, N., Reinhardt, R., & Gurtner, S. (2014). Measuring critical success factors of TQM implementation successfully: A systematic literature review. International Journal of Production Research, 52(21), 6254–6272. https://doi.org/10.1080/00207543.2014.918288

Vituri, D. W., & Évora, Y. D. M. (2015). Total quality management and hospital nursing: An integrative literature review. Revista Brasileira de Enfermagem, 68(5), 945–952. http://dx.doi.org/10.1590/0034-7167.2015680525i

DOI: https://doi.org/10.46749/jiko.v4i2.190