Work Stress and Nurses' Compliance with Surgical Safety Checklist Completion: Implications for Surgical Patient Safety

Authors

  • Sani Ichsan Saputra Nursing Study Program, Department of Nursing, Faculty of Health Sciences, Universitas Brawijaya
  • Evi Harwiati Ningrum Department of Nursing, Faculty of Health Sciences, Universitas Brawijaya
  • Heri Kritianto Department of Nursing, Faculty of Health Sciences, Universitas Brawijaya

DOI:

https://doi.org/10.32584/jkmk.v9i1.3188

Keywords:

Work stress, Nurse compliance, Surgical Safety Checklist

Abstract

Surgery is a clinical procedure that is highly risky for errors and patient safety. WHO introduced the Surgical Safety Checklist (SSC) to improve patient safety during surgery. Implementation of the SSC in Indonesia is still low and requires the commitment of operating room nurses who are consistent in implementing a patient safety culture. Nurses' job stress can affect patient safety culture. This study aims to analyze the relationship between job stress and nurse compliance in implementing the SSC. This study used an observational method with a cross sectional approach. This quantitative study employed an observational analytic design with a cross-sectional approach. The study population consisted of 173 operating room nurses from five hospitals in Yogyakarta, Indonesia. The sample size was determined using the Slovin formula, resulting in 121 respondents, who were selected through purposive sampling.. Data collection used the Expanded Nursing Stress Scale (ENSS) questionnaire and the Surgical Safety Checklist (SSC) Implementation Observation Sheet. Test the relationship between two variables using the Spearman Rank test with a p-value of 0.05. Statistical tests of work stress (65.97) and compliance with filling out the Surgical Safety Checklist (20.83) showed a significant relationship (p-value 0.034) and there was a unidirectional correlation direction and weak correlation strength (r 0.193). The conclusion of this study is that nurses' job stress is related to compliance with filling out the Surgical Safety Checklist (SSC).

References

Alawiyah, R., 2023. Hubungan Antara Beban Kerja Dengan Stres Kerja Pada Perawat Rumah Sakit di Indonesia. Journal Of Health And Medical Research 3, 428–435.

Arif, T., Retnaningtyas, E., Roziah, S.D.W.D., Sudjarwo, E., 2021. Hubungan Tingkat Stress Kerja Perawat Dengan Pelaksanaan Surgical Safety Checlist Di Kamar Operasi. Jurnal Ilmiah Kesehatan Media Husada 10, 131–141.

Crespo-Mirasol, E., Llupià-García, A., Bellart-Alfonso, J., Peguero-Yus, A., Figueras-Retuerta, F., Hernández-Aguado, A.S., 2024. Impact of the implementation of a standardised interdisciplinary information transfer method in the delivery room and intermediate obstetric care unit. Enfermería Intensiva (English ed.) 35, 5–12.

Darmapan, S.A., Nuryanto, K., Yusniawati, Y.N.P., 2022. Kepatuhan Penata Anastesi Dalam Penerapan Dokumentasi Menggunakan Surgical Safety Checlist di Ruang Operasi. Jurnal Riset Kesehatan Nasional 6, 61–66.

Herqutanto, Harsono, H., Damayanti, M., Setiawati, E.P., 2017. Stres Kerja pada Perawat di Rumah Sakit dan Fasilitas Pelayanan Kesehatan Primer. Journal Kedokteran Indonesia 5.

Himpunan Perawat Kamar Bedah Indonesia, 2014. Buku Keterampilan Dasar Bagi Perawat Kamar Bedah. HIPKABI Press, Jakarta.

Indrwati, E., Nita, 2023. Kepatuhan Perawat Kamar Bedah dalam Pengisian Surgical Safety Checklist di RSUD Bayu Asih Kabupaten Purwakarta Tahun 2022. Jurnal Keperawatan dan Kebidanan 1.

Irawan, R., Sukmaningtyas, W., Safitri, M., Kesehatan, F., Harapan Bangsa, U., Jl Raden Patah No, I., 2022. Gambaran Kejadian Post Operative Nausea and Vomiting (PONV) Setelah Pemberian Ondansetron 8mg pada Pasien Post Operasi Mata dengan General Anestesi di Rumah Sakit Mata Cicendo Bandung. Seminar Nasional Penelitian dan Pengabdian Kepada Masyarakat 159–164.

Jiliana Ripa Jaya Sinambela, I., Hermayerni Simanullang, R., 2023. Tingkat Kepatuhan Perawat Dalam Penerapan Surgical Safety Checlist Time Out Di Operating Theatre Rumah Sakit Murni Teguh Medan. Indonesian Trust Nursing Journal (ITNJ) 1, 58–65.

Klase, S., Taslim Pinzon, R., Meliala, A., 2016. Penerapan Surgical Safety Checklist WHO Di RSUD Jagakarsa Sasameh Kabupaten Barito Selatan. Berkala Ilmiah Kedokteran Duta Wacana 1, 173–181.

Lestari, S., Fajrianti, G., Kusmadeni, D., 2024. Analisis Manajemen Stres Kerja Pada Tenaga Kesehatan. Jurnal Penelitian Perawat Profesional 6, 2327–2338.

Pauldi, H., 2021. Faktor Yang Berhubungan Dengan Kepatuhan Penerapan Surgical Safety Checklist Kamar Operasi Rumah Sakit Di Rengat Kabupaten Indragiri Hulu (skripsi). Institut Kesehatan dan Teknologi Al-Insyirah, Pekanbaru.

Priyantoro, B., Melati, N., 2024. Faktor-faktor yang berhubungan dengan kepatuhan perawat dalam kelengkapan dokumentasi surgical patient safety fase sign out di instalasi bedah sentral. Jurnal Kesehatan 4.

Rachmawati, A.L., Herawati, T., Diah Ciptaningtyas, M., 2019. Hubungan Stres Kerja Perawat Dengan Kepatuhan Perawat Dalam Pelaksanaan Surgical Safety Checlist (SSC). Jurnal Keperawatan Terapan 5, 29–40.

Ramadhan, D., Muhammad Faizal, K., Fitri, N., 2023. Pengaruh Konseling Dengan Pendekatan, Thinking, Feeling Dan Acting (TFA) Terhadap Tekanan Darah Pada Pasien Pre Operasi. Jurnal Penelitian Perawat Profesional 5, 637–643.

Ratnaningsih, T., Nisak, K., Peni, T., 2022. Hubungan Tingkat Stres Kerja dengan Perilaku Caring Perawat di Ruang HCU Covid-19 RSUD Bangil Kabupaten Pasuruan. Forum Ilmiah Kesehatan (FORIKES) 94–100.

Saleky, A.A., Damayanti, R., Afrida, Wabula, I., 2023. Analisis Faktor Penyebab Stres Perawat IGD. Lentora Nursing Journal 3.

Sinambela, I.J.R.J., Simanullang, R.H., 2023. Tingkat Kepatuhan Dalam Penerapan Surgical Safety Checklist Time Out Di Operating Theatre Rumah Sakit Murni Teguh Medan. Indonesian Trust Nursing Journal (ITNJ) 1, 58–65.

Sudarsana, Swarjana, I.K., Darmini, Y., Dharmapatni, N.W.K., 2023. Implementation of Surgical Safety Checklist: Literature Review. Jurnal Kesehatan Pasak Bumi Kalimantan 6, 191–302.

Sulistyo, B., Dongoran, H., Syahidin, R., Yuliaty, F., 2024. Analisis Penerapan Surgical Safety Check List Untuk Menekan Angka Kejadian Insiden Keselamatan Pasien Kamar Operasi. Jurnal Ekonomi, Koperasi & Kewirausahaan 15.

Vu, P.D., Nguyen, T.T., Van Le, D., 2024. Occupational stress and associated factors among clinical nurses caring for COVID-19 patients in a Vietnamese tertiary hospital. PLoS One 19.

Wahyuliati, T., Novita, R.V., 2023. Efektivitas Pelatihan dan Supervisi terhadap Peningkatan Kualitas Pendokumentasian Asuhan Keperawatan:Literature Review. The Indonesian Journal of Health Promotion 6.

Wahyuni, Purnamawati, D., Widiastuti, E., 2022. Hubungan Kualitas Kehidupan Kerja, Beban Kerja, Kepuasan Kerja, Dampaknya Terhadap Turnover Intention Pada Perawat. Jurnal Keperawatan 14, 845–852.

Zaman, B., Miniharianti, Rabial, J., 2023. Hubungan Beban Dan Stres Kerja Perawat Dalam Menangani Pasien Gangguan Jiwa Di Ruang UPIP RSUD TGK. Chik Di Tiro. Jurnal Kesehatan Hesti Wira Sakti 11.

Downloads

Published

2026-05-31

Issue

Section

Research Articles

How to Cite

Work Stress and Nurses’ Compliance with Surgical Safety Checklist Completion: Implications for Surgical Patient Safety. (2026). Jurnal Kepemimpinan Dan Manajemen Keperawatan, 9(1), 11-19. https://doi.org/10.32584/jkmk.v9i1.3188

Similar Articles

21-30 of 41

You may also start an advanced similarity search for this article.