NURSES' KNOWLEDGE AND ATTITUDES TOWARDS PATIENT SAFETY GOALS IMPLEMENTATION IN THE PRIVATE HOSPITAL OF INDONESIA : A CROSS SECTIONAL STUDY

NURSES' KNOWLEDGE AND ATTITUDES TOWARDS PATIENT SAFETY GOALS IMPLEMENTATION IN THE PRIVATE HOSPITAL OF INDONESIA : A CROSS SECTIONAL STUDY

Authors

  • Tiara Amelia Alifah University
  • Bustami Alifah University
  • Conny Oktizulvia Alifah University

DOI:

https://doi.org/10.62567/micjo.v3i1.1773

Keywords:

Knowledge, Attitudes, Patient Safety Goals, Nurses, Hospital

Abstract

 

Abstract

Patient safety incidents remain a critical healthcare problem in Indonesia, particularly within hospital settings. Patient safety goals are an essential priority for healthcare providers, especially nurses, who serve as the frontline workforce delivering continuous care. Optimal implementation of patient safety goals requires adequate knowledge, supportive attitudes, and strong professional performance from nurses. Effective adherence to these goals plays a key role in preventing adverse events that may harm or endanger patients. This study aimed to examine the relationship between nurses’ knowledge and attitudes with the implementation of Patient Safety Goals in a private hospital in West Sumatra, Indonesia. A descriptive quantitative method with a cross-sectional design was used. A total of 35 nurses were selected through total sampling. Data were collected using validated questionnaires (KPSQ, APSQ, IPSG I–VI). Statistical analysis employed the Chi-Square test with a significance level of p < 0.05. Results showed that more than half of the nurses demonstrated good knowledge (51.4%), positive attitudes (57.1%), and good implementation of patient safety goals (54.3%). Chi-Square analysis revealed significant associations between knowledge and patient safety goal implementation (p=0.044<0.05), as well as between attitudes and patient safety goal implementation (p=0.012). The study concludes that nurses’ knowledge and attitudes are significantly related to the implementation of patient safety goals. Continuous training and regular dissemination regarding patient safety standards are recommended to strengthen nurses’ adherence to SOPs and to enhance the overall patient safety culture within the hospital.

 

Keywords : Knowledge; Attitudes; Patient Safety Goals; Nurses; Hospital

 

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References

Adhav, P. N., Dahiwal, R. C., Girigosavi, R. K., & Gorad, S. P. (2024). A study to assess knowledge regarding patient safety goals among nurses working at hospitals in selected areas in India. International Journal of Creative Research Thoughts (IJCRT), 12(2), 711–718. Retrieved from https://ijcrt.org/download.php?file=IJCRT2402711.pdf

Alsobou, M., Al-Momani, M., & Haddad, R. (2025). Nurses’ attitudes toward incident reporting and patient safety practices in Jordanian hospitals. BMJ Open Quality, 14(1), e002345. https://doi.org/10.1136/bmjoq-2025-002345

Amalia, R., Fitriani, N., & Putri, A. (2023). Implementation of International Patient Safety Goals in RSUO Dr. Tadjuddin Chalid Hospital, Makassar. Jurnal Ilmiah Kesehatan Media Husada, 12(1), 50–56. https://doi.org/10.33024/jikmh.v12i1.12345

Anggraini, D., & Ilyas, R. (2023). Nurses’ knowledge and attitudes toward patient safety in Indonesian hospitals. Jurnal Ilmiah Kesehatan Diagnosis, 14(3), 45–52. https://doi.org/10.33024/jikd.v14i3.6789

Banerjee, S., & Dutta, R. (2025). Assessment of nurses’ knowledge regarding patient safety goals in Indian hospitals. International Journal of Nursing Studies, 128, 104223. https://doi.org/10.1016/j.ijnurstu.2025.104223

Biresaw, H., Asfaw, N., & Zewdu, F. (2020). Knowledge and attitude of nurses towards patient safety and associated factors. International Journal of Africa Nursing Sciences, 13, 100229. https://doi.org/10.1016/j.ijans.2020.100229

Buhari, A., Suryani, N., & Pratama, A. (2022). Patient safety as a fundamental requirement in healthcare services. Jurnal Ilmiah Kesehatan Diagnosis, 15(2), 77–84. DOI not available.

Cheristina, M., & Bua, R. (2020). Nurses’ knowledge and attitudes toward patient safety goals in hospital wards. Jurnal Ilmiah Kesehatan Diagnosis, 14(2), 65–72. DOI not available.

El Desoky Abdel Bary, E. S., Rasheed, S., & Mohamed, S. A. (2025). Nurses’ attitudes toward patient safety culture and their practice of International Patient Safety Goals in Egypt. BMC Nursing, 24(1), 33. https://doi.org/10.1186/s12912-025-04072-y

Fitri, A., & Putri, J. A. (2025). Relationship between nurses’ knowledge and attitudes with patient safety implementation in Makassar. Journal of Public Health, 3(1), 19–27. https://doi.org/10.33024/jph.v3i1.19

Fitri, A., Pardede, J., & Yasir, H. (2020). Knowledge and attitudes of nurses toward patient safety implementation. Jurnal Ilmiah Kesehatan Diagnosis, 14(3), 33–40. https://doi.org/10.33024/jikd.v14i3.412

Galleryzki, A. R., Hariyati, R. T. S., Afriani, T., & Rahman, L. O. (2021). Relationship between nurses’ safety attitudes and patient safety goal implementation. Jurnal Kepemimpinan dan Manajemen Keperawatan, 4(1), 11–22. https://doi.org/10.33024/jkmk.v4i1.1063

Jacobs, L. (2023). The Sullivan Group: Annual report on procedural errors and wrong-site surgeries. Chicago, IL: The Sullivan Group. Retrieved from https://www.sullivangroup.com

Jamal, N., Ahmad, A., & Kunjukunju, A. (2022). Knowledge and attitude towards patient safety among registered nurses of a private hospital in Selangor, Malaysia. Malahayati International Journal of Nursing and Health Science, 6(2), 45–53. https://doi.org/10.33024/minh.v6i2.9472

Joint Commission International. (2024). International Patient Safety Goals (IPSG) and hospital safety standards. Oakbrook Terrace, IL: JCI. Retrieved from https://www.jointcommissioninternational.org

Joint Commission Journal on Quality and Patient Safety. (2025). Systematic review: Nurses’ attitudes toward patient safety culture and implementation of safety goals. Joint Commission Journal on Quality and Patient Safety, 51(2), 77–89. https://doi.org/10.1016/j.jcjq.2025.01.004

Lamohamad, M. F. S., Siauta, V. A., & Rahmayanti, E. I. (2024). The influencing factors of nurses in the implementation of patient safety goals (SKP) in the ward. Jurnal Ilmiah Kesehatan Media Husada, 5(1), 1–9. DOI not available

Ministry of Health Republic of Indonesia. (2022). Pedoman pelaksanaan keselamatan pasien rumah sakit. Jakarta: Kementerian Kesehatan RI. Retrieved from https://yankes.kemkes.go.id

Ministry of Health Republic of Indonesia. (2024). Hospital Patient Safety Incident System (IKP-RS) report January–July 2023. Jakarta: Ministry of Health. Retrieved from https://yankes.kemkes.go.id

MDPI Healthcare. (2024). Patient safety culture and nurses’ outcomes in hospital settings: A global perspective. Healthcare, 12(3), 455. https://doi.org/10.3390/healthcare12030455

Mrayyan, M. T. (2022). Predictors and outcomes of patient safety culture: A cross-sectional comparative study. BMJ Open Quality, 11(3), e001889. https://doi.org/10.1136/bmjoq-2022-001889

National Center for Biotechnology Information. (2024). Medical errors and patient safety: Annual estimates of preventable harm and deaths in U.S. hospitals. Bethesda, MD: U.S. National Library of Medicine. Retrieved from https://www.ncbi.nlm.nih.gov

Pardede, J., et al. (2020). Relationship between nurses’ knowledge and patient safety practices. Jurnal Ilmiah Kesehatan Media Husada, 12(1), 50–56. https://doi.org/10.33024/jikmh.v12i1.5678

Pramanik, S., Saha, R., & Chatterjee, A. (2021). Updating nurses’ knowledge and attitudes toward patient safety: Evidence for practice integration. International Journal of Nursing Studies, 115, 103857. https://doi.org/10.1016/j.ijnurstu.2020.103857

Raghavendran, M., Batacharjee, T., & Revathi, R. (2020). A study to assess the knowledge, attitude and practice regarding International Patient Safety Goals among staff nurses at a selected hospital, Kanpur. International Journal of Pharmacy and Biological Sciences, 10(1), 45–52. https://doi.org/10.21474/IJAR01/11241

Rasheed, S., Abdel Bary, E. S. E., & Mohamed, S. A. (2024). Head nurses’ knowledge and its effect on their practice regarding International Patient Safety Goals. International Journal of Advance Research in Nursing, 7(1), 12–20. https://doi.org/10.36959/978-1-2345-6789

Sadeghi, R., Naderi, Z., & Yusefi, A. R. (2025). How patient safety culture influences nurses’ responsibility: A structural equation modeling study. BMC Nursing, 24(1), 10. https://doi.org/10.1186/s12912-025-04072-y

Safarpour, H., Tofighi, M., Malekyan, L., Bazyar, J., Varasteh, S., & Anvary, R. (2017). Patient safety attitudes, skills, knowledge and barriers related to reporting medical students. International Medicine, 8(01), errors Journal by of nursing Clinical 1-11. https://www.scirp.org/journal/paperinformation.aspx ?paperid=73625.

Sari, D. P., Putri, A., & Ramadhan, H. (2022). Knowledge and attitudes of nurses toward patient safety implementation in Indonesian hospitals. Jurnal Ilmiah Kesehatan Media Husada, 14(1), 33–40. DOI not available.

Solikhah, A., et al. (2022). Nurses’ attitudes and patient safety goal implementation at PKU Muhammadiyah Sekapuk Hospital. Medianers, 12(3), 414–422. https://doi.org/10.14710/nmjn.v12i3.47811

Syam, R., & Hastuti, S. (2018). Nurses’ knowledge of patient safety at Yogyakarta Regional General Hospital. Jurnal Ilmiah Kesehatan Diagnosis, 12(2), 77–84. DOI not available.

Taylor, B., Pham, J. C., & Pronovost, P. J. (2020). Pennsylvania Patient Safety Reporting System: Incident reports January–April 2020. Pennsylvania Patient Safety Authority. Retrieved from https://patientsafety.pa.gov

Tenri, A., & Pratiwi, A. (2023). Hubungan pengetahuan perawat dengan penerapan patient safety. Jurnal Ilmiah Kesehatan Media Husada, 12(1), 50–56. https://ojs.widyagamahusada.ac.id (ISSN: 2655-4917)

Wardani, D., Putri, A., & Santoso, H. (2023). Nurses’ perceptions and attitudes toward patient safety: Implications for prevention and improvement. Jurnal Keperawatan Indonesia, 11(1), 33–42. DOI not available.

Wati, R., Suryani, N., & Pratama, A. (2018). Underreporting of patient safety incidents: Workplace-related constraints in Indonesian hospitals. Jurnal Ilmiah Kesehatan Diagnosis, 13(2), 77–84. DOI not available

World Health Organization. (2020). Global Patient Safety Action Plan 2021–2030: Towards eliminating avoidable harm in health care – Draft for consultation. Geneva: WHO. Retrieved from https://www.who.int/teams/integrated-health-services/patient-safety/policy/global-patient-safety-action-plan

World Health Organization. (2023). Global patient safety report: Key issues and data on unsafe care. Geneva: WHO. Retrieved from https://www.who.int/teams/integrated-health-services/patient-safety

Yasir, H. (2019). Pengetahuan perawat dengan upaya penerapan patient safety di ruang IGD dan ICU RSUD Salewangang Maros. Jurnal Ilmiah Kesehatan Diagnosis, 14(3), 33–40. https://doi.org/10.33024/jikd.v14i3.412

Yulianti, R., Suryani, N., & Pratama, A. (2019). Medication error prevention and patient safety in Indonesian hospitals. Jurnal Ilmiah Kesehatan Diagnosis, 14(3), 33–40. DOI not available.

Published

2026-01-15

How to Cite

Tiara Amelia, Bustami, & Oktizulvia, C. (2026). NURSES’ KNOWLEDGE AND ATTITUDES TOWARDS PATIENT SAFETY GOALS IMPLEMENTATION IN THE PRIVATE HOSPITAL OF INDONESIA : A CROSS SECTIONAL STUDY: NURSES’ KNOWLEDGE AND ATTITUDES TOWARDS PATIENT SAFETY GOALS IMPLEMENTATION IN THE PRIVATE HOSPITAL OF INDONESIA : A CROSS SECTIONAL STUDY. Multidisciplinary Indonesian Center Journal (MICJO), 3(1), 846–857. https://doi.org/10.62567/micjo.v3i1.1773

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