The relationship of the nurse's knowledge and attitude with Implementation of Patient Safety Goals (Patient Safety) in the Inpatient Room Toto Kabila Hospital

  • Nur Alwia Bagoe Mahasiswa Program Studi Ilmu Keperawatan UNG
  • Nanang Roswita Paramata Dosen Program Studi Ilmu Keperawatan UNG
  • Rachmawaty D. Hunawa Dosen Program Studi Ilmu Keperawatan UNG
Keywords: Knowledge, Attitude, Implementation of Patient Safety Goals, Stay Room

Abstract

Patient safety is an important indicator in the quality of health services in hospitals. Nurses have a major role in the implementation of patient safety goals, which are influenced by knowledge and attitudes. However, there are still incidents that show that the implementation of patient safety in the inpatient room is not optimal. This study aims to determine the relationship between nurses' knowledge and attitudes and the implementation of patient safety goals at Toto Kabila Hospital.

This study is a quantitative research with a cross sectional method. A sample of 94 nurses was taken using the Probability Sampling  technique with a  Stratified Random Sampling approach. This research instrument used a questionnaire on knowledge, attitudes, and implementation of patient safety goals. Bivariate analysis used the Chi-Square test. The results showed a significant relationship between knowledge and the implementation of patient safety goals (p-Value = 0.000). Meanwhile, there is also a significant relationship between attitude and the implementation of patient safety goals (p-Value = 0.000). It is hoped that the hospital can increase training and supervision related to patient safety to improve the quality of service and prevent patient safety incidents.

References

Abduh, M., Alawiyah, T., Apriansyah, G., Sirodj, R., A., Afgani, M., W. (2023). Journal of Science and Computer Education Survey Design: Cross Sectional in Qualitative Research Journal of Science and Computer Education. Journal of Science and Computer Education, 3(1), 31–39.
Agil, N. M., Apriyanto, A., Haryanti, T., Saparwati, M., Pertiwi, W. E., Oktarina, N. D., ... & Fatimah, N. A. (2025). Manual of Patient Safety and Occupational Health Safety. PT. Sonpedia Publishing Indonesia.
Alfiyyah. (2024). Low Patient Safety Incident Reporting (IKP) Hinders Quality Improvement at RSPG Cisarua Bogor. Journal of Voice Health Research Forikes, 15(9), 79–82.
Alshammari, F., Pasay-An, E., Gonzales, F., & Torres, S. (2024). Nurses' attitudes toward patient safety and its relationship with patient safety incidents in Saudi Arabia: A cross-sectional study. Journal of Patient Safety, 20(1), e45–e52.
Anggini, S., & Animah, A. (2025). The Effect of Education Level and Experience of Medical Personnel on Cost Efficiency in NTB Provincial General Hospitals. Journal of Locus Research and Service, 4(5), 1964-1978.
Arfebi, Y. Sasmita, F., N. Listiana, D. Dwiana, D. (2022). The relationship between nurse knowledge and patient safety on the quality of nursing services in the inpatient room of Bayangkara Hospital, Bengkulu City. Journal of Medical and Health Sciences, 9(2), 829–836.
Ariyanti & Ilmy, (2023). Patient Safety and Occupational Health Safety (I. P. Efitra, Daryaswanti (ed.)).
Ariyanti, S., Ilmy, S. K., Tinungki, Y. L., Yanti, N. P. E. D., Juwariyah, S., Waras, N. G. T., & Sari, F. N. (2023). Patient safety and occupational health safety. PT. Sonpedia Publishing Indonesia.
Astuti, A. E. (2024). The Relationship between Organizational Commitment and the Implementation of Patient Safety Goals at Sultan Agung Islamic Hospital Semarang (Doctoral dissertation, Sultan Agung Islamic University Semarang).
Aulia Albar, A. (2025). Analysis of Work Shifts that can Impact on Work Fatigue of Health Workers at the Central Surgical Installation of DR. Soekardjo Tasikmalaya Hospital (Doctoral dissertation, Bhakti Kencana University).
Baihaqi, L. F., & Etlidawati, E. (2020). The relationship between nurse knowledge and the implementation of patient safety in the inpatient room of Kardinah Tegal Hospital. Journal of Muhammadiyah Nursing.
Bangun, C. S., Suhara, T., & Husin, H. (2023). Application of Planned Behavior and Perceived Value Theory to Online Purchase Behavior. Technomedia Journal, 8, 123-134.
Biney & Wowor, (2022). The Relationship Between Knowledge and Attitudes and Covid-19 Prevention Measures in Sagerat Village, Matuari District, Bitung City. KESMAS Journal, 11(2), 1–8.
Buhari, B., Octavia, D., & Sari, R. M. (2020). Hospital patient safety culture in a nursing perspective. Zahir Publishing.
Busnawir. (2023). Stability of Reliability Coefficients Based on Scoring Models and Respondents' Age Variations (A. Sani (ed.)). Adab.
Cahya Nofanti, R. I. S. K. Y. (2023). The Relationship between Nurse Ability and Islamic Caring Behavior of Nurses at RSI Sultan Agung Semarang (Doctoral dissertation, Sultan Agung Islamic University Semarang).
Cesilia, R., & Kosasih, K. (2024). The effect of workload and work fatigue on nurse performance. Journal of Social Technology, 4(10), 909-922.
Darmayanti, R., Sukriyah, Y., Sahara, N., Suprayitno, K., & Susetyarini, R. E. (2024). Behaviorism in education: Stimulus-response-based learning. Adab Publishers.
Dede Sri, M. (2025). The Relationship between Nurses' Knowledge and Working Period with Attitudes towards Patient Safety in the Inpatient Installation of Oto Iskandar Hospital in Nata Bandung in 2025 (Doctoral dissertation, Mohamad Husni Thamrin University).
Diah, T., & Pratiwi, A., P. (2023). The Relationship between Nurse Knowledge and the Application of Patient Safety. Scientific Journal of Health Media Husada, 12 (April 2022), 50–56.
Efendi, F. (2021). Education in Nursing. Jakarta: Salemba Medika.
Egan, Z. K. G. S. (2024). The Relationship Between Knowledge and Behavior of Intensive Care Room Nurses on Patient Safety Observational Study at Sultan Agung Islamic Hospital (Doctoral dissertation, Sultan Agung Islamic University Semarang).
Eka., Prawiro, G.,L. (2020). The Relationship of Knowledge, Attitudes, Education Level with the Implementation of Patient Safety at Stella Maris Hospital Makassar.
Ekawaty & Samad, (2022). Analysis of Patient Safety Implementation on Improving Service Quality at Batara Siang Hospital, Pangkep Regency. Pertiwi Health Journal, 4(1), 36–44.
Farhan, F., Rukmanah, Y. H., Zalzalah, G. G., & Prakosa, A. (2024). The influence of attitudes, subjective norms, perception of behavior control, and religiosity on the intention to use Islamic bank services. Revenue: Journal of Islamic Business Management, 5(2), 197-210.
Febriani, N., & Maulina, A. (2019). The relationship between nurse knowledge and the implementation of fall risk prevention in hospitals. Gantari Journal of Nursing, 3(2), 85–92.
Galleryzki, (2021). The Relationship of Safety Attitudes with the Implementation of Patient Safety Goals by Nurses in Hospitals. Journal of Nursing Leadership and Management, 4(1).
Handayani, F., & Suryani, M. (2019). The relationship between nurses' attitudes and the implementation of patient safety in the inpatient room of PKU Muhammadiyah Sekapuk Hospital. Journal of Human Asylum Nursing, 4(2), 87–94.
Handriana, I., & Yuningsih, E. (2021). The Relationship of Nurses' Knowledge Level to the Implementation of Patient Safety in the Emergency Room of Gunung Jati Hospital, Cirebon City in 2020. Journal of Health Science, 2(5), 621-628.
Hartati, H. Faridah, I., Wibisno, A. (2023). The Influence of Knowledge, Attitudes and Applications of Practical Students in the Perspective of Nurses on Patient Safety Incidence Levels. Scientific Journal of Medicine and Health, 2(1), 0–6
Hasanah, S. W. (2024). Patient Safety Implementation Strategy to Improve Service Quality at Abdoel Wahab Sjahranie Hospital. Nusantara Innovation Journal, 3(1), 12-43.
Heri & Dewi, (2022). Obesity in Children in Parental Perspectives (Q. Media (ed.)). Qiara Media.
Hernawati, H., Zulfendri, Z., & Nasution, S. S. (2021). The Effect of Attitudes on Nurse Compliance on the Implementation of Patient Safety Culture at Mitra Sejati Hospital. Journal of Health Science, 2(5), 604-620.
Hidayat, M., Miskadi, M. S., & Murtikusuma, R. P. (Eds.). (2022). Patient Safety, Occupational Safety and Health. P4I Publisher.
Hijrianti, H. Faridah, I. Wibisono, A. (2023). The Effect of Nurses' Level of Knowledge, Attitudes, and Applications of Patient Safety with the Incidence of Fall Risk. Scientific Journal of Medicine and Health, 2(1).
Humairah, F., & Nursanti, I. (2024). Application and Analysis of Patricia Banner's Phylosophical Theory "Novice To Expert" in Nursing Care Chf. SAINTEKES: Journal of Science, Technology and Health, 3(1), 80-85.
Husna, A., Syahrul, S., & Majid, A. (2020). Implementation of patient safety targets by nurses in the inpatient room of H. Padjonga Daeng Ngalle Takalar Hospital. Indonesian Journal of Nursing and Health Sciences, 1(2), 115–123.
Irawati, R. U. (2023). The Relationship of Nurses' Knowledge of Patient Safety with Patient Safety Culture in the Azzara II and Melati Inpatient Rooms of Surabaya Islamic Hospital Jemursari (Doctoral dissertation, STIKES Foundation of Dr. Soetomo Hospital Surabaya).
Iswandi. (2022). Patient Safety, Occupational Safety and Health (P. R. Hidayat, M., Miskadi., Suhardi, M., Murtikusuma (ed.)). P4I Publisher.
Itriana, N., & Handayani, L. (2023). Factors related to the implementation of patient safety by nurses. Journal of Nursing, 11(2), 87–94.
Jamil, F., Azhari, H. I., Anggraeni, S., Anjani, S. R., & Ridwan, H. (2025). Literature review: the influence of time and human resource management on nurses' workload and its implications for patient safety. Journal of Innovative Research, 5(2), 1047-1054.
Jayakarta, H. R. (2022). Guidelines for the Implementation of Patient Identification. https://id.scribd.com/document/605953487/13-Panduan-Pelaksanaan-Identifikasi%0APasien. Retrieved 20 March 2025.
Kadir, A., & Ratna, R. (2020). The Relationship of Knowledge with Nurse Compliance in Implementing Operational Standards for Fall Risk Prevention Procedures at Haji Makassar Hospital. Scientific Journal of Health Diagnosis, 15(4), 338-342.
Kandi & Bakar, (2023). Introduction to General Psychology (A. Masruroh (ed.)). Widina.
Kessi, A. T. F., & SKM, M. K. (2025). Work Stress Management and Safety Culture. Takaza Innovatix Labs.
Kurniadi, Z., Noer, R., M., Suangga, F. (2023). Factors affecting patient safety by nurses at hospital x in Tanjungpinang. 17, 1473–1481.
Kustini, T. Y. (2024). The Influence of Nurse Knowledge on Patient Safety Culture on Patient Safety Incident Reporting. Journal of Management Nursing, 3(3), 360-368.
Lailiyah, K. N., Hakim, R. N., Mukti, G. A., & Mubaroka, K. U. (2025). Mental Readiness of Young Mothers from Early Adult Marriage in the City of Surabaya. JKKP (Journal of Family Welfare and Education), 12(1), 72-82.
Maharani, N. (2024). The Influence of Nurse Characteristics on the Implementation of Inpatient Safety Goals at the Labuang Baji Regional General Hospital Makassar (Doctoral Dissertation, Pelamonia Institute of Health Sciences).
Metilda, M., Cahyanti, A. D., Novitaa, A., Amelia, M., Hidayanti, R. S., & Nurfitria, S. (2025). Literature Review: The Implementation of Nursing Care in Risk Management and Patient Safety in Inpatient Rooms. Synergy: Journal of Scientific Research, 2(11), 5103-5121.
Miati, & Fadilla, A. R. (2024). The Relationship of Nurse Knowledge and Attitudes with the Implementation of Patient Safety. Journal of 'Aisyiyah Medika, 09(02), 202–212.
Mukarromah, L. (2023). The Relationship Between Learning Style and Critical Thinking Skills and Patient Safety Competency Achievement in Nursing Students (Doctoral dissertation, Sultan Agung Islamic University Semarang).
Murti & Maulana, et al. (2023). Journal of Accounting. 18(2), 68–81.
Nasrija, H., Triharini, M., & Purwaningsih, P. (2024). Personal Factors of Nurses and Their Relationship with the Implementation of Patient Safety Culture in Hospitals. Journal of Nursing, 16(3), 993-1002.
Nazri, R., Hidayat, A., & Sari, D. (2021). Implementation of effective communication between nurse doctors via telephone in the ICU room of Wava Husada Hospital. Academia.edu.
Ngaisah & Yadi, (2023). The Influence of Group Work Methods on Color Disc Learning Independence in Grade IV Elementary School. Scientific Journal of Elementary Education, 08 (September), 1112–1122.
Novieastari, E. (2022). The relationship between nurse knowledge and the application of patient safety. Indonesian Journal of Nursing, 22(1), 45–52.
Nurdewi. (2022). Implementation of Personal Branding Smart Asn Manifestation of Pride in Serving in North Maluku Province. Sentri: Journal of Scientific Research, 1(2), 297–303. https://doi.org/10.55681/sentri.v1i2.235
Octaviana & Ramadhani, (2021). Human Nature. Journal of Tawadhu, 5(2), 143–159.
Palungan, D. J., Adam, A., & Alim, A. (2025). The Meaning of Health Worker Professionalism in a Socio-Cultural Context: A Qualitative Study at Trikora Salakan Hospital. Journal of Mitrasehat, 15(4), 1112-1125.
Pariati., J. (2020). Overview of Dental Health Knowledge with Storytelling Method Counseling for Grade III and IV Students of Elementary School Inpres Mangasa Gowa. Dental Health Media, 19(1), 7–13.
Pertiwiwati, E., Agianto, S. K., & Rusli, R. (2025). Interprofessional collaboration: Building a strong patient safety culture. Uwais Inspiration Indonesia.
Pranita, P. D. (2025). The Influence of Leadership, Communication and Teamwork on the Implementation of Patient Safety Goals Among Nurses at Beriman Hospital in Balikpapan = The Influence of Leadership, Communication, and Teamwork on the Implementation of Patient Safety Goals Among Nurses at Beriman Hospital Balikpapan (Doctoral Dissertation, Hasanuddin University).
Pratama, R., Geraldi, S., & Sudibjo, N. (2021). The Influence of Nurses' Knowledge and Attitudes on Patient Safety: A Literature Review. Fair Value: Scientific Journal of Accounting and Finance, 4(Special Issue 2), 681-690.
Putri, A. F., & Permanasari, H. (2023). Compliance of the nurse for fall risk assessment as a procedure of patient safety: A systematic review. ResearchGate.
Putri, A. N., Rahmawati, I., & Lestari, W. (2023). Factors related to the implementation of patient safety by nurses in hospitals. Indonesian Journal of Nursing, 26(1), 45–53.
Putri, A., & Rizky, D. (2024). The relationship between nurses' knowledge of patient identification and the implementation of patient safety identification in inpatient rooms at Ibu Fatmawati Soekarno Regional General Hospital Surakarta. Journal of Health Research.
Rachmawati, D. (2021). The relationship between nurses' knowledge level about patient safety and the implementation of patient safety in Semarang City hospitals. UNIMUS National Seminar, 4(1), 1123–1130.
Rachmawati, W. C. (2019). Health promotion and behavioral science. Wineka Media.
Rahayu, S., & Mulyono. (2024). Factors related to the implementation of patient safety by nurses. Journal of Nursing Management, 6(2), 89–97.
Rahman, A., & Utami, D. (2021). The relationship between nurse attitudes and adherence to patient safety implementation in the inpatient room. Journal of Clinical Nursing, 8(2), 115–123.
Rahmi, N., Ahri, R. A., & Andayanie, E. (2021). The Relationship between Nurse Knowledge, Attitudes, and Motivation with the Implementation of Patient Safety at Labuang Baji Makassar Hospital. Window of Public Health Journal, 2(3), 425-433.
Restri Nur Aisah, A. (2024). Increasing Nurses' Knowledge in the Implementation of the Sbar Method Handover by Performing Role Play in the Tanjung Room of Sumedang Hospital (Doctoral Dissertation).
Rini & Fadlilah. (2021). The Level of Nurses' Knowledge of the Application of the Right Principle in Giving Medicine in the Inpatient Room (N. Wahid (ed.)). Knowledge Insights
Sadikin, B., G. (2022). KMK No. 1128 of 2022 concerning Hospital Accreditation Standards. https://snars.web.id/rs/kmk-no-1128-tahun-2022-tentang-standar-akreditasi-rumah-sakit/?amp=1
Sanaky & Saleh, (2021). Analysis of Factors Causing Delays in the Construction Project of the Man 1 Tulehu Dormitory Building, Central Maluku. Journal of Symmetry, 11(1), 432–439.
Saragi, S. R., Wasliati, B., & Saputri, I. N. (2025). Implementation Of Patient Safety Culture By Nurses. Journal of Health and Nutrition (Jkg), 8(1), 119-127.
Sari, (2022). The Relationship between Nurse Knowledge and the Implementation of Patient Safety. Journal of Nursing Leadership and Management, 5(1).
Simamora, R. H., & Saragih, S. (2024). Nurse knowledge and the application of patient safety in hospitals. Journal of Nursing Management, 7(2), 85–92.
Sindring, Y., Amir, H., Soleman, S. R., & Akbar, H. (2021). The Relationship between Nurse Knowledge and Attitudes with the Implementation of Patient Safety during the Covid-19 Pandemic in the Emergency Room of RSUD X. Lantera: Scientific Journal of Health and Nursing, 4(2), 42-47.
Soelistyani, S. A. (2022). Internalization of Patient Safety Culture on the Quality of Nurse Performance in Nurses of Different Generations at XYZ Catholic Hospital Surabaya (Doctoral dissertation, Hayam Wuruk Perbanas University Surabaya).
Sovia, S., Yarni, E., & Afrianti, R. (2022). The relationship between nurse attitudes and patient safety incident reporting at Permata Hati Hospital, Bengkalis Regency. Tower of Knowledge, 16(2), 85–92.
Sucinta, A., Widiyaningsih, C., Jak, Y., & Djaja, D. E. (2024). The Effect of Work Shifts, Nurses' Knowledge on Patient Safety Through Job Burnout in the Operating Room Installation of Sumber Waras Hospital. Journal of Management and Administration of Indonesian Hospitals (MARSI), 8(4), 446-458.
Sugma, A. A. (2023). The Relationship between Nurse Professionalism and the Implementation of Patient Safety Goals at the Sultan Agung Islamic Hospital, Semarang City (Doctoral dissertation, Sultan Agung Islamic University, Semarang).
Suriani & Risnita, (2023). Population Concept and Sampling and Participant Selection Reviewed from Educational Scientific Research. Journal of Islamic Education, 1(2), 24–36.
Suryanto, & Yuliana, R. (2023). The relationship between nurse characteristics and the implementation of patient safety in hospitals. Journal of Nursing and Public Health, 9(2), 101–109.
Susilawati & Pratiwi, (2022). The Effect of Health Education on Adolescent Girls' Knowledge Levels of Dysminorhoe in Class XI of High School N 2 Banguntapan. Journal of Health Sciences Mulia Madani Yogyakarta, III(II), 37–54.
Sutrisno, D., Wibowo, A., & Lestari, S. (2020). Nurse characteristics and their relationship to patient safety implementation. Journal of Health Service Management, 23(1), 15–22.
Syara, V. D., Anwar, Z. F., Ranti, R., & Amran, S. O. (2024). The Use of Mobile Payment Applications with a Review of Innovation Diffusion Theory. Social Empirical, 1(2), 98-103.
Toyib & Ndraha, (2022). Human Resources Collaboration In Achieving Lkpj Targets And Performance Goals At The Food Security Office, Agriculture And Fisheries Nias Regency Collaborative Of Human Resources In Achieving Lkpj Targets And Performance Goals At The Food Security Office. EMBA Journal, 10(4), 1508–1516.
Umar & Monoarfa, (2023). The Relationship of Nurse Attitudes with the Implementation of Patient Safety Standards in the Emergency Room of Prof.Dr.H. Hospital Aloei Saboe. Journal of Health Sciences, 11(2), 02–10.
Utami, D. A. (2024). The Relationship of Nurses' Knowledge and Attitudes with the Application of Effective Communication Using the S-Bar Technique in the Surgical Inpatient Room of Dr. H. Abdul Moeloek Hospital, Lampung Province in 2024 (Doctoral Dissertation, Polytechnic of the Ministry of Health, Tanjungkarang).
Wardhani, L. P. K., Imelida, I., Lailiyah, S. U., Damayanti, N. A., & Prayoga, D. S. (2025). Analysis of the Relationship between Attitude and Tuning with Nurse Compliance in the Accuracy of Patient Identification at Hospital X Banyuwangi Regency in 2024. ARSI Journal: Indonesian Hospital Administration, 11(2), 2.
WHO. (2021). Global paltient salfety alction plaln 2021–2030: Towalrds eliminalting alvoidalble halrm e health calre. World Health Orgalnizaltion. https://www.who.int/tealms/integralted-health-services/paltient-salfety/policy/global -paltientsalfety-alction-plaln%0D
Widianingsih, I., & Kurniawati, N. (2020). Nurses' attitudes towards reporting patient safety incidents in hospitals in the Special Region of Yogyakarta. Journal of Indonesian Hospital Administration, 6(3), 156–164.
Widiasari, Handiyani, H., & Novieastari, E. (2023). The relationship between nurse characteristics and the application of patient safety. Indonesian Journal of Nursing, 22(1), 45–52.
Widjaja, G. (2025). The role of standard operating procedures (SPO) in ensuring the quality and safety of health practices in hospitals. Journal of Health, 3(1), 70-82.
Widuri. (2020). Factors Influencing Nurses' Attitudes in the Implementation of Patient Safety in the Inpatient Room of KMB and Children of Sleman Hospital. Journal of Nursing, 12(2), 89–95
Wijaya, R., & Lestari, S. (2023). Nurse attitudes and the incidence of patient safety incidents in hospitals. Journal of Nursing Management, 11(1), 45–53.
Yatni, S. H., Suhardi, M., Murtikusuma, R. P., & Setiawan, Y. (2025). Health Workers' Views on Challenges in Providing Health Education in Remote Areas. Diagnosis: Journal of Health Science Research and Development Results, 1(1), 30-38.
Yulia, S., Hamzah, A., & Mustikasari. (2021). Improving the understanding of implementing nurses in the implementation of patient safety through patient safety training. Indonesian Journal of Nursing, 15(3), 185–192.
Yuliastuti, E., Sari, N., & Wulandari, D. (2021). The relationship between nurses' knowledge of patient fall risk and compliance with the implementation of fall risk prevention SOPs in the inpatient room. Journal of CARE (Caring, Advance, Research and Education in Nursing), 9(2), 45–53.
Yusiyanto, W., Winarsih, B. D., & Ningsih, S. R. (2025). Descriptive Study of Nurses' Knowledge Level on the Implementation of Patient Safety in the Inpatient Room of Mardi Rahayu Kudus Hospital. Journal of Nursing Profession, 12(1), 34-43.
Yusuf, M., Handiyani, H., & Novieastari, E. (2024). The relationship between nurse knowledge and the application of patient safety. Indonesian Journal of Nursing, 20(1), 1–7.
Zunaedi, M., Ririhena, Y., & Ramadhani, N. (2023). The relationship between nurses' knowledge about patient safety and the implementation of fall risk assessments at Unisma Islamic Hospital Malang. Malang Health Journal of Nursing Science, 2(1), 45–53.
Published
2026-04-30
How to Cite
Nur Alwia Bagoe, Nanang Roswita Paramata, & Rachmawaty D. Hunawa. (2026). The relationship of the nurse’s knowledge and attitude with Implementation of Patient Safety Goals (Patient Safety) in the Inpatient Room Toto Kabila Hospital. International Journal of Health, Economics, and Social Sciences (IJHESS), 8(2), 1650~1666. https://doi.org/10.56338/ijhess.v8i2.10928
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