Development of Non-Clinical Performance Indicators in Hospitals: Focusing on Stress Management and Medical Staff Burnout
Abstract
Hospital performance is determined not only by clinical indicators, but also by non-clinical factors that reflect the well-being and mental health of medical staff. In recent years, the increase in cases of work stress and burnout among healthcare workers has become a serious issue that directly impacts service quality, patient safety, and organizational sustainability. Therefore, this study is important to examine and develop non-clinical performance indicators that focus on managing stress and burnout among medical staff. This study uses a literature review approach to various relevant national and international studies. The results of the review show that integrating psychological well-being aspects into the hospital performance appraisal system can improve organizational effectiveness and create a healthy and productive work environment. Thus, the development of non-clinical indicators based on staff well-being is a strategic step in strengthening the hospital performance management system in the modern era.
References
Adnyaswari, N. A. & I. G. A. D. A. (2021). Pengaruh Dukungan Sosial Dan Burnout Terhadap Kinerja Perawat Rawat Inap RSUP SANGLAH. E-Jurnal Manajemen Unud, 6(5), 2474–2500. https://media.neliti.com/media/publications/245438-pengaruh-dukungan-sosial-dan-burnout-ter-d7f9a266.pdf
American Medical Association (AMA). (2023). AMA 2023 National Burnout Benchmarking Report. American Medical Association. Retrieved from https://www.ama-assn.org.
Boskma, A., van der Braak, K., Ansari, N., Hooft, L., Wietasch, G., Franx, A., & van der Laan, M. (2023). Assessing the Well-Being at Work of Nurses and Doctors in Hospitals: Protocol for a Scoping Review of Monitoring Instruments. JMIR Research Protocols, 12. https://doi.org/10.2196/43692
Carini, E., Gabutti, I., Frisicale, E. M., Di Pilla, A., Pezzullo, A. M., de Waure, C., Cicchetti, A., Boccia, S., & Specchia, M. L. (2020). Assessing hospital performance indicators. What dimensions? Evidence from an umbrella review. BMC Health Services Research, 20(1), 1–13. https://doi.org/10.1186/s12913-020-05879-y
Devasahay, S. R., DeBrun, D. A., Galligan, D. M., & McAuliffe, P. E. (2021). Key performance indicators that are used to establish concurrent validity while measuring team performance in hospital settings – A systematic review. Computer Methods and Programs in Biomedicine Update, 1. https://doi.org/10.1016/j.cmpbup.2021.100040
Djoar, R. K., Martha, A. P., & Romadhoni, F. rizky. (2023). Burnout Syndrome Perawat Selama Masa Pandemi. Jurnal Ilmiah Keperawatan STIKES Hang Tuah Surabaya, 18(2), 76–81. https://doi.org/10.30643/jiksht.v18i2.263
Garcia, G. P. A., & Marziale, M. H. P. (2018). Indicators of burnout in Primary Health Care workers. Revista Brasileira de Enfermagem, 71(suppl 5), 2334–2342. https://doi.org/10.1590/0034-7167-2017-0530
Gormley, E., Connolly, M., & Ryder, M. (2024). The development of nursing-sensitive indicators: A critical discussion. International Journal of Nursing Studies Advances, 7(March), 100227. https://doi.org/10.1016/j.ijnsa.2024.100227
Hall, L. H., Johnson, J., Watt, I., Tsipa, A., & O’Connor, D. B. (2016). Healthcare staff wellbeing, burnout, and patient safety: A systematic review. PLoS ONE, 11(7), 1–12. https://doi.org/10.1371/journal.pone.0159015
Lia Qelina, & Rinawati Rinawati. (2025). Narative Review: Strategi Pengembangan Sumberdaya Manusia di Rumah Sakit untuk meningkatkan Profesionalisme dan Layanan. Jurnal Riset Rumpun Ilmu Kesehatan, 4(2), 152–163. https://doi.org/10.55606/jurrikes.v4i2.5369
Mohebi, S., Parham, M., Sharifirad, G., & Gharlipour, Z. (2018). Social Support and Self ? Care Behavior Study. January, 1–6. https://doi.org/10.4103/jehp.jehp
NIOSH. (2024). Impact Wellbeing(TM) Guide: taking action to improve healthcare worker wellbeing. https://www.cdc.gov/niosh/docs/2024-109/
Situmorang, P. O., Irani, M., & Tarigan, B. (2025). Pengaruh Stres Kerja dan Lingkungan Kerja terhadap Burnout dengan Kecerdasan Emosi sebagai Variabel Moderating. 4(2), 7755–7762.
Wahdah, V. N., Intiasari, A. D., & ... (2025). Evaluasi Strategi Manajemen Sumber Daya Manusia Dalam Peningkatan Kinerja Perawat di Rumah Sakit Umum Universitas Muhammadiyah Cirebon. Jurnal Pendidikan …, 8(2), 243–252. https://ejournal.stikesbbmajene.ac.id/index.php/jptk/article/view/446%0Ahttps://ejournal.stikesbbmajene.ac.id/index.php/jptk/article/download/446/269
WHO. (2019). World Health Statistics. In ??? (Vol. 8, Issue 5).
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