Kontakt 2023, 25(2):84-92 | DOI: 10.32725/kont.2023.017

Continuous professional development of nurses and its impact on missed nursing care in hospitals in Indonesia: A mixed-method studyNursing - Original article

Nur Miladiyah Rahmah1, *, Rr. Tutik Sri Hariyati1, Rita Sekarsari2, Trevino A. Pakasi3
1 Universitas Indonesia, Faculty of Nursing, Depok, West Java, Indonesia
2 National Cardiovascular Center, Harapan Kita, Quality Commitee, Jakarta, Indonesia
3 Universitas Indonesia, Faculty of Medicine, Department of Community Medicine, Primary Care Residency Program, Jakarta, Indonesia

Objective: This study aimed to examine the implications of continuous professional development and its impact on missed nursing care (MNC) in hospitals during the COVID-19 pandemic.

Design: The method used was a sequential explanatory mixed design.

Methods: This qualitative study included 29 nurses who participated in in-depth interviews and focus group discussions. All participants were interviewed over five semi-structured interviews, with quantitative data divided into factors influencing knowledge transfer practices and MNC surveys. The sample size for the quantitative research was 181 people.

Results: Seven main themes were identified in the qualitative study: clinical learning activity in hospitals, need for motivation in learning, organizational leadership and support for continued professional development (CPD), obstacles in clinical learning, an overview of caring in nursing care, incidents of MNC, and expectations for CPD. The quantitative data show that nurses (n = 181) reported that one or more care activities had been left undone due to lack of time on their shift (31.5%), bell response (44%), and reviewing drug effectiveness (47.4%). The most common reasons for MNC are an inadequate number of staff, inadequate shift-to-shift handoff, and communication breakdown within the nursing team.

Conclusion: There were numerous incidents of MNC in hospitals during the COVID-19 pandemic. Increased CPD awareness can provide nurses with knowledge about MNC in nursing care.

Keywords: Continuous professional development; COVID-19; Missed nursing care
Grants and funding:

The research received funding from Lembaga Pengelola Dana Pendidikan (LPDP) / Education Fund Management.

Conflicts of interest:

The authors declare that there are no conflict of interests concerning this work.

Received: December 23, 2022; Revised: April 26, 2023; Accepted: May 26, 2023; Prepublished online: May 30, 2023; Published: June 26, 2023  Show citation

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Rahmah NM, Tutik Sri Hariyati R, Sekarsari R, Pakasi TA. Continuous professional development of nurses and its impact on missed nursing care in hospitals in Indonesia: A mixed-method study. Kontakt. 2023;25(2):84-92. doi: 10.32725/kont.2023.017.
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