Pengaruh beban kerja perawat terhadap kinerja perawat Di ruang rawat inap rumah sakit (Systematic Literature Review)
The effect of nurse workload on nurse performance in hospital inpatient rooms (Systematic Literature Review)
DOI:
https://doi.org/10.33023/jikep.v12i2.3201Keywords:
Beban Kerja, Kinerja Perawat , Rumah Sakit, Literature Review, Pelayanan KesehatanAbstract
The workload of nurses is one of the important factors that affect the quality of health services in hospitals, especially in inpatient units with 24-hour service demands. This study aims to analyze the influence of nurse workload on nurse performance through a systematic literature review approach. The method used refers to the PRISMA (2020) guidelines, with data sources from Google Scholar, PubMed, Garuda, and ScienceDirect in the range of 2019–2025. Out of a total of 1,230 articles identified, 12 studies met the inclusion criteria for further analysis. The results showed a significant negative influence between workload and nurse performance. Some studies show insignificant results, where workload does not directly affect performance. These findings indicate that the relationship between workload and performance is complex, influenced by other factors such as burnout, work stress, motivation, and organizational support. Professional adaptation mechanisms, work experience, solid teamwork, and supportive leadership have been proven to moderate the impact of workload on nurse performance. Workload is not always a direct determinant, but acts as a trigger variable that affects psychological and organizational factors. This research emphasizes the importance of proportional workload management and organizational system support to improve nurse performance and health service quality.
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Bakker, A. B., Demerouti, E., & Sanz-Vergel, A. (2023). Annual review of organizational psychology and organizational behavior job demands-resources theory: Ten years later. Annual Review of Organizational Psychology and Organizational Behavior, 10, 25–53. https://doi.org/10.1146/annurev-orgpsych-120920
Bakker, A. B., & de Vries, J. D. (2021). Job Demands–Resources theory and self-regulation: New explanations and remedies for job burnout. Anxiety, Stress, & Coping, 34(1), 1–21. https://doi.org/10.1080/10615806.2020.1797695
Benjamin, E., Romain, S., Vital, C., Blake, C., Peterson, C., & Chung, J. (2025). “They don’t know what it’s really like:” qualitative insights into inpatient cardiac nurses’ perceived workload. BMC Nursing, 24(1), 1–12. https://doi.org/10.1186/s12912-025-03723-4
Bhadjowawo, R. A., Rumengan, G. S., Sumijatun, & M.Latumeten, M. (2025). Pengaruh beban kerja, kompetensi dan motivasi terhadap kinerja tenaga perawat pada Instalasi Rawat Inap Rumah Sakit Bhayangkara Kupang Tahun 2025. Manajemen Dan Administrasi Rumah Sakit, 9(4), 596–603. https://doi.org/10.52643/marsi.v9i4.7090
Budiono, & Robbah, A. (2021). Analisis kualitas pelayanan rawat inap pada Puskesmas Winongan Kabupaten Pasuruan. Sawala?: Jurnal Administrasi Negara, 9(2), 201–212. https://doi.org/10.30656/sawala.v9i2.3381
Congdon, J.; Craft, J.; Christensen, M. Are we measuring nursing workflow correctly? A literature review. Br. J. Nurs. 2020, 29, 1252–1259. https://doi.org/10.12968/bjon.2020.29.21.1252
De Groot, K., De Veer, A. J. E., Munster, A. M., Francke, A. L., & Paans, W. (2022). Nursing documentation and its relationship with perceived nursing workload: a mixed-methods study among community nurses. BMC Nursing, 21(1), 1–12. https://doi.org/10.1186/s12912-022-00811-7
Fasoi, G., Patsiou, E. C., Stavropoulou, A., Kaba, E., Papageorgiou, D., Toylia, G., Goula, A., & Kelesi, M. (2021). Avaliação da carga de trabalho de enfermagem como um preditor de mortalidade emUnidades de Terapia Intensiva (UTI) usando a Escala Nursing Activities Score(NAS). International Journal of Environmental Research and Public Health, 18(1), 1–12.
Fatih, H. Al, Tania, M., & Pratiwi, E. (2022). Faktor-faktor yang mempengaruhi tingkat stres kerja perawat IGD Rumah Sakit Di Bandung. Jurnal Keperawatan BSI, 10(1), 52–60. https://ejurnal.ars.ac.id/index.php/keperawatan/index
Hari, M. F., Herwina, E. R., & Safari, G. (2024). Hubungan beban kerja dengan kinerja perawat di ruang rawat inap penyakit dalam Rumah Sakit Bhayangkara TK II Sartika Asih Bandung. Healthy Journal, 13(2), 191–205. /https://doi.org/ 10.55222/khd3yd16
Jill, W., Michele, G., Marry, C., Howard, C., & David, S. (2025). Renewing the definitions of “nursing and a nurse.” In ICN - International Council of Nurses (Issue June). http://www.ncbi.nlm.nih.gov/pubmed/16410321%0Ahttps://academic.oup.com/bioinformatics/article/22/7/874/202031
Kadek, I. D., Susanthi, E., Komang, L., Dewi, C., & Yuni, H. K. (2025). Pengaruh beban kerja dan kompetensi terhadap kinerja perawat di Rumah Sakit Balimed Karangasem melalui semangat kerja sebagai variabel intervening. Ganec Swara, 19(3), 880–892. https://doi.org/10.59896/gara.v19i3.324
Kartono Kartono, Rusdiyanto Rusdiyanto, & Woro Utari. (2025). Pengaruh beban kerja dan stres kerja terhadap kinerja perawat melalui kualitas pelayanan keperawatan di puskesmas Bluto, Kabupaten Sumenep. Jurnal Mahasiswa Manajemen Dan Akuntansi, 4(1), 465–492. https://doi.org/10.30640/jumma45.v4i1.4783
KEMENTERIAN. (2018). Riskesdas 2018. In Lembaga Penerbit Balitbangkes (p. hal 156). https://repository.badankebijakan.kemkes.go.id/id/eprint/3514/1/Laporan Riskesdas 2018 Nasional.pdf
Kementerian Kesehatan RI. (2017). Keputusan Menteri Kesehatan Republik Indonesia Nomor 1165 Tahun 2007 Tentang Pola Tarif Rumah Sakit Badan Layanan Umum. In Standar Pelayanan Minimal Rumah Sakit: Vol. ? 49 . 69–73).
Kissinger, Y. E., & Wulandari, C. I. (2023). Analisis beban kerja perawat pelaksana dalam mengevaluasi kebutuhan tenaga perawat di RS X: Literature Review. Media Publikasi Promosi Kesehatan Indonesia, 6(10), 1914–1926. https://doi.org/10.56338/mppki.v6i10.3851
Kusumaa, D., Mahfudnurnajamuddin, M., & Arfah, A. (2021). Pengaruh beban kerja dan stres kerja terhadap kinerja perawat di unit pelayanan rawat inap RSU Andi Makkasau Kota Parepare. Jurnal Ekonomi Dan Bisnis, 4(1), 17–27. https://doi.org/10.31850/economos.v4i1.777
Lika, N. P., Wasiyem, W., & Suraya, R. (2025). Pengaruh stres dan beban kerja terhadap kinerja perawat Rumah Sakit Umum Wulan Windy Medan. Journal of Law, Administration, and Social Science, 5(3), 429–439. https://doi.org/10.54957/jolas.v5i3.1794
Michel, O., Garcia Manjon, A. J., Pasquier, J., & Ortoleva Bucher, C. (2021). How do nurses spend their time? A time and motion analysis of nursing activities in an internal medicine unit. Journal of Advanced Nursing, 77(11), 4459–4470. https://doi.org/10.1111/jan.14935
Mudayana, N., Sumarni, T., & Kurniawan, W. E. (2025). Hubungan beban kerja dengan stres kerja perawat rawat inap Rumah Sakit Siaga Medika Purbalingga. Jurnal Riset Ilmiah, 2(10), 4808–4819. https://doi.org/10.62335
Ni, Y.-X., Xu, Y., He, L., Wen, Y. & You, G.-Y. (2024) Relationship between job demands, work engagement, emotional workload and job performance among nurses: A moderated mediation model. International Nursing Review, 71, 924–932. https://doi.org/10.1111/inr.12941
Pamungkas, R. A., Ruga, F. B. P., Kusumapradja, R., & Kusumapradja, R. (2022). Impact of physical workload and mental workload on nurse performance: A Path Analysis. International Journal of Nursing and Health Services (IJNHS), 5(2), 219–225. https://doi.org/10.31850/economos.v4i1.777
Pangestu, A., Sucipto, A., & Wiludjeng, R. (2025). Hubungan beban kerja Dengan kinerja dan kelelahan ( fatigue) perawat di ruang rawat inap RSUD Sultan Imanuddin Kotawaringin Barat Kalimantan Tengah. The Scientific Journal Helath, 2(1), 191–213. https://doi.org/10.70873/tsjh.v2i1.60
Pérez-Francisco, D. H., Duarte-Clíments, G., Del Rosario-Melián, J. M., Gómez-Salgado, J., Romero-Martín, M., & Sánchez-Gómez, M. B. (2020). Influence of workload on primary care nurses’ health and burnout, patients’ safety, and quality of care: Integrative review. Healthcare (Switzerland), 8(1), 1–14. https://doi.org/10.3390/healthcare8010012
Pertiwi, A. S., Suharsono, T. N., Syahidin, R., & Malik, R. (2025). Pengaruh beban kerja dan stres kerja terhadap kinerja perawat rawat inap di Rumah Sakit Umum Mutiasari Duri Riau. Jurnal Ners, 9(4), 6878–6886. https://doi.org/10.31004/jn.v9i4.50386
Pourteimour, S., Yaghmaei, S., & Babamohamadi, H. (2021). The relationship between mental workload and job performance among Iranian nurses providing care to COVID-19 patients: A cross-sectional study. Journal of Nursing Management, 29(6), 1723–1732. https://doi.org/10.1111/jonm.13305
Porotu’o, A. C., Kairupan, B. H. R. & Wahongan, G. J. P. (2021) ‘Pengaruh Motivasi Kerja Dan Sikap Profesi Terhadap Kinerja Perawat Di Pelayanan Rawat Inap Rumah Sakit Umum GMIM Pancaran Kasih Manado Melalui Kepuasan Kerja Sebagai Variabel Intervening’, JMBI UNSRAT (Jurnal Ilmiah Manajemen Bisnis dan Inovasi Universitas Sam Ratulangi)., 8(1), pp. 567–580. doi: 10.35794/jmbi.v8i2.32936.
Putri, D. A., Asmuji, A., & Suryaningsih, Y. (2023). Hubungan beban kerja dengan kinerja perawat dalam melakukan asuhan keperawatan di Instalasi Rawat Inap RSD Balung berbasis theory kopelman. Health & Medical Sciences, 1(3), 1–11. https://doi.org/10.47134/phms.v1i3.51
Rahmi, M., & Apri, B. (2019). Pengaruh beban kerja terhadap stres kerja dan kinerja perawat rawat inap dalam. Journal of Management Review, 3(2), 327–332. http://dx.doi.org/10.25157/mr.v3i2.2614
Rasyidin, R. M., & Nurlinda, A. A. (2019). Pengaruh beban kerja dan stres kerja melalui kelelhan kerja terhadap kinerja perawat di ruang rawat inap Rumah Sakit Islam Faisal Makassar. Jurnal Ilmiah Kesehatan Diagnosis, 14(3), 306–312. https://jurnal.stikesnh.ac.id/index.php/jikd/article/view/246
Rizky, W., Darmaningtyas, N., & Yulitasari, B. I. (2018). Hubungan jumlah tenaga perawat dengan beban kerja perawat pelaksana di Ruang Rawat Inap Kelas III RSUD Wates. Indonesian Journal of Hospital Administration, 1(1), 38–42. https://doi.org/10.21927/ijhaa.v1i1.752
Safitri, R. A., Dwi, N., & Budiono, P. (2025). Hubungan beban kerja dengan burnout syndrome pada perawat di ruang rawat inap Rumah Sakit X. Jurnal Mutiara Kesehatan Masyarakat, 10(1), 34–42. https://doi.org/10.51544/jmkm.v10i1.6071
Setiyadi, T., Haq, Y. E., & Ceryah Hutasoit, M. L. (2024). Hubungan beban kerja dengan kinerja perawat di Ruang Perawatan Umum Rumah Sakit Sari Asih Sangiang. Jurnal Kesehatan STIKes IMC Bintaro, 7(1), 83–90. https://doi.org/10.63448/a7xn6k85
Silaban, A. T., Indrawati, L., & Nurhayati, N. (2025). Analisis pengaruh beban, kepuasan dan kelelahan kerja terhadap kualitas pelayanan dokter dan perawat di RSU St. Antonius Pontianak. Ranah Research?: Journal of Multidisciplinary Research and Development, 8(1), 271–279. https://doi.org/10.38035/rrj.v8i1.1910
Sigalingging, H. R., Medyati, N., & Bouway, D. Y. (2025). Analisis faktor-faktor yang mempengaruhi beban kerja perawat. Journal of Nursing Practice and Education, 6(01), 16–24. https://doi.org/10.34305/pmrtkt96
Syaputra, A. N., & Martha, L. (2024). Pengaruh stres kerja dan beban kerja terhadap kinerja perawat Bunda Medical Center (BMC) Padang. Jurnal Riset Manajemen, 2(1), 379–398. /https://doi.org/10.54066/jurma.v2i1.1672
Utaminingsih, S., Anwar, S., & Handayani, E. T. (2026). Penguatan budaya organisasi dalam mendukung work-life balance dan Kesehatan Kerja.
Widyawati, M., Hakim, L., Basuki, H. O., & Rizka, D. K. (2025). Peran hardlines dengan kinerja perawat di ruang rawat inap. Jurnal Keperawatan Profesional, 13(1), 237–249. https://doi.org/10.33650/jkp.v13i1.11668
World Health Organization. (2020). State of the World’s Nursing 2020: Investing in education, jobs and leadership. In World Health Organization. file:///C:/Users/Rosa/Desktop/tesis 222/9789240003279-eng estado de enfermeria 2020 oms.pdf
Zaleha, S., Handayani, T. S., & Rustandi, H. (2022). Hubungan mutu pelayanan keperawatan terhadap kepuasan pasien rawat inap di Rumah Sakit Umum Daerah Mukomuko Tahun 2022. Journal Hygea Public Health, 1(1), 35–46. https://doi.org/10.37676/ssj.v1i1.3619
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