The Relationship between the Role of Quality Control Circles and Improved Nurses’ Compliance with Standard Operating Procedures at Mitra Medika Tanjung Mulia Hospital
Abstract
Hospitals are required to maintain service quality and patient safety through consistent adherence to Standard Operating Procedures (SOPs). Quality Control Circles (Gugus Kendali Mutu; GKM) serve as an internal quality control mechanism that supports quality planning, audit implementation, monitoring, coaching, and follow-up of audit findings. This study aimed to examine the association between the role of Quality Control Circles and nurses’ compliance with SOPs at Mitra Medika Tanjung Mulia Hospital. A quantitative descriptive-analytic study with a cross-sectional design was conducted from November 2025 to March 2026, involving 35 active members of the Quality Control Circles selected through total sampling. Data were collected using structured questionnaires and analyzed through univariate analysis, bivariate analysis using Pearson Chi-square and Fisher’s Exact Test, and multivariate analysis using binary logistic regression. The results showed that 65.7% of respondents perceived the role of Quality Control Circles as good, while 74.3% of nurses were categorized as compliant with SOPs. Bivariate analysis revealed a significant association between the role of Quality Control Circles and nurses’ SOP compliance (χ² = 10.171; p = 0.001; Fisher’s Exact Test = 0.003). Multivariate logistic regression showed that nurses who perceived the role of Quality Control Circles as good had higher odds of complying with SOPs, although the association was not statistically significant after controlling for age, gender, educational background, and years of service (AOR = 6.228; 95% CI = 0.247–157.196; p = 0.267). These findings indicate that Quality Control Circles are relevant to strengthening SOP compliance, but their role should be reinforced through continuous supervision, structured feedback, and integrated quality improvement strategies.
Keyword: Quality Control Circles; nurses’ compliance; Standard Operating Procedures; hospital quality management; patient safety
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Ahmed, S., Ashrafi, D. M., Ahammad, M. F., Rahman, M. K., & Sakib, M. N. (2026). Role of governance on patient safety in private hospitals through the mediating effects of teamwork and continuous improvement. International Journal of Quality & Reliability Management, 43(2), 406–434. https://doi.org/10.1108/IJQRM-04-2025-0115
Elvita, D., & Wulandari, C. I. (2026). Head Nurse Supervision as an Effective Strategy to Improve Nursing Retention and Performance. Jurnal Penelitian Kesehatan SUARA FORIKES (Journal of Health Research FORIKES VOICE), 17(4), 337–343. https://doi.org/10.33846/sf170406
Endalamaw, A., Khatri, R. B., Mengistu, T. S., Erku, D., Wolka, E., Zewdie, A., & Assefa, Y. (2024). A scoping review of continuous quality improvement in healthcare system: conceptualization, models and tools, barriers and facilitators, and impact. BMC Health Services Research, 24(1), 487. https://doi.org/10.1186/s12913-024-10828-0
Fitriyani, I. N., & Musharyanti, L. (2026). Research Trends on Time Management and Workload in Nursing: A Bibliometric Analysis. Indonesian Journal of Global Health Research, 8(3), 303–314. https://doi.org/10.37287/ijghr.v8i3.1359
Fontaine, G., Vinette, B., Weight, C., Maheu-Cadotte, M.-A., Lavallée, A., Deschênes, M.-F., Lapierre, A., Sonia A. Castiglione, Chicoine, G., Rouleau, G., Argiropoulos, N., Konnyu, K., Mooney, M., Cassidy, C. E., Mailhot, T., Lavoie, P., Pépin, C., Cossette, S., Gagnon, M.-P., … Middleton, S. (2024). Effects of implementation strategies on nursing practice and patient outcomes : a comprehensive systematic review and meta ‑ analysis. Implementation Science, 19(1), 68. https://doi.org/10.1186/s13012-024-01398-0
Kurniawan, C., Astriani, I., & Astriani, S. (2025). Implementation of Patient Safety Management to Improve the Quality of Health Services at Patut Patuh Patju Hospital. Journal of Social and Education Research, 3(1), 1–9. https://doi.org/10.63265/jser.v3i1.130
Legawa, K. P., & Antonio, F. (2026). Improving Patient Safety through Nursing Handover Quality in Hospital Inpatient Wards : A PLS-SEM Analysis. Jurnal Ilmiah Manajemen Kesatuan (JIMKES), 14(1), 1155–1168. https://doi.org/10.37641/jimkes.v14i1.4903
Liu, W., Guo, J., Jiang, Q., Zhou, G., Dong, Y., Xu, B., Liu, Z., Zhang, Z., & Liu, J. (2024). Quality Control Circle Practices to Improve Mask-Wearing Compliance by Patients Diagnosed with Tuberculosis During External Examinations. Patient Preference and Adherence, 21(18), 227–237. https://doi.org/10.2147/PPA.S445632
Nacu, A.-G., Constantin, D.-A., & Rogozea, L. M. (2025). Ethical Dilemmas and Legal Responsibilities in Patient Care: An Analysis of Hospital Safety. Healthcare, 13(21), 2800. https://doi.org/10.3390/healthcare13212800
Pronovost, P., Needham, D., Berenholtz, S., Sinopoli, D., Chu, H., Cosgrove, S., Sexton, B., Hyzy, R., Welsh, R., Roth, G., Bander, J., Kepros, J., & Goeschel, C. (2006). An intervention to decrease catheter-related bloodstream infections in the ICU. New England Journal of Medicine, 355(26), 2725–2732. https://doi.org/10.1056/NEJMoa061115
Rohmah, L., & Prayoga, D. (2025). Factors Influencing Nurses ’ Adherence to Standard Operational Procedures For Preventing Patient Falls. Socius: Jurnal Penelitian Ilmu-Ilmu Sosial, 03(1), 473–479. https://doi.org/10.5281/zenodo.15861773
Said, R. M., & El-Shafei, D. A. (2021). Occupational stress, job satisfaction, and intent to leave: nurses working on front lines during COVID-19 pandemic in Zagazig City, Egypt. Environmental Science and Pollution Research, 28(7), 8791–8801. https://doi.org/10.1007/s11356-020-11235-8
Shi, P. (2025). Feasibility analysis of total quality management in medical quality management and its impact on work efficiency. Front Med (Lausanne), 10(12), 1701801. https://doi.org/10.3389/fmed.2025.1701801
Siboro, F. A., Simanungkalit, R. C., Ayu, S. P., & Sembiring, P. S. (2025). Implementation of Standard Operating Procedures (SOP) in Improving Service Quality at the Sis Collection Jcity Medan Johor Cosmetics Store in 2025. Maroon Journal De Management, 2(3), 257–266. https://doi.org/10.37899/mjdm.v2i3.190
Siregar, F. D., Girsang, E., Lestari, S., & Nasution, R. (2026). The influence of supervision by the head of medical services and nurse performance on patient safety at Aek Kanopan Regional General Hospital. Buletin Kedokteran & Kesehatan Prima, 5(1), 78–83. https://doi.org/10.34012/bkkp.v5i1.8087
Subandi. (2025). Manajemen SDM Keperawatan Unggul. PT Insight Pustaka Nusa Utama.
Suminar, S., Rusnita, R., Sari, S. W., & Lidiana, E. H. (2023). Nurses’ Knowledge in Implementing Standard Operating Procedures on Patient Safety in Regional Public Hospitals. International Journal of Health Sciences, 1(2), 85–92. https://doi.org/10.59585/ijhs.v1i2.57
WHO. (2019). WHO guidelines on hand hygiene in health care. Ganeva : World Health Organization.
DOI: http://dx.doi.org/10.30829/contagion.v8i3.28563
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