Driving Factors For Indonesian Nurses Pursuing Careers In Industrial Healthcare Services: A Literature Review
Keywords:
Faktor pendorong, perawat Indonesia, motivasi karier, OHNAbstract
Permintaan untuk perawat terampil di sektor kesehatan industri Indonesia terus meningkat, didorong oleh industrialisasi yang berkembang dan kebutuhan akan layanan kesehatan kerja. Tujuan penelitian ini adalah mengidentifikasi dan menganalisis faktor-faktor utama yang memengaruhi keputusan perawat Indonesia untuk mengejar karier di layanan kesehatan industri, termasuk motivasi pribadi, profesional, dan organisasi. PRISMA digunakan untuk menganalisis publikasi dari PubMed, Google Scholar, dan Mendeley mengenai motivasi karier perawat Indonesia di bidang kesehatan industri. Setelah penyaringan, 12 studi yang memenuhi kriteria inklusi (studi empiris/konseptual; Indonesia/negara berkembang; tidak termasuk penelitian berbasis rumah sakit) dianalisis. Kerangka PICOT digunakan untuk mengidentifikasi disparitas signifikan.Analisis PRISMA mengkaji 12 studi yang memenuhi syarat mengungkapkan bahwa keputusan karier perawat Indonesia di sektor kesehatan industri terutama didorong oleh gaji (67% studi) dan keseimbangan kerja-hidup (58%), dengan peluang pengembangan profesional sebagai faktor sekunder kunci (42%). Analisis PICOT menemukan disparitas antara perawat di lingkungan industri (n=8 studi) dibandingkan dengan rumah sakit (n=4 studi pembanding). Faktor budaya, termasuk pengaruh keluarga (33% studi) dan persepsi prestise sosial, secara unik membentuk pilihan karier dalam konteks Indonesia. Hanya 2 studi (17%) yang membahas dampak kebijakan terhadap distribusi tenaga kerja, mengindikasikan kesenjangan bukti yang kritis. Penelitian ini merekomendasikan agar pembuat kebijakan dan institusi kesehatan mengembangkan kurikulum OHN yang terarah dan paket insentif khusus industri untuk meningkatkan retensi tenaga kerja dan pengembangan profesional di sektor ini.
References
Aiken, L. H., Sloane, D. M., Ball, J., Bruyneel, L., Rafferty, A. M., & Griffiths, P. (2018). Patient satisfaction with hospital care and nurses in England: An observational study. BMJ Open, 8(1), 1–8. https://doi.org/10.1136/bmjopen-2017-019189
Antonio, F., Andy, A., & Claudia Moksidy, J. M. (2024). The Association of Nurse Burnout with Patient Satisfaction from Nurse Perspective Mediated by Nurse Job Satisfaction and Caring Behavior. Nurse Media Journal of Nursing, 14(1), 40–52. https://doi.org/10.14710/nmjn.v14i1.54040
Aungsuroch, Y., & Gunawan, J. (2019). Viewpoint: Nurses Preparation in the Era of the Fourth Industrial Revolution. Belitung Nursing Journal, 5(1), 1–2. https://doi.org/10.33546/bnj.744
Baughman, R. A., Stanley, B., & Smith, K. E. (2022). Second Job Holding Among Direct Care Workers and Nurses: Implications for COVID-19 Transmission in Long-Term Care. Medical Care Research and Review, 79(1), 151–160. https://doi.org/10.1177/1077558720974129
Bayu Kurniawan, S., Rumengan, G., & Nurhayati, N. (2023). Analisis Produktivitas Kerja Perawat Di Rumah Sakit UKI Tahun 2023. Jurnal Manajemen Dan Administrasi Rumah Sakit Indonesia (MARSI), 7(3), 303–313. https://doi.org/10.52643/marsi.v7i3.3391
Calenda, D., & Bellini, A. (2021). The challenging integration paths of migrant health professionals: The case of filipino and indian nurses in the uk. Professions and Professionalism, 11(1), 1–20. https://doi.org/10.7577/pp.3898
Cui, S., Jiang, Y., Shi, Q., Zhang, L., Kong, D., Qian, M., & Chu, J. (2021). Impact of covid-19 on anxiety, stress, and coping styles in nurses in emergency departments and fever clinics: A cross-sectional survey. Risk Management and Healthcare Policy, 14, 585–594. https://doi.org/10.2147/RMHP.S289782
da Silva, R. N., & Ferreira, M. de A. (2021). Nursing and society: Evolution of nursing and of capitalism in the 200 years of florence nightingale*. Revista Latino-Americana de Enfermagem, 29. https://doi.org/10.1590/1518-8345.4482.3425
Efendi, F., Aurizki, G. E., Auwalin, I., Kurniati, A., Astari, L. D., Puspitasari, I. T., & Chong, M. C. (2022). The Paradox of Surplus and Shortage: A Policy Analysis of Nursing Labor Markets in Indonesia. Journal of Multidisciplinary Healthcare, 15(March), 627–639. https://doi.org/10.2147/JMDH.S354400
Gautam, A., Chirputkar, A., & Pathak, P. (2022). Opportunities and challenges in the application of Artificial Intelligence-based technologies in the healthcare Industry. International Interdisciplinary Humanitarian Conference for Sustainability, IIHC 2022 - Proceedings, 1521–1524. https://doi.org/10.1109/IIHC55949.2022.10059767
Gede Juanamasta, I., Iblasi, A. S., Aungsuroch, Y., & Yunibhand, J. (2021). Nursing Development in Indonesia: Colonialism, After Independence and Nursing act. SAGE Open Nursing, 7(662). https://doi.org/10.1177/23779608211051467
Gotehus, A., Harun, R., Margaret, W., Pengaruh PMA, PMDN, TK, dan I., Vartiainen, P., Pitkänen, P., Asis, M. M. B., Raunio, P., Koskela, M., Vaughn, T., Seeberg, M. L., Gotehus, A., Salami, B., Lan, P. C., Adebayo, B., Nichols, P., Albrecht, M. A., Brijnath, B., Heslop, K., … Julià, M. (2021). Investigating the Impacts of Acculturation Stress on Migrant Care Workers in Australian Residential Aged Care Facilities. Professions and Professionalism, 19(1), 1–20. https://doi.org/10.1177/0844562116663951
Gunawan, J., & Aungsuroch, Y. (2022). A classic surplus-shortage of nurses in Indonesia. Journal of Healthcare Administration, 1(1), 5–9. https://doi.org/10.33546/joha.2174
Gunawan, J., & Juanamasta, I. G. (2022). Nursing career ladder system in Indonesia: The hospital context. Journal of Healthcare Administration, 1(1), 26–34. https://doi.org/10.33546/joha.2177
Hardy, S., Hadi, N., & Tukayo, I. J. H. (2021). The demands on nursing curriculum flexibility towards the need of global workforce: A systematic review. Journal of Holistic Nursing Science, 8(2), 114–121. https://doi.org/10.31603/nursing.v8i2.4808
Hardy, S., Sanudin, A. H., & Afzal, R. (2021). Analysis of Imbalance Between Government Regulations and Nursing Education on Industrial Nurses. 3(1), 17–26. https://doi.org/10.32734/ijns.v3i1.6130
Hardy, S., Tukayo, I. J., Afzal, R., & Hadi, N. (2021). Theoretical Perspectives of Occupational Health Nurses (OHN) career in Indonesia. Jurnal Berita Ilmu Keperawatan, 14(2), 102–112. https://doi.org/10.23917/bik.v14i2.13790
Hardy, S., Tukayo, I. J. H., Maulana, R., & Afzal, R. (2021). Technical Skills Overwhelming Social Skills of Occupational Health Nursing on Teaching Methods. Jurnal Riset Kesehatan, 10(2), 114–122. https://doi.org/10.31983/jrk.v10i2.7542
Kanchanachitra, C., Lindelow, M., Johnston, T., Hanvoravongchai, P., Lorenzo, F. M., Huong, N. L., Wilopo, S. A., & Dela Rosa, J. F. (2011). Human resources for health in southeast Asia: Shortages, distributional challenges, and international trade in health services. The Lancet, 377(9767), 769–781. https://doi.org/10.1016/S0140-6736(10)62035-1
Lin, Y., Hu, Z., Danaee, M., Alias, H., & Wong, L. P. (2021). The impact of the covid-19 pandemic on future nursing career turnover intention among nursing students. Risk Management and Healthcare Policy, 14, 3605–3615. https://doi.org/10.2147/RMHP.S322764
Maulidyah, N. E., & Khoirunnisa, R. N. (2023). Future Mindedness Pada Perawat Yang Bekerja Di Luar Negeri. Community Development Journal, 4(2), 4585–4589.
McPhaul, K. M. (2021). OSHA and NIOSH Turn 50. Workplace Health and Safety, 69(5), 236. https://doi.org/10.1177/21650799211007446
Mujiati, M., Su’udi, A., Nugraha, S. M., & Rosita, R. (2020). Placement of Nurses in Health Care Facilities Abroad: Paths and Constraints. Jurnal Penelitian Dan Pengembangan Pelayanan Kesehatan, 4(1), 39–50. https://doi.org/10.22435/jpppk.v4i1.3229
Myzabella, N., Fritschi, L., Merdith, N., El-Zaemey, S., Chih, H., & Reid, A. (2019). Occupational health and safety in the palm oil industry: A systematic review. International Journal of Occupational and Environmental Medicine, 10(4), 159–173. https://doi.org/10.15171/ijoem.2019.1576
Nes, A. A. G., Steindal, S. A., Larsen, M. H., Heer, H. C., Lærum-Onsager, E., & Gjevjon, E. R. (2021). Technological literacy in nursing education: A scoping review. Journal of Professional Nursing, 37(2), 320–334. https://doi.org/10.1016/j.profnurs.2021.01.008
Nugraha, S., Tanaka, M., & Efendi, F. (2017). A Comparative Study of Nursing Educational System in Indonesia and Japan. Jurnal Ners, 3(2), 144–150. https://doi.org/10.20473/jn.v3i2.4997
Nuraini, Santosa, H., Mutiara, E., & Hasan, W. (2024). An Occupational Health Perspective of Nurses’ Quality of Life in Indonesia. Social Medicine, 17(3), 176–185. https://doi.org/10.71164/socialmedicine.v17i3.2024.1843
Olorunfemi, O., Agbo, D. I., Olorunfemi, O. M., & Okupapat, E. O. (2020). Impact of the emigration of nurses on health care delivery system in selected hospitals, Benin-City, Edo State, Nigeria. Journal of Integrative Nursing, 2(3), 110–115. https://doi.org/10.4103/jin.jin_42_20
Onyeador, C. C., & Umberger, R. A. (2023). Scope of Practice for Occupational Health Nurses: A Concept Analysis Based on Walker and Avant Methods. Nursing Forum, 2023. https://doi.org/10.1155/2023/7953689
Park, M., Dlamini, B. B., Kim, J., Kwak, M. J., Cho, I., Choi, M., Lee, J., Min, Y. H., Park, B. K., & Lee, S. (2022). Development of a Standardized Curriculum for Nursing Informatics in Korea. Healthcare Informatics Research, 28(4), 343–354. https://doi.org/10.4258/hir.2022.28.4.343
Potempa, K., Rajataramya, B., Barton, D. L., Singha-Dong, N., Stephenson, R., Smith, E. M. L., Davis, M., Dinov, I., Hampstead, B. M., Aikens, J. E., Saslow, L., Furspan, P., Sarakshetrin, A., & Pupjain, S. (2019). Impact of using a broad-based multi-institutional approach to build capacity for non-communicable disease research in Thailand. Health Research Policy and Systems, 17(1), 4–9. https://doi.org/10.1186/s12961-019-0464-8
Smith, J. B., Herinek, D., Woodward-Kron, R., & Ewers, M. (2022). Nurse Migration in Australia, Germany, and the UK: A Rapid Evidence Assessment of Empirical Research Involving Migrant Nurses. Policy, Politics, and Nursing Practice, 23(3), 175–194. https://doi.org/10.1177/15271544221102964
Stolz, R., Klocke, C., Mahler, C., Valentini, J., & Joos, S. (2024). Integrative nursing interventions: knowledge, attitudes and practice in home nursing services in Germany—a quantitative and qualitative online survey. Frontiers in Medicine, 11(October), 1–10. https://doi.org/10.3389/fmed.2024.1438035
Sulastri, Yuniartika, W., Triana, D. A. A., & Giyoto. (2022). Transformation of the learning system in nursing education after the COVID-19 pandemic. Bali Medical Journal, 11(3), 1675–1680. https://doi.org/10.15562/bmj.v11i3.3720
Suprapti, F. (2020). Factors Related to Practice, Attitude and Skill of Nurses to Evidence Based Practice in the Hospital. 30(Ichd), 380–384. https://doi.org/10.2991/ahsr.k.201125.065
Te, V., Griffiths, R., Law, K., Hill, P. S., & Annear, P. L. (2018). The impact of ASEAN economic integration on health worker mobility: A scoping review of the literature. Health Policy and Planning, 33(8), 957–965. https://doi.org/10.1093/heapol/czy071
Tukayo, I. J. H., Saljan, M., Swastika, I. K., & Hardy, S. (2021). The Occupational Health Nursing Education Components Most Influenced by Informatics Technology Based on Gamification and Fogg’s Models: a Case Study in Indonesia. International Journal of Advanced Health Science and Technology, 1(2), 53–60. https://doi.org/10.35882/ijahst.v1i2.4
Tukayo, I., Jurun, H., Hardy, S., Saljan, M., & Swastika, I. K. (2021). The Challenges in Poltekkes Kemenkes Jayapura ( A Case Study ). 71–77. https://doi.org/10.26699/jnk.v8i1.ART.p
Unis, B. D., Kydland, A. G. R., Svärd, J., Thorø, B., Nais, S., Marianthi, D., & Grøndahl, V. A. (2025). Nursing curricula in Indonesia and Scandinavia: What can we learn from each other to strengthen nursing education. Nurse Education Today, 149(June 2024). https://doi.org/10.1016/j.nedt.2025.106657
