Organizational Management Factors in Hospitals that Influence Nurses’ Compliance in Providing Nutrition to Pediatric Patients

Adequate nutrition is essential for the recovery and overall health of pediatric patients in hospitals. Despite established guidelines, malnutrition among hospitalized children remains a global challenge, exacerbated by gaps in nurse compliance with nutrition protocols. Organizational management factors such as supervision, staff training, workload, availability of protocols, multidisciplinary collaboration, and organizational culture play a crucial role in ensuring adherence to nutrition standards. This study aims to analyze the influence of hospital organizational management factors on nurses' compliance in providing nutrition to pediatric patients. A systematic literature review was conducted using PubMed, Google Scholar, ScienceDirect, Garuda Portal, and ResearchGate. Following PRISMA guidelines, 260 articles were initially identified, screened, and 13 articles were selected for narrative synthesis. Organizational factors including training, protocols, supervision, workload, collaboration, and culture were critically analyzed. Findings indicate that nurse compliance improves significantly when hospitals provide structured training, clear protocols, effective supervision, adequate resources, and supportive organizational culture. Multidisciplinary collaboration further enhances adherence to nutrition practices. High workloads and limited resources were consistently identified as barriers. Organizational management factors are pivotal in optimizing pediatric nutrition services. Hospitals should implement continuous training programs, standardized protocols, effective supervision, workload management, and interprofessional collaboration to improve nurse compliance and pediatric patient outcomes. Future research should explore interventional and longitudinal studies to establish causal relationships between organizational strategies and nutritional outcomes.