Stakeholder Participation Analysis in the Development of Work Breakdown Structure (WBS): A Qualitative Analysis of Health Project Management Practices
DOI:
https://doi.org/10.61194/ijss.v7i3.2516Keywords:
communication, organizational structure, healthcare project, stakeholder participation, wbsAbstract
Hospital construction projects involve complex coordination among multiple actors, yet previous studies have paid limited attention to how stakeholder participation shapes the development of Work Breakdown Structure (WBS) within specific healthcare construction settings. This study aimed to examine the forms and levels of stakeholder participation in WBS development and to identify factors influencing stakeholder involvement during project planning. A qualitative case study was conducted in the Dharmais Cancer Hospital construction project. Data collection was conducted through semi-structured interviews with nine key informants representing strategic project organization functions, which includes senior management, project operations, engineering, administration, quantity surveying, building information modeling, and contract management, alongside the project owner representative. Data were analyzed using thematic analysis and validated through triangulation techniques. The findings indicate that stakeholder participation varied across groups. Project owners and key technical actors were actively involved in defining work packages and making planning decisions, whereas some supporting stakeholders participated only at the consultation stage. In several instances, participation tended to become formalistic because decision-making authority remained concentrated among a limited number of actors, while communication and institutional procedures constrained broader involvement. Organizational structure, leadership commitment, communication mechanisms, and information technology support were identified as important factors shaping participation patterns. The study suggests that effective WBS development depends not only on the presence of stakeholders but also on the quality and distribution of their participation. These findings provide practical insights for improving collaborative planning in healthcare construction projects.
References
Abdelalim, A. M., El-Kholy, A. M., & El-Kholy, M. A. (2024). An analysis of factors contributing to cost overruns in the construction industry. Buildings, 15(1), Article 18. https://doi.org/10.3390/buildings15010018
Adeoye-Olatunde, O. A., & Olenik, N. L. (2021). Research and scholarly methods: Semi-structured interviews. Journal of the American College of Clinical Pharmacy, 4(10), 1358–1367. https://doi.org/10.1002/jac5.1441
Alani, O., & Omotayo, O. (2023). Green Cost Accounting, Environmental Economics and Auditing Concepts: Efficient and Effective Utilisation of Natural Resources via Corporate Sustainability and Responsibility Approach. Journal of Accounting and Financial Management, 9(5), 104–119. https://doi.org/10.56201/jafm.v9.no5.2023.pg104.119
Arba, D. (2021). Best tested and proven practices for hospital construction: Standardized multidimensional WBS/CBS coding structures. PM World Journal, 10(2), 1–22.
Castro, J. F. T. d., Costa, H. G., Méxas, M. P., Lima, C. B. d. C., & Ribeiro, W. R. (2021). The influence of factors on project management: A qualitative approach. Production, 31, e20200112. https://doi.org/10.1590/0103-6513.20200112
Cerezo-Narváez, A., Pastor-Fernández, A., Otero-Mateo, M., & Ballesteros-Pérez, P. (2020). Integration of Cost and Work Breakdown Structures in the Management of Construction Projects. Applied Sciences, 10(4), 1386. https://doi.org/10.3390/app10041386
Damanik, M. F., Latief, Y., & Nugroho, D. B. (2023). Development of risk-based work breakdown structure (WBS) standards for integrated design and construction phase on design-build contract of mechanical and electrical works of high-rise building to improve construction safety performance. International Journal of Engineering Trends and Technology, 71(8), 210. https://doi.org/10.14445/22315381/IJETT-V71I8P210
Donkoh, S., & Mensah, J. (2023). Application of triangulation in qualitative research. Journal of Applied Biotechnology and Bioengineering, 10(1), 6–9. https://doi.org/10.15406/jabb.2023.10.00319
Dwivedi, R., & Dwivedi, P. (2021). Role of stakeholders in project success: Theoretical background and approach. International Journal of Finance, Insurance and Risk Management, 11(1), 38–49.
Ebekozien, A., Aigbavboa, C. O., & Ramotshela, M. (2024). A qualitative approach to investigate stakeholders’ engagement in construction projects. Benchmarking: An International Journal, 31(3), 866–883. https://doi.org/10.1108/BIJ-11-2021-0663
Gardner, S. T., Reid, S., & Barry, S. (2024). Successful managerial attributes of construction project managers: Empirical evidence from Australia. Pacific Rim Property Research Journal, 29(2), 66–96. https://doi.org/10.64361/14445921.2024.212305
Hartanti, L. B., & Latief, Y. (2025). Development of Work Breakdown Structure (WBS) and Standard Operating Procedure (SOP) for architectural work components of high-rise buildings with risk-based design-build contracts to improve project time performance. Journal Transnational Universal Studies (JTUS), 3(5).
Idamatussilmi, F., & Hikmah, R. R. (2023). Reengineering proyek pembangunan Rumah Sakit Pendidikan Universitas Muhammadiyah Semarang. Universitas Islam Sultan Agung.
Li, H. (2025). Enhancing stakeholder engagement and performance evaluation in building design using BIM and VR. Automation in Construction, 175. https://doi.org/10.1016/j.autcon.2025.106191
Mirajhusnita, I., & Nisa, Z. Y. (2023). Construction of concrete structures of Mitra Siaga 2 Tarub Hospital using earned value method: Study of time and cost analysis. International Journal of Multidisciplinary and Current Educational Research (IJMCER), 5(5), 112–118.
Mitchell, D. J. B. (1994). Industrial Relations Systems. Industrial and Labor Relations Review, 47(3). https://doi.org/10.2307/2524981
Motahar, H., Fauth, J., & Melzner, J. (2025). Integrating work breakdown structure and social network analysis for stakeholder coordination in European building permitting. Building Research & Information. https://doi.org/10.1080/09613218.2025.2593269
Motalebi, M., Heffernan, E., & McCarthy, T. (2025). Sustainability and Stakeholder Engagement in Building Information Modelling-Enabled Construction: A Review of Critical Success Factors in Design and Planning Phases. Sustainability, 17(3), 1086. https://doi.org/10.3390/su17031086
Nginya, D. W. (2024). Stakeholder management and performance of non-governmental organizations supported health care projects in Nairobi County, Kenya. Kenyatta University.
Odedairo, B. O. (2024). Assessing the Influence of Various Work Breakdown Structures on Project Completion Time. Engineering, Technology & Applied Science Research, 14(2), 13300–13307. https://doi.org/10.48084/etasr.7023
Putra, P. (2025). Pengendalian waktu pekerjaan konstruksi pembangunan RSUD Dr. Sobirin Kabupaten Musi Rawas. Litera: Jurnal Ilmiah Multidisiplin, 2(1), 154–168.
Sari, M. P., & Latief, Y. (2023). Development of WBS-based risk management standards for building construction projects to enhance quality performance. International Journal of Engineering Technology and Engineering, 11(3), 102–115. https://doi.org/10.56201/ijete.v11i3.02
Saunders, M. N., Townsend, K., & Corporate, F. (2023). Redefining data saturation thresholds in organizational qualitative research: Operational indicators for semi-structured interview designs. Organizational Research Methods, 26(2), 311–329. https://doi.org/10.1177/10944281211061325
Schönbeck, P. (2022). Data based configuration decisions in hospital construction projects. KTH Royal Institute of Technology.
Soeparyanto, T. S., Nuhun, R. S., Ismayana, Apriani, M., & Hado. (2024). Penggunaan standar metode Work Breakdown Structure (WBS) pada proyek pembangunan gudang BPBD dan rumah jabatan Dandim. Sultra Civil Engineering Journal (SCIEJ), 5(2).
Somula, S. R. (2025). How to avoid estimation pitfalls in large-scale projects. International Journal of Advances in Engineering and Management (IJAEM), 7(3), 363–370.
Sukmono, C. (2023). Enhancing project management efficiency in PERTAMINA through Work Breakdown Structure (WBS) and Cost Breakdown Structure (CBS) integration. PM World Journal, 12(8).
Syukur, S. B., Hidayat, E. H., Biki, P. A. U., & Sopyan, T. N. (2024). Efektivitas Metode Tim Dalam Pelayanan Asuhan Keperawatan Diruang Perawatan Interna RSIA Siti Khadidjah Kota Gorontalo. Jurnal Keperawatan Muhammadiyah Edisi Khusus, 29–32.
Tampio, K.-P., Haapasalo, H., Haapasalo, H., & Ali, F. (2022). The stakeholder landscape in the public healthcare process—challenges, elements, and implications for stakeholder management. International Public Management Review, 22(1), 114–143.
Vivek, R., Nanthagopan, Y., & Piriyatharshan, S. (2023). Beyond methods: Theoretical underpinnings of triangulation in qualitative and multi-method studies. SEEU Review, 18(2). https://doi.org/10.2478/seeur-2023-0088
Xie, W., Deng, B., Yin, Y., & Lv, X. (2022). Critical factors influencing cost overrun in construction projects: A fuzzy synthetic evaluation. Buildings, 12(11), 2028. https://doi.org/10.3390/buildings12112028
Yesodharan, R., Renjith, V., & Jose, T. T. (2021). Qualitative methods in health care research. International Journal of Preventive Medicine, 12, 20.
Yunani, A., Dzaky, U. N., & Maulana, R. R. (2025). Stakeholder engagement level for project success: A case study of the embedded team at PT XYZ. International Research Journal of Economics and Management Studies, 4(11). https://irjems.org/Volume-4-Issue-11/IRJEMS-V4I11P118.pdf
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