Biomedical Journal of Indonesia Vol 7 Issue 3 2021
Nurse Index Satisfaction at Hospital with Nurse Profession, Training, Nurse Assessment and Ethic Implementation in Pandemic Situation
Erick Prawira Suhardhi1*, Ascobat Gani21Hospital Administration Studies, Faculty of Public Health, Universitas Indonesia, Jakarta, Indonesia
2Health Policy and Administration Department Faculty of Public Health, Universitas Indonesia, Jakarta, Indonesia
A R T I C L E I N F O Keywords:
Nurse satisfication Assessment Ethical of nurse Covid-19 pandemic Corresponding author:
Erick Prawira Suhardhi E-mail address:
All authors have reviewed and approved the final version of the manuscript.
https://doi.org/10.32539/BJI.v7i3.538
A B S T R A C T
Introduction. Pandemic Covid-19 situation in Indonesia since March 2021, make hospitals to have adaption with condition. Therefore, there is un satisfaction for nurse profession, training, nurse assessment and ethical in emergency, this is known by pre survei in emergency. This research was aimed to study about nurse satisfaction in pandemic area, and see pandemic effect to nurse satisfaction, topic research is satisfaction for nurse profesion, training, nurse assesment and ethical nurse. Methods. Research method for this research is descriptive quantitative, where research use fact, situation and variable happen when the research on going.
instrument used in this research is quisoner, sample used is nurse which work in Hospital X, Tangerang district with total sample 151 nurses. Results. Nurse satisfaction preview in hospitals X, Tangerang district is more than 90% nurses satisfied with profession of nurses, training more than, nurse assessment and ethical of nurse. Conclusion. All the nurse satisfied with their profession, training, assesment and ethical implementation, there is improvement room to reduce blame culture in nurse division and implement just culture in nurse division.
1. Introduction
COVID-19 is a health problem and problem for all country around the world, until now the patients who got infected is 95 million confirmed cases and 2 million for death case. America has the highest score of mortality cases in the world, and after that Europe and South east Asia1
COVID-19 first found in Wuhan, China, it is the new virus that found in the end of 2019. This virus suspected zoonosis which transmited from animal to human. They have incubation time from 2 – 14 days.
The symptom of virus are fever and respiratory problem. Severe of disease depend of comorbid that patients have2
COVID-19 has reach a lot of country in the world , Indonesia is a country which have highest COVID- 19 patients in South east Asia. Indonesia has
939.000 confirmed patients and 27.000 for mortality
3. Until now Indonesia still fight to push down COVID-19 patients, with implemented health protocol and massive vaccination.
Jakarta is a capital city of Indonesia, they have a lot confirmed cases based on data in Health minister.
25.1% COVID-19 case was found in Jakarta , second from west java (12.5%) and Banten reach 2.4%.
Hospital x is located in Banten Province has COVID patient, and geographical location is between Jakarta and west java, based on that many patients come to Hospital X to have assessment for COVID treatment.
For this condition there was unsatisfied nurses which work in emergency room, and pre survei told , nurses feel unsatisfy for nurse profession, training,
Biomedical Journal of Indonesia
Journal Homepage: https://www.jurnalkedokteranunsri.id/index.php/BJI/index
nurse assessment and ethical implementation, based on pre survei we will find out how nurse satisfaction in general ward.
This research purpose is to identified nurse satisfaction in nurse profession, training, nurse assessment and ethical implementation in Hospital X Banten Province in Pandemic era.
2. Methods
Design for researched is descriptive , to identified nurse satisfaction for nurse profession, training, nurse assessment and ethical implementation in hospital. This researched use nurses as a sample who work in ward, and total number nurse participates is 151 nurses, data collected by two weeks, and use questionnaire to collect data.
3. Results
Table 1. Table distribution nurse satisfaction distribute by working period, education and age
No. Variable Categories(%)
Satisfied unsatisfied
1 Working Period 0-5 years old 6-10 years old 16-20 Years old
16-20 years old
>20 year old Total
62 24 18 17 139 (92.1) 18
8 3 0 1 12 (7,9) 0
2 Education Diploma Bachelor Master Degree Another Total
63 73 1 138 (91.4%) 1
2 10
0 12 (8) 0 age of respondents who took the survey 31,39 ± 8,056 (95% C1: 22-63)
Age responden in this research is 31.39 ± 8.056 (95% CI : 22-63), the characteristic staff who unsatisfied is staff who work between periode 0 – 10
years work period, and from education background came from S1 (6%), need to be deep explore asking nurse directly ( quantitative )
Table 2. Table distribution nurse satisfaction toward nurse profession
No. Variable Categories(%)
Satisfied Unsatisfied 1 Nurse satisfication with nursing profession 139 (92.1) 12 (7.9)
Nurse satisfication with training 141 (93.4) 10 (6.6)
Nurse satisfication of administering nursing care 146 (96.7) 5 (3.3) Nurse satisfication with the application of ethics 136 (90.1) 15 (9.9)
Nurse satisfaction toward nurse profession have reach 92.1%, nurse feel satisfied and 7.9% feel
unsatisfied
Table 3. Table distribution nurse satisfaction toward nurse training
No. Variable Categories(%)
Satisfied Unsatisfied 1 PKU & POU trainning help to improve my knowledge 149 (98.7) 2 (1.3) 2 Continues trainning through E-Learning help to improve
my knowledge 148 (98%) 3 (2)
3 I have the opportunity to improve my employment skill through the trainning or educational education through in-house-training
143 (94.7) 8 (5.3)
4 I have chance to improve my job skill through the trainning or additional education through external training
144 (95.4) 7 (4.6)
5 I am satisfied because got the train ing that match to
support aplication of my job 142 (94) 9 (6)
Based on distribution table nurse satisfaction has reach more than 90%, but there still nurse unsatisfaction for in house training (5.3%) and eksternal training (4,7%). This show relatively small result, but need attention from nurse division to
make training in pandemic era, and how training can be delivered well. Nurse division should prepare for virtual training to accommodate training in nurse division.
Table 4. Table distribution nurse satisfaction toward nurse training
No. Variable Categories(%)
Satisfied Unsatisfied
1 PAK/SAK Available in my unit works 148 (98) 2 (2)
2 PAK /SAK available according to the case in my unit
works 149 (98.7) 2(1.3)
3 Pak/sak helped me in nursing care 148 (98) 3(2)
4 Implementation of nursing care plan in my unit helps
me in doing nursing care 146 (96.7) 5(3.3)
5 I am satisfied with the implementation of nursing care
in my unit of work 142 (94) 9(6)
Based on distribution table nurse satisfaction towars nurse assessment reach more than 90%. in this variable been modified questionnaire to be PAK
(Panduan Asuhan Keperawatan) analogy with SAK (Standart Asuhan Keperawatan).
Table 5. Table distribution nurse satisfaction toward ethical implementation
No. Variable Categories(%)
Satisfied Unsatisfied 1 I am socialized and understand about the code of 146 (96.7) 5 (3.3)
No. Variable Categories(%)
Satisfied Unsatisfied nursing ethics
2 I understand the ethical settlement flow 142 (94) 9 (6)
3 Any violation of nursing professional ethics that
happened in my unit always reported 145 (96) 6 (4)
4 There is no blaming culture in my work unit 134 (88.7) 17(11.3)
Based on distribution table nurse satisfaction toward ethical implementation reach more than 90%, except blaming culture perception, show 88.7%. this is concern for nurse division to develop just culture in nurse division.
4. Discussion
Nurse satisfaction is correlated with performance of nurses4. Every hospital should struggle to make good services for patients safety. The main core of hospitals is nurses, because daily activity nurse always have meet and communicate with patients.
Nurse profession is important in hospital, based on result we can see nurse feel satisfied of nurse profession (92.1%), if we see survei from questionnaire, there is nurse feel unsatisfied between 0 – 5 years working periode, from previous of research4, show working periode 0 -5 years still find identity in working are, so they try to find another chance to work in another hospital to gain experience. Second is from salary every nurse in early stage of working try to find high salary, they hope if moving to another hospital, there will be chance to get higher salary in new place/hospital. So this is the reason nurses which have working periode 0 – 5 years feel unsatisfied and try to get another job in another hospitals. So we can have conclusion nurse satisfaction toward nurse profession will decrease because this condition.
Nurse training had correlation to nurse satisfaction because it can effect to hospitals services, most nurses feel satisfied when they have a good
training in hospitals , because they can develop they skill in nursing division and can be something useful in their future as nurse, from this research we can see nurse satisfaction toward training is good, because training we can see nurse performance will improve significant. In last research said training will be have positive result for nurse performance in Pelamonia hospitals Makasar5.
In pandemic situation training , every nurse need training to maintain nurse performance and make sure services still can running well. In hospital kabupaten Tangerang, they still do a virtual training to make sure hospital service can running well.
In this research correlation between nurse assessment with nurse satisfaction show more than 90% nurses satisfied, we can see assessment which implemented in hospital is easy to implement from nurse division, so because satisfaction number is high we can have conclusion can increase services to patients and increase nurse performance. Based on previous journal there is correlation between nurse assessment toward nurse satisfaction6.
Ethic implementation had correlation with nurse satisfaction , in this research we can see good result ,more than 90% nurse feel satisfy with ethic implementation in hospital, in previous journal there is correlation between ethical implementation with nurse satisfaction , and have positive correlation 7For the blaming culture still under 90% , nurse divison should take action about blame culture and implement just culture.
5. Conclusion
Based on research to nurse who work in Hospital Kab Tangerang, we have conclusion all the nurse satisfied with their profession, training, assesment and ethical implementation, there is improvement room to reduce blame culture in nurse division and implement just culture ini nurse division. Nurses with working periode 0 – 10 years should have good coaching from their leaders, because these periode , nurses still have looking for new job in new places and try to have opportunity . also training should be running in this pandemic with virtual training.
6. References
1. Abdillah, H. (2016). Pengaruh Lingkungan Kerja Terhadap Kepuasan Kerja Perawat di Ruang Rawat Inap Rumah Sakit Umum Daerah Cibabat Kota Cimahi Tahun 2016, LENTERA : Jurnal Ilmiah Kesehatan dan Keperawatan, 2 (1). pp. 17-27. ISSN 2541- 4119 .
2. Fadli, F., Safruddin, S., Ahmad, A. S., Sumbara, S., & Baharuddin, R. (2020). Faktor yang Mempengaruhi Kecemasan pada Tenaga Kesehatan Dalam Upaya Pencegahan Covid- 19. Jurnal Pendidikan Keperawatan Indonesia, 6(1), 57–65.
https://doi.org/10.17509/jpki.v6i1.24546 3. Kemenkes RI. (2020). Kesiapan Kementrian
Kesehatan RI Dalam Menghadapi Outbreak Novel Coronavirus. Kemenkes RI, 1–26.
https://www.papdi.or.id/pdfs/817/dr Siti Nadia - Kemenkes RI.pdf
4. Laila Febgriantie., Ani Rosita., dan A. D.
(2017). GLOBAL HEALTH SCIENCE , Volume 2 Issue 4 , Desember 2017 ISSN 2503-5088 GLOBAL HEALTH SCIENCE --- http://jurnal.csdforum.com/index.php/ghs GLOBAL HEALTH SCIENCE , Volume 2 Issue 4 , Desember 2017 ISSN 2503-5088 GLOBAL HEALTH SCIENCE --- http://jurnal. Global Health Science, 2(2), 325–331.
http://jurnal.csdforum.com/index.php/GHS /article/view/160
5. Majid, A., & Sani, A. (2016). Pengaruh Pelatihan Dan Supervisi Kepala Ruangan Terhadap Kinerja Perawat Pelaksana Di Ruang Rawat Inap Bedah Rumah Sakit TK. II Pelamonia Makassar. Jurnal Mirai Manajemen, 1(2), 310–412.
http://dx.doi.org/10.1234/mirai.v1i2.22 6. Mulyati, Susanti, E., Aryati, S., Mardhotillah,
E., Maftukhah, Sulistyowati, G., Indrayati, N.,
& PH, L. (2020). Level of Patient Satisfaction in Receiving Service Nursing Care. Jurnal Keperawatan, 12(1), 57–62.
7. Nasir, A., & Purnomo, E. (2019). Pengaruh Penerapan Kode Etik Keperawatan Terhadap Pelayanan Keperawatan. Jurnal Ilmiah Permas: Jurnal Ilmiah STIKES Kendal, 9(4), 335–342.
8. Rocha, L. J., Da Conceição Juste Werneck Cortes, M., Dias, E. C., De Meira Fernandes, F., & Gontijo, E. D. (2019). Burnout and job satisfaction among emergency and intensive care providers in a public hospital. Revista Brasileira de Medicina Do Trabalho, 17(3), 300–312.
https://doi.org/10.5327/Z167944352019040 4
9. Sholihin, U. (2021). Dampak Kompensasi Kerja terhadap Kinerja Karyawan di Masa Pandemi Covid 19 dengan Kepuasan Kerja Sebagai Variable Intervening. JMK (Jurnal Manajemen Dan Kewirausahaan), 6(1), 86–99.
10.Wathilda, F., Sujono, Hajar, I., Buyung, O., Samdin, Amstrong, V., & Zaluddin. (2019).
Jurnal Manajemen , Bisnis dan Organisasi ( JUMBO ). JUMBO (Jurnal Manajemen, Bisnis Dan Organisasi), 3(1), 235–247.
11.WHO. WHO Corona Virus Disease ( Covid – 19 ) Dashboard. 22 Januari 2021.
https://covid19.who.int/
.
