THE CORRELATION BETWEEN NURSE PERFORMANCE & THE LEVEL OF JAMKESMAS PATIENT SATISFACTION IN DAHLIA II WARD, NGUDI WALUYO WLINGI HOSPITAL

Abstract

The main purpose of health service is to
enhance degree of health and to prevent the disease
with the main target were the society. There were
several public health assurances in Indonesia, such
as Jamkesmas, Jamkesda, SPM, Askes. People could
uses these assurance or with own payment.
Jamkesmas was the social program from the
Indonesian government for the poverty. This
program organized nationally with the crosssubvention
to gain the whole of health service in
poverty1.
Poverty had same right with other people,
including the right to get the health services. Many
people felt that health service was so expensive. This
condition generates a barrier for the poverty.
Government action to distribute health service for
low economic class was by applies Jamkesmas
Program. This program was including public health
service (Puskesmas) with their networks, like a
advance health service, emergency health service,
and the other limited health services. Jamkesmas
program was run in many health care service units
like hospital, public health service, some private
hospital, etc.
Nurse was the biggest number in of these
areas, and cares the patient in 24 hours. As a front
liner health provider, nurse performance was very
importance in hospital success. Nurse performance
is means the work accomplishment done by nurse
when nurse care process, this include assessment,
diagnose, intervention, implementation, and
evaluation.
Nurse performance can be evaluated by using
nursing practice standard. Nursing practice standard
is norm or explanation about nurse work quality.
Nurse work quality can be considered as good, right,
or correct. This can be used as guideline for nursing
practice and evaluation of nurse performance3.
The main purpose of Jamkesmas program
was to increase the access and quality of health care
for the poverty which could rise the people health
degree optimally and efficiently4. In the other hand,
some opinions consider that the service for
Jamkesmas patient was different.
Ixora (2008) studied about the comparation
of Social Safety Net (Jaring Pengaman Sosial) dan
Non Social Safety Net (Non Jaring Pengaman Sosial)
perception in Seruni and Raflesia Ward, Dr.
Soedomo Public Hospital, Treggalek showed that
mayority perception was negatif. This study taken in
9 days with 40 respondents.
Saputra (2010) studied about The Effect of
Nurse Performance and Patien’s Satisfaction as the
user of Jamkesmas Card in RSUD Cengkareng, West
Jakarta showed that nurse performance influenced
patient’s satisfaction. But, the questionair used in
this research was not based on nursing process,
which includes; assesment, nursing diagnose,
intervention, implementation and evaluation.
Linder-Pelz (1982) in Krowinski and Stevens
(1996), stated that client satisfaction was positive
evaluation in the scope of health services (caring
process evaluated in single clinical visit, gradually
medical intervention, planning or health service and
general health service. Generally, patient satisfaction
is showed by the suitable result with patient’s hope
during or after service.
Patient satisfaction was generated from
comparation between hope and services during
health services in hospital. In this case, nurses has
great impact for the patient satisfaction. During 24
hours nurses always dealing with patient. So, nurse
performance could be the patient attention.
The patients of Jamkesmas program were
poverty. Some health problem were suffered from
them such as tuberculosis, malaria, malnutrition,
sexual transmitted disease, and the other
communicable disease. Generally, these disease
could be found in internal ward.
From the preliminary studies in Dahlia II
Ward, Ngudi Waluyo Wlingi Hospital on 05-06
September 2012 by interviewed the head ward
indicated that all of the Jamkesmas patient had
same right and intervention with the other patient
(non assurance or other assurance). But,
administration process influenced the nurse time
respone to do nurse or medical intervention. Some
requirement should be prepared to claim the
Proceeding ICMHS 2016 ISBN 978-602-60569-3-1
267
medicines, medical tools, etc. More over, emergency
intervention could be delayed by this process.
Patient perspective to health services indicate
the quality of nursing care. To understand the real
condition, researcher investigated the correlation
between nursing performance & the level of
Jamkesmas patient satisfaction in dahlia II ward,
Ngudi Waluyo Wlingi Hospital.
The aim of this research was to understand
the correlation between nursing performance & the
level of Jamkesmas patient satisfaction in Dahlia II
ward, Ngudi Waluyo Wlingi Hospital. Researcher
expected to this research could be usefull for the
nurse, institution and researcher. Nurses were
expected to enhance the performance while care the
Jamskesmas patient in Dahlia II ward, Ngudi Waluyo
Wlingi Hospital. Institution was expected to create
policy for enhancing the performance while care the
Jamskesmas patient in Dahlia II ward, Ngudi Waluyo
Wlingi Hospital. Researcher was expected to
improve the insight and understanding related to
nurse performance the level of Jamkesmas patient
satisfaction in dahlia II ward, Ngudi Waluyo Wlingi
Hospital.