The Effect of Nurse Role, Work Motivation and Quality of Service on Satisfaction of Posyandu Elderly Patients in Mulia Puskesmas Puncak Jaya
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Galore International Journal of Health Sciences and Research Vol.4; Issue: 1; Jan.-March 2019 Website: www.gijhsr.com Original Research Article P-ISSN: 2456-9321 The Effect of Nurse Role, Work Motivation and Quality of Service on Satisfaction of Posyandu Elderly Patients in Mulia Puskesmas Puncak Jaya Agustinus Yapo1, A.L Rantetampang2, Yermia Msen3, Anwar Mallongi4 1Magister Program of Public Health, Faculty of Public Health, Cenderawasih University, Jayapura. 2,3Lecturer of Master Program in Public Health. Faculty of Public Health, Cenderawasih University, Jayapura 4Environmental Health Department, Faculty of Public Health, Hasanuddin University, Makassar. Corresponding Author: Anwar Mallongi ABSTRACT INTRODUCTION One important problem in the Background. The influence of the role of elderly is a problem related to reproductive nurses, work motivation and service quality as health. Definition of reproductive health well as making a benchmark in the successful itself, namely reproductive health is a implementation of handling patient satisfaction.. condition of physical, mental, and social Research purposes. Knowing the role of nurses, service quality and work motivation on well-being as a whole not merely free from the satisfaction of elderly posyandu patients at disease or disability in all matters relating to Mulia Health Center. the reproductive system, its functions and Research methods. Quantitative analytic processes (ICPD Cairo, 1994). Older descriptors carried out from September to reproductive health problems include October 2018 and the proportionate stratified menopause, andropause, and problems with random sampling technique used with a sample decreasing sexual function and potential. of 80 respondents and used the SPSS 25 One of the government's efforts in providing program. health service facilities and the Research result. Influencing the Role of Nurses implementation of health efforts for the on Satisfaction of Patients of Elderly Posyandu elderly was formed Posyandu for the in a noble health center in Puncak Jaya Regency which is indicated by the value of t table (-2,150 elderly. Elderly Posyandu is an integrated <1,991) with a weak significant level below service post for the elderly in a certain area 0.05 which is 0,035. Influence of Work that has been agreed upon, which is driven Motivation (X2) on patient satisfaction as by the community where they can get health indicated by the value of t table (20.401> 1.991) services. Elderly Posyandu is a development with a strong significant level below 0.05, which of government policy through health is 0.000. Influence of Service Quality (X3) on services for the elderly who implement it patient satisfaction as indicated by the value of t through the Puskesmas program by table (-6,660 <1,991) with a strong significant involving the participation of the elderly, level below 0.05, which is 0,000. Shows that families, community leaders and social there is an influence of the role of nurses, work organizations in the implementation motivation and service quality simultaneously on patient satisfaction as indicated by the F Posyandu is also a community-based value of 202.830 with a significant level of activity forum to jointly gather all the 0.000 <0.05. strengths and abilities of the community to carry out, provide and obtain information Keywords: The role of nurses, work motivation, and services as needed in an effort to service quality, patient satisfaction improve community nutritional status in general According to the Indonesian Ministry of Health (2005), elderly posyandu is a form of integration health services for the elderly at the village / kelurahan level in Galore International Journal of Health Sciences and Research (www.gijhsr.com) 118 Vol.4; Issue: 1; January-March 2019 Agustinus Yapo et.al. The Effect of Nurse Role, Work Motivation and Quality of Service on Satisfaction of Posyandu Elderly Patients in Mulia Puskesmas Puncak Jaya each puskesmas working area. The attitudes in providing services are one of the integration in the elderly posyandu is in the factors that influence customer satisfaction. form of integration into the service Azwar (2005) states, that the components of motivated by the criteria of the elderly who attitude basically consist of three things, have various kinds of diseases. The namely: cognitive (knowledge), affective scattered Puskesmas certainly makes it easy (emotion), and psychomotor (behavior). If for health services, so that every health the three components become one entity, it center that wants to survive in the midst of will form a complete attitude. the community needs to make efforts to Determining this whole attitude, make every consumer have a loyal attitude knowledge, thoughts, beliefs and emotions (Mowen and Minor, 2002). One of these play an important role. Knowledge will efforts can be done by increasing patient bring a nurse to think and try so that she is satisfaction (Tjiptono, 2000, Spake et al able to provide good service, in thinking this 2003, Mallongi, et.,al.2014, 2016, and component of emotions and beliefs also Thurau et. Al., 2002). works so that a nurse intends to provide The creation of patient satisfaction good service, and is able to realize these will provide many benefits for the conditions, for example ready at any time puskesmas itself, namely: establishing when needed, responsive to various harmonious relationships between producers complaints, and participate in implementing and consumers, forming word of mouth what the client is experiencing. The recommendations that will benefit an Puskesmas is very much needed in the institution, and creating a good basis for community to create a healthy life which is repurchasing and creating customer loyalty an extension of the government to realize (Tjiptono, 2000). However, efforts to create the programs that will be realized. In these conditions are quite difficult to do, realizing government programs, the role of because after all to create these conditions, services and attitudes of nurses and nurses' good cooperation is needed between the work motivation and satisfaction of elements within the puskesmas itself. So puskesmas patients make it a benchmark for that until now there is still a lot of criticism the successful implementation of treatment from the community (patients) about the besides puskesmas facilities that need to be quality of services provided by the improved. puskesmas. The position of nurses in the health center is 2. MATERIALS AND METHODS vital, because in addition to being a partner 2.1. Types of research of doctors, nurses also become the first and In conducting research, the type of research longest contact with patients considering used is descriptive analysis method that nursing services are continuous. Once (descriptive analysis) quantitatively by the importance of the role of nurses in an processing data using SPSS 25 program effort to improve patient satisfaction, it is software. important for nurses to show a good attitude 2.2. Location and Time of Research in doing each service to patients. Because a. Research Location after all attitude is one of the factors that can This research was conducted at the Mulia be directly assessed by the patient, for it is Health Center in Puncak Jaya district, where important for the hospital management to the research was conducted for 2 (one) periodically evaluate the quality of services month. This study was conducted in order to performed by nurses. The importance of find out how the Role of Nurses, attitudes in providing services as an effort to Motivation, Service Quality on Elderly satisfy patients is in line with the opinion of Posyandu Patient Satisfaction at Mulia Hurriyati (2005), Kotler (2003), and Puskesmas in Puncak Jaya district so as to Lupiyoadi (2001), all three agree that provide constructivity in the continuity of Galore International Journal of Health Sciences and Research (www.gijhsr.com) 119 Vol.4; Issue: 1; January-March 2019 Agustinus Yapo et.al. The Effect of Nurse Role, Work Motivation and Quality of Service on Satisfaction of Posyandu Elderly Patients in Mulia Puskesmas Puncak Jaya Mulia Jaya Health Center to determine smaller the number of samples away from policies and develop patient satisfaction the population, the greater the generalization levels. The assessment focused on all staff error (generally applied). Then the numbers in the environment at the Mulia Puskesmas of samples to be taken in this study are 80 Puncak Jaya district, with complaints from samples that will be used as respondents. patients who were not satisfied. b. Research Time 3. RESULTS The research was conducted in September to 3.1. Characteristics of Respondents by October 2018. Gender 2.3. Population and Samples The Characteristics of Respondents by a. Population Gender are as follows: Based on Ridwan (2008: 54) Population is Characteristics of respondents based on the totality of all possible values, both the gender can be seen in table 1. results of calculating or quantitative and qualitative measurements on certain Table 1. Characteristics of Respondents by Gender No Sex Number % characteristics of complete objects. 1 Male 25 25,00 % Population is a generalization area 2 Female 55 55,00 % consisting of objects or subjects that become Number 80 100,00 % certain quantities and characteristics applied Based on the table above, from 80 by researchers to be studied and then drawn respondents it is known that the sex of the to conclusions (Sugiyono, 2009). Population Respondents 25 respondents (25.00%) were is the overall object of research, where one male while the remaining 55 respondents wants to examine all elements in the (55.00%) were women. It shows that the research area (Arikunto, 1998: 115). As for number of female respondents is more the population in this study, all elderly responsive following the Posyandu program nurses and patients at the Mulia Health at Mulia Health Center for health checks. Center in Puncak Jaya district numbered 100 people. 3.2. Characteristics of Respondents by age Characteristics of respondents based on age b.