Professional Relationships Can Improve the Quality of Nursing Services at Wijaya Kusumah Kuningan Hospital, West Java, Indonesia
Abstract
Data from the Indonesian Ministry of Health (2020) shows that only 20% of health facilities measure service quality, with indicators such as patient identification compliance (66.67%) and emergency room response time (10.5%) still low. Professional relationship issues such as communication and collaboration between professionals also affect service quality, so that improvement efforts are needed to achieve quality services and are oriented towards patient satisfaction. The purpose of this study was to determine the relationship between professional relationships and the quality of nursing services. Methods: This study used a quantitative research method using a cross-sectional model. The population in this study were 58 nurses at Wijaya Kusumah Hospital, Kuningan, with a total sampling technique. The instruments used in this study were observation sheets and questionnaires. Data analysis was carried out according to univariate and bivariate using the Spearman Rank statistical test. Results: This study shows that most of the Professional Relationships were 47 people (81.0%), and of the 58 respondents, the quality of nursing services was mostly good (55 respondents (94.8%). The results of the Spearmen Rank test obtained a p value of 0.000 (<0.05) with an R value of 0.509. Conclusion: There is a significant relationship between Professional Relationship and the quality of nursing services in nursing services which include activities such as passes, nursing conferences, and nursing rounds, so that it can improve the nursing services provided to patients and strengthen the work team.
Full text article
References
Cloyd, J. M., Sarna, A., Arango, M. J., Bates, S. E., Bhutani, M. S., Bloomston, M., Chung, V., Dotan, E., Ferrone, C. R., Gambino, P. F., Goenka, A. H., Goodman, K. A., Hall, W. A., He, J., Hogg, M. E., Jayaraman, S., Kambadakone, A., Katz, M. H. G., Khorana, A. A., … Snyder, R. A. (2025). Best Practices for Delivering Neoadjuvant Therapy in Pancreatic Ductal Adenocarcinoma. JAMA Surgery, 160(2), 172–180. Scopus. https://doi.org/10.1001/jamasurg.2024.5191
Dabas, P., Malhotra, P., Sharma, G., Challinor, J., Galassi, A., & Sukumara, S. (2023). Changing Practice Through Nursing Leadership: A Pediatric Oncology Unit in Delhi, India. Journal of Pediatric Hematology/Oncology Nursing, 40(5), 338–350. Scopus. https://doi.org/10.1177/27527530231193973
Djiadeu, P., Djiometio, J., Mukandoli, C., Odhiambo, A. J., Lightfoot, D., Mbuagbaw, L., & Nelson, L. E. (2019). Barriers to HIV care among Francophone African, Caribbean and Black immigrant people living with HIV in Canada: A protocol for a scoping systematic review. BMJ Open, 9(1). Scopus. https://doi.org/10.1136/bmjopen-2018-027440
Du, X., Tang, L., Wang, X., Feng, X., Zeng, L., Wu, F., Tao, J., & Zhang, X. (2025). Construction of nursing quality evaluation index system for perianal infection in patients with hematologic neoplasms. Chinese Journal of Practical Nursing, 41(14), 1041–1049. Scopus. https://doi.org/10.3760/cma.j.cn211501-20240801-02075
Edel, A., Jöbges, S., Weiß, B., Paul, N., Lyall, M. L., Hoffmann, C., Schüürhuis, S., Piper, S. K. K., Konietschke, F., Berger, E., Busse, R., Marschall, U., Kraufmann, B., Witzenrath, M., Eckardt, K.-U., & Spies, C. (2025). Development of intersectoral medical care for patients with ‘chronic critical illness’: Protocol for a telemedicine interventional study with a pre-post design in out-of-hospital intensive care facilities (E=MC2). BMJ Open, 15(9). Scopus. https://doi.org/10.1136/bmjopen-2025-098796
Gattinger, H., Hantikainen, V., Ott, S., & Stark, M. (2017). Effectiveness of a mobility monitoring system included in the nursing care process in order to enhance the sleep quality of nursing home residents with cognitive impairment. Health and Technology, 7(2–3), 161–171. Scopus. https://doi.org/10.1007/s12553-016-0168-9
Halm, M. A. (2023). An objective test to measure evidence-based practice knowledge and skill competency of acute care nurses: A psychometric validation study. Worldviews on Evidence-Based Nursing, 20(3), 269–280. Scopus. https://doi.org/10.1111/wvn.12639
Kawashima, T., Tanaka, M., Kawakami, A., & Muranaka, S. (2020). Nurses’ contribution to end-of-life family conferences in critical care: A Delphi study. Nursing in Critical Care, 25(5), 305–312. Scopus. https://doi.org/10.1111/nicc.12512
Lalloo, D., Demou, E., Stevenson, M., Gaffney, M., & MacDonald, E. B. (2017). Comparison of competency priorities between UK occupational physicians and occupational health nurses. Occupational and Environmental Medicine, 74(5), 384–386. Scopus. https://doi.org/10.1136/oemed-2016-104049
Liebe, J.-D., Esdar, M., & Hübner, U. (2018). Measuring the Availability of Electronic Patient Data Across the Hospital and Throughout Selected Clinical Workflows. In U. Hubner, U. Sax, H.-U. Prokosch, B. Breil, H. Binder, A. Zap, B. Strahwald, T. Beissbarth, N. Grabe, & A. Scholer (Eds.), Stud. Health Technol. Informatics (Vol. 253, pp. 99–103). IOS Press Nieuwe Hemweg 6B Amsterdam 1013 BG; Scopus. https://doi.org/10.3233/978-1-61499-896-9-99
Anggriani Susanti, Amran Razak, & Nurmiati Muchlis. (2021). The Effect of Service Quality on Patient Satisfaction in Hospitalization at Home Makassar's Laburan Baji Regional General Hospital during the Covid-19 Pandemic. An Idea Health Journal, 1(3), 118–125. Retrieved fromhttp://ejournal.unmuha.ac.id/index.php/JKMA/article/view/676
A Pranatha, MD Nugraha (2023). The effect of implementing nursing language standards based on SDKI, SLKI, SIKI on the quality of nursing documentation at Juanda Kuningan Hospital. Bhakti Husada Health Science Journal VOL 14 No 1: 59-67. DOI: 0.34305/jikbh.v14i01.711
Cicih Ratna Nengsih, Mulyati, AN (2022). Attitudes in Ethical Dilemmas and Professional Attitudes of Nurses. 6, 1–23.
Dwi Sandiyah, C., & Mustriwi, M. (2021). Nurses' Caring Attitudes Towards Hospitalized Patients. Hesti Wira Sakti Health Journal, 9(2), 81–89.https://doi.org/10.47794/jkhws.v9i2.333
Ghosh, S., Ramamoorthy, L., & pottakat, B. (2021). Impact of Structured Clinical Handover Protocol on Communication and Patient Satisfaction. Journal of Patient Experience, 8, 1–6. https://doi.org/10.1177/2374373521997733
Labrague, L.J., De los Santos, J.A.A., Tsaras, K., Galabay, J.R., Falguera, C.C., Rosales, R.A., & Firmo, C.N. (2020). The association of nurse caring behaviors on missed nursing care, adverse patient events and perceived quality of care: A cross-sectional study. Journal of Nursing Management, 28(8), 2257–2265.https://doi.org/10.1111/jonm.12894
López Cárdenas, W.I., Henao Murillo, N.A., Gil Vidal, E., Altamirano Ceron, R.M., Santa Mejía, Y.A., & Jurado Jiménez, A.C. (2022). Care Perceptions in two ICU Nursing Care Delivery Models: A qualitative-comparative approach. Investigación y Educación En Enfermería, 40(3).https://doi.org/10.17533/udea.iee.v40n3e15
Martha Dwi Novalia, Umi Eliawati, & Utari Christya Wardhani. (2023). The Relationship Between Nursing Service Quality and Outpatient Satisfaction at Karimun Regional General Hospital in 2023. Detector: Journal of Research InnovationHygiene, 2(1), 49–61.https://doi.org/10.55606/detector.v2i1.3139
Nengsih, CR, Mulyati, M., & Novilla, A. (2022). Attitudes in Ethical Dilemmas and Nurses' Professional Attitudes towards Service Quality. Silampari Nursing Journal, 6(1), 366–376.https://doi.org/10.31539/jks.v6i1.4386
Patrica A. Potter, Anne Gri Stockert, A.H. (2021). Fundamentals of Nursing (N/A (No separate editors listed) (ed.); 10th Editi). Elsevier.https://www.elsevier.com/books/fundamentals-of-nursing/potter/978-0-323-81049-5
Rohim, A., & Pranatha, A. (2017). The Effect of the Professional Nursing Service Delivery System Using the Team Method on Patient Satisfaction and Nurse Satisfaction in the Inpatient Installation of the 45th Regional General Hospital, Kuningan. Bhakti Husada Kuningan Health Science Journal, 06(02), 1–11.https://ejournal.stikku.ac.id/index.php/stikku/article/view/46
Sintari, SNN, Subhaktiyasa, PG, & Andriana, KRF (2022). The Relationship of Nursing Service Quality to Patient Satisfaction. Public Inspiration: Journal of Public Administration, 7(2), 81–88.https://doi.org/10.22225/pi.7.2.2022.81-88
Tyas, DI, Asmuji, & Hidayat, CT (2021). The Relationship Between the Implementation of Nursing Career Ladders and the Quality of Nursing Services at Jember Hospital. Frontiers in Neuroscience, 14(1), 1–13.
Wang, W. (2024). Emergency patients' satisfaction with humanistic caring and its associated factors in Chinese hospitals : a multi-center cross-sectional study. July.https://doi.org/10.3389/fpubh.2024.1414032