THE DESCRIPTION OF THE NURSES’ KNOWLEDGE ABOUT THE QUALITY SERVICE AT PKU MUHAMMADIYAH HOSPITAL Gambaran Pengetahuan Perawat Tentang Mutu Pelayanan Keperawatan Di Rumah Sakit PKU Muhammadiyah Surakarta.

THE DESCRIPTION OF THE NURSES’ KNOWLEDGE ABOUT THE QUALITY SERVICE AT PKU MUHAMMADIYAH HOSPITAL

SURAKARTA

PUBLICATION

Submitted as a Partial Fulfillment Of The Requirement To Obtain Bachelor Degree Of Nursing

By :

WAEAMEENOH HAYEEDUEREH J210122011

NURSING PROGRAM

FACULTY OF HEALTH SCIENCES

UNIVERSITY MUHAMMADIYAH OF SURAKARTA 2016

1

GAMBARAN PENGETAHUAN PERAWAT TENTANG MUTU PELAYANAN KEPERAWATAN DI RUMAH SAKIT PKU MUHAMMADIYAH SURAKARTA

Abstrak

Mutu dan pelayanan merupakan serana untuk mencapai kepuasan pasien. Oleh karena itu memberikan mutu yang tinggi dan pelayanan yang prima merupakan suatu keharusan. Tujuan penelitian ini adalah untuk mengetahui gambaran pengetahuan perawat tentang mutu pelayanan kesehatan di rumah sakit PKU muhammadiyah Surakarta. Jenis penelitian ini kuantitatif dengan metode simple descriptive scale 15. Sampel penelitian adalah perawat di Rumah Sakit PKU Muhammadiyah Surakarta. Dengan jumlah 77 perawat. Instrumen penelitian menggunakan kuesioner mutu pelayanan keperawatan. Analisa data penelitian menggunakan univariat dilakukan terhadap setiap variabel hasil dari penelitian. Hasil penelitian diketahui Karakteristik responden menurut umur menunjukkan distribusi tertinggi adalah 22 – 30 tahun yaitu sebanyak 46 perawat (60%), selanjutnya 31 – 40 tahun sebanyak 25 perawat (32%), dan 41 – 50 tahun sebanyak 6 perawat (8%). Karakteristik responden menurut jenis kelamin menunjukkan distribusi tertinggi adalah perempuan sebanyak 52 perawat (67%) dan laki-laki sebanyak 25 perawat (33%).Karakteristik responden menurut pendidikan menunjukkan distribusi tertinggi adalah D-III Kesehatan sebanyak 71 perawat (92%) dan sisanya S1 Keperawatan sebanyak 6 perawat (8%). Karakteristik responden menurut lama kerja menunjukkan distribusi tertinggi adalah 1-5 tahun sebanyak 47 perawat (615), selanjutnya 6 – 10 tahun sebanyak 17 perawat (22%), dan lebih dari 10 tahun sebanyak 13 perawat (17%). pengetahuan perawat terhadap mutu pelayanan keperawatan rumah sakit menunjukkan distribusi tertinggi adalah tinggi yaitu sebanyak 65 perawat (84%) dan sedang sebanyak 12 perawat (16%). Sebenarnya sudah selayaknya responden yang merupakan perawat memiliki pengetahuan dan kompetensi yang cukup tentang keperawatan. Distribusi lama kerja perawat walaupun ditinjukkan sebagian besar antara 1-5 tahun, namun sebagian besar diantaranya telah bekerja antara 2-3 tahun.

Kata kunci: Mutu pelayanan keperawatan, kepuasan pasien, pengetahuan perawat, rumah sakit PKU Muhammadiyah.

Abstract

Quality and service are the means to achieve patient satisfaction. Therefore, it provides high quality and excellent service is a must. The purpose of this study is to describe the nurse's knowledge about the quality of health services in hospitals PKU Muhammadiyah Surakarta. This type of quantitative research using simple descriptive. The sample were nurses at the Hospital of PKU Muhammadiyah Surakarta. With samplesize 77 nurses. The research instrument used a questionnaire quality of nursing service. Data analysis is performed using univariate against each outcome variable of the study. The survey results revealed Characteristics of respondents by age shows the distribution of the highest is 22-30 years as many as 46 nurses (60%), the next 31-40 years as many as 25 nurses (32%) and 41-50 years as many as 6 nurses (8%). Characteristics of respondents by sex showed the highest distribution are women as much as 52 nurses (67%) and men by 25 nurses (33%). Characteristics of respondents according to education shows the highest distribution is D-III Health as many as 71 nurses (92%) and the remaining S1 Nursing as 6 nurses (8%). Characteristics of respondents by length of employment showed the highest distribution is 1-5 years as many as 47 nurses (615), the next 6-10 years as many as 17 nurses (22%), and more than 10 years as many as 13

2

nurses (17%). the nurse's knowledge of the quality of nursing care hospitals showed the highest distribution is high as many as 65 nurses (84%) and were as much as 12 nurses (16%). Actually, it is proper respondents who are nurses have sufficient knowledge and competency of nursing. Distribution of working time nurses showed mostly between 1-5 years, but most of them have worked between 2-3 years.

Keywords: Quality of nursing service, patient satisfaction, nurse's knowledge, PKU Muhammadiyah hospital.

1. INTRODUCTION

Health development goals of Healthy Indonesia 2015 is to increasing awareness, willingness and ability of healthy life for everyone to realize the degree of public health optimally through the creation of a society, nation and state of Indonesia which is characterized by its inhabitants who live in the environment and the health behavior and have the ability to services and facilities to reach quality health fair and equitable manner throughout the territory of the Republic of Indonesia and the nation can realize self-developed and prosperous.

In line with the development objectives vision of health and welfare, the government has sets the basic pattern of development is the development of quality human resources in various sectors as well as still focuses on programs pre-curative and rehabilitative efforts are supported by health information on an ongoing basis so as to create a society that behaves healthy living, healthy environment and have the ability to help themselves and can reach quality health care in 2015 (Depkes RI,2010).

The hospital is one of the business units that provide health services. The success of a hospital assessed on the quality of health care provided, instead of the cost. If the quality of services delivered is assured, the result is market demand would rise so will increase hospital revenue (Nursalam, 2011).

PKU Muhammadiyah Surakarta hospital has 103 sets the service quality indicators to be assessed and analyzed every 3 months. The achievement of the results of this indicator was evaluated and further corrective action to improve service quality while promoting patient safety. Quality and service are the means to achieve patient satisfaction. The ultimate goal to produce patients satisfied and loyal money will be consistent to continue to utilize available services. Therefore, it provides high quality and excellent service is a must.

2. RESEARCH METHODOLOGY

This type of quantitative research using simple descriptive. The samples were nurses at the Hospital of PKU Muhammadiyah Surakarta. With samplesize 77 nurses.

The research instrument used a questionnaire quality of nursing service. Data analysis is performed using univariate against each outcome variable of research.

3. RESULTS OF RESEARCH AND DISCUSSION A. RESULT

This research is aimed descriptive portrait of the nurse's knowledge about the quality of nursing service hospital. Research conducted on 77 nurses at RS PKU Muhammadiyah Surakarta. The results of the study are as follows.

3 characteristics of Respondents

Table 1. Frequency Distribution of Respondents by Age

No Age Frek %

1 2 3

22 – 30 years 31 – 40 years 41 – 50 years

46 25 6 60 32 8

Total 77 100

Characteristics of respondents by age showed the highest distribution was 22-30 years as many as 46 nurses (60%), the next 31-40 years as many as 25 nurses (32%) and 41-50 years as many as 6 nurses (8%).

Table 2. Frequency Distribution of Respondents by Gender

No Gender Frek %

1 2 Men Women 25 52 33 67

Total 77 100

Characteristics of respondents by sex showed the highest distribution are women as much as 52 nurses (67%) and men by 25 nurses (33%).

Table 3. Frequency Distribution of Respondents by Education

No Education Frek %

1 2 D-III Nursing S1 Nursing 71 6 92 8

Total 77 100

Characteristics of respondents according to education shows the highest distribution is D-III Health as many as 71 nurses (92%) and the remaining S1 Nursing as 6 nurses (8%).

Table 4.Frequency Distribution of Respondents According to length of working

No length of working Frek %

1 2 3

1 – 5 years 6 – 10 years

> 10 years

47 17 13 61 22 17

4

Characteristics of respondents by length of work showed the highest distribution is 1-5 years as many as 47 nurses (61%), the next 6-10 years as many as 17 nurses (22%), and more than 10 years as many as 13 nurses (17%).

Knowledge Service Quality

Knowledge of nurses about the quality of nursing care in hospitals is obtained based on the answers of nurses to 15 items of questions the quality of nursing services which are further divided into three categories, namely nursing service quality high, medium and low. Furthermore, the results of data analysis nurse's perception of the quality of nursing care hospitals is shown as follows.

Table 5. Frequency Distribution of Knowledge of Quality Services

No Knowledge Service Quality Frek %

1 2 3 Low moderate high 0 12 65 0 16 84

Total 77 100

The frequency distribution of the nurse's knowledge of the quality of nursing care hospitals showed the highest distribution is high as many as 65 nurses (84%) and were as much as 12 nurses (16%).

Table 6. Frequency Distributionof Knowledge by Age

Knowledge Service Quality Total

moderate high

Age 22-30 years 31-40 years 41-50 years 19(41.3%) 12(48.0%) 5(83.3%) 27(58.7%) 13(52.0%) 1(16.7%) 46(100.0%) 25(100.0%) 6(100.0%)

Total 36(46.8%) 41(53.2%) 77(100.0%)

Characteristics of respondents by age showed the highest distribution was 22-30 years as many as 46 nurses (60%), the next 31-40 years as many as 25 nurses (32%) and 41-50 years as many as 6 nurses (8%).

Table 7. Frequency Distributionof Knowledge by Gender

Knowledge Service Quality Total

moderate high

Sex female Man 23(44.2%) 13(52.0%) 29(55.8%) 12(48.0%) 52(100.0%) 25(100.0%)

5

Characteristics of respondents by sex showed the highest distribution are women as much as 52 nurses (67%) and men by 25 nurses (33%).

Table 8. Frequency Distributionof Knowledge According to Education

Knowledge Service Quality Total

moderate high

Level of education DIII Nursing S1 Nursing 33(46.5%) 3(50.0%) 38(53.5%) 3(50.0%) 71(100.0%) 6(100.0%)

Total 36(46.8%) 41(53.2%) 77(100.0%)

Characteristics of respondents according to education shows the highest distribution is DIII Health as many as 71 nurses (92%) and the remaining S1 Nursing as 6 nurses (8%).

Table 9. Frequency Distributionof Knowledge Length of working

Knowledge Service Quality Total

moderate high

Length of working 1-5 years

6-10 years > 10 years

22(46.8%) 4(23.5%) 10(76.9%) 25(53.2%) 13(76.5%) 3(23.1%) 47(100.0%) 13(100.0%) 13(100.0%)

Total 36(46.8%) 41(53.2%) 77(100.0%)

Characteristics of respondents by length of employment showed the highest distribution is 1-5 years as many as 47 nurses (61%), the next 6-10 years as many as 17 nurses (22%), and more than 10 years as many as 13 nurses (17%).

B. DISCUSSION

Characteristics of Respondents

Characteristics of respondents by age

Characteristics of respondents by age showed the highest distribution was 22-30 years as many as 46 nurses (60%), the next 31-40 years as many as 25 nurses (32%) and 41-50 years as many as 6 nurses (8%). Age distribution of respondents by Erikson (Wong, 2009) classified in young adulthood. Hasibuan (2003), argues that the individual age affects the physical, mental, ability to work, responsibility, and tend attendance. Employees were age older less physical condition, but it works resilient, and have a greater responsibility.

The results of the Rudianti (2011).that nurses aged <32 years have not so good performance compared with nurses aged ≥32 years. Results of the study revealed that the characteristics of the nurses by age greatly affect the performance of nursing practice, where the older the nurse then accepting a job will be more responsible and experienced. Increasing age increases wisdom is one's ability to make decisions, rational thinking, emotional control, and tolerate the views of others, and therefore contributes to

6

increased performance. Conversely, for nurses aged <32 years have less performance in accordance with what is expected from the hospital that illustrates the need for attention to do the development. Development and ongoing guidance to the nurses needed to improve the capabilities and responsibilities of nurses, although still young age (Wahyudi, et al., 2010).

Characteristics of Respondents by Gender

Characteristics of respondents by sex showed the highest distribution are women as much as 52 nurses (67%) and men by 25 nurses (33%). The sex of the respondents in this study are more women than men, it is in accordance with the early history of the nursing profession which starts from Florence Nightingale who initially as work based love of a mother or a woman. This situation allows women a better performance than men (Ade, 2009).

Characteristics of respondents by Education

Characteristics of respondents according to education shows the highest distribution is D-III Health as many as 71 nurses (92%) and the remaining S1 Nursing as 6 nurses (8%). Sadiman (2002) states that people who have higher education will have a higher knowledge, when compared with those who had low education and through education one can improve intellectual maturity so that they can make decisions in the act.

Characteristics of respondents indicated that the respondents' education level is good. Education which has been pursued by nurses provide knowledge not only directly with the implementation of the task, but also a foundation to develop themselves as well as the ability to use all the means that are around us to smooth the task. Highly educated nursing staff motivations would be better because it already has the knowledge and insight that is broader than the less educated nurses.

Characteristics of respondents according to length of working

Characteristics of respondents by length of employment showed the highest distribution is 1-5 years as many as 47 nurses (61%), the next 6-10 years as many as 17 nurses (22%), and more than 10 years as many as 13 nurses (17%). The tenure of the old nurse was working a nurse working in the hospital since early works up to a nurse stopped working. The tenure of the nurse with regard to his experience. Nurses who have long worked would have had a variety of experiences related to their respective fields (Ismani, 2007).

Some research suggests that nurses working period related to the ability of nurses in performing their duties. Research Maghribi (2011) examined the relationship between working life with work motivation. The study concluded that there is a long relationship working with the motivation to work where the longer the better nurse work motivation. This condition indicates that nurses with tenure of less than 32 years old has relatively been fulfilled expectations because not have high demands compared with long tenure (Rusmianingsih, 2012).

Knowledge of Quality Services

The frequency distribution of the nurse's knowledge of the quality of nursing care hospitals showed the highest distribution is high as many as 65 nurses (84%) and were as much as 12 nurses (16%). Actually, it is proper respondents who are nurses have sufficient knowledge and competency of nursing. Several

7

factors are driving knowledge among others, are nurses working experience demonstrated by nurses working time.

Distribution of working time nurses though ditinjukkan mostly between 1-5 years, but most of them have worked between 2-3 years. Long working relationship with the nurse's knowledge as expressed by Nursalam (2003) people who work longer have more experience than people who have worked / did not work, so the more knowledge. The nursing profession is a job that requires experience or learning enough to ripen the skill of nursing nurse, future nurse work is also one of the factors that may affect the nurse's knowledge, if a nurse has a working lives long enough will have more knowledge about quality nursing services.

4. CONCLUSIONS AND RECOMMENDATIONS A. CONCLUSIONS

The level of knowledge of nurses about the quality of nursing care in hospital nursing PKU Muhammadiyah Surakarta most are high.

Knowledge of the quality of nursing care in hospital nursing PKU Muhammadiyah Surakarta based study shows that nurses with education D-III Nursing and Nursing S1 both have knowledge of high quality nursing care.

B. RECOMMENDATIONS 1. For Nurses

Nurses should improve their knowledge about the quality of nursing service is to consult with co-workers or seniors who know better, can also with training, seminars and so forth.

2. For Hospital

Hospital management should constantly improve the knowledge of nurses with nurses in the program include education, training, seminars, workshops, and so on.

3. For researchers

For subsequent researchers who want to develop this research should add other factors that affect the nurse's knowledge, eg nurse motivation factor, length of service, facilities, and so forth.

REFERENCES

Ade, IZN. (2009). Pengaruh Karakteristik Individu dan Psikologis terhadap Kinerja Perawat dalam

Kelengkapan Rekam Medis di Ruang Rawat Inap Rumah Sakit Umum Dr. Pirngadi Medan. Jurnal

Penelitian. Medan: Program pasca Sarjana USU.

Chandra, G. (2005). Service, Quality & Satisfaction. Yogyakarta : Penerbit Andi.

Crane.P. (2004).Nurses Implementer of Organization Culture Medscape.Diperoleh 6 Januari 2009. Depkes RI. (2010). Capaian Pembangunan Kesehatan Tahun 2011. Jakarta

8

Hasibuan (2003). Manajemen Sumber Daya Manusia. Jakarta: PT. Bumi Aksara.

Ismani, 2007. Kinerja: Teori, Penilaian dan Penelitian. Jakarta: Fakultas Kesehatan Masyarakat UI. Magribi, W.K. (2011). Hubungan Karakteritik Individu dengan Kinerja Perawat di Ruang Rawat Inap

Penyakit Dalam RSUD Datoe Binangkang Kabupaten Bolaang Mongondow. Jurnal Keperawatan. Manado: Program Studi Ilmu Keperawatan Fakultas Kedokteran Universitas Sam Ratulangi.

Notoatmodjo(2003). Pendidikan dan Perilaku Kesehatan. Jakarta : RinekaCipta

Nursalam(2008). Konsep Dan Penerapan Metodologi Penelitian Ilmu keperawatan. Edisi 2. Jakarta : Salemba MedikaCipta.

Nursalam(2011). Pendidikan dalamKeperawatan. Jakarta: Salemba Medika.

Rudianti (2011). Sistem Pengembangan Manajemen Kinerja Klinis: untuk Perawat dan Bidan di Rumah Sakit dan Puskesmas Indonesia. http:/ www.kinerjaklinikperawatbidan.net

Rusmianingsih Nining(2012). Hubungan Penerapan Metoda Pemberian Asuhan Keperawatan Tim dengan Kepuasan Kerja Perawat di Instalasi Rawat Inap Rumah Sakit Umum Kabupaten Tangerang. Depok: FIK UI.

Sadiman(2002). Pendidikan Kesehatan untuk Meningkatkan Kepatuhan Berobat Penderita TB Paru di

RSU Jenderal A. Yani Metro. Thesis. Program Pasca Sarjana. FETP UGM. Yogyakarta.

Sunaryo(2004). Psikologi untuk Keperawatan. Jakarta : EGC

Wahyudi, et al. (2010).Hubungan Persepsi Perawat tentang Profesi Keperawatan, Kemampuan, dan Motivasi Kerja terhadap Kinerja Perawat Pelaksana di RSUD dr. Slamet Garut. Jurnal Keperawatan FIK UI.

3 characteristics of Respondents

Table 1. Frequency Distribution of Respondents by Age

No Age Frek %

1 2 3

22 – 30 years 31 – 40 years 41 – 50 years

46 25 6

60 32 8

Total 77 100

Characteristics of respondents by age showed the highest distribution was 22-30 years as many as 46 nurses (60%), the next 31-40 years as many as 25 nurses (32%) and 41-50 years as many as 6 nurses (8%).

Table 2. Frequency Distribution of Respondents by Gender

No Gender Frek %

1 2

Men Women

25 52

33 67

Total 77 100

Characteristics of respondents by sex showed the highest distribution are women as much as 52 nurses (67%) and men by 25 nurses (33%).

Table 3. Frequency Distribution of Respondents by Education

No Education Frek %

1 2

D-III Nursing S1 Nursing

71 6

92 8

Total 77 100

Characteristics of respondents according to education shows the highest distribution is D-III Health as many as 71 nurses (92%) and the remaining S1 Nursing as 6 nurses (8%).

Table 4.Frequency Distribution of Respondents According to length of working

No length of working Frek %

1 2 3

1 – 5 years 6 – 10 years

> 10 years

47 17 13

61 22 17

4

Characteristics of respondents by length of work showed the highest distribution is 1-5 years as many as 47 nurses (61%), the next 6-10 years as many as 17 nurses (22%), and more than 10 years as many as 13 nurses (17%).

Knowledge Service Quality

Knowledge of nurses about the quality of nursing care in hospitals is obtained based on the answers of nurses to 15 items of questions the quality of nursing services which are further divided into three categories, namely nursing service quality high, medium and low. Furthermore, the results of data analysis nurse's perception of the quality of nursing care hospitals is shown as follows.

Table 5. Frequency Distribution of Knowledge of Quality Services

No Knowledge Service Quality Frek %

1 2 3

Low moderate

high

0 12 65

0 16 84

Total 77 100

The frequency distribution of the nurse's knowledge of the quality of nursing care hospitals showed the highest distribution is high as many as 65 nurses (84%) and were as much as 12 nurses (16%).

Table 6. Frequency Distributionof Knowledge by Age

Knowledge Service Quality Total

moderate high

Age

22-30 years 31-40 years 41-50 years

19(41.3%) 12(48.0%) 5(83.3%)

27(58.7%) 13(52.0%) 1(16.7%)

46(100.0%) 25(100.0%) 6(100.0%)

Total 36(46.8%) 41(53.2%) 77(100.0%)

Characteristics of respondents by age showed the highest distribution was 22-30 years as many as 46 nurses (60%), the next 31-40 years as many as 25 nurses (32%) and 41-50 years as many as 6 nurses (8%).

Table 7. Frequency Distributionof Knowledge by Gender

Knowledge Service Quality Total

moderate high

Sex female Man

23(44.2%) 13(52.0%)

29(55.8%) 12(48.0%)

52(100.0%) 25(100.0%)

5

Characteristics of respondents by sex showed the highest distribution are women as much as 52 nurses (67%) and men by 25 nurses (33%).

Table 8. Frequency Distributionof Knowledge According to Education

Knowledge Service Quality Total

moderate high

Level of education DIII Nursing S1 Nursing

33(46.5%) 3(50.0%)

38(53.5%) 3(50.0%)

71(100.0%) 6(100.0%)

Total 36(46.8%) 41(53.2%) 77(100.0%)

Characteristics of respondents according to education shows the highest distribution is DIII Health as many as 71 nurses (92%) and the remaining S1 Nursing as 6 nurses (8%).

Table 9. Frequency Distributionof Knowledge Length of working

Knowledge Service Quality Total

moderate high

Length of working 1-5 years

6-10 years > 10 years

22(46.8%) 4(23.5%) 10(76.9%)

25(53.2%) 13(76.5%) 3(23.1%)

47(100.0%) 13(100.0%) 13(100.0%)

Total 36(46.8%) 41(53.2%) 77(100.0%)

Characteristics of respondents by length of employment showed the highest distribution is 1-5 years as many as 47 nurses (61%), the next 6-10 years as many as 17 nurses (22%), and more than 10 years as many as 13 nurses (17%).

B. DISCUSSION

Characteristics of Respondents

Characteristics of respondents by age

Characteristics of respondents by age showed the highest distribution was 22-30 years as many as 46 nurses (60%), the next 31-40 years as many as 25 nurses (32%) and 41-50 years as many as 6 nurses (8%). Age distribution of respondents by Erikson (Wong, 2009) classified in young adulthood. Hasibuan (2003), argues that the individual age affects the physical, mental, ability to work, responsibility, and tend attendance. Employees were age older less physical condition, but it works resilient, and have a greater responsibility.

The results of the Rudianti (2011).that nurses aged <32 years have not so good performance compared

with nurses aged ≥32 years. Results of the study revealed that the characteristics of the nurses by age

greatly affect the performance of nursing practice, where the older the nurse then accepting a job will be more responsible and experienced. Increasing age increases wisdom is one's ability to make decisions, rational thinking, emotional control, and tolerate the views of others, and therefore contributes to

6

increased performance. Conversely, for nurses aged <32 years have less performance in accordance with what is expected from the hospital that illustrates the need for attention to do the development. Development and ongoing guidance to the nurses needed to improve the capabilities and responsibilities of nurses, although still young age (Wahyudi, et al., 2010).

Characteristics of Respondents by Gender

Characteristics of respondents by sex showed the highest distribution are women as much as 52 nurses (67%) and men by 25 nurses (33%). The sex of the respondents in this study are more women than men, it is in accordance with the early history of the nursing profession which starts from Florence Nightingale who initially as work based love of a mother or a woman. This situation allows women a better performance than men (Ade, 2009).

Characteristics of respondents by Education

Characteristics of respondents according to education shows the highest distribution is D-III Health as many as 71 nurses (92%) and the remaining S1 Nursing as 6 nurses (8%). Sadiman (2002) states that people who have higher education will have a higher knowledge, when compared with those who had low education and through education one can improve intellectual maturity so that they can make decisions in the act.

Characteristics of respondents indicated that the respondents' education level is good. Education which has been pursued by nurses provide knowledge not only directly with the implementation of the task, but also a foundation to develop themselves as well as the ability to use all the means that are around us to smooth the task. Highly educated nursing staff motivations would be better because it already has the knowledge and insight that is broader than the less educated nurses.

Characteristics of respondents according to length of working

Characteristics of respondents by length of employment showed the highest distribution is 1-5 years as many as 47 nurses (61%), the next 6-10 years as many as 17 nurses (22%), and more than 10 years as many as 13 nurses (17%). The tenure of the old nurse was working a nurse working in the hospital since early works up to a nurse stopped working. The tenure of the nurse with regard to his experience. Nurses who have long worked would have had a variety of experiences related to their respective fields (Ismani, 2007).

Some research suggests that nurses working period related to the ability of nurses in performing their duties. Research Maghribi (2011) examined the relationship between working life with work motivation. The study concluded that there is a long relationship working with the motivation to work where the longer the better nurse work motivation. This condition indicates that nurses with tenure of less than 32 years old has relatively been fulfilled expectations because not have high demands compared with long tenure (Rusmianingsih, 2012).

Knowledge of Quality Services

The frequency distribution of the nurse's knowledge of the quality of nursing care hospitals showed the highest distribution is high as many as 65 nurses (84%) and were as much as 12 nurses (16%). Actually, it is proper respondents who are nurses have sufficient knowledge and competency of nursing. Several

7

factors are driving knowledge among others, are nurses working experience demonstrated by nurses working time.

Distribution of working time nurses though ditinjukkan mostly between 1-5 years, but most of them have worked between 2-3 years. Long working relationship with the nurse's knowledge as expressed by Nursalam (2003) people who work longer have more experience than people who have worked / did not work, so the more knowledge. The nursing profession is a job that requires experience or learning enough to ripen the skill of nursing nurse, future nurse work is also one of the factors that may affect the nurse's knowledge, if a nurse has a working lives long enough will have more knowledge about quality nursing services.

4. CONCLUSIONS AND RECOMMENDATIONS A. CONCLUSIONS

The level of knowledge of nurses about the quality of nursing care in hospital nursing PKU Muhammadiyah Surakarta most are high.

Knowledge of the quality of nursing care in hospital nursing PKU Muhammadiyah Surakarta based study shows that nurses with education D-III Nursing and Nursing S1 both have knowledge of high quality nursing care.

B. RECOMMENDATIONS 1. For Nurses

Nurses should improve their knowledge about the quality of nursing service is to consult with co-workers or seniors who know better, can also with training, seminars and so forth.

2. For Hospital

Hospital management should constantly improve the knowledge of nurses with nurses in the program include education, training, seminars, workshops, and so on.

3. For researchers

For subsequent researchers who want to develop this research should add other factors that affect the nurse's knowledge, eg nurse motivation factor, length of service, facilities, and so forth.

REFERENCES

Ade, IZN. (2009). Pengaruh Karakteristik Individu dan Psikologis terhadap Kinerja Perawat dalam Kelengkapan Rekam Medis di Ruang Rawat Inap Rumah Sakit Umum Dr. Pirngadi Medan. Jurnal Penelitian. Medan: Program pasca Sarjana USU.

Chandra, G. (2005). Service, Quality & Satisfaction. Yogyakarta : Penerbit Andi.

Crane.P. (2004).Nurses Implementer of Organization Culture Medscape.Diperoleh 6 Januari 2009. Depkes RI. (2010). Capaian Pembangunan Kesehatan Tahun 2011. Jakarta

8

Hasibuan (2003). Manajemen Sumber Daya Manusia. Jakarta: PT. Bumi Aksara.

Ismani, 2007. Kinerja: Teori, Penilaian dan Penelitian. Jakarta: Fakultas Kesehatan Masyarakat UI. Magribi, W.K. (2011). Hubungan Karakteritik Individu dengan Kinerja Perawat di Ruang Rawat Inap

Penyakit Dalam RSUD Datoe Binangkang Kabupaten Bolaang Mongondow. Jurnal Keperawatan. Manado: Program Studi Ilmu Keperawatan Fakultas Kedokteran Universitas Sam Ratulangi.

Notoatmodjo(2003). Pendidikan dan Perilaku Kesehatan. Jakarta : RinekaCipta

Nursalam(2008). Konsep Dan Penerapan Metodologi Penelitian Ilmu keperawatan. Edisi 2. Jakarta : Salemba MedikaCipta.

Nursalam(2011). Pendidikan dalamKeperawatan. Jakarta: Salemba Medika.

Rudianti (2011). Sistem Pengembangan Manajemen Kinerja Klinis: untuk Perawat dan Bidan di Rumah Sakit dan Puskesmas Indonesia. http:/ www.kinerjaklinikperawatbidan.net

Rusmianingsih Nining(2012). Hubungan Penerapan Metoda Pemberian Asuhan Keperawatan Tim dengan Kepuasan Kerja Perawat di Instalasi Rawat Inap Rumah Sakit Umum Kabupaten Tangerang. Depok: FIK UI.

Sadiman(2002). Pendidikan Kesehatan untuk Meningkatkan Kepatuhan Berobat Penderita TB Paru di RSU Jenderal A. Yani Metro. Thesis. Program Pasca Sarjana. FETP UGM. Yogyakarta.

Sunaryo(2004). Psikologi untuk Keperawatan. Jakarta : EGC

Wahyudi, et al. (2010).Hubungan Persepsi Perawat tentang Profesi Keperawatan, Kemampuan, dan Motivasi Kerja terhadap Kinerja Perawat Pelaksana di RSUD dr. Slamet Garut. Jurnal Keperawatan FIK UI.