Introduction: Caring is the most important to get patient satisfaction. However, currently caring is only considered as empathy without regard to the patient's cultural background. This study aims to investigate patient satisfaction regarding nursing services in a multicultural area by using the ethnocaring model as a predictor. Methods: A cross-sectional study was conducted on patients in a nursing service in Subang District (n = 135 using consecutive sampling). Maintaining beliefs (MB), culture care preservation (CP), knowing (KN), being with (BW), negotiating (NE), doing for (DF), enabling (EN), and restructuring (RE) are used as independent variables, and patient satisfaction (PS) as the dependent variable. The instrument used was developed in accordance with ethnocaring model and PSQ-18. Multiple linear regression was used to analyze the ability of the ethnocaring model as a predictor of patient satisfaction. Results: The results showed that patient satisfaction had a mean score of 14.42 (score interval = 0-18). The following are the p-values for each variable: MB (0.021); CP (0.032); KN (0.015); BW (0.038); NE (0.026); DF (0.033); EN (0.043); and RE (0.034); they can all significantly predict PS with R-Square = 0.815. Conclusion: The strength of the ethnocaring model in predicting patient satisfaction was 81.5%. The construct of ethnocaring model could help nurses in understanding patient satisfaction.
Tuberkulosis merupakan salah satu masalah kesehatan dunia yang sulit untuk diatasi. Para pakar masih percaya bahwa edukasi merupakan metode yang paling baik guna mengatasi masalah kepatuhan pasien TB. Namun, di masa pandemi COVID-19 ini metode edukasi mainstream seperti penyuluhan sulit untuk dilaksanakan karena penyuluhan tentunya akan menimbulkan kerumunan, padahal penekanan angka tuberkulosis tetap harus berjalan. Face to face nursing education dinilai efektif untuk memberikan edukasi kepatuhan pasien TB karena dilakukan dengan kunjungan satu per satu ke rumah pasien TB dengan tetap memperhatikan protokol kesehatan COVID-19. Oleh karena itu, Program Studi Keperawatan Politeknik Negeri Subang bekerja sama dengan Puskesmas Cibogo untuk melaksanakan pengabdian kepada masyarakat dengan tujuan memberikan face to face nursing education berbasis Theory of Planned Behavior untuk meningkatkan kepatuhan minum obat, pencegahan penularan, dan kepatuhan nutrisi. Hasil evaluasi kegiatan menunjukkan bahwa face to face nursing education berbasis Theory of Planned Behavior yang dilaksanakan dalam pengabdian masyarakat ini mempunyai dampak positif yang signifikan terhadap pengetahuan kader tentang program pengendalian tuberkulosis. Sedangkan peningkatan kepatuhan minum obat, kepatuhan pencegahan penularan, dan kepatuhan pemenuhan kebutuhan nutrisi pada pasien tuberkulosis diperoleh dengan intervensi yang reguler selama 1 bulan melalui pengiriman pesan pengingat (interactive nursing reminder) secara intensif satu kali sehari selama 1 bulan, sehingga niat patuh dari subyek yang telah terbentuk dapat direalisasikan atau dimunculkan sebagai perilaku yang konsisten. Kami menyarankan kepada puskesmas untuk menerapkan face to face nursing education berbasis Theory of Planned Behavior sebagai upaya dalam memperbaiki kepatuhan pengobatan pasien tuberculosis.
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