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Nursing care is a process or series of activities in nursing practice that is provided directly to clients/patients in various health service settings. In implementing nursing care based on self-transcendence theory, nurses play the role of facilitators to help individuals experience growth and development through the self-transcendence process. Self-transcendence theory was developed by Pamela G. Reed and emphasizes the spiritual and transpersonal aspects of treatment. Reed explained that nurses act as facilitators to explore positive things and build bio-psycho-social spiritual well-being. Self Transcendence Theory aims to understand a person's movement in transcending self-limitations and achieving higher well-being. This theory focuses on five concepts, namely vulnerability, self-transcendence, well-being, moderating-mediating factors, and point of intervention. This self-transcendence offers the best for living in peace and prosperity. Apart from that, this theory is also used in the context of counseling services to help individuals utilize inner resources that empower patient capacities. Thus, the aim of the Self Transcendence theory is to understand and encourage individuals to achieve higher well-being through holistic self-understanding and development.  

Hospitals are a comprehensive part of social and media organizations whose function is to provide complete health services to the community, both curative and rehabilitative, hospital services reach family and environmental services. The aim of the research is to analyze the influence of health service quality on patient satisfaction in the inpatient room of Menggala Regional Hospital, Tulang Bawang Regency, Lampung Province. Analytical survey research design with a cross sectional design. The total population of patients treated from June 2022 to August 2022 in the Inpatient Room at Menggala Regional Hospital, Tulang Bawang Regency is 167 people. The number of samples was 62 people. The results of the chi square test research show that there is an influence of 8 variables, namely technical competence, human relations, effectiveness, efficiency, continuity, security, human relations and comfort, which have a p-value <α 0.05, meaning that technical competence, human relations, effectiveness, efficiency, continuity, safety, human relations and comfort influence patient satisfaction in the Menggala Hospital inpatient room. The results of the multiple logistic regression test are the most dominant comfort variable with an odds ratio (OR) of 18.455, meaning that it influences patient satisfaction 18 times. The conclusion is that the comfort variable is the dominant variable that has the most influence on patient satisfaction in the Menggala Hospital inpatient room. It is recommended for hospitals to adopt policies to increase patient comfort in treatment rooms in order to produce optimal satisfaction for patients.

Knowledge of the rights and obligations of the community as consumers to receive professional healthcare services is increasing. Therefore, companies in the service sector continue to improve the quality of services for consumers with the aim of creating user satisfaction. One of them is the Regional General Hospital, which becomes the choice for the wider community because it is cheaper compared to private hospitals. Even though sometimes the service is less satisfactory. This research was conducted in April - May 2015 in the Obstetrics Inpatient Room of Wijaya Kusuma Hospital, Dr. Drajat Prawiranegara Regional General Hospital, Serang. This research is a quantitative descriptive study using a cross-sectional approach with accidental sampling technique that meets the inclusion criteria. The results of this study are from 155 respondents, 54.8% assessed the quality of obstetric services in the obstetrics inpatient ward of RS Dr. Drajat Prawiranegara as not good. Descriptive analysis results show respondents are aged between 20-30 years (55.5%), have a low level of education (54.8%), do not work (56.1%), use costs from government/private insurance (81.9%), and have a new patient status (69.7%). The conclusion of this study is that there are significant factors related to the assessment of the quality of obstetric services, namely the source of cost (p=0.031), while factors that are not related are age (p=0.219), education (p=1.000), occupation (p=0.218), and patient status (p=0.25). There is one factor that has the most influence on the assessment of the quality of obstetric services based on multivariate analysis, namely the source of cost with an exp (B) value of 0.339.

The quality of nursing care services is a form of professional service and an integral part of healthcare. Patient satisfaction with nursing care is when patients and their families feel that everything meets their expectations. The current phenomenon is that some patients still report not receiving optimal nursing care, lack of communication in providing services, leading to dissatisfaction during their hospital stay. The aim of this research is to determine the relationship between the quality of nursing care services and patient satisfaction in the Bougenville Inpatient Room at dr. Murjani Regional General Hospital Sampit. The research method uses a correlation research design with a cross-sectional method. The instruments used in this study were questionnaires and the Rank Spearman statistical test aimed at 66 patients in the Bougenville Inpatient Room at dr. Murjani Regional General Hospital Sampit. The Spearman rho test result is 1.000, and the P-value is 0.000, which means the alpha value is 0.05, indicating that H1 is accepted. Therefore, there is a positive and significant relationship between the quality of nursing care services and patient satisfaction. The conclusion of this study is that there is a relationship between the quality of nursing care services and patient satisfaction in the Bougenville Inpatient Room at dr. Murjani Regional General Hospital Sampit. It is recommended for dr. Murjani Regional General Hospital Sampit to evaluate service satisfaction, especially improving the quality of nursing care services in the Bougenville Room.

This study aims to explore the impact of marketing mix implementation on the results and level of satisfaction of patients being treated at a public hospital. By collecting data through questionnaires and statistical analysis, this research evaluates the relationship between marketing mix elements (product, price, promotion and distribution) with patient treatment outcomes and their level of satisfaction. The findings from this study provide valuable insights for hospitals in improving service quality and patient satisfaction.    

Satisfaction is an indicator used in determining the standard of a health facility. The quality of a service is closely related to customer satisfaction, this happens because service quality can create a good relationship between consumers and an agency, in the long run this relationship can make agencies understand how to meet consumer needs. The purpose of this study was to describe the level of satisfaction with BPJS patients' health services at Primary clinics in 2023. This research is descriptive in nature, with a cross-sectional design. The research population is unknown where a sample of 45 people, and taken based on purposive sampling techniques. Data collection was carried out directly to respondents using interview techniques. The results showed that the satisfaction level of Primary clinic users was very satisfied by 62.2%, satisfied by 20.0% while quite satisfied by 2.2% was dissatisfied15.6 It is hoped that the Primary clinic can further improve the quality of service quality by providing enough doctor time and nurses serving patients.

Communication in health services is a supporting factor for health workers in expressing their roles and functions professionally. One of the competencies that must be possessed by medical personnel, whether doctors, nurses, midwives or other medical personnel, is the ability to communicate effectively and be easy to understand. Communication skills will underlie efforts to solve patient problems to facilitate the provision of assistance, both in medical and psychological services. These communication skills cannot simply be acquired without training. Therefore, this communication seminar in health services was carried out. This activity was attended by 271 students from various universities in Indonesia. The outcome of this seminar is to improve communication skills, especially for students, to become better. The activity which took place on January 25 2024 went very well. This was reflected in the enthusiasm of the participants in the discussion session. In the presentation session, the material was delivered by a practitioner and lecturer at the STIKES Griya Husada Sumbawa Nursing Study Program, Mr. Nikodimus Margo Rinenggantyas, S.Kep, Ns., M.Kep.

Diabetes mellitus is a group of metabolic diseases characterized by hyperglycemia that occurs due to abnormalities in insulin secretion, insulin action or both. The International Diabetes Federation (IDF) estimates that the number of diabetes sufferers in Indonesia could reach 28.57 million in 2045. This number is 47% greater than the number of 19.47 million in 2021. This research was conducted on patients who had been diagnosed with type 2 DM who were members of the Prolanis group. Prolanis is a health service system that aims to improve the quality of life of participants with chronic diseases, one of which is Diabetes Mellitus type 2. HbA1c is a substance formed from the reaction between glucose and hemoglobin. HbA1c is one of the parameters for assessing glycemic control (patient compliance). The research entitled Analysis of HbA1c Levels in Type 2 Diabetes Mellitus Sufferers in the Prolanis Group at the Juhar Community Health Center aims to analyze and measure HbA1c levels in Type 2 Diabetes Sufferers. The research method used was Descriptive Cross-sectional. The examination material used is median cubital vein blood with EDTA anticoagulant. From the results of the examination, 25 samples were obtained, of which 12 patients had HbA1c levels >8% with criteria for poor DM control, 6 patients had HbA1c levels of 6.5-8% with criteria for moderate DM control, and there were 7 patients with HbA1c levels <6.5%. with the criteria for good DM control. From the results of this study, it was found that controlling DM at the Juhar Community Health Center there were 14 patients who had HbA1c values above 6.5 and after follow-up for the next 6 months, some had HbA1c levels that decreased and others that increased. To obtain good DM control, it is best for people with diabetes to have an HbA1c check every 3 months as part of diabetes management and this management is very important to carry out in health services, including primary level health services.

Hospital service quality management is a crucial aspect of the healthcare service system, aimed at ensuring that every patient receives safe, effective, and high-quality care. In the era of global competition and rising patient expectations, hospitals are required not only to provide adequate healthcare services but also to continuously and sustainably improve the quality of their services. Good quality management assists hospitals in identifying, measuring, and improving areas that require enhancement, as well as ensuring compliance with service standards set by accreditation bodies and regulators. With effective quality management, hospitals can reduce medical risks, enhance patient satisfaction, and ultimately strengthen the institution's reputation. This approach also plays a vital role in optimizing resource utilization and improving operational efficiency, which ultimately contributes

Preoperative anxiety in patients undergoing cesarean section is a common condition that can negatively impact both physical and psychological well-being before delivery. Anxiety management education is a crucial strategy to help patients manage stress, enhance mental preparedness, and reduce the risk of complications caused by excessive anxiety. This study aims to evaluate the effectiveness of anxiety management education in reducing preoperative anxiety levels in cesarean section patients. The method used involves an educational intervention through a cognitive-based and relaxation approach, including breathing techniques and preoperative counseling. The results indicate that this education significantly reduces patients' anxiety levels, as evidenced by the difference in scores before and after the intervention. Therefore, anxiety management education programs should be implemented as part of maternal healthcare services to improve maternal well-being before undergoing a cesarean section.

The availability of medical record files accurately and quickly when needed is one indicator of quality patient service so that patients feel well served. Correct and valid reports depend on the process of obtaining the data, therefore a management system is needed that is able to monitor the data processing process quickly and in real time. Currently the system running at the Sumbersari Community Health Center is implemented manually. The manual medical record system takes quite a long time plus the risk of being vulnerable to loss, damage and requires a large space to store the documents. Using a website-based medical record system is the right solution to solve this problem.  So that all medical records personnel can quickly master the use of this system, assistance is needed in the form of socialization on the use of a website-based electronic medical records system

Loss of consciousness is a common problem in the health world. This situation dominates the Emergency Guard Unit in the hospital service. Unconsciousness is a mental and behavioral condition of decreased comprehension, coherence, and motivational capacity. As a result of the loss of consciousness in the patient that occurs, sometimes the family does not know when an unwanted situation occurs because of something that happens and resulting in that loss of awareness occurs. The aim of this study is to find out the impact of IGD nurses' health education on the decline in patient awareness on the knowledge of the patient's family at the IGD RSU Manado Medical Center. Research uses experimental research methods using one group research design pretest-posttest design. Sample of 15 respondents using purposive sampling. Data collection using questionnaires. Analysed with Mc Namer's statistical test.  Gender survey results most female respondents 8 (53.3%), age most 17-25 years and 26-35 years 6 respondents (40,0%), most college education 8 respondents (53,3%), most employment private employees 7 respondents (46.7%). The Mc Namer test results are given a p value of 0,000 where < α 0.05. The conclusion in this study is that there is an influence of health education nurses IGD on decreased awareness in patients to the knowledge of the family of patients at IGD RSU Manado Medical Center. The recommendation is that the hospital should pay attention to health education for families, especially in the IGD room.

The Emergency Department (ED) is a unit in a hospital specializing handles patients in emergency conditions quickly and effectively with a predetermined waiting time. Waiting Time is one form of service that many people complain about in the emergency room and causes patient dissatisfaction. When the waiting time can managed properly according to hospital service standards, the patient satisfaction and trust will increase. The purpose of this study was to determine the correlation between Waiting Time and the Satisfaction of third priority patients in the Emergency Room of Tk II Robert Wolter Mongisidi Hospital Manado. This research design with cross-sectional approach. The sample was taken based on the number of third priority patient respondents as many as 42 people using Purposive Sampling. The results of this study showed the most of the waiting time was in accordance with the standard with 27 respondents (64.3%) and most of the respondents who were satisfied were 36 respondents (85.7%). Chi square statistical test results obtained p-value = 0.016 <0.05 which shows there were a correlation between waiting time and the satisfaction of third priority patient in the emergency room at Robert Wolter Mongisidi Hospital Manado. The conclusion of the study there is a the waiting time and the satisfaction of third priority patient in the emergency room of the Robert Wolter Mongisidi Hospital, Manado City was correlated.

Pre-hospital stroke is a service provided when and during the victim is first found, during the transportation process until the patient arrives at the hospital. Pre-hospital stroke treatment can be a determinant of the condition and subsequent treatment. The aim of this research is to determine the effect of pre-hospital education about stroke on community knowledge in carrying out pre-hospital stroke aid measures in Kombos Timur Subdistrict, Environment V, Manado City.This research is an experimental design research with a One Group pretest-posttest design. The sampling technique is purposive sampling. The sample was 15, the instrument used was a questionnaire, then the data collected was tested using the Mac-Nemar test.The research results showed that the largest gender in the study was male, with respondents (53.3%). The highest level of education was junior high school with 8 respondents (53.3%) with the highest age being adults 46-55 years as many as 7 respondents (46.7%) while the highest education was junior high school with 8 respondents (53.3%). The conclusion in this study is that there is an influence of pre-hospital education about stroke on public knowledge in carrying out pre-hospital stroke aid measures. The suggestions in this research are that it is hoped that this research will be used as a source of knowledge for patients regarding knowledge in carrying out pre-hospital stroke procedures, so that it can be applied by families at home so that this education will be more beneficial.

Intranets have evolved from simple internal communications platforms to sophisticated tools, providing a range of functions from real-time communications to seamless access to critical information. With the breadth of the healthcare landscape and the use of intranets in healthcare. The aim of this research is to find out the role of the intranet in building effective collaboration in health services. This research method uses a theoretical study approach. This theoretical theoretical study is a study based on a theoretical basis based on the results of previous research which becomes a theory. The results of this research can play a role in using intranets in health services because they can speed up and simplify work processes and transactions at the hospital. So that the officers at the hospital can work more effectively and efficiently. Finally, the information produced will be timely and useful. It can be concluded that intranet integration in the healthcare sector is not just about the adoption of technology it is an evolution in the way healthcare is delivered. With this intranet, it can certainly provide more targeted, efficient and effective accessibility to patients. For health services, it is necessary to improve health services through the use of intranets where the need for intranet technology can play an important role in equalizing health services to remote areas and cities. So that it can effectively improve service quality.

Hospitals are an internal part of the health service system. In Indonesia, all public and private hospitals have the duty to carry out curative and rehabilitative efforts without neglecting preventive and promotive efforts as well as making referral efforts. Patients have the right to obtain quality health services in accordance with professional standards and standard operational procedures so that hospitals are always required to improve the quality of service. The aim of this research is to determine the influence of the quality of health services on interest in returning to Piru Hospital, West Seram Regency. This research method is quantitative using a cross sectional approach. The sample in this study consisted of 30 respondents according to Sugiyono 2019:127. This research instrument uses a questionnaire. Data processing uses SPSS, using the chi-square test with a significance level of (0.05). The results of the research on the influence of health service quality on return interest showed that the p value was <0.000 with (α<0.05), meaning there was a significant relationship between the influence of health service quality on return interest at Piru District Hospital. . The results of research on the influence of health service quality on interest showed that the p value was > 0.05 with (α > 0.05), meaning there was no significant relationship.

Blockchain platforms propagate into every facet, including managing medical services with professional and patient-centered applications. With its sensitive nature, record privacy has become imminent with medical services for patient diagnosis and treatments. The nature of medical records has continued to necessitate their availability, reachability, accessibility, security, mobility, and confidentiality. Challenges to these include authorized transfer of patient records on referral, security across platforms, content diversity, platform interoperability, etc. These, are today – demystified with blockchain-based apps, which proffers platform/application services to achieve data features associated with the nature of the records. We use a permissioned-blockchain for healthcare record management. Our choice of permission mode with a hyper-fabric ledger that uses a world-state on a peer-to-peer chain – is that its smart contracts do not require a complex algorithm to yield controlled transparency for users. Its actors include patients, practitioners, and health-related officers as users to create, retrieve, and store patient medical records and aid interoperability. With a population of 500, the system yields a transaction (query and https) response time of 0.56 seconds and 0.42 seconds, respectively. To cater to platform scalability and accessibility, the system yielded 0.78 seconds and 063 seconds, respectively, for 2500 users.

Quality of time is important and effected of patient satisfaction in the emergency room to see the level of density and clinical performance, waiting time and length of stay  (LOS) were used. In the emergency room, LOS are often encountered, this can affect patient satisfaction. The aim of this research was to determine the relationship between waiting time and LOS  with patient satisfaction in the emergency room at RSU GMIM Pancaran Kasih Manado. The research was conducted using descriptive analytical research methods. The sample in this study was 42 respondents taken by accidental sampling with research instrument using observation sheets, stopwatches and questionnaires. Next, the data collected  processed using the SPSS version 16.0 computer program to be analyzed by Chi-square test with a significance level (a) of 0.05. The results of this study showed the relationship between waiting time and patient satisfaction in the emergency room, with a value of p = 0.000, which is 0.000, which is smaller than the value of a = 0.05. It can be said that Ha is accepted and HO is rejected and it can be concluded that Ha is a waiting relationship time with patient satisfaction in the ER. The results in the LOS study obtained a value = 0.000, this p value was smaller than the a value = 0.05, it was concluded there was a relationship between LOS and patient satisfaction in the ER.The conclusion in this research is  the waiting time and length of stay on patient satisfaction emergency installation room at RSU GMIM Pancaran Kasih Manado was.. There is a LOS relationship with patient satisfaction in the emergency room at RSU GMIM Pancaran Kasih Manado. It is hoped  and suggestions to improve the quality of service time in the ER to obtain  the patient satisfaction

Patient satisfaction is an expression of the patient's feelings for the service received in accordance with the expected service. a fast response time can result in a feeling of satisfaction with the service. The standard time for patients to be served after arriving at the emergency room is ≤ 5 minutes. This can also be achieved by improving the infrastructure, human resources, and management of hospital emergency rooms according to standards. The purpose of this study was to determine the relationship between nurse response time and patient satisfaction in the emergency department of Bhayangkara Hospital, Manado. The research was conducted using analytic observational method with a cross sectional design. Samples were taken based on 43 respondents using non-probabilitay sampling by way of accidental sampling. Measuring tools used in this study were observation sheets and questionnaires. Furthermore, the data were analyzed using the chi-square test with a significant value of ≤ 0.05. The results showed that the p value was smaller than the significant value (0.000 <0.05). The results of this study showed that Ha was accepted and H0 was rejected. The conclusion in this study is that there is a relationship between nurse response time and the level of patient satisfaction in the emergency department of Bhayangkara Hospital, Manado. The results of this study are expected to improve the quality of service in this case the response time of nurses in the emergency department

Nowadays, the level of competition between health service providers is increasingly high. Compared to inpatient care, outpatient services are developing more rapidly. One effort to win the competition is to improve the quality of health services and provide services according to patient needs so that it will provide patient satisfaction. In this study, patient satisfaction was identified based on 5 determinants of service quality, namely Reliability, Responsiveness, Assurance, Empathy and Tangibility. The aim of this research is to determine patient satisfaction based on determinants of service quality. The research was carried out using a survey method of filling out online questionnaires by respondents. The sampling technique used was Malhotra's theory with a sample size of 160 people. The research results show that the Customers Satisfaction Index (CSI) value for outpatients at health service facilities in Batam City is 79.6%, including in the satisfied category. All gap values ​​show negative results, the highest gap value is - 0.84 for the attribute of readiness to respond to patient requests and staff who are always polite. Meanwhile, the lowest gap value is -0.04 for the facility/service place attribute that looks attractive to look at. Therefore, it is necessary to gradually improve the quality of service in order to increase patient satisfaction which can be implemented based on service improvement priorities starting from the attribute that has the highest negative gap value. Keywords: patient satisfaction, outpatient, health service facilities.