Agusta Dian Ellina
Strada Indonesia University

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The Effect of Village Nurse Performance on Community Satisfaction: Implications for Nursing Service Quality Management Aprin Rusmawati; Alfian Fawzi; Intan Firasti Tamara; Agusta Dian Ellina; Mohamad Asad Efendy
Care : Jurnal Ilmiah Ilmu Kesehatan Vol 14, No 2 (2026): EDITION JULY 2026
Publisher : Universitas Tribhuwana Tunggadewi

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33366/jc.v14i2.8804

Abstract

Community satisfaction is an important indicator in evaluating the quality of health services. One of the factors influencing satisfaction in village health services is the performance of village nurses who provide direct care through Posyandu activities. This study aimed to analyze the effect of village nurse performance on community satisfaction at Posyandu services in Tangkil Village. This study used a quantitative observational design with a cross-sectional approach. The population consisted of all Posyandu members in Tangkil Village, totaling 467 people. A sample of 215 respondents was selected using proportional random sampling. The independent variable was village nurse performance, while the dependent variable was community satisfaction level. Data were collected using structured questionnaires and analyzed using ordinal regression with a significance level of 0.05. The results showed that most respondents assessed village nurse performance as good (54.88%). Community satisfaction was also mostly categorized as very satisfied (54.88%). Statistical analysis indicated a significant effect of village nurse performance on community satisfaction (p = 0.000). In conclusion, better village nurse performance significantly increases community satisfaction in Posyandu services. Improving responsiveness, promotive efforts, preventive services, and communication skills is recommended to enhance public trust and participation in community health programs.
Compensation, Role Conflict, and Work Stress on Turnover Intention: The Mediating Role of Work Engagement: Work Engagement and Turnover Intention Ary Triswanto; Agusta Dian Ellina; Prima Dewi Kusumawati
Innovative Approaches in Health Science Journal Vol. 3 No. 2 (2026): Innovative Approaches in Health Science Journal
Publisher : CV. Paperhome Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.64871/6tpx1j80

Abstract

Background: Employee turnover can disrupt hospital staffing and service continuity. This study examined whether work engagement mediated the associations of compensation, role conflict, and work stress with turnover intention among employees of Toeloengredjo Hospital, Kediri. Methods: A cross-sectional survey included 159 of 265 permanent employees selected by simple random sampling. Five constructs were measured with self-report questionnaires. Pearson correlations and path analysis were conducted in Stata. Indirect effects were products of coefficients and tested using an approximate first-order delta method. Results: Compensation (b = 0.150, p = 0.049) and work stress (b = 0.146, p = 0.017) were positively associated with engagement; role conflict was not (p = 0.277). Role conflict (b = 0.176, p = 0.001) and engagement (b = 0.687, p < 0.001) were positively associated with turnover intention. The approximate indirect effect was supported for work stress (0.100, 95% CI 0.017 to 0.184, p = 0.019), but not compensation (p = 0.052) or role conflict (p = 0.277). Conclusion: The work stress pathway was indirect-only, but the positive engagement-turnover path contradicts theory and requires verification of item scoring. Cross-sectional data do not establish causal mediation.