<![CDATA[Background: The quality of general anesthesia care depends on the non-technical skills of nurse anesthetists and the socio-administrative factors of patients. This study aimed to analyze the relationships among emergency training status, clinical competence, health financing types, and patient satisfaction. Subjects and Method: This study used an observational analytic cross-sectional design conducted at Dr. Moewardi Hospital, Surakarta, Central Java, Indonesia. The sample consisted of 19 nurse anesthetists selected through total sampling and 80 general anesthesia patients selected through consecutive sampling. Data were collected using modified Anaesthetists' Non-Technical Skills (ANTS) observation sheet and Rater questionnaire. Data analysis included One-Way ANOVA, Linear Regression, and mediation analysis using the PROCESS macro in SPSS. Results: There was a significant difference between trained and untrained providers in anesthesia nursing care skills (p<0.001) and patient satisfaction (p=0.004). Patient satisfaction also varied significantly by financing type (p=0.034). Linear regression indicated that training status predicted anesthesia nursing care scores (p<0.001) and patient satisfaction (p=0.004). However, anesthesia nursing care scores did not significantly predict patient satisfaction (p=0.061). There was no significant relationship between provider training status and patient financing type (p=0.089). Mediation analysis showed that financing type did not mediate the relationship between training status and patient satisfaction (b=-1.61; p=0.193). Conclusion: Emergency training improves both the non-technical skills of nurse anesthetists and patient satisfaction. Since intraoperative clinical competence does not directly predict post-operative satisfaction, hospitals should evaluate clinical safety and service quality as separate metrics. Furthermore, the findings indicate that anesthesia care is provided equally to all patients, regardless of their health financing type.]]>
