The Correlation Between Nurses Caring Attitudes And The Implementation Of Holistic Nursing Care In Patient Care In The Inpatient

DOI: https://doi.org/10.33650/jkp.v14i1.13460
Authors

(1) * Habib Karim Amrullah   (Universitas Muhammadiyah Purwokerto, Banyumas)  
        Indonesia
(2)  Etlidawati Etlidawati   (Universitas Muhammadiyah Purwokerto, Banyumas)  
        Indonesia
(3)  Jebul Suroso   (Universitas Muhammadiyah Purwokerto, Banyumas)  
        Indonesia
(4)  Suci Ratna Estria   (Universitas Muhammadiyah Purwokerto, Banyumas)  
        Indonesia
(*) Corresponding Author

Abstract


Caring attitudes form the core of nursing practice, fostering therapeutic relationships and enhancing care quality. Holistic nursing care encompasses patients' physical, psychological, social, and spiritual aspects. The research location was chosen because of the diverse characteristics of the patients. A preliminary study on July 7, 2025, using observation and interviews, found variations in patient perceptions of nurse caring, particularly in communication and emotional support. This study aimed to analyze the relationship between nurses' caring attitudes and the implementation of holistic nursing care among inpatients. It employed a quantitative cross-sectional design with purposive sampling (n=90 respondents based on inclusion criteria). Instruments: CBI-24 and HCQAS-P questionnaires (adapted without modification; validity 0.69–0.78 and 0.446-0.799, p<0.01). Data were analyzed using the Chi-square test (p<0.05). Most respondents were male (58.9%), aged 60 years (42.2%), elementary-educated (41.1%), and private sector workers (95.6%). Caring attitudes were rated high by 73.3%, and holistic nursing care implementation was good by 76.7%. A significant relationship was found (p=0.001). These findings align with prior studies, emphasizing the need for ongoing caring training and hospital policy support in regional hospitals.


Keywords

Nursing Care, Holistic Nursing Care, Nurse, Caring Attitude.



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References


Aeni, W. N., & Sutioso, H. (2019). Perilaku Caring Perawat dalam Memberikan Asuhan Keperawatan. Jurnal Keperawatan Profesional (JKP), 7, 2685–1830.

Afriliana, L. (2022). Kepuasan pasien terhadap prilaku caring perawat di Indonesia: tinjauan literatur. Jurnal Keperawatan, Volume 14, 931–940. http://journal.stikeskendal.ac.id/index.php/Keperawatan

Albaqawi, H. M., Butcon, V. E., Albagawi, B. S., Dayrit, R. D., & Pangket, P. (2021). Holistic nursing care among operating room nurses : Strengthening the standard of practice in Saudi Arabia. 7(1), 8–14.

Alikari, V., Gerogianni, G., Fradelos, E. C., Kelesi, M., Kaba, E., & Zyga, S. (2023). Perceptions of Caring Behaviors among Patients and Nurses. International Journal of Environmental Research and Public Health, 20(1). https://doi.org/10.3390/ijerph20010396

Alina, A. N., & Suroso, J. (2024). Enhancing Nurses’ Proficiency: A Study on the Impact of Caring Education Booklets. Proceedings Series on Health & Medical Sciences, 5, 231–235. https://doi.org/10.30595/pshms.v5i.993

Ambushe, S. A., Awoke, N., Demissie, B. W., & Tekalign, T. (2023). Holistic nursing care practice and associated factors among nurses in public hospitals of Wolaita zone, South Ethiopia. BMC Nursing, 22(1), 1–8. https://doi.org/10.1186/s12912-023-01517-0

American Nurses Association. (2020). Nursing Scope and Standards of Practice.

Azzahra, F. P., Nababan, D., Syapitri, H., Marlindawani, J., Tarigan, F. L., & Warouw, S. P. (2023). Hubungan Karakteristik Pasien Dengan Kepuasan Melalui Pengukuran Harapan Dan Persepsi Pasien Di Instalasi Gawat Darurat Rumah Sakit Bun Kosambi Tangerang. Prepotif : Jurnal Kesehatan Masyarakat, 7(3), 16114–16131. https://doi.org/10.31004/prepotif.v7i3.19274

Bachtiar, A., Utomo, A. S., & Hidayah, N. (2024). Pelatihan Caring Berbasis Teori Watson Bagi Perawat Preoperatif Se-Malang Raya. GEMAKES: Jurnal Pengabdian Kepada Masyarakat, 4(3), 429–436. https://doi.org/10.36082/gemakes.v4i3.1968

Fauzi, D. A., Asmarani, D., Subagja, P. W. I. W., Novelarosa, S. F., Zah’ra, T. A., Supriyadi, T., & Faozi, A. (2025). Pengaruh Perbedaan Gender Perawat terhadap Tingkat Kepuasan Lansia dalam Pemenuhan Kebutuhan Dasar dan Spiritual: Tinjauan dari Perspektif Islam. Jurnal Keperawatan Profesional, 13(1), 165–182. https://doi.org/10.33650/jkp.v13i1.11287

Gulo, A. R. B., Syapitri, H., & Arman, A. (2021). Hubungan Tipe Kepribadian Dan Motivasi Kerja Perawat Dengan Mutu Pelayanan Keperawatan. Jurnal Kesehatan Kusuma Husada, 12(2), 122–127. https://doi.org/10.34035/jk.v12i2.761

Harahap, S. Y., Banjarnahor, S., & Simatupang, L. L. (2025). Caring perawat di ruang rawat jalan dan rawat inap. Excellent Midwifery Journal, 8(1), 384–397.

Hayani, N., Afiyanti, Y., & Muthmainnah, M. (2024). Tingkat Pendidikan dan Self Evaluasi Perilaku Caring Perawat yang Bekerja di Instalasi Gawat Darurat. Jurnal Kesmas Asclepius, 6(1), 26–35. https://doi.org/10.31539/jka.v6i1.8332

Hynnekleiv, I. I., Jensen, J. K., Giske, T., Lausund, H., Mæland, E., & Heggdal, K. (2024). Patients’ and Nurses’ experiences of caring in nursing: An integrative literature review across clinical practices. Journal of Clinical Nursing, 33(4), 1233–1255. https://doi.org/10.1111/jocn.16964

Inka, R. (2024). Asuhan keperawatan jiwa gangguan persepsi sensori pendengaran dengan perilaku caring perawat berdasarkan Teori Jean Watson. 545–555.

Lindanur Sipatu, Eli Saripah, Arif Munandar, Henni Febriawati, W. A. (2023). Pembinaan Sikap Profesionalisme Perawat sebagai upaya meningkatkan Mutu Pelayanan Keperawatan. Masyarakat Berdaya Dan Inovasi, 4(2), 135–146.

Naibaho, E. (2025). Holistic Care: Pendekatan lengkap untuk kesehatan fisik dan mental. University of North Sumatra, April, 0–10.

Nurbaeti, I., Lestari, K. B., & Khairunnisa, T. T. (2024). The correlation between islamic mindfulness with nursing student professional attitude and caring behavior. Jurnal Keperawatan Padjadjaran, 12(2), 201–207. https://doi.org/10.24198/jkp.v12i2.2388

Nurhayati, N., Alfara, W., Suratmin, R., Simeulu, P., & Taufik, T. (2024). Perilaku Caring Perawat Berdasarkan Teori Jean Watson berhubungan dengan Tingkat Ansietas Pada Pasien Pra Operasi. Jurnal Keperawatan, 3(November), 132–139. https://doi.org/10.58774/jourkep.v3i2.65

Pamungkas, I. Y. (2020). Analysis Perception of Factors Related To The Organization Behavior Of Nurse caring at dr. Soehadi Prijonegoro Sragen Hospital. 1–84.

Permana, B., & Nuramalia, R. (2023). Hubungan Faktor Sikap, Kepribadian Dan Motivasi Dengan Perilaku Caring Perawat Di Rsud Subang. Jurnal Ilmiah Keperawatan (Scientific Journal of Nursing), 9(3), 1–6. https://doi.org/10.33023/jikep.v9i3.1583

Rika Widianita, D. (2023). Hubungan perilaku Caring perawat dengan tingkat kepuasan pasien di Ruang ICU Rumah Sakit Siaga Medika Banyumas. AT-TAWASSUTH: Jurnal Ekonomi Islam, VIII(I), 1–19.

Rinezia Rinza Farizal, & Irna Nursanti. (2024). Philosophies Teori Konsep Keperawatan Jean Watson Caring. Jurnal Medika Nusantara, 2(1), 102–112. https://doi.org/10.59680/medika.v2i1.900

Sabil, F. A., Nani, S., Makassar, H., Perintis, J., Viii, K., & Makassar, K. (2022). Hubungan Kualitas Pelayanan Kesehatan Dengan Kepuasan Pasien. 2, 280–287. http://digilib.unila.ac.id/id/eprint/59983

Suroso, J., Sriyanto, & Hikmawati, I. (2023). Students ; Opinion of Hospital and Nursing Education. Asian Journal of Healthy and Science, 2(5), 199–204.

WHO. (2020). Clinical descrition and diagnosticrequirement forICD-11 mental, behavioural a neurodevelopmental disorde.

Widyawati, Hakim, Basuki, R. (2021). Institut Ilmu Kesehatan Nahdlatul Ulama Tuban. Jurnal Keperawatan Profesional (JKP) 13(17), 62391.

Yaşar, Ö., & Yıldırım, D. (2024). Investigating the Relationship Between Nurses’ Humanistic Practice Abilities and Caring Behaviors: A Correlational Descriptive Study. Journal of Academic Research in Nursing, 10(2), 95–101. https://doi.org/10.55646/jaren.2024.60590


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