Volume 4, Issue 3, March – 2019 International Journal of Innovative Science and Research Technology

ISSN No:-2456-2165

The Relationship of Characteristics and Attitude of

Nurses with Job Satisfaction in the Collaboration of
Nurses and Doctor in Palembang Hospitals
Nuriza Agustina1, Hema Malini2, Ira Kusumawaty3
1
Nursing Master Student of Nursing Faculty of Andalas University Padang, Indonesia
2
Nursing Master Lecturer of Nursing Faculty of Andalas University Padang, Indonesia
3
Nursing Master Lecturer of Nursing Faculty of Andalas University Padang, Indonesia

Abstract:- The relationship between nurses and doctors hours, nurse service time is divided into 3 shifts ie
in collaboration provides poor service, nurse and morning, afternoon, and evening service. Shift work on the
physician collaboration can be one element in nurse based on the needs of patients and also justice and
improving nurse performance. Collaboration will be welfare so that no physical fatigue and job satisfaction is
well established if the components of firmness and achieved. Nurses in shift work should be able to divide the
cooperation are owned by nurses and doctors are good, time so as to reduce the workload of nurses (Handayani,
so that each has a desire to satisfy the interests of all 2016).
parties. Lack of awareness and ability to collaborate
can have a bad impact on service quality. This study Collaboration of nurses based on the definition of
aims to determine the implementation of the role of cooperation among nurses. Collaboration as a cooperative
collaboration of nurses and doctors hospitalized in convention based on shared values such as attention and
Palembang hospital in 2018. Methodology and respect with others, with performance goals and
Research: This research is descriptive with quantitative commitment from all parties (Tao et al, 2015). The role of
method. Sampling technique with total sampling collaboration aims to provide quality health services by
method. The sample size wa 74 people in the hospital combining the skills and uniqueness of each profession
wards of Palembang hospital for 10 months from June (Martiningsih, 2011). The role of collaboration between
2017 until April 2018. Based on the research results, it nurses and good doctors can improve job satisfaction.
is known from 74 nurses, got 26-46 years old (51,4%), Based on research Kusumaningrum (2015) showed there is
female 67 people (90,5%), vocational education 53 contribution of job satisfaction with turn over intention
people (71,6%) and work period ≥ 2 years amounted 58 (desire to move work) at nurse installation of inpatient
people (78,4%), attitude of nurse in hospital room of room equal to 93,2%. The results of Martiningsih (2011)
Palembang attitude positive 46 person (62,2%) and study, there is no significant difference in attitude from
negative attitude 28 people (37,8%). Implementation of nurses and doctors with collaborative roles. Many find that
the role of Collaboration at Palembang Hospital has not the characteristics of nurses such as age, education, and
been done well. It is expected that the hospitals pay length of work have a relationship with the attitude of
more attention to job satisfaction, especially in nurses and doctors in presenting the role of collaboration.
collaboration with doctors or other medical teams so Based on several studies above shows the collaboration of
that nurses can provide good service for the hospital. nurses and doctors is strongly influenced by the
characteristics of nurses. In addition, the nurse and
Keywords:- Characteristics, Collaboration of Nurses and physician collaboration attitude is also influenced by
Doctor, Job Satisfaction, the Attitude of Nurses. effective communication.

I. INTRODUCTION Collaboration is the firmness and cooperation of

conflict resolution that results in a win-win solution (Arma,
Interprofessional collaboration is a common strategy 2012). In addition, collaboration between nurses and health
for achieving the desired quality outcomes effectively and professionals from various health organizations is still
efficiently within the complex unity of health services. poorly explored. Collaboration will be well established if
Communication in collaboration is an important element the components of firmness and cooperation of nurses and
for the quality of care and patient safety (Reni et al, 2010). physicians are good, so that each has a desire to satisfy the
To improve the degree of healthy society by providing interests of all parties. Lack of awareness and ability to
quality service and quality (Muslimah, 2015). So a healthy collaborate can have a bad impact on service quality.
society is what can be realized with the provision of health
services and health care providers conducted by health Based on data from the Hospital of Palembang
personnel. illustrates that the number of nurses in the inpatient room
there are 74 people, with the level of education Strata 1 and
Nurse is one of the professions in the hospital that D3 nursing. The number of doctors there are 69 people, 16
plays an important role in the provision of quality health general practitioners, 3 dentists and 50 specialists (Profile
services in hospitals (Hartati, 2011). Nursing service for 24 Hospital Palembang, 2016).

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Volume 4, Issue 3, March – 2019 International Journal of Innovative Science and Research Technology
ISSN No:-2456-2165
Researchers conducted an initial survey at the the role of nurse and doctor collaboration in Palembang
Palembang hospital related working conditions nurses in hospital.
the room who still feel not satisfied with the collaboration
of nurses and doctors. As many as 50% of the nurses feel II. RESEARCH METHOD
saturated working in the room, 60% of nurses said the work
is tiring and also cut and 40% nurses say high workload in This research is a quantitative research. The type of
the room. This is reinforced by interviews to 10 nurses in research used is descriptive analytics with Cross-Sectional
the inpatient room, the researcher asks how the relationship approach. The population in this study amounted to 74
between nurses and doctors in collaboration to provide nurses. Technique of sampling by using total sampling
services, how the communication between nurses and method with exclusion criteria of nurses who are not
doctors when providing services. Of 10 nurses said that serving in the hospitalization room of Palembang hospital.
nurses and doctors lacked good collaboration when giving Data were obtained from the questionnaire distribution.
services due to physician's less visite hours and doctors Data analysis includes univariate and bivariate analysis
often choose nurses based on their experience and length of conducted to identify the distribution of frequency of job
service to accompany when providing services. Based on satisfaction implementation in nurse and physician
the data obtained from the nurse, the researcher is collaboration in hospital room of Palembang. The type of
interested to examine about the nurse's job satisfaction with analysis used through the Cross-Sectional approach (cross-
section).

III. RESULT AND DISCUSSION

A. Characteristic Distribution of Nurses

Characteristic Category f %

17-25 year 34 45,9

Age 26-45year 38 51,4
46-55 year 2 2,7
Gendre Male 7 9,5
Female 67 90,5
Education
Vokasional 53 71,6
Profesional 21 28,4
Current (1 month-23 bulan) < 2 year 16 21,6
Work Periode
Past ≥2 year 58 78,4
Table 1:- Distribution relationship with nurse job satisfaction in implementation of nurse and doctor collaboration role at
Palembang Hospital 2018 (n = 74)

Table 1 Distribution of Nurse Implementation vocational education 53 people (71,6%) and work ≥ 2 years
Character at Palembang Hospital, the highest proportion of amounted to 58 people (78.4%)
age 26-46 years old (51.4%), has 67 female (90.5%),

Nurse Attitude Frekuensi Presentase (%)

Positive 46 62,2

Negative 28 37,8

Total 74 100
Table 2:- Characteristic relationship with nurse job satisfaction in implementation of nurse and doctor collaboration role at
Palembang Hospital 2018 (n = 74)

Table 2 distribution of nurse attitude in inpatient room of Palembang Hospital positive attitude 46 people (62,2%) and
negative attitude 28 people (37,8%).

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Volume 4, Issue 3, March – 2019 International Journal of Innovative Science and Research Technology
ISSN No:-2456-2165
B. Results of Bivariate Analysis

job satisfaction in the implementation of

nurse collaboration roles and doctors Total
Variables P Value
satisfied not satisfied
n % n % n %
Age
17-25years 15 44,1 19 55,9 34 100
0,820
26-45years 14 36,8 24 63,2 38 100
46-55 years 1 50 1 50 2 100

Gender
Male 3 42,9 4 57,1 7 100
0,599
Female 27 27,2 40 59,7 67 100

Education
Vocasional 27 50,9 26 49,1 53 100
0,008
Profesional 3 14,3 18 85,7 21 100

Work period
Current < 2 Years 8 50 8 50 16 100
0,560
Past ≥ 2 years 22 23,5 38 62,1 58 100
Table 3:- Characteristic relationship with nurse job satisfaction in implementation of nurse and doctor collaboration role at
Palembang Hospital 2018 (n = 74)

Table 3 analysis of nurse characteristic relationship to job satisfaction with nurse and physician collaboration
with job satisfaction with the role of collaboration showed roles with p-value = 0,599, education is related to job
that from 74 respondents nurse characteristic variables satisfaction with nurse and physician collaboration roles
between age, sex, education and employment age got no with p-value = 0,008 and service period has no relation
relation with job satisfaction with nurse and doctor with job satisfaction with collaboration role nurse and
collaboration roles with p-value = 0,820 , sex is not related doctor with p-value = 0,560.

job satisfaction in the implementation of nurse

collaboration roles and doctors Total
Variables P Value
satisfied Not satisfied
N % n % n %
attitude of nurse
Positive 5 17,9 23 82,1 28 100
0,004
Negative 25 54,3 21 45,7 46 100
Table 4:- Characteristic relationship with nurse job satisfaction in implementation of nurse and doctor collaboration role at
Palembang Hospital 2018 (n = 74)

Table 4 shows that the nurse attitude variable is that less good collaboration of nurses and doctors at age
related to nurse job satisfaction in the implementation of <35 years was 55.9% compared to ≥35 years 53.1%, while
nurse and physician collaboration with p-value = 0,004. well in many nurses> 35 years 46.9% compared to ≤ 35
years 43.1%. In conclusion there is no significant
IV. DISCUSSIONS relationship between age and nurse and physician
collaboration because satisfaction is relative to the
Nurse age no significant relationship to job condition.
satisfaction with nurse and physician collaboration roles
was obtained value = 0.820. The results of this study Ilyas, (2013) says the older the age of a person then
showed no relationship because the average nurse aged the need for self-actualization will be higher than the
between 26-45 years so that the factors of satisfaction with physiological needs. However, older workers are also
nurse and physician collaboration has not been felt considered less flexible and difficult to accept new
significantly. In addition to the conditions in which as technologies (Robbins, 2015). Research Vahidi et al (2016)
private employees in private hospitals do not provide a states that there is no significant relationship between
loophole for nurses to communicate satisfaction with the demography with nurse satisfaction and performance.
role of collaboration with physicians. Hospital demands are These demographic factors include age, sex, marital status
more towards giving satisfaction according to hospital education and work experience. M.Top (2013) and Rasheed
standards. The results of Rumanti's research (2009) showed (2016) showed that there is a significant relationship

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Volume 4, Issue 3, March – 2019 International Journal of Innovative Science and Research Technology
ISSN No:-2456-2165
between emotional intelligence and nurse perception with with nurse work satisfaction in RS. Rumah Sehat Terpadu.
performance with demographic factors (age, gender, Education is an effort to develop human resources
education, marital status and work experience). The results especially to develop intellectual ability and human
of this study indicate that there is no significant relationship personality (Notoatmodjo, 2012). The higher the education
of age nurse with job satisfaction with nurse and doctor the higher the desire to utilize knowledge and skills
collaboration roles. Because in Palembang hospital does (Anggraini, 2004). The variable of working period shows
not distinguish old age or young in the division of duty and that nurse with new working period of job satisfaction with
shift service. Researchers see that the age factor is not nurse collaboration role and physician is not satisfied 50%
related to job satisfaction with the role of nurse and and satisfied 50%. While the nurse with long working
physician collaboration in the analogy of nurse's period with job satisfaction with nurse collaboration roles
performance does not affect the physical strength of nurses. and doctors are not satisfied 62.1% and satisfied 37.9%.
Nurses who range from late adolescence to early age are The result of statistical test shows that there is no
still able to perform job satisfaction with nurse and significant correlation between time and job satisfaction in
physician collaboration roles. The sex of nurses in collaboration with p-value = 0,560. In line with research
Palembang hospital has no relation with job satisfaction Yanti & Warsito (2013), that the longer the work can cause
perawatp value = 1,000. According to Abilang (2009) saturation with the routine of the job.
gender of job satisfaction of nurse at most is good enough
category is felt on nurse female as much as 22 people The results of this study indicate that there is no
(52,4%), job satisfaction is at least good enough category is relationship between the working period with job
felt on nurse of male and female in the category is not good satisfaction with nurse collaboration roles and doctors.
as much as people (2.4%). In line with the research of Nurses who have new and old tenure remain motivated to
Wuryanto, (2010) female nurses were more than men, implement collaborative roles between nurses and doctors
although the difference was small but women were more to create better collaborative relationships. Longer periods
satisfied than men and there was no relationship between of work are not identical to the productivity of nurses only,
sex and nurse job satisfaction with P value = 0,375. Despite where long-term nurses tend to work routines that have
the change of roles in women today, women also have the long been lived and are less motivated to accept a change.
freedom and desire to develop roles that have an impact on The good duration of a nurse's work should be
increasing expectations. This is not in line with Rumanti's accompanied by activities to improve the skills, knowledge,
research (2009) shows that nurse with nurse and physician and ability of each individual to avoid saturation with work
collaboration is less common in males 55,6% than female routines to be better. Nurse attitude with job satisfaction in
54,7%, whereas nurse with physician-nurse collaboration is nurse and physician collaboration roles showed that
good more on female nurse 45, 3% compared to men respondents who had negative attitude with nurse and
44.4%. So it is concluded there is no significant physician work satisfaction as much as 82,1% and satisfied
relationship between sex with nurse collaboration practices result of statistic test got there relation with nurse work
and doctors. The nurse is the most important part of a satisfaction with p-value = 0,001.It is supported by the
hospital. The number of nurses who dominate a hospital is results of research results penelitiaAbilang et al, (2009),
generally female. But it does not show that there are no found there is a significant relationship that has the
men who work as nurses. So there is no limit for female meaning that the better the nurse attitude the more positive
nurses to care for female patients as well as male nurses not the nurse's job satisfaction. As Utami's research (2015)
only care for male patients only. Therefore, from the results attitudes of doctors and nurses with interprofessional
of this study there is no relationship between sex with job collaboration, nurses and physicians in collaboration
satisfaction with the role of collaboration nurses and showed a positive attitude. But doctors have more authority
doctors. in all patients' health problems while nurses say their
primary duty is to carry out instructions from doctors.
The variables of education showed that from 53
respondents of D3 nursing (vocational) education level The result of research in Palembang hospital showed
with job satisfaction with nurse collaboration and negative nurse attitude with job satisfaction in nurse and
dissatisfied 49,1% and 50,9% from 21 respondents as much doctor collaboration roles (82.1%) said not satisfied and
as 85.7% and satisfied as much as 14.3%. The result of (17,9%) said satisfied. A positive nurse attitude (45.7%)
statistical test shows that p-value 0,008 <0,05 so it can be said not satisfied and who said satisfied (54.3%) with job
stated there is a significant correlation between education satisfaction with nurse and doctor collaboration roles. The
level with job satisfaction with nurse and doctor results show the reality in the health service there are
collaboration role. This research is not in accordance with doctors and nurses who do not understand the role of each
research conducted by Yanti & Warsito (2013) that there is profession correctly and correctly. Because there are still
no relation between level of education with performance their own ego in collaboration, they assume different stand-
and quality of care nursing documentation. Research alone professions that can not be equated. Nurses provide
Tahsinia, (2013) that 40 nurses who are educated D3, there nursing care while doctors with the provision of medical
are 25 (62.5%) nurses who are satisfied with the work. diagnosis. Not that the relationship between nurses and
While from 6 nurses with S1 education there are 2 doctors is not well established at the time of implementing
(33,34%) nurses who are satisfied with their job. It can be the collaboration. Because Palembang hospital there is no
concluded that there is no correlation between education special protap of collaboration between nurse and doctor so

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Volume 4, Issue 3, March – 2019 International Journal of Innovative Science and Research Technology
ISSN No:-2456-2165
difficult to applied professionally. Nurses and doctors have [12]. Robbins. (2015). Perilaku Organisasi (Edisi 16).
good attitudes and behaviors with collaborative practice Jakarta: PT. Indeks.
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will be followed by a good positive value as well. Terpadu Parung, Bogor Tahun 2013. Universitas
Islam Negeri Syarif Hidayatullah.
V. CONCLUSIONS [14]. Tao, H., Ellenbecker, C. H., Wang, Y., & Li, Y.
(2015).Examining perception of job satisfaction and
From the results of research that has been done can be intention to leave among ICU nurses in China.
concluded that the characteristics of nurses most aged 26- International Journal of Nursing Sciences, 2(2), 140–
45 years, dominated female sex, the level of education is 148. https://doi.org/10.1016/j.ijnss.2015.04.007
still largely DIII Nursing and tenure of work ≥ 2 years. [15]. Utami, L. (2015). Hubungan Antara Sikap, Perilaku
Attitude of nurses in hospital wards Palembang positive KOlaborasi DOkter-Perawat Dengan Praktik
attitude 46 person. Attitudes and behavior of nurses at Interprofesi di Instalasi RAwat Inap Rumah Sakit
Palembang hospital still feel not satisfied with the role of Panti Rapih, Yogyakarta.
nurse and doctor collaboration. [16]. Vahidi et al. (2016). The Relationship Between
Emotional Intelligence and Perception of JOb
It is expected that the hospital will pay more attention Performance Among Nurses in NOrth West of Iran.
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other medical team so that nurse can give good service to [17]. Yanti, R. I., & Warsito, B. E. (2013). Hubungan
hospital. The need for special job satisfaction training, in Karakteristik Perawat, Motivasi, dan Supervisi
order to improve nursing service and should be made dengan Kualitas Dokumentasi Proses Asuhan
Standard Operational Procedures in nurse and physician Keperawatan. Jurnal Managemen Keperawatan, 1(2),
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