• Rutmauli Hutagaol Universitas Indonesia
Keywords: Fishbone analysis, management of service, nurse professional values


Professional values ​​can direct nurse behavior. Nurse behavior should reflect caring in providing nursing services as the essence of nursing. The method used in this paper is a case study. Data collection is done by interviews, document observation, and distributing questionnaires to nurses in the amount of 517 nurses. The questionnaire used was the Nursing Professional Value Scale and Nurse that was modified and used to determine the nurse's professional score scale. Interviews were conducted with the field and nursing committee using a semi-structured interview guide. Interview material includes management functions related to the application of the nurse's professional values. Data analysis using fishbone analysis. The results showed that the professional score scale of nurses was quite strong, namely 101.19, but the application of professional nurses' values ​​was still not optimal because some nursing leaders were still less professional. The recommendation from this case study is that nursing management needs to motivate nurses to apply nurses' professional values ​​through attitudes and behaviors that have implications for the quality of nursing services and have an impact on patient satisfaction and safety.


Download data is not yet available.


Aksoy, et al. The Impact of Ethical Leadership and Leadership Effectiveness on The Mediating Role of Work. Social and Behavioral Sciences 2012; 58: 289–97.
Amalia, A., Malini, H., & Yulia, S. Kepuasan Perawat Terhadap Kualitas Pendokumentasian Asuhan Keperawatan Berbasis Komputer. Jurnal Keperawatan Indonesia, 2018; 21(3), 169.
Baygi, M. Z., & Seyedin, H. Imbalance between Goals and Organizational Structure in Pri- mary Health Care in Iran- a Systematic Review. 2013; 42(7), 665–672.
Bao, Y., Vedina, R., Moodie, S., & Dolan, S. The relationship between value incongruence and individual and organizational well-being outcomes: an exploratory study among Catalan nurses. Journal of Advanced Nursing. 2013; 69(3), 631-641.
Brent, L., et al. Nursing care of fragility fracture patients. Injury. 2018; 49(8), 1409–1412.
Cetinkaya-slushy & Esin. Professional Values of Turkish Nurses : A Descriptive Study. Nursing Ethics. 2015; 1–9.
Cheng, F., Meng, A. F., & Jin, T. Correlation between burnout and professional value in Chinese oncology nurses: A questionnaire survey. International Journal of Nursing Sciences. 2015; 2(2), 153–157.
Coster, S., Watkins, M., & Norman, I. J. What is the impact of professional nursing on patients’ outcomes globally? An overview of research evidence. International Journal of Nursing Studies. 2018; 78(October 2017), 76–83.
Darch, et al. Nurses as Role Models in Health Promotion: A Concept Analysis. British Journal of Nursing. 2017; 26 (17).
Dawson, et al. Nursing Churn and Turnover in Australian Hospitals : Nurses Perceptions and Suggestions for Supportive Strategies. BMC Nursing. 6955-13-11. 2014; 13 (1): 1–10.
Erkus, G., & Dinc, L. Turkish Nurses' perceptions of professional values. Journal of Professional Nursing. 2017.
Kaya, et al. Personal and professional values held by baccalaureate nursing students. Nursing Ethics. 2017; 24(6),716–731.
Kennedy, M. S. A Culture of Safety Starts with Us. American Journal of Nursing. 2016; 116(5), 7.
Kim-Godwin, Y. S., Baek, H. C., & Wynd, C. A. Factors Influencing Professionalism in Nursing Among Korean American Registered Nurses. Journal of Professional Nursing. 2010; 26(4), 242–249.
Maame, et al. A qualitative assessment of perceived barriers to effective therapeutic communication among nurses and patients. BMC Nursing. 2019; 1–9.
Magdalena, S. MStudy on the Motivational Variables and Professional Values in the Romanian. 2015.
Moon, et al. Nurse Education Today Evaluation of the validity and reliability of the Korean version of the Nursing Professional Values Scale-Revised. YNET. 2014; 34(3), 325–330.
Muhidin., Sahar, J., & Wiarsih, W. Persepsi Pasien Terhadap Pelayanan Keperawatan. Journal Keperawatan Indonesia, 13(2), 74–80. Retrieved from Academic Environment. Procedia-Social and Behavioral Sciences. 2010; 180, 1661-1666.
Parandeh & Nouri. Factors Influencing Development of Professional Values Among Nursing Students and Instructors: A Systematic Review. Global Journal of Health Science. 2014; 7 (2).
Parker, et al. Nursing the philosophy and science of caring. Statewide Agricultural Land Use Baseline 2015 (Vol. 1). 2015.
Ramadan, Amal Hamdai & El-Demerdash, S. M. The Relationship between Professional Values and Clinical Decision Making among Nursing Student. IOSR Journal of Nursing and Health Science (IOSR-JNHS) e-ISSN: 2320–1959.p- ISSN: 2320–1940 Volume 6, Issue 6 Ver. V. 2017; (Nov.- Dec .2017), PP 19-26.
Schmidt, B. J. Core professional nursing values of baccalaureate nursing students who are men. Nursing Ethics. 2016; 23(6), 674– 684.
Tang, Soong, & Lim. Patient Satisfaction with Nursing Care : A Descriptive Study Using Interaction Model of Client Health Behavior. International Journal of Nursing Science. 2013; 3 (2): 51–56.
Watson, Jean. 2008. Nursing: The Philosophy and Science of Caring. Statewide Agricultural Land Use Baseline 2015. Revised. Vol. 1. Colorado: the University Press of Colorado.
Weis, D. & Schank, M. J. Professional values: the key to professional development. Journal of Professional Nursing. 2002; 18(5), 271-275.
Weis, D. & Schank, M. J. Development and psychometric evaluation of the nurses' professional values scale-revised. Journal of Nursing Measurement. 2009; 17(3), 221- 231.
Weyant & Clukey. Show Your Stuff and Watch Your Tone: Nurses’ Caring Behavior. American Journal of Critical Care. 2017; 26 (2): 111–17.
Xiao, et al. The Chinese version of Instrument of Professional Attitude for Student Nurses (IPASN): Assessment of reliability and validity. Nurse Education Today. 2017; 49, 79–83.
Alligood, M. R. (2014). Nursing theorists and their work (8th ed). Greenville, North Carolina: Elsevier Inc.

KARS. (2018). Standard Akreditasi Nasional Rumah Sakit.

Kemenkumham. (2009). Undang-Undang RI Nomor 36 Tahun 2009 Tentang Tenaga Kesehatan.

Kemenkumham. (2014). Undang-Undang RI Nomor 38 Tahun 2014 Tentang Keperawatan.

Potter, P., & Perry, A. (2009). Fundamental of nursing (7th ed). America.

Notoatmodjo, S. (2012). Promosi Kesehatan dan Perilaku Kesehatan. Jakarta: Rineka Cipta.

Robbins, Stephen & Judge, T. (2017). Organizational Behavior. (17th ed). America: Pearson.

Based on the Nursing and Midwifery Board of Australia: statements/professional- standards.aspx
Nursing and Midwifery Board of Ireland:
Taher, Akmal. (2014). Direktur jenderal bina pelayanan upaya kesehatan kementrian kesehatan RI.