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"Penelitian ini bertujuan menguji pengaruh ronde keperawatan terhadap kepuasan kerja perawat pelaksana di ruang Rawat Inap RSUD Abdul Wahab Sjahranie Samarinda. Desain yang digunakan dalam penelitian ini adalah quasi eksperimental dengan pretest posttest with control group design, jumlah sampel 60 orang. Penentuan sampel menggunakan cara purposive sampling. Instrumen yang digunakan dalam penelitian ini adalah kuisioner. Hasil penelitian menunjukkan ada pengaruh yang bermakna ronde keperawatan terhadap tingkat kepuasan kerja perawat pelaksana di ruang rawat inap (p= 0,004, ı= 0,05), dengan subvariabel status profesional meningkat secara bermakna setelah dilakukan ronde keperawatan (p= 0,03, ı= 0,05). Ronde keperawatan merupakan strategi yang layak digunakan untuk meningkatkan kepuasan kerja perawat didasarkan atas status profesional, otonomi, persyaratan tugas, serta interaksi.

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This study aims to examine the effect of nursing rounds on nurse job satisfaction in the inpatient room of Abdul Wahab Sjahranie Hospital Samarinda. Design used in this study was quasi experimental with pretest posttest with control group design, a sample of 60 people. Determination of the sample using purposive sampling. The instruments used in this study were questionnaires.

The results showed no significant effect of nursing rounds on nurse job satisfaction levels in the implementation of hospitalization (p = 0.004, ı = 0.05), with professional status subvariabel increased significantly after the nursing rounds (p = 0.03 , ı = 0.05). Nursing rounds is a viable strategy used to enhance nurse job satisfaction is based on professional status, autonomy, task requirements, and interaction."

"Penelitian ini merupakan penelitian quasi experiment dengan desain pre test and post test nonequivalent control yang bertujuan untuk mengetahui efektifitas perpaduan terapi dzikir dan PMR terhadap kadar glukosa darah pasien DM tipe 2. Jumlah sampel 30 orang yang di rawat di Rumah Sakit yang terbagi dalam 3 kelompok intervensi (gabungan dzikir & PMR, Dzikir dan PMR) dengan kriteria inklusi tidak mengalami komplikasi akut DM, mendapatkan terapi insulin dan beragama Islam (khusus untuk intervensi dzikir). Hasil penelitian menunjukkan terdapat perbedaan yang signifikan antara kadar glukosa darah sebelum dan setelah intervensi pada masing-masing kelompok (p=0.000) dan rata-rata kadar glukosa darah setelah intervensi antar kelompok (p=0.004), Selisih rata-rata kadar glukosa darah sebelum dan setelah intervensi antar kelompok tidak menunjukkan perbedaan yang bermakna (p= 0.167). Selisih mean rata-rata kadar glukosa darah sebelum dan setelah intervensi yang paling besar adalah pada kelompok intervensi gabungan terapi dzikir & PMR. Gabungan terapi dzikir dan PMR lebih efektif dalam menurunkan kadar glukosa darah dibandingkan terapi dzikir saja atau terapi PMR saja. Penelitian ini merekomendasikan agar gabungan terapi dzikir dan PMR dapat diterapkan di pelayanan klinik sebagai terapi tambahan pada terapi standar untuk membantu menurunkan kadar glukosa darah pasien DM tipe 2.

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This is quasi experiment study with pretest and posttest nonequivalent control. This study aimed to determine the influence of Dhikr and Progressive Muscle Relaxation on Blood Glucose score on Diabetic Type 2 Patient. Total sample on this study were 30 Diabetic Type 2 Patients who were hospitalized, divided into 3 groups patients. First group consist of patients who were received both dhikr and PMR; second group received only dhikr; and third group PMR. The inclusion criteria patients were not experience diabetic acute complication, received insulin therapy, and believe in Islam.

The result shows there is significant different between blood sugar level before and after intervention on every groups (p=0.000) and significant different on the mean blood sugar level after intervention (p=0.004). The mean different of blood glucose level before and after intervention shows no significant different amongst groups (p= 0.167). The highest mean different was on blood sugar level before and after intervention was on group who received dhikr and PMR. The combination between Dhikr and Progressive Muscle Relaxation is more effective to decrease blood sugar level compare to a group who only received dhikr or PMR. This study recommends to give combination between Dhikr and Progressive Muscle Relaxation as a complementary therapy to standard (insulin) therapy to maintain blood sugar on normal level on diabetic type 2 patients."

"Pasien yang menjalani hemodialisis akan mengalami beban gejala (syndrome burden) yang salah satunya adalah kesulitan tidur. Kondisi ini tentunya akan berpengaruh terhadap kualitas tidur pasien. Kejadian kualitas tidur yang buruk lebih tinggi ditemukan pada pasien yang menjalani hemodialisis dibandingkan dengan populasi umum. Penelitian ini bertujuan untuk mengetahui pengaruh relaksasi Benson terhadap peningkatan kualitas tidur pasien hemodialisis. Penelitian ini merupakan quasi eksperimen pre dan post test desain with control group, yang melibatkan 44 orang responden. Selama 4 minggu kelompok intervensi mendapatkan intervensi relaksasi Benson dan pada kelompok kontrol mendapatkan intervensi standar. Kualitas tidur dinilai sebelum dan setelah pemberian intervensi menggunakan instrumen Pittsburgh Sleep Quality Indeks. Hasil pengukuran diperoleh nilai median skor kualitas tidur pada kelompok intervensi setelah pemberian relaksasi Benson adalah 4, sedangkan pada kelompok kontrol setelah pemberian intervensi standar adalah 10. Hal ini berarti terdapat pengaruh pemberian relaksasi Benson terhadap skor global kualitas tidur pada kelompok intervensi dibandingkan dengan skor global kualitas tidur pada kelompok kontrol (p value 0,000, α= 0,05). Dengan demikian, relaksasi Benson secara klinis dan statistik memberikan pengaruh terhadap peningkatan kualitas tidur pasien. Relaksasi Benson diharapkan dapat menjadi salah satu pilihan terapi komplementer keperawatan dalam meningkatkan kualitas tidur pasien yang menjalani hemodialisis rutin.

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Burden of symptoms will be experienced by patients undergoing hemodialysis, which one of them is difficulty of sleeping. This condition affect on the quality of the patient's sleep. The incidence of poor quality of sleep among hemodialysis patients are higher than general population. This study aims to determine the effect of Benson's relaxation on improving the quality of sleep of HD patients. This study was a quasi-experimental pre-test and post-test design with control group, which involved 44 respondents. The intervention was conducted for 4 weeks, where the intervention group received Benson's relaxation and the control group received standard intervention. Sleep quality assessed before and after providing the intervention using the Pittsburgh Sleep Quality Index instrument. The measurement results obtained that the median score of sleep quality in the intervention group after giving Benson relaxation was 4, while in the control group was 10. This means that there is an effect of giving Benson relaxation on the global score of sleep quality in the intervention group compared to the global score of sleep quality in the control group (p value of 0.000, α= 0,05). It can be concluded that Benson's relaxation has clinically and statistically effect on increasing the patient's sleep quality. Expectedly, Benson's relaxation can be used as a complementary nursing therapy to overcome problems related to sleep quality in patients undergoing hemodialysis."

"Stroke adalah kumpulan gejala klinis akibat hilangnya fungsi otak sebagian atau keseluruhan, secara tiba-tiba yang disebabkan oleh gangguan pembuluh darah. Salah satu penyebab kematian pasien stroke adalah aspirasi pneumonia yang berhubungan dengan disfagia. Penanganan yang baik terhadap disfagia dapat membantu mencegah komplikasi, mempercepat proses penyembuhan dan meningkatkan kualitas hidup pasien.Penelitian ini bertujuan mengidentifikasi pengaruh latihan mengunyah dan menelan terstruktur terhadap kemampuan mengunyah dan menelan dalam konteks asuhan keperawatan pasien stroke dengan disfagia.di RSUD. Abdul Wahab Sjahranie Samarinda Desain penelitian ini adalah quasy eksperiment, khususnya control group pretest-posttest design. Sampel berjumlah 64 orang (32 orang kelompok intervensi yang diberikan perawatan standar dan latihan mengunyah dan menelan terstruktur 7 hari dan 32 orang kelompok kontrol yang diberikan perawatan standar ), yang diambil dengan metode consecutive samling. Evaluasi kemampuan mengunyah dan menelan dilakukan pada hari pertama dan hari ketujuh baik pada kelompok intervensi maupun kelompok kontrol.Hasil penelitian diperoleh adanya peningkatan kemampuan mengunyah dan menelan secara bermakna (p=0,000, α=0,05), artinya latihan mengunyah dan menelan terstruktur berpengaruh terhadap peningkatan kemampuan mengunyah dan menelan pasien stroke dengan disfagia. Manfaat penelitian ini dapat dijadikan sebagai salah satu intervensi mandiri keperawatan dalam menangani pasien stroke dengan disfagia sehingga meningkatkan mutu asuhan keperawatan, mempercepat penyembuhan, mencegah komplikasi serta memperkaya keilmuan keperawatan. Rekomendasi hasil penelitian ini perlu adanya penelitian lanjut dengan jumlah sampel yang lebih besar.

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Stroke is a group of clinical symptomps due to total or partial brain function loss, caused by blood supply disruption to the brain. One of the cause of death in patient with stroke is pneumonia aspiration related to dysphagia. A good management of dysphagia can prevent complications, makes healing process faster and also improve the quality of patient?s life.This research was aimed to identify the effect of structured swallowing and chewing exercise on the ability of swallowing and chewing of stroke patient with dyshagia at Abdul Wahab Sjahranie Hospital Samarinda. A quasi experiment with pretest - posttest control group design was used in this study. 64 samples are selected by consecutive sampling method (32 samples in intervention group given standard treatment and structured swallowing and chewing exercise for 7 days and 32 samples in control group given standard treatment only). Evaluation was conducted on the first and seventh day for both group.The result showed that the ability of swallowing and chewing increased significantly in intervention group (p=0,000, α=0,05) after the intervention. It is concluded that structured swallowing and chewing exercise has an effect on improving the swallowing and chewing ability of stroke patients with dysphagia. The implication of this research are to use this exercise as one of the independent nursing interventions in caring stroke patients with dysphagia and to improve the quality of nursing care, makes healing process faster, prevent complications and also enrich nursing science. It is recommended for the future research to conduct research with bigger sample. "

"Penelitian ini dilatarbelakangi oleh realitas bahwa kinerja perawat pelaksana memiliki kontribusi terhadap mutu pelayanan keperawatan di rumah sakit, penilaian kinerja perawat pelaksana belum optimal, dan masih ada ketidakpuasan pelanggan terhadap kinerja perawat pelaksana sebesar 43,89%. Penelitian bertujuan untuk mengetahui hubungan faktor internal dan eksternal dengan kinerja perawat pelaksana di IRNA RSUD A.W. Sjahranie. Penelitian menggunakan pendekatan cross sectional. Sampel berjumlah 216 perawat pelaksana. Data dikumpulkan dengan menggunakan kuesioner. Analisis data berupa univariat, bivariat (chi-square dan independent t test) dan multivariat (regresi logistik berganda). Hasil penelitian didapatkan faktor yang berhubungan dengan kinerja adalah: pendidikan (p=0,014), motivasi (p=0,013), persepsi (p=0,001), kepemimpinan (p=0,001), dan karir (p=0,001). Faktor pengembangan karir paling dominan berhubungan dengan kinerja (OR=29,962). Peningkatan kinerja perawat pelaksana di rumah sakit harus memperhatikan faktor pendididkan, motivasi, persepsi, kepemimpinan dan pengembangan karir.

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This research was motivated by the fact that nursing performance contributes to the quality of nursing services in hospital, the suboptimal nurses appraisal, and the low customer satisfaction towards the nurses performance of 43.89%. This research aims to determine the relationship of internal and external factors of nurse?s performance in Instalasi rawat inap RSUD A. W. Sjahranie Samarinda.

This research uses cross-sectional approach. The sample consists of 216 nursing officers. Data was collected by using questionnaire. Data analysis that is used in this research were univariate, bivariate (chi-square and independent t-test) and multivariate (multiple logistic regression).

The result of this research shows that the factors that related to the performances are: education (p=0.014), motivation (p=0.013), perception (p=0.001), leadership (p=0.001), and career (p=0.001). The most significant factor that is related to nursing performance is career development (OR=29,962). Nursing performance developments have to pay attention to education, motivation, perception, leadership, and career development."

"Kepuasan kerja perawat pelaksana dapat mempengaruhi pemberian pelayanan kesehatan di rumah sakit. Penelitian ini bertujuan mengetahui pengaruh langsung dan tidak langsung serta besarannya antara aspek kepribadian dalam pekerjaan dan karakteristik faktor pekerjaan terhadap kepuasan kerja perawat pelaksana di ruang rawat inap RSUD Banjarbaru 2013. Penelitian ini merupakan studi deskriptif dengan desain cross sectional dan jumlah sampel 90 orang. Hasil analisis SEM-SmartPLS-v.2.0 menunjukan adanya hubungan yang bermakna antara kepuasan kerja perawat pelaksana dipengaruhi secara langsung dan tidak langsung antara aspek kepribadian dalam pekerjaan serta karakteristik faktor pekerjaan terhadap kepuasan kerja perawat pelaksana. Direkomendasikan perlunya dukungan besar manajemen untuk peningkatan kepuasan kerja perawat pelaksana.

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Job satisfaction of nurses can influence health service delivery in the hospital. This study aims to determine the effect of direct and indirect as well as the magnitude of the aspect of personality factors in work and job characteristics on job satisfaction of nurses in at the Inpatient Public Hospital Banjarbaru 2013. This research is a descriptive study with cross-sectional design and sample size 90.

SEM analysis results-v.2.0-SmartPLS show a significant relationship between job satisfaction of nurses is influenced directly and indirectly between aspects of personality in the work as well as the characteristics of occupational factors on job satisfaction of nurses. Recommended the need for increased support for the management of the job satisfaction of nurses."

"Supervisi merupakan salah satu kegiatan yang harus dilaksanakan oleh manajer. Fenomena yang ditemukan di RSUD Indramayu adalah perawat pelaksana belum memiliki motivasi kerja dan kinerja yang optimal. Penelitian ini bertujuan untuk mengetahui pengaruh pelatihan asuhan keperawatan dan supervisi terhadap motivasi kerja dan kinerja perawat pelaksana di ruang rawat inap RSUD Indramayu. Penelitian ini menggunakan metode quasi experiment dengan pre-post test design with control group. Jumlah sampel untuk motivasi kerja dan kinerja perawat pelaksana berdasarkan self evaluation adalah 97 orang, sedangkan jumlah sampel untuk kinerja perawat pelaksana dalam dokumentasi asuhan keperawatan adalah 165 dokumen. Sampel dibagi menjadi kelompok A, B, dan C. Instrumen menggunakan kuesioner dan lembar kerja. Instrumen melalui uji validitas dan reliabilitas. Data dianalisis menggunakan univariat, bivariat, dan multivariat. Intervensi adalah pelatihan asuhan keperawatan dan pelatihan supervisi. Hasil penelitian menunjukkan motivasi kerja perawat pelaksana di ruang rawat inap RSUD Indramayu meningkat secara bermakna (p value <0.05) sesudah mendapat pelatihan asuhan keperawatan dan disupervisi oleh kepala ruangan yang telah dilatih dan dibimbing supervisi. Kinerja dalam pemberian asuhan keperawatan oleh perawat pelaksana berdasarkan self evaluation di ruang rawat inap RSUD Indramayu meningkat secara bermakna (p value <0.05) sesudah mendapat pelatihan asuhan keperawatan dan disupervisi oleh kepala ruangan yang telah dilatih dan dibimbing supervisi. Kinerja dalam pendokumentasian asuhan keperawatan oleh perawat pelaksana di ruang rawat inap RSUD Indramayu meningkat secara bermakna (p value <0.05) sesudah mendapat pelatihan asuhan keperawatan dan disupervisi oleh kepala ruangan yang telah dilatih dan dibimbing supervisi. Faktor yang paling berkontribusi terhadap kinerja perawat pelaksana dalam pemberian asuhan keperawatan berdasarkan self evaluation di ruang rawat inap RSUD Indramayu adalah umur dan lama kerja setelah dikontrol supervisi. Hasil penelitian menyimpulkan bahwa pelatihan asuhan keperawatan dan supervisi berpengaruh secara bermakna terhadap motivasi kerja dan kinerja perawat pelaksana. Saran yang diberikan adalah RSUD Indramayu melakukan pelatihan asuhan keperawatan bagi perawat pelaksana diikuti dengan supervisi dari kepala ruangan.

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Supervision is an activity that must be accomplished by a manager. Phenomenon that have in RSUD Indramayu is not hold nursing care training and not supervision guidance yet. This research purspose to know the influence of nursing care training and supervision to job motivation and job productivity at nusing room in RSUD Indramayu.

This research used quasi experiment method with pre post test design with control groups. The total sample for job motivation and job productivity in nursing care based self evaluation are 97 person, while total sample for nurses job productivity in nursing documentation are 165 document. The samples are devided into groups A, B, and C. The instrument are quetionary and observation worksheet. Validity and realibity are before used. The data is analysed by using univariate, bivariate, and multivariate. Intervention is nursing care training and supervision.

The research result showed job motivation nurses is significant increase (p value <0.05) after nursing care trained and being supervision head nurse have been trained and guided supervision. Job productivity in nursing care based self evaluation is significant increase (p value <0.05) after nursing care trained and being supervision head nurse have been trained and guided supervision.

Job productivity in nursing documentation is significant increase (p value <0.05) after nursing care trained and being supervision head nurse have been trained and guided supervision. The most contribute factor to nurses job productivity in nursing care based self evaluation are age and long of work after supervision controlled.

The conclusion this research is nursing care training and supervision head nurse have been trained and guided have significant influence to job motivation and job productivity of nurses. Advice to RSUD Indramayu is to nursing care training followed by head nurse supervision."

"Sistem supervisi klinik kepala ruangan yang dijalankan dengan tepat dapat meningkatkan kepuasan kerja dan kinerja perawat pelaksana. Fenomena yang ditemukan di RS Woodward Palu, supervisi kepala ruangan, kepuasan kerja, dan kinerja perawat pelaksana belum optimal.Penelitian ini bertujuan untuk mengetahui pengaruh pelatihan supervisi klinik kepala ruangan terhadap kepuasan kerja dan kinerja perawat pelaksana di ruang rawat inap RS Woodward Palu.Penelitian ini menggunakan metode quasi experiment dengan pre-post test design with contol group. Sampel untuk supervisi kepala ruangan dan kepuasan kerja masing-masing kelompok 32 perawat dan sampel untuk kinerja perawat pelaksana masing-masing kelompok 56 dokumen. Intervensi yang dilakukan adalah pelatihan dan bimbingan supervisi klinik kepala ruangan model akademik.Hasil penelitian menunjukkan terjadi peningkatan yang signifikan (p value =0,000) pada supervisi klinik kepala ruangan setelah mendapat pelatihan dan bimbingan supervisi. Supervisi klinik yang dilaksanakan secara tepat telah berdampak pada kepuasan kerja dan kinerja perawat pelaksana secara signifikan (p value =0,000). Analisis lebih lanjut menunjukkan ada perbedaan kepuasan kerja dan kinerja perawat pelaksana yang signifikan (p value=0,000) antara kelompok intervensi dan kelompok kontrol.Penelitian ini membawa pada simpulan ada pengaruh pelatihan supervisi klinik kepala ruangan terhadap kepuasan kerja dan kinerja perawat pelaksana di ruang rawat inap rumah sakit Woodward Palu. Rekomendasi penelitian ini adalah terus mempertahankan penerapan supervisi klinik kepala ruangan dengan cara pembinaan, monitoring, dan evaluasi secara berkelanjutan agar kepuasan kerja dan kinerja perawat pelaksana terus dapat ditingkatkan.

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Clinical supervision by head nurse can increase working satisfaction and clinical performance by nursing staff in the ward. However, in Wordward hospital clinical supervision by head nurse, working satisfaction and clinical performance by nursing staff has not been improved.

The purpose of this study was to identify the influence of clinical supervision training by the head nurse on the working satisfaction and clinical performance of nursing staff in the in-patient ward of Woodward hospital in Palu.

This study used quasi experiment method with pre and post-test design with control group. The sample in clinical supervision and working satisfaction into groups, where each group consisted of 32 nurses, where for measuring clinical performance of staff nurses each group consisted of 56 nurses. Intervention that was given to the sample (intervention group) was training and supervision toward head nurse on clinical supervision with academic model.

The result showed that the clinical supervision by head nurse was significantly increased (p value = 0,000) after training and supervision. Clinical supervision that accurately implemented gave influence significantly (p value = 0,000) into working satisfaction and clinical performance of staff nurses. Further analysis showed the significantly difference on working satisfaction and clinical performance of staff nurses between intervention and control groups (p value = 0,000).

Conclusion of this study showed that there was a significantly influence on head nurse clinical supervision training working satisfaction and clinical performance of staff nurses in Woodward hospital in Palu. The recommendation of this study suggested that maintaining implementation of clinical supervision by head nurse should be improved by supervision, monitoring, and evaluation, in order to maintain the working satisfaction and clinical performance of staff nurses within the ward."

"Keberhasilan pelayanan keperawatan yang bermutu dipengaruhi oleh tingkat kepuasan kerja perawat. Kepuasan kerja perawat dapat diupayakan melalui MPKP Jiwa modifikasi pendekatan manajemen fungsi pengarahan, namun kegiatan MPKP dan fungsi pengarahan belum dijalankan secara konsisten. Tujuan penelitian ini adalah mengetahui pengaruh fungsi pengarahan kepala ruang dan ketua tim terhadap kepuasan kerja perawat pelaksana di unit rawat inap RSUD Blambangan Banyuwangi. Penelitian ini menggunakan metode quasi experiment dengan desain pre-post test with control group, dan pelatihan serta bimbingan fungsi pengarahan (operan, pre conference, post conference, iklim motivasi, supervisi dan delegasi) pada kepala ruang dan ketua tim di kelompok intervensi. Sampel penelitian diperoleh secara purposive sampling, terdiri dari 35 perawat pelaksana RSUD Blambangan Banyuwangi sebagai kelompok intervensi dan 40 perawat pelaksana di RSUD dr. Haryoto Lumajang sebagai kelompok kontrol. Instrumen yang digunakan untuk mengukur kepuasan kerja diambil dari Minnesota Satisfaction Questionnaire.Hasil penelitian menunjukkan bahwa kepuasan kerja perawat pelaksana yang mendapat pengarahan dari kepala ruang dan ketua tim yang sudah memperoleh pelatihan, bimbingan dan pendampingan fungsi pengarahan meningkat lebih tinggi secara bermakna dibandingkan dengan kepuasan kerja perawat pelaksana yang mendapat pengarahan dari kepala ruang dan ketua tim yang tidak dilatih fungsi pengarahan. Fungsi pengarahan bila dilaksanakan secara konsisten oleh kepala ruang dan ketua tim, berpeluang meningkatkan kepuasan kerja sebesar 67,40%. RSUD Blambangan Banyuwangi dan RSUD dr. Haryoto Lumajang dapat mengupayakan dan meningkatkan kepuasan kerja perawat pelaksana secara berkelanjutan dengan mengimplementasikan fungsi pengarahan dari MPKP Jiwa Modifikasi umum.

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The quality of nursing care delivery (MPKP Jiwa modification sub directing function) has some bearing on the level of nursing staffs? job satisfaction. However, the MPKP activity and the directing function has not put into daily nursing practice consistently in the district general hospital. The aim of this study was to investigate the influence of directing function of nurse unit manager and team leader to the nurse job contentment among staff nurses in Blambangan District General Hospital, Banyuwangi and dr. Haryoto District General Hospital, Lumajang. The research methods were a quasi experiment, pre-post test with control group design and training and guiding to the nurses unit manager and nurses team leader of Blambangan district general hospital. The samples were 75 respondents, determined by purposive sampling. They were 35 nurse staffs of Blambangan hospital (experimental group) and the others from dr. Haryoto Hospital (control group). The research instrument was a questionnaire consisted 36 of Likert scale statements adopted from Minnesota Satisfaction Questionnaire.The result showed that the level of nurse job satisfaction in the experimental group increased higher significantly than the control group. Putting the directing function which comprise with nursing hand over, pre conference, post conference, motivational climate, supervision and delegation into action consistently in the daily nursing practice improved the probability of the nurse job satisfaction level about 67.40%. The day-to-day maintaining and increasing their job satisfaction level should be done through directing function of MPKP Jiwa modification Blambangan District General Hospital, Banyuwangi and dr. Haryoto District General Hospital, Lumajang."