Qualitative Study on The Implementation of Public Health Nursing: Objective, Resources, and Work Procedure on Home Care Patients in Surakarta


  • Ratih Novitasari Masters Program in Public Health, Sebelas Maret University
  • Rita Benya Adriani Diploma Program in Health Polytechnics, Surakarta
  • Eti Poncorini Pamungkasari Faculty of Medicine, Sebelas Maret University


Background: Dynamic changes of disease development call for improvement in health care. In light of this context, public health nursing with home care has an increasing role in the management of diseases. Comprehensive public health nursing requires partnership between healthcare providers, patients, and their environment. In Indonesia the focus of nursing remains on hospital care, while rarely on home care that fulfils the need of the community. This study aimed to examine the implementation of public health nursing, encompassing its objective, resources, and work procedure, on home care patients.  

Subjects and Method: This was a qualitative study with case study approach. This study was carried out at PKU Muhammadiyah Hospital, Surakarta, from February to March 2017. The key informants of this study included nurses, home care coordinator, doctors, dieticians, and physiotherapists. Methods of data collection included interview, observation, and archival review. Data were analyzed in stages normally employed in case study.

Results: The objectives of home care have generally been understood by most health providers. On the other hand the objectives of home care have not well-understood by the families of the patients, leading to inconsistency with the objective. There is a need to increase resources necessary for the nurses, particularly improvement in competency, as well as case selection, review, planning, coordinating, and evaluation. Likewise, collaboration between health care provider, patients, and their families, need to be improved in order to maximize home care.

Conclusion: There is a need to strenghten commitment of all parties involved in home care. The objectives of home care need to be understood by all parties. Hospitals are expected to have stronger responsibility with both work procedure in order to deliver optimal health care. By doing so, the public health nursing with home care will be able to fulfil the need of the community.

Keywords: home care, objective, resources, work procedure

Correspondence: Ratih Novitasari, Masters Program in Public Health, Sebelas Maret University, Surakarta. Email: ratih.noph@yahoo.com Mobile: +6285649524070

Journal of Health Policy and Management (2017), 2(1): 56-66


Batbaatar E, Dorjdagva J, Luvsannyam A, Savino MM, Amenta P (2017). Determinants of patient satisfaction: a systematic review. Perspectives in Public Health. 132 (7): 89-101.

Budiono dan Pertami SB (2016). Konsep Dasar Keperawatan. Jakarta: Bumi Medika.

Canadian Nurses Assosiation (2013). Optimizing The Role of Nursing In Home Health. Otawa: CNA.

Centers for Disease Control and Prevention (CDC) (2016). Home Health Care. [online] available at: http://www.cdc.gov/nchs/fastats/homehealthcare.htm [diakses] tanggal 14 Oktober 2016.

Farran H (2012). Practice with purpose. Guident: 56-57.

Goodman et al. (2016). Effective health care for older people living and dying in care homes: a realist review. BMC Health Service Reseach. 16 (269) 1-14.

Grehension G (2015). Trend Home Care di Indonesia. [online] available at http://holistikhomecare.com/trendshomecare diindonesia/ [diakses] tanggal 20 Desember 2016

Harkness GA and DeMarco R. 2012. Community and Public Health Nursing: Evidance for Practice. Philadelphia: Lippincott Williams & Wilkins.

Kementerian Sosial Republik Indonesia (2014). Pedoman pendampingan dan perawatan sosial lanjut usia dirumah (home care). Jakarta: Direktorat Jenderal Rehabilitasi Sosial.

Keputusan Menteri Kesehatan RI Nomor 279/MENKES/SK/IV/2006 Pedoman Penyelenggaraan Upaya Keperawatan Kesehatan Masyarakat di Puskesmas. 21 April 2006. Dinas Pelayanan Keperawatan. Jakarta.

Moule P, Armoogum J, Dood E, Donskoy A, Douglass E, Taylor J, Turton P (2016). Practical guidance on undertaking a service evaluation. Nursing Standard. 30(45): 46-51

Newbould (2012). Experiences of care planning in England:interviews with patients with long term condition. BMC Family Practice 13 (71): 1-9.

Nur NN, Warganegara E (2016). Faktor risiko perilaku penyakit tidak menular. Majority. 5 (2): 88-94.

Ohlen A (2015). Advanced home care nurses’s everyday practice. Stockholm: Karolinska Institute

Oliveria SG, Quintana AM, Budo LD, Kruse MH, Beuter M (2012). Home care and hospital assistence: similiarities and differences from the perspective of the family caregiver. Text Context Nursing Florianopolis. 21 (3): 591-599.

Philis-Tsimikas A, Gallo LC (2014). Implementing community based diabetes programs: the scripps whittier diabetes institute experience. Curr Diab Rep: 461-471.

Soesanto E, Chanif, Supradono B (2015). Peningkatan kualitas kesehatan masyarakat melalui jasa layanan kesehatan holistik on delivery fakultas ilmu keperawatan dan kesehatan Universitas Muhammadiyah Semarang. Jurnal Keperawatan Kesehatan Masyarakat. 1(4): 53-61.

Sulaeman E (2015). Metode Penelitian Kualitatif dan Campuran dalam Kesehatan Masyarakat. Surakarta: UNS PRESS.

Tyer-Viola LA, Timmreck E, Bhavani G (2013). Implementation of continuing education model for nurses in Bangladesh. The Journal of Continuing Education in Nursing. 44 (10): 470-476.

Van der Plas AGM, Onwuteaka-Philipsen BD, van de Watering M, Jansen WJJ, Vissers KC, Deliens L (2012). What is case management in palliative care? An expert panel study. BMC Health Services Research. 12 (163): 1-8.

Wijanarko VW, Sjamsuddin S, Hermawan (2014). Pelaksanaan Program Gerakan Tuntas Gizi Buruk (Restu Ibu) di Kabupaten Ngawi. Jurnal Administrasi Publik (JAP). 2 (3): 546-549.




How to Cite

Novitasari, R., Adriani, R. B., & Pamungkasari, E. P. (2017). Qualitative Study on The Implementation of Public Health Nursing: Objective, Resources, and Work Procedure on Home Care Patients in Surakarta. Journal of Health Policy and Management, 2(1), 56–66. Retrieved from https://thejhpm.com/index.php/thejhpm/article/view/24