The Patient's Feeling about the Need of Physician

to Nurture the Patient

Arfah Mardiana Lubis

, Harmein Nasution

, Zulfendri

and Juanita

Mahasiswa S3, Fakultas Kesehatan Masyarakat, Universitas Sumatera Utara, Jl. Universitas No. 21, Medan, Indonesia

Fakultas Tekink, Universitas Sumatera Utara, Jl. Almamater, Medan, Indonesia

Fakultas Kesehatan Masyarakat, Universitas Sumatera Utara, Jl. Universitas No. 21, Medan, Indonesia

Keywords: Patient's feeling, Physician need, Physician trait, Physician attitude, Need for nurturance

Abstract: The invisible motive of physicians to see patients recover quickly raises disappointment in the patient and the

patient's family. The need to cure patient is called need for nurturance. In the need for nurturance, there are

affectionate and tenderness as trait, also sympathetic, protective, supporting, and humanitarian as attitude of

need for nurturance. Therefore, researchers want to see how the patient's feelings about the needs of physician

to nurture the patients, from the side of trait and attitude of support the needs of the physician. Descriptive

research was conducted on 100 patients in each inpatient room at the Haji Adam Malik Hospital Medan. The

data were obtained by interview using the need for nurturance questionnaire developed from Murray's

personality theory, then analyzed descriptively. Results concluded that patients feel the physician has a need

to nurture the patient. However, physicians are less able to show the nature of affection, humanitarian and

sympathetic attitudes, so that patients feel physicians are less able to provide the best health services to

patients. It is recommended that physicians strengthen the need for nurturances as a motive in providing the

best health care to patients by showing the nature of affection, humanitarian attitude and sympathetic.

1 INTRODUCTION

One of the motives of physician to provide the best

health care to patients is to see patients recover

quickly (Dewi, et. all., 2015). However, this is not

seen in physicians in Indonesia, especially physician

in the city of Medan. Based on the opinion of

Pasaribu (2011), physicians who are abroad have

more need to cure patients compared to physician in

Indonesia, especially physician in Medan City. This

resulted in many patients in the city of Medan

medical treatment abroad. It is estimated that on

average 1.000 Medan residents went to Penang every

month (Adisasmito, 2008; Herqutanto, 2009; Adhani,

2014). Indonesia losses due to the large number of

patients seeking treatment abroad, based on the

opinion of Almatsier (2013), amounted to ± 1.6

trillion rupiah each year.

Based on the results of the study of Sarassati

(2008), Ombi (2012) and Wattimena (2014), it is

shown that the patients who choose to seek medical

treatment abroad because the patient has already felt

disappointed with medical services in Medan.

Disillusionment experienced by patients more

physicians to provide the best health services to

patients, one of which is to see the patient quickly

recovered. Patients then get information that health

services abroad better. Eventually the patient chose to

seek treatment abroad and feel good health care

abroad. After returning to Indonesia, the patient told

others about good overseas health services, so that

more patients feel that physicians abroad have more

motives to see patients heal faster than physicians in

Medan.

The absence of a physician's motive to see

patients recover quickly raises disappointment in the

patient and the patient's family. Whereas based on the

opinion of Lumenta (1989), the patient has an

important role as a social control for the medical

profession. Social control is a planned or not planned

and controlled way and process aimed at engaging,

educating, and even forcing citizens to comply with

the norms and social values prevailing within their

group (Setiadi and Kolip, 2013). This Lumenta

opinion in accordance with the Regulation of the

Minister of Health of the Republic of Indonesia

number 755 of 2011, ie patients and families of

patients who feel disappointed with the health

services provided by physicians, can provide reports

on the behavior of physicians in the hospital to the

Lubis, A., Nasution, H., Zulfendri, . and Juanita, .

The Patient’s Feeling about the Need of Physician to Nurture the Patient.

DOI: 10.5220/0010078305570560

In Proceedings of the International Conference of Science, Technology, Engineering, Environmental and Ramiﬁcation Researches (ICOSTEERR 2018) - Research in Industry 4.0, pages

557-560

ISBN: 978-989-758-449-7

557

ethics subcommittee and professional discipline in

the hospital

Based on the opinion of Murray (1947) the need

for healing is called need for nurturance. In the need

for nurturance, there are affectionate and tenderness

as trait, sympathetic, protective, supporting, and

humanitarian as the attitude from need for nurturance.

However, the explanation of need for nurturance

Murray (1947) is not devoted to physicians. The

explanation of need for nurturance specifically for

physicians may be derived from the results of several

studies (Mondloch,, 2001; Bendapudi., 2006;

Puddester, 2009; Lubis, 2013; Ratnamiasih,, 2014 ;

Wicaksono, 2014; Beach., 2015; Dewi,, 2015;

Mandagi, 2016; Razzaghi and Afshar, 2016; Keller.,

2017).

From the results of these studies it can be

concluded that when dealing with patients, physicians

must have the need to nurture the patient and feel

comfortable with the presence of the patient. The

physician's comfort is shown by taking sufficient time

with the patient (humanitarian); caring, caring and

sensitive to pain suffered by the patient

(sympathetic); treat patients with respect, dignity and

affectionate, help to manage the need for non-medical

needs of patients (supporting). However, there is no

research that examines the feelings of patients about

the needs of physicians to nurture the patient; from

the side of trait and attitude that support these

physicians need. Therefore, researchers want to see

how the patient's feelings about the needs of

physicians to nurture the patient, from the side of trait

and attitude that support these physicians need.

2 RESEARCH METHODS

This research is a descriptive research. The

population of this study were all patients in inpatients

room who came to the Haji Adam Malik Medan

Hospital in July-August 2017. However, the number

of inpatients population is not known, and then the

determination of the sample is used Lemeshow

formula.

(Zα

)

x p x q

_________________

(1)

Description:

n = The minimum number of samples required

Zα = The default value of the corresponding

distribution value α = 5% = 1.96

p = The prevalence of learning outcomes, because

the data have not been obtained, then used 50%

q = 1 – p

e = The level of precision 10%

Based on the formula 1, then :

(1.96)

x 0.5 x 0.5

n =

____________________________

= 96.04

0.1

(2)

Obtained a minimum sample size of 96 people and

rounded up to 100 people. Sampling technique with

incidental sampling. Data were obtained by

interviewing 100 research samples using a need for

nurturance questionnaire developed from Murray's

personality theory

(1947). Interview data are then

analysed descriptively.

3 RESULTS AND DISCUSSION

Based on interviews to 100 sampled patients, 100

patients were treated by 36 physicians. The

questionnaire was asked to each patient to evaluate

the physician who handled it.

Table 1: Physician’s need for nurturance from patient’s

feeling.

Need

100

patient

Percentage

physician

Percentage

Nurturance

Trait

100

patient

Percentage

physician

Percentage

Affectionate

Tenderness

Attitude

100

patient

Percentage

physician

Percentage

Sympathetic

Protective

Supporting

Humanitarian

From the analysis of the questionnaire data, table

1, seen 90 patients (90%) felt 32 physicians (89%)

had a need to nurture the patients. This is supported

also by the attitude of Supporting 31 physicians

(86%) felt by 86 patients (86%), Protective attitude

31 physicians (86%) felt by 85 patients (85%), and

Tenderness nature 27 physicians (75%) felt by 76

patients (76%).

However, from the analysis of the questionnaire

data, it was also seen that 59 patients (59%) felt that

18 physicians (50%) gave less affection to patients,

64 patients (64%) felt that 17 physicians (47%) were

less humanitarian, and 68 patients (68%) felt that 14

physicians (39%) were less able to show sympathy to

ICOSTEERR 2018 - International Conference of Science, Technology, Engineering, Environmental and Ramiﬁcation Researches

558

the patient. In the opinion of Murray (1947) it can be

concluded that affection is a must-have for patients to

cure, as well as humanitarian and sympathetic, which

is the attitude that physicians should show when they

want to heal the patient

The lack of physician's affectionate will affect the

patient's anxiety and decrease patient's satisfaction

and compliance with the advice given by the

physician, so that the patient's healing expected by

both physicians and patients is not achieved. This is

consistent with the results of the research of (Street,

2009), (Sep, 2014), and (Hesse and Rauscher, 2018)

who examined the effect of physician's affectionate

attitudes that the physician's affectionate can reduce

anxiety, improve patient satisfaction and compliance,

which can then improve patient health.

The same thing happens in the physician's

humanitarian attitude. The lack of visible attitudes of

the physician's humanitarian attitudes will affect

patients on the level of patient satisfaction in the

health services provided by physicians. This is in

accordance with the results of the study (Cantwell,

2010) ie humanitarian physician will spend sufficient

time with the patient to ensure that patients not only

feel better physically but also emotionally. Physicians

who can spend sufficient time with patients, based on

research (Kuteyi, 2010), contributed significantly and

positively to the level of patient satisfaction in health

services provided by physicians.

Something different happens to the physician's

Sympathetic attitude. Less noticeable Sympathetic

attitude of the perceived physician of the patient will

have an impact on the malpractice demands of the

patient's family. This is in line with Campbel's

opinion cited by (Ellis and Patel, 2012), ie the

sympathy attitude of physicians is more aimed at

avoiding malpractice demands from the patient's

family than to improve the patient's cure or to

improve patient satisfaction. Campbel's opinion is

also reinforced by the results of research from (Shane,

2016) who disclose the patient and the patient's

family identifies the physician's sympathy as a

physician's admission and a physician's apology that

the physician is incapable of healing the patient, and

the physician is grieved for his inability.

4 CONCLUSIONS AND

SUGGESTIONS

From the results of the study can be concluded that

patients feel the physician has a need to nuture the

patient. However, physicians are less able to show the

nature of affection, humanitarian and sympathetic

attitudes, so that patients feel physicians are less able

to provide the best health services to patients, the

patient's healing expected by both parties, whether

physician or patient, not achieved, decreased patient

satisfaction at health services provided by physicians,

which ultimately lead to malpractice demands from

the patient's family.

Therefore, it is recommended that physicians

strengthen the need for nurturance as a motive in

providing the best health care to patients by showing

the nature of affection, humanitarian and sympathetic

attitudes.

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