Structural Model for Public Health Nurses’ Performance in The Implementation Of Family Nursing Based On Nursing Relational Capital

Abstract

Background: The family nursing care model developed in this research integrates Nursing Intellectual Capital (NIC) theory, goal attainment theory and Family Centered Nursing (FCN). Good nurse performance in performing family nursing care will influence the family's independence in caring for sick family members. The aim of study want to develop structural model for improving the performance of public health nurses (PHN) in the implementation of family health nursing (FHN) based on nursing relational capital (NRC). Method: An observasional analytic study conducted to measure performance 110 of PHN in Surabaya City of Indonesia with multistage random sampling. Structural questionnaires were used to measure nursing structural capital, nursing human capital, client factors, family, nursing relational capital, and the performance of the nurses. Data analysis used descriptive analytic, testing model partial least square (PLS) software. Fit model was obtained through the goodness of fit. Results: The structural model developed in this study is very strong with a GoF value of 0.460. The results of the first stage of research reveal that the structural model testing (outer model) of all indicators which are nursing structural capital, nursing human capital, client factor, family, nursing relational capital and performance have a value of loading factor > 0.5. The path diagram analysis on all exogenous variables obtained t-statistic > from t-table, except for structural capital nursing to nursing relational capital with t-statistic 0.178 < t-table equal to 1.96. Conclusion and Recommendation: The theory of nursing intellectual capital, goal attainment theory and family center nursing theory form the model of FHN can improve the implementation of family nursing care. The implementation of this model needs support from policy makers and cross-program cooperation in public health center. Therefore, PHN can improve the implementation of FHN.