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"Recent health service should ti-y to grant comprehensive service, in line with technology demand and society interest, clients have resumed to pay attention to profits of hospital providing qualified service, efficient cost and satisfaction to its clients. A hospital, if dose not pay attention to its client?s satisfaction, will diminish its clients and eventually will suffer a financial loss. One of many factors influencing client?s satisfaction is client-nurse communication.

The survey at Karya Bhakti Hospital, Bogor indicated that its clients have felt satisfied, yet they still have complaint on that the communication between nurses and clients in inpatient unit has not been active. In consequence, this research was to prove that there was a relation between nurse-client communication and a level of client?s satisfaction with the nursing service. The used method was descriptive correlation and the data collecting utilized cross sectional. The sample of research was 100 people who were patients of inpatient unit of Karya Bhakti Hospital, Bogor. The research was conducted in June and July 2001. The instrument of this research broke down into three part, namely: first client?s characteristics; second, nurses? communication toward client; and third, client?s satisfaction.

Characteristics of respondent were: age between 15-73 years old of age, mostly women educational level ranging from elementary to university, mostly from new patients who got service at first; and length of caring ranging from 3-12 days. The research was conducted at four inpatient units. The result of communication variable implied that the clients often got empathy, involved in planning and decision making lfl controlled caring process, entrusted and often got detail, systematic and transparent information as well as rewarding as an individu in nurse communication (Confirmation). The result finding at satisfaction level showed that the level of corespondent?s satisfaction was high enough. Their characteristic did not indicate a significant relation with the level of satisfaction There was a significant Connection between nurse-client COflhrfltiflication (confirmation) and client?s satisfaction on detail-systematic information granting (transparency) as well as attitude to appreciate client as an indivìdu (confirmation).

Based on the research, it is recommended that policy makers of the hospital should remain this achievement. And ¡t should be enhanced so the entire staffs of the hospital could run communication well and it could be remained by rewarding to executing nurse whom has carried his/her communication well, emphasizing to all hospital to do so. And they should establish teamwork that handles matter of communication in a hospital and compose a program which focuses on information restructuring such as health education through discharged planning that is adjusted with individual needs.

It is suggested that nurses should carry out nursing care using excellent communication. And create a program that control and facilitate communication program in environment of care. For further research, it is recommended that this result should be base of the following research using more complete method such as experiment equation or by direct-qualitative-interview on factors influencing clients? satisfaction. Due to the fact that this research had analyzed the content of communication, so the further research is recommended to ilivestigate some relations between nurse-client communication techniques and achievement of nursing service quality."

"Klien stroke dengan hipertensi dari tahun ke tahun terus meningkat, sehingga keadaanini menjadi hal penting untuk dikelola dengan baik. World Health Organisation bahwapada tahun 2030 ada 23,3 juta kematian oleh karena penderita penyakit Jantung danStroke dan berdasarkan hasil Riset Kesehatan Dasar 2013 penderita stroke yangterdiagnosa di Indonsia sebanyak 1.236.825 orang. Penderita stroke di rumah sakittempat dilakukan penilitian selama empat tahun terakhir mencapai 351 orang, sehinggaini memberikan gambaran bahwa stroke merupakan penyakit yang memerlukanperawatan dan pengobatan yang lebih serius. Tujuan penelitian ini adalah untukmengembangkan model perencanaan pulang klien stroke dengan hipertensi. Metode:riset operasiobnal dengan 3 tahap. Yaitu tahap 1, identifikasi alur dan masalah sertakebutuhan perncanaan pemulang klien, tahap 2 dikembangkanya draft model dan modulberdasarkan data dasar dari hasil tahap 1. Telaah literatur dan konsultasi pakar, tahap 3,validasi model dan modul dengan kuasi eksperimen. Data dikumpulkan menggunakanFGD Focus Group Discussion dan Wawancara Mendalam pada tahap 1 denganinforman penelitian 33 orang. Partisipan tahap 3 uji model adalah keluarga 21 sebelumdan 37 orang sesudah, klien 33 sebelum dan 37 orang sesudah, dan perawat 37 orangsebelum dan sesudah dilakukan intervensi model. Data dikumpulkan dengan pre posttest. Analisa data tahap satu dengan analisa konten dan tahap uji model denganmenggunakan SPSS. Hasil tahap satu didapat alur klien masuk sampai pulang,kebutuhan dan masalah dalam perencanaan pulang. Hasil uji coba model bahwakemandirian klien bermakna signifikan dengan Pvalue =0.00 lebih kecil dari Pvalue =0.05, kepuasan klien tidak signifikan karena Pvalue =0.40 lebih besar dari Pvalue =0.05, kepuasan keluarga bermakna signifikan karena Pvalue =0.025 lebih kecil dariPvaleu = 0.05, sementara hasil kepuasan perawat sangat bermakna signifikan denganPvalue = 0.00 lebih kecil dari Pvalue = 0.05. Disimpulkan bahwa model perencanaanpulang diperlukan untuk memberikan pelayanan perawatan dan pengobatan kepadaklien, dan dapat digunakan tenaga kesehatan untuk melaksanakan perawatan danpengobatan. Merupakan saran agar manajemen rumah sakit membuat kebijakan danmempersiapkan perangkat sehubungan pelaksanaan perencanaan pulang bagi klien.

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Stroke client with hypertension increasing from time to time, this condition need tomanage very well. Wod Health Organization mentioned on year of 2030 have 23.3million dead caused of blood hypertension, and based on resulted of Riset KesehatanDasar on 2013, the stroke case 1.236.825 or 7 of Indonesian population. Stroke casedata in the hospitals where this research been done for the last 4 years reach 351 people,which providing us with a focus that stroke is a disease that need a more serioustreatments. The objectives of the research is developt Discharge Planning stroke clients.Operation research was apply with 3 phase, and first phase is to identify the gate cliententered to hospital, need and problems that face in conduct Discharge Planning. Phasetwo is to developt model and modul draft of discharge planning, and phase three is tovalidate model and modul that developt. Phase one the data was collected by FocusGroup Discussion and indept interview with 33 nurses participant. Phase validatemodel and conternt analysis and phase 3 used computer. Phase 3 found that the resultsof the test for the model are client self-efficacy provide a significant value withPvalue=0,00 lower than Pvalue= 0.05, client satisfaction is not significant with Pvalue =0.40 higher than Pvalue = 0.05, family satisfaction provide a significant value withPvalue = 0.025 lower than the Pvalue= 0.05, while nurse satisfaction provide asignificant value with Pvalue = 0.00 lower than Pvalue = 0.05. The conclustion takenfrom this research is that discharge planning model is needed to provide care andmedication service to client and can be used by healthcare team to perform the treatmentand medication. It is suggested to the hospital management to create a policy andprepare the infrastructure related to the implementation of discharge planning model fora client."