Effect of sharia-based nursing care using swanson's caring model (ShariaSwanCare) on patient satisfaction: a quasi-experimental study
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Introduction: This study aimed to evaluate the effect of Sharia-Based Nursing Care, utilizing Swanson’s Caring Model (ShariaSwanCare), on patient satisfaction in hospital settings.
Methods: A quasi-experimental pretest–posttest design with a control group was employed, involving 76 hospitalized patients (38 per group) selected via purposive sampling. Participants received a structured, five-day treatment for conditions such as hypertension, diabetes mellitus, cerebrovascular accident (stroke), and pneumonia. Eligibility criteria included compos mentis status and uninterrupted completion of the five-day treatment period. Patients who were transferred to other wards were excluded. The intervention group received ShariaSwanCare, administered daily for five consecutive days, with patient satisfaction assessed every 24 hours. The control group received standard hospital care without additional interventions. Data were analyzed using both paired t-tests and independent t-tests. A significance level of p < 0.05 was used for all analyses.
Results: Statistical analysis yielded a p-value of < 0.001, indicating that the implementation of ShariaSwanCare had a significant positive effect on patient satisfaction. Specifically, patients in the intervention group showed a greater increase in satisfaction scores compared to the control group. The paired t-test revealed a significant improvement from pre- to post-intervention in both groups, but the effect was more pronounced in the intervention group.
Conclusions: Sharia-based nursing practices, when integrated with Swanson’s Caring Model, can effectively enhance patient satisfaction. With appropriate training and structured implementation, these practices have the potential to be adopted across Islamic hospitals.
Adityani, G., Abdurrouf, M. and Sari, D. W. P. (2020) ‘The Level of Nurses’ Knowledge and Implementation of Sharia-Based Nursing Services at Sultan Agung Islamic Hospital, Semarang’, Bima Nursing Journal. doi: 10.32807/bnj.v1i2.498.
Alharbi, H. F. et al. (2023) ‘Patients’ satisfaction with nursing care quality and associated factors: A cross-section study’, Nursing Open. doi: 10.1002/nop2.1577.
Amal, A. A. et al. (2021) Application of SINC (Spiritual Islamic Nursing Care) in Fulfilling Patients’ Spiritual Needs in Hospitals, Alauddin Scientific Journal of Nursing. Available at: http://journal.uin-alauddin.ac.id/index.php/asjn/article/view/23731.
Amaliyah, E., Milawati and Akhmadi (2020) ‘Relationship Of Nursing Caring Behavior With Patient Satisfaction In Hospital’, Malaysian Journal of Nursing, 11(3), pp. 31–34. doi: 10.31674/mjn.2020.v11i03.005.
Ariani, T. and Aini, N. (2018) View of Nurse caring behavior and satisfaction of inpatient patients on nursing services. Available at: https://ejournal.umm.ac.id/index.php/keperawatan/article/view/4970/5167 (Accessed: 15 February 2024).
Arikunto, S. (2013) ‘Research Procedures: A Practical Approach’, (No Title). Available at: https://cir.nii.ac.jp/crid/1130000795354347648 (Accessed: 18 May 2025).
Astiwara, E. M. (2024) Integration of Sharia Principles in Islamic Hospital Management: Opportunities and Obstacles, International Journal of Science and Society. Available at: http://ijsoc.goacademica.com.
Bakar, A., Qomariah, S. N. and Iswati, I. (2022) ‘Effect of caring behaviour approach to improve nurses’ caring character in medical-surgical wards’, Jurnal Ners. doi: 10.20473/jn.v17i2.34982.
Bernick, L. (2004) ‘Caring for older adults: Practice guided by Watson’s caring-healing model’, Nursing Science Quarterly, 17(2), pp. 128–134. doi: 10.1177/0894318404263374.
Dingman, S. K. et al. (1999) ‘Implementing a caring model to improve patient satisfaction’, Journal of Nursing Administration. doi: 10.1097/00005110-199912000-00007.
Fatmawati, A., Rahman, A., & Yualita, P. (2020). “Patients’ Perceptions of Sharia-Based Nursing Services”. Jurnal Keperawatan ’Aisyiyah. https://doi.org/10.33867/jka.v7i1.160
Fimaulidina, N. R. (2020) ‘Sharia Certification for Hospitals in Indonesia: Perspectives of the DSN-MUI Fatwa and Law No. 44 of 2009 on Hospitals’, Journal of Islamic Business Law.
Fu, W. and Deshpande, S. P. (2014) ‘The Impact of Caring Climate, Job Satisfaction, and Organizational Commitment on Job Performance of Employees in a China’s Insurance Company’, Journal of Business Ethics. doi: 10.1007/s10551-013-1876-y.
Ghanbari-Afra, L., Adib-Hajbaghery, M., Dianati, M. (2022). Human Caring: A Concept Analysis. J Caring Sci 11, 246–254. https://doi.org/10.34172/jcs.2022.21
Gürsoy, E., & Yeşildere Sağlam, H. (2021). Swanson Caring Theory: Use in Nursing Research. Eskisehir Medical Journal, Eskisehir City Hospital. https://doi.org/10.48176/esmj.2021.31
Handayani, E. T. and Kuntarti, K. (2022) ‘Nurses’ caring behavior based on personality in Indonesia: A pilot study for better-humanized healthcare services’, Journal of Public Health Research. doi: 10.4081/jphr.2021.2741.
Hastomo Putra, D. et al. (2021) ‘Influence of Quality of Health Services on Patient Satisfaction in Islamic Hospital “X” in 2021’, Muhammadiyah International Public Health and Medicine Proceeding. doi: 10.53947/miphmp.v1i1.36.
Inocian, E. P. et al. (2021) ‘Professional quality of life and caring behaviours among clinical nurses during the COVID-19 pandemic’, Journal of Clinical Nursing. doi: 10.1111/jocn.15937.
Jaastad, T. A., Ueland, V. and Koskinen, C. (2022) ‘The meaning of reflection for understanding caring and becoming a caring nurse’, Scandinavian Journal of Caring Sciences. doi: 10.1111/scs.13080.
Des Jarlais DC, Lyles C and Crepaz N (2025) Improving the reporting quality of nonrandomized evaluations of behavioral and public health interventions: the TREND statement | EQUATOR Network. Available at: https://www.equator-network.org/reporting-guidelines/improving-the-reporting-quality-of-nonrandomized-evaluations-of-behavioral-and-public-health-interventions-the-trend-statement/ (Accessed: 4 July 2025).
Joung, J. et al. (2020) ‘Peer mentoring experiences of nursing students based on the caring perspective: A qualitative study’, Nurse Education Today. doi: 10.1016/j.nedt.2020.104586.
King, B. M. et al. (2019) ‘Relationship between perceived nurse caring and patient satisfaction in patients in a psychiatric acute care setting’, Journal of Psychosocial Nursing and Mental Health Services. doi: 10.3928/02793695-20190225-01.
Landes, S. J. et al. (2019) ‘Adapting and implementing Caring Contacts in a Department of Veterans Affairs emergency department: A pilot study protocol’, Pilot and Feasibility Studies. doi: 10.1186/s40814-019-0503-9.
Latifah, L. (2020) ‘Public Preferences for Sharia Hospitals: A Case Study of the Surabaya Community’, Dinar : Jurnal Ekonomi dan Keuangan Islam. doi: 10.21107/dinar.v7i1.6863.
Lemonne, N. et al. (2013) ‘Does increased red blood cell deformability raise the risk for osteonecrosis in sickle cell anemia?’, Blood. doi: 10.1182/blood-2013-01-480277.
Madhavanprabhakaran, G., Francis, F. and Labrague, L. J. (2022) ‘Reverse Mentoring and Intergenerational Learning in Nursing: Bridging generational diversity’, Sultan Qaboos University Medical Journal, 22(4), p. 472. doi: 10.18295/SQUMJ.4.2022.027.
Mardiyati, F. Y. and Ayuningtyas, D. (2021) ‘Analysis of Implementation Standards of Sharia Minimum Services in the Hospital: Case Study at Sari Asih Sangiang Hospital 2018’, Journal of Indonesian Health Policy and Administration. doi: 10.7454/ihpa.v6i1.3145.
Mau, A., Limbong, K. and Yetti, K. (2020) ‘The effect of coaching and mentoring towards nurse’s caring and patient satisfaction’, Enfermeria Clinica. doi: 10.1016/j.enfcli.2019.12.017.
Meliasari, R., Widianti, A. T. and Rahayu, H. (2022) ‘Relationship of Nurses’ Workload with Islamic Spiritual Nursing Care Competence in Hemodialysis Unit’, Faletehan Health Journal. doi: 10.33746/fhj.v10i03.361.
Mukisi (2023) List of Certified Sharia Hospitals. Available at: https://mukisi.com/ (Accessed: 18 May 2025).
Ningsih, D. M., Aisyah, P. S. and Rahayu, M. S. (2020) ‘Nurses’ Behavior in Providing Sharia-Based Nursing Care in the Adult Inpatient Ward of Al Islam Hospital, Bandung’, Jurnal Smart Keperawatan. doi: 10.34310/jskp.v7i1.305.
Nuriyati et al. (2020) ‘The Relationship Between Sharia-Based Hospital Services and Patient Satisfaction’, Journal of Health Care.
Oluma, A. and Abadiga, M. (2020) ‘Caring behavior and associated factors among nurses working in Jimma University specialized hospital, Oromia, Southwest Ethiopia, 2019’, BMC Nursing. doi: 10.1186/s12912-020-0407-2.
Padela, A. I. et al. (2012) ‘Religious values and healthcare accommodations: Voices from the american muslim community’, Journal of General Internal Medicine, 27(6), pp. 708–715. doi: 10.1007/S11606-011-1965-5.
Parinussa, N. and Molle, L. (2021) ‘The Effect of Caring-Based Nurse Training on Patient Satisfaction in Nursing Services at Tulehu Community Health Center, Central Maluku’, Dunia Keperawatan: Jurnal Keperawatan dan Kesehatan. doi: 10.20527/dk.v9i3.9328.
Puspitasari, D. W. et al. (2020) ‘The Relationship between Rewards and Supervision and the Implementation of Sharia-Based Nursing Services’, Jurnal Kesehatan, 11(3), pp. 322–328. doi: 10.26630/JK.V11I3.1981.
Rahman, M. K. et al. (2023) ‘Halal Healthcare Services: Patients’ Satisfaction and Word of Mouth Lesson from Islamic-Friendly Hospitals’, Sustainability (Switzerland). doi: 10.3390/su15021493.
Ramie, A., Kesehatan Banjarmasin, P. and Selatan, K. (2022) ‘The Development of Hospitals in Indonesia in the Disruptive Era’, JKM : Jurnal Keperawatan Merdeka, 2(1), pp. 1–8. doi: 10.36086/JKM.V2I1.1146.
Riset, A. et al. (2022) ‘The Implementation of Islamic Values and Its Impact on Patient Satisfaction with Health Services in Sharia Hospitals’, Fakumi Medical Journal: Jurnal Mahasiswa Kedokteran, 2(3), pp. 190–198. doi: 10.33096/FMJ.V2I3.37.
Sadat-Hoseini, A. S. and Khosropanah, A. H. (2017) ‘Comparing the Concept of Caring in Islamic Perspective with Watson and Parse’s Nursing Theories’, Iranian Journal of Nursing and Midwifery Research, 22(2), p. 83. doi: 10.4103/IJNMR.IJNMR_311_14.
Sari, D. W. P., Abdurrouf, M. and Rismawati (2018) Sharia-Based Nursing Services and Patient Loyalty in Islamic Hospitals.
Suprajitno, S., Sari, Y. K. and Anggraeni, E. N. B. (2020) ‘Relationship of Nurse Caring Behaviour with Patient Satisfaction at the Emergency Department of Catholic Hospital of Budi Rahayu Blitar’, Jurnal Ners dan Kebidanan (Journal of Ners and Midwifery). doi: 10.26699/jnk.v7i1.art.p001-005.
Swanson, K. M. (1991) ‘Empirical development of a middle range theory of caring’, Nursing Research, 40(3), pp. 161–166. doi: 10.1097/00006199-199105000-00008.
Syahrul Ramadhan and Arin Ervita Sari (2023) ‘Characteristics of the Legal Relationship between Patients and Medical Personnel in Sharia Hospital Services in Indonesia’, ILTIZAMAT: Journal of economic sharia law and business studies. doi: 10.55120/iltizamat.v2i1.951.
Talibo, N. A., Kurniati, T. and Widakdo, G. (2019) ‘The Application of Islamic Behavioral Practices to Nurses’ Ability in Implementing Islamic Nursing Care in Inpatient Wards’, Journal of Telenursing (JOTING). doi: 10.31539/joting.v1i2.966.
Turkel, M. C., Watson, J. and Giovannoni, J. (2018) ‘Caring Science or Science of Caring’, Nursing Science Quarterly. doi: 10.1177/0894318417741116.
Wahdatin, A., Puspita, D. W. and Abdurrouf, Muh. (2020) ‘The Implementation of Therapeutic Communications with Postoperative Patient Satisfaction in Islamic Hospital of Sultan Agung Semarang’, Jurnal Ners. doi: 10.20473/jn.v14i3.17219.
Widodo, P., Sulisno, M. and Suryawati, C. (2020) ‘The Influence of Sharia Behavioral Implementation in Nursing Services, Workload, and Leadership on Nurses’ Job Satisfaction in Hospitals’, LINK, 16(1), pp. 23–30. doi: 10.31983/link.v16i1.5596.
Wolf, Z. R., Colahan, M. and Costello, A. (1998) ‘Relationship between nurse caring and patient satisfaction.’, Medsurg nursing : official journal of the Academy of Medical-Surgical Nurses.
Zhang, F. et al. (2022) ‘A caring leadership model in nursing: A grounded theory approach’, Journal of Nursing Management. doi: 10.1111/jonm.13600.
Zhao, B. et al. (2023) ‘Nurses’ perceptions of engaging in internet-based nursing services: A qualitative study based on three hospitals in China’, Nursing Open. doi: 10.1002/nop2.1934.
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