Hubungan Perilaku Bidan dengan Mutu Pelayanan Prima Kebidanan di Rumah Sakit X Boyolali

  • Ratih Kumala Dewi
  • Evita Aurilia Nardina Program Studi D-III Kebidanan, Universitas Al-Hikmah Jepara
  • Wahyuningsih Wahyuningsih Program Studi Sarjana Kebidanan, STIKES Estu Utomo, Boyolali

Abstract

Background: Midwifery services are a key determinant in improving maternal and neonatal health outcomes. Midwives’ behaviors, including empathy, communication, professionalism, and responsiveness, have been shown to influence the quality of nursing and midwifery care perceived by patients. At Hospital X Boyolali, internal data revealed persistent complaints regarding insufficient empathy and delayed responsiveness, despite compliance with technical medical standards. This highlights the need to examine the contribution of midwives’ behaviors to the quality of midwifery care.


Aims: This study aimed to analyze the relationship between midwives’ behaviors and the quality of midwifery care as perceived by patients in Hospital X Boyolali.


Methods: A quantitative study with a cross-sectional analytic design was conducted involving 70 midwives selected through proportional random sampling. Data were collected using a structured questionnaire consisting of 15 items on midwives’ behaviors and 20 items on quality of care. Instrument reliability was confirmed with a Cronbach’s alpha of 0.872. Data were analyzed using the chi-square test with a 5% significance level.


Results: Most midwives demonstrated good behaviors in empathy (64.3%), communication (60.0%), professionalism (68.6%), and responsiveness (57.1%). Patients’ perceptions of care quality were predominantly rated as high, with reliability showing the highest proportion (71.4%). The chi-square test indicated a significant association between midwives’ behaviors and the quality of midwifery care (p = 0.002).


Conclusion: Midwives’ behaviors play a crucial role in determining the quality of midwifery services. Efforts to improve service quality should prioritize strengthening empathetic, communicative, and professional behaviors through continuous soft skills training and professional development programs.

References

Alhassan, R. K., Duku, S. O., Janssens, W., Nketiah-Amponsah, E., Spieker, N., & de Wit, T. F. R. (2021). Comparison of perceived and technical healthcare quality in primary health facilities: Evidence from Ghana. Health Policy and Planning, 36(5), 678–688. https://doi.org/10.1093/heapol/czab003
Anderson R., M. ; C. (2022). Empathy and patient-centered communication in maternity care. Patient Education and Counseling, 105(5), 1020–1027. https://doi.org/10.1016/j.pec.2021.12.017
Brown H., C. ; W. (2022). Service quality dimensions in maternal and child health: a systematic review. Health Services Research, 57(4), 987–1002. https://doi.org/10.1111/1475-6773.13921
Chen Y., X. ; L. (2023). Midwives’ communication and maternal satisfaction in China. BMC Pregnancy and Childbirth, 23(1), 17. https://doi.org/10.1186/s12884-023-05345-6
Hernawati R., E. ; D. (2021). Hubungan perilaku bidan dengan kepuasan pasien. Jurnal Kebidanan Indonesia, 14(1), 23–30. https://doi.org/10.31227/osf.io/xyz12
Kaur N., R. ; S. (2023). Service quality and maternal satisfaction: a cross-sectional study. BMC Health Services Research, 23(1), 678. https://doi.org/10.1186/s12913-023-09763-5
Kemenkes. (2022). Peraturan Menteri Kesehatan Republik Indonesia Nomor 21 Tahun 2022 tentang Perubahan Kelima atas Permenkes Nomor 79 Tahun 2016 tentang Pedoman Umum Penyaluran Bantuan Pemerintah di Lingkungan Kementerian Kesehatan. Kementerian Kesehatan RI. https://paralegal.id/peraturan/peraturan-menteri-kesehatan-nomor-21-tahun-2022
Kuipers, J., McKenna, L., & Seaton, P. (2024). Midwives’ readiness for midwife-led care: a mixed-methods sequential study. Women and Birth, 37(2), 145–156. https://doi.org/10.1016/j.wombi.2023.07.011
Lee, H., & Seo, K. (2022). Mediating Effect of Compassion Competence on the Relationship between Caring Behaviors and Quality of Nursing Services in South Korea. Healthcare (Basel, Switzerland), 10(5), 964. https://doi.org/10.3390/healthcare10050964
Lestari B., P. ; N. (2020). Pengaruh perilaku bidan terhadap mutu pelayanan antenatal. Jurnal Kesehatan Reproduksi, 9(1), 55–63. https://doi.org/10.22435/kespro.v9i1.3456
Martinez P., A. ; G. (2023). Reliability, assurance, and empathy in healthcare quality. Journal of Health Management, 25(2), 187–196. https://doi.org/10.1177/09720634231100223
Mulyani, E., & Wulandari, T. (2021). Professionalism and empathy of midwives in improving patient trust. Indonesian Journal of Midwifery, 11(2), 134–141. https://doi.org/10.33086/ijm.v11i2.2345
Musie, S., & Mulaudzi, F. (2024). Knowledge and attitudes of midwives towards collaboration with traditional birth attendants. Midwifery Journal, 126(4), 102864. https://doi.org/10.1016/j.midw.2024.102864
Nugrahani H., D. ; S. (2019). Kinerja bidan dalam pelayanan kebidanan ditinjau dari aspek empati. Jurnal Kebidanan Dan Keperawatan, 12(2), 141–148. https://doi.org/10.31227/osf.io/abc34
Pratama D., R. ; S. (2022). Relationship between professional behavior and service quality among midwives. BMC Nursing, 21(1), 112. https://doi.org/10.1186/s12912-022-00857-9
Rahimi, M., Ghaffari, M., & Azizi, S. (2025). Gap analysis of maternity service quality and associated factors in a hospital in northwest Iran. BMC Pregnancy and Childbirth, 25(1), 179. https://doi.org/10.1186/s12884-025-07179-x
Rahmawati A., N. ; P. (2022). Empathy and communication in midwives: impacts on maternal satisfaction. International Journal of Nursing Studies, 127. https://doi.org/10.1016/j.ijnurstu.2022.104185
Smith L., J. ; A. (2021). Patient perceptions of midwifery care quality in maternal health services. Midwifery, 98. https://doi.org/10.1016/j.midw.2021.103021
Susanti R., L. ; H. (2020). Analisis faktor yang mempengaruhi perilaku bidan dalam pelayanan. Jurnal Ilmu Kesehatan, 14(3), 201–209. https://doi.org/10.33086/jik.v14i3.3456
Wati I., L. ; H. (2020). Hubungan empati bidan dengan mutu pelayanan persalinan. Jurnal Riset Kesehatan, 10(2), 88–94. https://doi.org/10.15294/jrk.v10i2.3321
Williams J., G. ; H. (2022). Measuring service quality in maternal health services. International Journal for Quality in Health Care, 34(3), mzac010. https://doi.org/10.1093/intqhc/mzac010
Yanmari, A. (2020). The influence of midwives’ behavior on quality of maternal health services. Journal of Midwifery Science, 12(3), 45–53. https://doi.org/10.1016/j.midw.2020.102643
Published
2026-04-02
How to Cite
DEWI, Ratih Kumala; NARDINA, Evita Aurilia; WAHYUNINGSIH, Wahyuningsih. Hubungan Perilaku Bidan dengan Mutu Pelayanan Prima Kebidanan di Rumah Sakit X Boyolali. Journal of Health Management Research, [S.l.], v. 5, n. 1, p. 17-25, apr. 2026. ISSN 2963-4229. Available at: <https://adihusada.ac.id/jurnal/index.php/JHMR/article/view/677>. Date accessed: 20 apr. 2026. doi: https://doi.org/10.37036/jhmr.v5i1.677.

Keywords

Menopause, Readiness of health facilities, Hospital services, Human resources for health, Health service management