Kuisioner Penelitian
Hormat saya,
Aprilianti Tarigan
NPM. 1712010031
A. Cara Pengisian Kuisioner
1. Mohon diberi tanda checklist (√) pada kolom jawaban yang Anda anggap
paling sesuai. Pendapat anda dalam skala 1 s/d 5 yang memiliki makna :
Setuju (S) =4
B. Identitas Responden :
1. Jenis Kelamin :
a. Laki – laki
b. Perempuan
2. Usia :
a. 20-30 tahun
b. 31-40 tahun
c. 41-50 Tahun
d. > 50 tahun
3. Pendidikan :
a. SD
b. SMP
c. SMA
d. D3
e. S1
C. Pertayaan
1. Kinerja Perawat
SS S KS TS STS
No. Pernyataan
5 4 3 2 1
1. Perawat menggunakan seragam perawat (kap
perawat, sepatu, pakaian perawat, nama)
dalam keadaan bersih dan rapi
2. Ketika perawat bekerja tetap memperhatikan
APD (Alat Pelindung Diri)
3. Perawat mampu memberikan solusi pada
saat penyelesaian keluhan pasien
4. Perawat dapat bekerja secara baik dalam
pemenuhan kebutuhan pasien dan dengan
keluarga pasien
5. Perawat memberikan bantuan medis dan
dukungan pada setiap keluhan pasien
6. Perawat dapat berkomunikasi dengan baik
terhadap pasien dan keluarga pasien
7. Perawat mencatat setiap adan perkembangan
kondisi pasien selama perawatan
8. Perawat bertanggung jawab sesuai dengan
tugas dan kewajibannya
2. Kepuasan Pasien
SS S KS TS STS
No. Pernyataan
5 4 3 2 1
1. Ruang rawat inap tertata rapi dan bersih
2. Alat makan dan minum bersih dan baik
3. Perawat selalu memberi obat pasien sesuai
dengan prosedur pemberian obat
4. Perawat selalu menanyakan keluhan pasien
5. Keluhan pasien ditangani oleh perawat
dengan cepat
6. Biaya keperawatan terjangkau
7. Perawat memberikan penjelasan dan
informasi tentang penyakit dengan sopan
8. Perawat selalu memberikan dorongan
kepada pasien supaya cepat sembuh
Lampiran 2 : Hasil Jawaban Kuesioner Variabel Kinerja Perawat dan
Kepuasan Pasien
No P1 P2 P3 P4 P5 P6 P7 P8 Jumlah
1 4 4 4 4 4 4 4 4 32
2 4 4 4 4 4 3 3 4 30
3 3 3 3 3 3 3 3 3 24
4 4 5 4 5 5 4 4 4 35
5 4 4 4 3 4 3 4 3 29
6 3 3 3 3 3 3 3 2 23
7 5 5 5 5 5 5 4 4 38
8 4 4 4 4 4 4 4 4 32
9 4 4 4 4 4 4 3 4 31
10 3 3 3 3 3 3 3 3 24
11 4 4 4 5 5 5 5 5 37
12 4 4 4 4 3 3 3 3 28
13 4 4 4 4 4 3 3 4 30
14 3 3 3 3 3 3 3 3 24
15 3 3 3 4 4 4 4 4 29
16 4 4 4 3 3 3 4 3 28
17 3 3 3 3 3 3 3 4 25
18 4 4 4 4 4 4 4 5 33
19 4 4 4 4 4 4 5 5 34
20 3 3 3 3 3 3 3 3 24
21 4 4 4 4 4 4 4 5 33
22 4 4 4 3 3 3 4 4 29
23 2 3 3 3 3 3 3 4 24
24 4 4 4 3 4 3 3 3 28
25 4 4 4 4 5 4 4 4 33
26 4 4 4 5 5 4 4 4 34
27 5 4 4 4 4 4 4 4 33
28 4 4 4 4 4 3 4 4 31
29 3 4 4 4 4 4 4 4 31
30 4 4 4 5 5 5 5 5 37
31 4 4 4 3 3 3 3 3 27
32 3 3 3 3 3 3 3 3 24
33 2 3 3 3 3 3 3 3 23
34 3 3 3 3 3 3 3 3 24
35 4 4 4 5 5 4 4 4 34
36 3 3 3 3 3 3 3 3 24
37 4 4 4 4 5 5 5 5 36
38 4 4 3 3 4 4 4 4 30
39 4 3 4 3 4 4 4 4 30
40 5 4 5 5 4 4 4 4 35
41 4 4 4 4 4 3 3 3 29
42 4 4 4 4 4 4 4 4 32
43 5 4 4 4 5 5 5 5 37
44 5 5 5 5 5 5 4 4 38
45 4 4 4 4 4 5 4 5 34
46 4 4 4 4 4 4 4 4 32
47 4 4 4 4 4 5 5 5 35
48 4 4 5 4 4 4 4 4 33
49 4 3 4 3 3 3 3 3 26
50 5 5 5 4 4 4 4 4 35
51 4 4 4 5 4 4 4 3 32
52 2 3 3 3 3 2 3 3 22
53 4 3 3 4 4 3 3 3 27
54 3 3 3 3 3 3 4 3 25
55 3 3 3 4 4 3 4 4 28
56 3 3 3 3 3 3 3 2 23
57 3 3 3 3 3 2 2 2 21
58 3 3 3 3 3 3 3 2 23
59 4 4 5 5 5 4 4 4 35
60 4 4 3 4 4 4 4 4 31
61 3 3 3 3 3 3 3 3 24
62 4 4 5 5 5 5 5 5 38
63 4 4 4 4 4 4 4 4 32
64 4 4 4 4 4 4 4 4 32
65 3 4 3 3 3 3 3 3 25
66 5 5 5 5 5 5 5 4 39
67 3 3 3 3 4 4 4 4 28
68 4 3 3 3 3 3 3 3 25
69 3 3 3 3 3 3 3 3 24
70 3 3 4 4 4 4 4 4 30
71 4 4 4 4 3 3 3 3 28
72 4 4 4 4 3 3 3 3 28
73 5 4 4 4 4 4 4 4 33
74 4 4 4 4 4 5 5 5 35
75 3 3 3 3 3 3 3 3 24
76 4 4 4 4 5 4 4 4 33
77 3 3 4 4 3 4 4 4 29
78 3 3 3 3 3 3 3 3 24
79 3 3 3 3 4 4 4 3 27
80 4 4 4 4 4 4 4 4 32
81 4 4 4 4 4 4 5 5 34
82 4 5 4 4 4 4 4 4 33
83 4 4 4 4 4 4 4 3 31
84 4 4 4 4 4 4 4 4 32
85 5 5 5 5 4 5 5 4 38
2. Hasil Jawaban Kuesioner Variabel Kepuasan Pasien
No P1 P2 P3 P4 P5 P6 P7 P8 Jumlah
1 4 4 4 4 3 4 4 4 31
2 3 3 3 3 3 3 3 4 25
3 3 3 3 3 3 3 2 3 23
4 4 4 4 4 4 4 4 4 32
5 3 3 4 3 4 3 4 3 27
6 3 3 3 3 3 3 3 4 25
7 4 4 4 4 4 4 4 4 32
8 5 4 4 4 4 4 4 4 33
9 5 5 4 5 4 5 5 5 38
10 3 3 3 3 3 4 4 3 26
11 4 4 4 4 4 4 4 3 31
12 3 3 3 3 3 3 3 3 24
13 4 4 4 4 3 3 3 4 29
14 3 3 3 3 3 3 3 3 24
15 3 3 3 4 4 4 4 4 29
16 4 4 4 4 4 4 4 3 31
17 4 4 4 4 4 4 4 4 32
18 4 4 4 4 4 4 4 4 32
19 4 4 4 4 4 4 4 4 32
20 4 4 3 3 3 3 3 4 27
21 4 4 4 4 4 4 4 4 32
22 4 4 4 4 4 4 4 4 32
23 2 3 3 3 3 3 3 3 23
24 4 4 4 4 4 4 4 4 32
25 4 4 4 4 5 4 4 4 33
26 4 4 4 5 5 4 4 4 34
27 5 4 4 4 5 5 4 4 35
28 4 4 4 4 4 4 4 4 32
29 3 4 4 4 4 3 3 4 29
30 4 4 4 4 5 5 5 5 36
31 4 4 4 3 3 3 3 3 27
32 3 3 4 4 4 4 4 4 30
33 2 3 3 3 3 3 4 3 24
34 4 4 4 4 4 3 3 3 29
35 4 4 4 4 3 4 4 4 31
36 4 3 4 3 3 3 3 3 26
37 4 4 4 4 4 4 4 5 33
38 4 4 4 4 4 4 4 4 32
39 4 5 4 5 4 4 4 4 34
40 5 4 5 4 4 4 4 4 34
41 4 4 4 4 4 3 4 4 31
42 4 4 4 4 4 4 4 4 32
43 5 4 4 4 4 4 4 4 33
44 5 5 5 4 4 4 4 4 35
45 4 4 4 4 4 5 5 5 35
46 4 4 4 4 5 5 5 5 36
47 4 4 4 4 4 4 4 4 32
48 4 4 5 5 5 4 5 5 37
49 4 4 4 4 3 3 3 4 29
50 5 4 4 4 4 4 4 4 33
51 4 4 4 4 4 4 4 3 31
52 3 3 3 3 3 4 4 4 27
53 4 4 4 4 4 3 3 3 29
54 5 5 4 4 4 4 4 4 34
55 4 4 4 4 4 4 4 4 32
56 5 5 4 4 4 4 4 4 34
57 4 4 4 4 4 4 4 4 32
58 4 4 4 4 4 4 4 4 32
59 4 4 4 4 4 4 4 4 32
60 5 5 4 4 4 4 4 4 34
61 4 4 4 4 4 4 4 4 32
62 4 4 4 4 4 4 4 4 32
63 4 5 4 4 4 4 4 4 33
64 5 5 5 4 4 4 4 4 35
65 4 4 4 3 4 3 3 3 28
66 4 4 5 4 5 5 5 4 36
67 3 3 3 3 3 3 3 3 24
68 4 3 3 3 4 4 4 4 29
69 3 3 3 3 3 3 3 3 24
70 3 3 4 4 4 4 4 4 30
71 4 4 4 4 4 4 4 3 31
72 5 5 4 4 4 4 4 4 34
73 5 5 5 5 4 4 4 4 36
74 5 5 4 4 4 4 4 4 34
75 4 4 3 3 3 3 3 3 26
76 4 4 4 4 4 4 4 4 32
77 4 4 4 4 4 4 4 4 32
78 3 3 3 3 3 3 3 3 24
79 4 4 4 4 4 4 4 4 32
80 4 4 4 4 4 4 5 4 33
81 4 4 4 4 4 4 4 4 32
82 3 4 4 4 4 4 3 3 29
83 3 3 3 3 3 3 3 3 24
84 5 5 5 5 5 5 4 4 38
85 3 5 5 3 5 3 5 3 32
Lampiran 3 : Frekuensi Variabel Kinerja Perawat (X1) dan Kepuasan
Pasien (X2)
P1
Cumulative
Frequency Percent Valid Percent Percent
Valid 2 3 3.5 3.5 3.5
3 25 29.4 29.4 32.9
4 48 56.5 56.5 89.4
5 9 10.6 10.6 100.0
Total 85 100.0 100.0
P2
Cumulative
Frequency Percent Valid Percent Percent
Valid 3 30 35.3 35.3 35.3
4 48 56.5 56.5 91.8
5 7 8.2 8.2 100.0
Total 85 100.0 100.0
P3
Cumulative
Frequency Percent Valid Percent Percent
Valid 3 29 34.1 34.1 34.1
4 47 55.3 55.3 89.4
5 9 10.6 10.6 100.0
Total 85 100.0 100.0
P4
Cumulative
Frequency Percent Valid Percent Percent
Valid 3 32 37.6 37.6 37.6
4 40 47.1 47.1 84.7
5 13 15.3 15.3 100.0
Total 85 100.0 100.0
P5
Cumulative
Frequency Percent Valid Percent Percent
Valid 3 30 35.3 35.3 35.3
4 41 48.2 48.2 83.5
5 14 16.5 16.5 100.0
Total 85 100.0 100.0
P6
Cumulative
Frequency Percent Valid Percent Percent
Valid 2 2 2.4 2.4 2.4
3 35 41.2 41.2 43.5
4 36 42.4 42.4 85.9
5 12 14.1 14.1 100.0
Total 85 100.0 100.0
P7
Cumulative
Frequency Percent Valid Percent Percent
Valid 2 1 1.2 1.2 1.2
3 31 36.5 36.5 37.6
4 42 49.4 49.4 87.1
5 11 12.9 12.9 100.0
Total 85 100.0 100.0
P8
Cumulative
Frequency Percent Valid Percent Percent
Valid 2 4 4.7 4.7 4.7
3 29 34.1 34.1 38.8
4 40 47.1 47.1 85.9
5 12 14.1 14.1 100.0
Total 85 100.0 100.0
P1
Cumulative
Frequency Percent Valid Percent Percent
Valid 2 2 2.4 2.4 2.4
3 18 21.2 21.2 23.5
4 50 58.8 58.8 82.4
5 15 17.6 17.6 100.0
Total 85 100.0 100.0
P2
Cumulative
Frequency Percent Valid Percent Percent
Valid 3 19 22.4 22.4 22.4
4 53 62.4 62.4 84.7
5 13 15.3 15.3 100.0
Total 85 100.0 100.0
P3
Cumulative
Frequency Percent Valid Percent Percent
Valid 3 17 20.0 20.0 20.0
4 60 70.6 70.6 90.6
5 8 9.4 9.4 100.0
Total 85 100.0 100.0
P4
Cumulative
Frequency Percent Valid Percent Percent
Valid 3 21 24.7 24.7 24.7
4 58 68.2 68.2 92.9
5 6 7.1 7.1 100.0
Total 85 100.0 100.0
P5
Cumulative
Frequency Percent Valid Percent Percent
Valid 3 21 24.7 24.7 24.7
4 55 64.7 64.7 89.4
5 9 10.6 10.6 100.0
Total 85 100.0 100.0
P6
Cumulative
Frequency Percent Valid Percent Percent
Valid 3 24 28.2 28.2 28.2
4 54 63.5 63.5 91.8
5 7 8.2 8.2 100.0
Total 85 100.0 100.0
P7
Cumulative
Frequency Percent Valid Percent Percent
Valid 2 1 1.2 1.2 1.2
3 20 23.5 23.5 24.7
4 56 65.9 65.9 90.6
5 8 9.4 9.4 100.0
Total 85 100.0 100.0
P8
Cumulative
Frequency Percent Valid Percent Percent
Valid 3 23 27.1 27.1 27.1
4 56 65.9 65.9 92.9
5 6 7.1 7.1 100.0
Total 85 100.0 100.0
Lampiran 4 : Uji Validitas Variabel Kinerja Perawat dan Kepuasan Pasien
1. Uji Validitas Kinerja Perawat
Correlations
P1 P2 P3 P4 P5 P6 P7 P8 Jumlah
P1 Pearson
1 .796** .787** .644** .612** .601** .529** .459** .799**
Correlation
Sig. (2-tailed) .000 .000 .000 .000 .000 .000 .000 .000
N 85 85 85 85 85 85 85 85 85
P2 Pearson ** ** ** ** ** ** **
.796 1 .799 .702 .638 .600 .541 .492 .817**
Correlation
Sig. (2-tailed) .000 .000 .000 .000 .000 .000 .000 .000
N 85 85 85 85 85 85 85 85 85
P3 Pearson
.787** .799** 1 .747** .629** .627** .568** .519** .835**
Correlation
Sig. (2-tailed) .000 .000 .000 .000 .000 .000 .000 .000
N 85 85 85 85 85 85 85 85 85
P4 Pearson
.644** .702** .747** 1 .793** .712** .619** .587** .862**
Correlation
Sig. (2-tailed) .000 .000 .000 .000 .000 .000 .000 .000
N 85 85 85 85 85 85 85 85 85
P5 Pearson
.612** .638** .629** .793** 1 .778** .710** .672** .871**
Correlation
Sig. (2-tailed) .000 .000 .000 .000 .000 .000 .000 .000
N 85 85 85 85 85 85 85 85 85
P6 Pearson
.601** .600** .627** .712** .778** 1 .856** .772** .892**
Correlation
Sig. (2-tailed) .000 .000 .000 .000 .000 .000 .000 .000
N 85 85 85 85 85 85 85 85 85
P7 Pearson ** ** ** ** **
.529 .541 .568 .619 .710 .856** 1 .794** .844**
Correlation
Sig. (2-tailed) .000 .000 .000 .000 .000 .000 .000 .000
N 85 85 85 85 85 85 85 85 85
P8 Pearson ** ** ** ** ** **
.459 .492 .519 .587 .672 .772 .794** 1 .800**
Correlation
Sig. (2-tailed) .000 .000 .000 .000 .000 .000 .000 .000
N 85 85 85 85 85 85 85 85 85
Jumlah Pearson ** ** ** ** ** ** **
.799 .817 .835 .862 .871 .892 .844 .800** 1
Correlation
Sig. (2-tailed) .000 .000 .000 .000 .000 .000 .000 .000
N 85 85 85 85 85 85 85 85 85
**. Correlation is significant at the 0.01 level (2-tailed).
2. Uji Validitas Kepuasan Pasien
Correlations
P1 P2 P3 P4 P5 P6 P7 P8 Jumlah
P1 Pearson
1 .770** .618** .598** .444** .527** .371** .454** .772**
Correlation
Sig. (2-tailed) .000 .000 .000 .000 .000 .000 .000 .000
N 85 85 85 85 85 85 85 85 85
P2 Pearson ** ** ** ** ** ** **
.770 1 .703 .647 .507 .434 .425 .380 .779**
Correlation
Sig. (2-tailed) .000 .000 .000 .000 .000 .000 .000 .000
N 85 85 85 85 85 85 85 85 85
P3 Pearson **
.618 .703** 1 .678** .680** .474** .543** .371** .800**
Correlation
Sig. (2-tailed) .000 .000 .000 .000 .000 .000 .000 .000
N 85 85 85 85 85 85 85 85 85
P4 Pearson ** **
.598 .647 .678** 1 .643** .656** .540** .601** .844**
Correlation
Sig. (2-tailed) .000 .000 .000 .000 .000 .000 .000 .000
N 85 85 85 85 85 85 85 85 85
P5 Pearson ** ** **
.444 .507 .680 .643** 1 .665** .691** .468** .802**
Correlation
Sig. (2-tailed) .000 .000 .000 .000 .000 .000 .000 .000
N 85 85 85 85 85 85 85 85 85
P6 Pearson ** ** ** **
.527 .434 .474 .656 .665** 1 .775** .662** .819**
Correlation
Sig. (2-tailed) .000 .000 .000 .000 .000 .000 .000 .000
N 85 85 85 85 85 85 85 85 85
P7 Pearson ** ** ** ** **
.371 .425 .543 .540 .691 .775** 1 .624** .781**
Correlation
Sig. (2-tailed) .000 .000 .000 .000 .000 .000 .000 .000
N 85 85 85 85 85 85 85 85 85
P8 Pearson ** ** ** ** ** **
.454 .380 .371 .601 .468 .662 .624** 1 .716**
Correlation
Sig. (2-tailed) .000 .000 .000 .000 .000 .000 .000 .000
N 85 85 85 85 85 85 85 85 85
Jumlah Pearson
.772** .779** .800** .844** .802** .819** .781** .716** 1
Correlation
Sig. (2-tailed) .000 .000 .000 .000 .000 .000 .000 .000
N 85 85 85 85 85 85 85 85 85
**. Correlation is significant at the 0.01 level (2-tailed).
Lampiran 5 : Uji Reliabilitas Variabel Kinerja Perawat dan Kepuasan
Pasien
1. Uji Reliabilitas Variabel Kinerja Perawat
Reliability Statistics
Cronbach's
Alpha N of Items
.939 8
Reliability Statistics
Cronbach's
Alpha N of Items
.912 8
Lampiran 6 : Tabel r