The nursing profession is experiencing a paradigm shift, jobs initially classified as vocational have been transformed into professional. Previously seen as an extension or assistant to doctors, nurses are now seen as equal partners with doctors in developed countries. The nursing service is a method of implementing nursing practice for individual patients, families, and communities to promote health, well-being, and maintaining and recovering from disease. Nurses must be able to take the opportunity to be at the policy-making table with a unified voice to support each other from the scope of nursing practice for health equity. ^{1 , 2}

Patients admitted to the hospital already have follow-up care plans at home. Nurses are responsible for educating patients and their families to make patients independent so that they can reduce hospitalization, which reduces costs and time. ^{3 , 4} In general, home care services are a continuation of hospital services and are carried out by hospital staff, but in evaluation, education and coordination between patients and home care staff are needed to speed up their recovery. It is also a new orientation for the community because it can save costs and equipment. ^{5 – 7} Home care services require a formal method to measure quality and allocate health services that impact individual patients’ health, so further research is needed on home care and the progress of health services that continue to develop. ^{8 , 9}

Providing nursing services in home care services does not reflect fair, safe and cultural aspects. Barriers are still found such as communication, prejudice, ethnocentrism, lack of education, lack of support from health services. ¹⁰ The research results show that implementing culturally sensitive nursing care training can increase motivation to interact with patients, even a nurse who was previously reluctant to interact because it was difficult to communicate can finally interact well. ¹¹

One home care model that uses an innovative approach offers the potential to improve quality and address home care challenges. These challenges are resources, time and task rules, health and social care. The form of innovation shows a move from transactional to care that builds trust and relationships between service users, moving towards a proactive and preventive care model. Involve individual care teams and technology as part of the way of working rather than just a care solution. ¹²

Quality home care services in the aspects of reliability, guarantee, direct evidence, empathy and responsiveness are related to patient family satisfaction. ¹³ Health is synonymous with well-being, happiness and life satisfaction which is the level of physical, emotional, intellectual, social, moral and spiritual strength. Human health is a state of satisfaction or happiness and well-being that reflects the level of fulfillment of physical, psychological, spiritual, social, aesthetic and material needs and desires that are felt. ¹⁴

After selecting and using the Prisma chart ( Figure 1), ten articles were obtained that were the aim of this research, namely identifying factors that influence satisfaction with home care services. The first journal’s influencing factor is respecting patients and maintaining their dignity. ¹⁶ Furthermore, the second journal states that nurses must understand the patient’s illness and establish a relationship of mutual trust. ¹⁷ The third journal shows the opposite: economic factors and working hours do not affect home care patient satisfaction. ¹⁸ Furthermore, the four can coordinate in a comprehensive, continuous assessment of service and collaborate with multidisciplinary science. ¹⁹ Fifth, sixth, and seven, well-prepared routines, language and communication, and empathy. ^{20 – 22} Eighth, nine, and ten, namely quality nursing services, a combination of competence and professional skills in wound management, continuity of care, and training and experience of nurses. ^{23 – 25}

Nurses can start home care services with a humble attitude and have an attitude of respecting their clients and listening to them. This attitude is very important because it is related to making decisions for clients to suit their needs. ²⁶ The attitude and responsibility of nurses show that nursing actions are not just technical actions, but require a process of change and dynamic organization. ²⁷ Nurses maintain a person’s dignity, which is one of the fundamental actions and rights of every human being since birth to have the same dignity. Respectful attitudes to anyone must be carried out by nurses because it is the core concept that is guaranteed for every human being. ²⁸

A nurse when caring for a home care patient must be flexible, be able to trust each other and be able to approach the patient. Meeting after meeting will describe the positive aspects that are assessed by the client. Nurses must be able to explain the importance of mutual trust, and the need to create a sense of trust. ²⁹ Nurses must be able to understand their clients’ conditions, because they will seek a deep understanding of their illness, the causes of their illness, and prevention of complications. ³⁰

Nurses contribute to coordinating with the health team, to support the interventions provided. Good coordination also has an impact on meeting the complex needs of clients. ³¹ Collaboration with other nurses needs to be improved, and made systematic by nurse managers, because it can improve patient safety culture. ³² Nurses strive for continuous professional development and undertake lifelong learning to improve standards of care. Nurses are also motivated to improve their knowledge, skills and follow the latest scientific developments. ³³

Nurses can provide empathy, namely being able to understand the client’s personal experience without being tied down, and being able to communicate well including emotional, cognitive and behavioral aspects. A health professional can provide empathy well which can influence therapeutic changes in their clients. Clients will feel safe to convey their problems in order to be able to provide services according to their needs. ³⁴ Understanding empathy towards patients can improve nursing communication skills. ³⁵

Home care nurses can provide continuous professional nursing services by involving their families. Nurses need home care guidelines as a reference to provide the best quality of care to patients. ³⁶ Professional skills are also needed such as wound care. Registered nurses are required to have diverse competencies and perform good quality evidence-based actions. Consistent and structured areas of competency such as wound care can be improved and developed to produce services according to client expectations. ³⁷ Optimal home care depends on collaborative action and dialogue between the client, family, home care nurse, and general practitioner. A good starting point is when the interdisciplinary collaboration meeting is held for good results in home care services. ³⁸

Factors that influence patient satisfaction using home care services become input for the provider’s management. Nurses and teams can pay attention to factors that can affect patient satisfaction. There are two factors that do not influence patient satisfaction, namely finances and working time. This will be an evaluation for subsequent research.

Ethical approval and consent were not required.