BACKGROUND

A health nurse is a health worker who has a dominant role in helping patients recover from their
illness. A nurse as the spearhead of hospital services, as an actor who directly deal with patients
in a long time. Such conditions demand the totality of a nurse in performing its functions.
Professionalism becomes a demand that should always be improved. Professionalism will
continue to grow and develop when a nurse has the will to develop various knowledge related to
nursing profession. The profession of nursing is multicusal and multidisciplinary. A health nurse
should be able to make the configuration of the various disciplines needed with the real facts that
in each patient who has a case, the background is different (multikausal).

The approach model that should always be remembered by a health nurse at the time of
intervention is a model of patient fulfillment. The fulfillment of patient expectation will be
fulfilled when one always refers to the latter need made by Maslow. The approach to meeting the
needs of the patient can not be separated by the field of experience which is strongly influenced
by the internalization of cultural values that are already integrated in the patient.

Cultural values are complex, because every human being who is a patient has a background, an
environment, a life experience, is not the same. The development of science and technology has
an impact in the dynamics of cultural values, which affect the paradigm of a person to the
perception of something he faces. Such a reality requires that a patient nurse always has to
understand the patient's fulfillment model not only in terms of clinical methods of nursing
technical service but the different approaches of cultural values that belong to the patient must be
understood and understood, patient as a human can be fulfilled comprehensively and holistically.

The care service will be included in the quality category if the service actions performed by a
treatment plant are based on nursing standards that meet patient