The quality of nursing care is the selling power of hospitals in the future. One way to increase the quality is applying the Professional Nursing Practice Model (PNPM), which focuses on client satisfaction. It has been implemented in one inpatient ward of General Hospital of Belitung in 2009. However, the implementation of PNPM in the other inpatient wards has been postponed. The purpose of this study was to identify and explore the factors inhibiting the implementation of PNPM in the hospital. This was a research using a descriptive qualitative method and involved 16 informants consisting of 8 clinical nurses and 8 hospital administrators by using purposive sampling. Data were collected with focus group discussions, and were analyzed by reduction process of data, presentation of data, and draw conclusions. Results of this research showed that there were four factors identified, namely human resources, budgeting, supervision, and nursing care standard. Management of the hospital should apply PNPM as an alternative to the establishment of policies in improving patient satisfaction, add the number of nurses, delegate employees to pursue higher education, socialize PNPM to all nurses, formulate policy on the appointment of head of nurses selection based on managerial competence, do supervision, and provide a reward system for all employees.