Determinants of Nurses’ Performance in Inpatient Wards: A Cross-Sectional Study at a Private Islamic Hospital in Indonesia
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Abstract
Background: Nurse performance is a critical determinant of patient safety, service quality, and hospital accreditation outcomes. However, the multidimensional factors influencing nurse performance in hospital settings remain inconsistently reported, particularly in developing countries. This study aimed to analyze the association between individual and organizational factors and nurses’ performance in inpatient wards.
Methods: A cross-sectional study was conducted among 96 nurses working in inpatient units of a private hospital in Central Java, Indonesia. Data were collected using validated questionnaires measuring work stress, motivation, job satisfaction, leadership perception, work environment, and interpersonal conflict. Nurse performance was measured using a structured performance assessment tool. Data were analyzed using Spearman rank correlation and multivariable linear regression.
Results: The findings showed that job satisfaction (p<0.01), motivation (p<0.01), leadership (p<0.05), and work environment (p<0.05) were significantly associated with nurse performance, while work stress and interpersonal conflict showed weak but significant negative associations. Multivariable analysis indicated that job satisfaction and motivation were the strongest predictors of performance after controlling for demographic variables.
Conclusion: The study concludes that nurse performance is influenced by psychological and organizational factors rather than demographic characteristics alone. Hospital management should strengthen supportive leadership, improve the work environment, and implement structured staff development programs to enhance performance and patient care quality.
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