Nursing with heart: Analyzing the influence of motivation and remuneration in improving nurse performance at RSJ Mutiara Sukma
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Mar 16, 2024
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Abstract
The role of nurses in Mental Health Hospitals (RSJ) is crucial in providing quality mental health care. Motivation and remuneration have been identified as key factors influencing nurse performance in RSJs. This study aims to explore the influence of motivation and remuneration on nurse performance at RSJ Mutiara Sukma. A qualitative approach with regression analysis was used in this study. A sample of 110 nurses was randomly selected from the total population of 153 nurses at RSJ Mutiara Sukma. Data were collected through in-depth interviews and observations. The analysis results showed a significant relationship between motivation, remuneration, and nurse performance. High motivation, both intrinsic and extrinsic factors, positively contributed to nurse performance. Similarly, fair and adequate remuneration also influenced the improvement of nurse performance. These findings emphasize the importance of considering motivation and remuneration as key factors in enhancing nurse performance at RSJ Mutiara Sukma. Hospital management should consider implementing policies that support intrinsic and extrinsic motivation and ensure a fair remuneration system as strategies to improve the effectiveness of mental health care services in the institution.
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How to Cite
Hidayati, F. and Saimi, S. (2024) “Nursing with heart: Analyzing the influence of motivation and remuneration in improving nurse performance at RSJ Mutiara Sukma”, Science Midwifery, 12(1), pp. 127-136. doi: 10.35335/midwifery.v12i1.1422.
References
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C Osuala, E., Tlou, B., & B Ojewole, E. (2022). Knowledge, attitudes, and practices towards drug-food interactions among patients at public hospitals in eThekwini, KwaZulu-Natal, South Africa. African Health Sciences, 22(1), 681–690. https://doi.org/10.4314/ahs.v22i1.79
Chaladthanyagid, K., Piaseu, N., Lagampan, S., Junprasert, S., & Isaramalai, S. (2023). Development and Psychometric Evaluation of the Job Satisfaction Scale for Thai Nurses in Primary Care Units. Pacific Rim International Journal of Nursing Research, 28(1), 132–149. https://doi.org/10.60099/prijnr.2024.264487
Chandra, A., Silaen, M., & Jamaluddin, J. (2020). The Relation Between Work Motivation and Nurse Performance of Inpatient Installations at Methodist General Hospital Medan. Journal Wetenskap Health, 1(2), 83–89. https://doi.org/10.48173/jwh.v1i2.40
Chang, S., Picco, L., Abdin, E., Yuan, Q., Chong, S. A., & Subramaniam, M. (2019). Resilience and associative stigma among mental health professionals in a tertiary psychiatric hospital: a cross-sectional study in Singapore. BMJ Open, 9(12), e033762. https://doi.org/10.1136/bmjopen-2019-033762
Creswell, J. W. (2013). Qualitative inquiry and research design. SAGE Publication.
Fereidouni, A., Teymoori, E., Maleki, Z., Ghanavati, M., & Vizeshfar, F. (2023). Relationships Between Job Satisfaction of Operating Room Nurses and Hospital’s Compliance With Protective Guidelines During the Covid-19 Pandemic: A Cross-Sectional Study, Iran. Journal of PeriAnesthesia Nursing, 38(1), 51–57. https://doi.org/10.1016/j.jopan.2022.03.007
Gehri, B., Ausserhofer, D., Zúñiga, F., Bachnick, S., Schwendimann, R., & Simon, M. (2023). Nursing care left undone in psychiatric hospitals and its association with nurse staffing: A cross‐sectional multi‐centre study in Switzerland. Journal of Psychiatric and Mental Health Nursing. https://doi.org/10.1111/jpm.12978
Gehri, B., Bachnick, S., Schwendimann, R., & Simon, M. (2023). Work-schedule management in psychiatric hospitals and its associations with nurses’ emotional exhaustion and intention to leave: A cross-sectional multicenter study. International Journal of Nursing Studies, 146, 104583. https://doi.org/10.1016/j.ijnurstu.2023.104583
Giles, E. L., Robalino, S., McColl, E., Sniehotta, F. F., & Adams, J. (2014). The Effectiveness of Financial Incentives for Health Behaviour Change: Systematic Review and Meta-Analysis. PLoS ONE, 9(3), e90347. https://doi.org/10.1371/journal.pone.0090347
Gordon, H. J., Demerouti, E., Le Blanc, P. M., Bakker, A. B., Bipp, T., & Verhagen, M. A. M. T. (2018). Individual job redesign: Job crafting interventions in healthcare. Journal of Vocational Behavior, 104, 98–114. https://doi.org/10.1016/j.jvb.2017.07.002
Gunawan, N. P. I. N., Hariyati, R. T. S., & Gayatri, D. (2019). Motivation as a factor affecting nurse performance in Regional General Hospitals: A factors analysis. Enfermería Clínica, 29, 515–520. https://doi.org/10.1016/j.enfcli.2019.04.078
Ibrahim, M. U., Maidin, A., Irwandy, I., Sidin, I., Rivai, F., & Shaleh, K. (2023). The Influence of Job Satisfaction and Organizational Commitment on Nurse Performance with Work Motivation as a Mediating Factor at I Lagaligo East Luwu Hospital In 2022. Pharmacognosy Journal, 15(2), 319–324. https://doi.org/10.5530/pj.2023.15.47
Jiao, R., Li, J., Cheng, N., Liu, X., & Tan, Y. (2023). The mediating role of coping styles between nurses’ workplace bullying and professional quality of life. BMC Nursing, 22(1), 459. https://doi.org/10.1186/s12912-023-01624-y
Kagwe, J., Jones, S., & Johnson, S. L. (2019). Factors Related to Intention to Leave and Job Satisfaction among Registered Nurses at a Large Psychiatric Hospital. Issues in Mental Health Nursing, 40(9), 754–759. https://doi.org/10.1080/01612840.2019.1611977
Kim, Y. J., Jang, H., Kwon, J. H., & Hwang, J. J. (2020). The Influence of Importance and Performance of Nursing Activities, and Professional Self-Concept on Ambulatory Care Nurses’ Job Satisfaction. Journal of Korean Academy of Nursing Administration, 26(3), 262. https://doi.org/10.11111/jkana.2020.26.3.262
Kohnen, D., De Witte, H., Schaufeli, W. B., Dello, S., Bruyneel, L., & Sermeus, W. (2023). What makes nurses flourish at work? How the perceived clinical work environment relates to nurse motivation and well-being: A cross-sectional study. International Journal of Nursing Studies, 148, 104567. https://doi.org/10.1016/j.ijnurstu.2023.104567
Konttila, J., Kähkönen, O., & Tuomikoski, A.-M. (2020). Nurses’ experiences of workplace violence in psychiatric nursing: a qualitative review protocol. JBI Evidence Synthesis, 18(9), 2025–2030. https://doi.org/10.11124/JBISRIR-D-19-00254
Lee, K. M. K., Page, A., Kim, S., Al-Diery, T., Koeper, I., Singh, I., Hawthorne, D., & Johnson, J. (2023). Perceptions and expectations of health professionals regarding hospital pharmacy services and the roles of hospital pharmacists: A qualitative systematic review and meta-synthesis. Exploratory Research in Clinical and Social Pharmacy, 10, 100264. https://doi.org/10.1016/j.rcsop.2023.100264
Ma, X., Wu, D., & Hou, X. (2023). Positive affect and job performance in psychiatric nurses: A moderated mediation analysis. Nursing Open, 10(5), 3064–3074. https://doi.org/10.1002/nop2.1553
Muatafa, R. J., Moini, A., & Haji-Ali Asgari, F. (2012). Unified Performance Evaluation of Health Centers with Integrated Model of Data Envelopment Analysis and Bargaining Game. Journal of Medical Systems, 36(6), 3805–3815. https://doi.org/10.1007/s10916-012-9853-z
Muthmainnah, Yetti, K., Gayatri, D., & Kuntarti. (2019). Remuneration Satisfaction to Improve Work Motivation of Nurses: A Cross-Sectional, Descriptive Analysis Study. Journal of International Dental and Medical Research, 12(1), 291–298.
Park, J. E., & Song, M. R. (2023). Effects of Emergency Nurses’ Experiences of Violence, Resilience, and Nursing Work Environment on Turnover Intention: A Cross-Sectional Survey. Journal of Emergency Nursing, 49(3), 461–469. https://doi.org/10.1016/j.jen.2022.10.001
Rakhim, A. A., Arifin, S., & Rofi’i, A. (2021). Relationship Between Leadership Style And Motivation With Nurse Performance In Hospitals. Interest : Jurnal Ilmu Kesehatan, 93–108. https://doi.org/10.37341/interest.v0i0.330
Ruffin, A., Shirey, M. R., Dick, T., Fazeli, P. L., & Patrician, P. A. (2023). Understanding the Impact of Span of Control on Nurse Managers and Hospital Outcomes. Journal of Healthcare Management, 68(3), 158–173. https://doi.org/10.1097/JHM-D-22-00191
Sabetsarvestani, R., & Geçkil, E. (2024). A meta‐synthesis of the experience of paediatric nurses in communication with children. Journal of Advanced Nursing. https://doi.org/10.1111/jan.16072
Susanti, Y., Handoyo, S., Ernawaty, E., & Hendriani, W. (2023). Factors influencing hospital preparedness and resilience for emerging infectious diseases: a systematic review. Journal of Public Health in Africa. https://doi.org/10.4081/jphia.2023.2555
Van Bogaert, P., Wouters, K., Willems, R., Mondelaers, M., & Clarke, S. (2013). Work engagement supports nurse workforce stability and quality of care: nursing team‐level analysis in psychiatric hospitals. Journal of Psychiatric and Mental Health Nursing, 20(8), 679–686. https://doi.org/10.1111/jpm.12004
van Oort, P., Maaskant, J., Luttik, M. L., & Eskes, A. (2024). Impact of a patient and family participation education program on hospital nurses’ attitudes and competencies: A controlled before-after study. PEC Innovation, 4, 100249. https://doi.org/10.1016/j.pecinn.2023.100249
Wahyuhadi, J., Hidayah, N., & Aini, Q. (2023). Remuneration, Job Satisfaction, and Performance of Health Workers During the COVID-19 Pandemic Period at the Dr. Soetomo Hospital Surabaya, Indonesia. Psychology Research and Behavior Management, Volume 16, 701–711. https://doi.org/10.2147/PRBM.S396717
Yektiningsih, E., Astari, A. M., & Utami, Y. W. (2021). A Correlation between Working Environment and Job Experience Toward Culture Shock among Indonesian Nurses in Japan. Jurnal Ners, 16(1), 17–25. https://doi.org/10.20473/jn.v16i1.23824
Zainaro, M. A., Ridwan, R., & Isnainy, U. C. A. S. (2021). Motivation and Workload of Nurses with Nurse Performance in Handling Events of Corona Virus (Covid-19). Jurnal Aisyah : Jurnal Ilmu Kesehatan, 6(4), 673–680. https://doi.org/10.30604/jika.v6i4.688
Zhou, H., Jiang, F., Rakofsky, J., Hu, L., Liu, T., Wu, S., Liu, H., Liu, Y., & Tang, Y. (2019). Job satisfaction and associated factors among psychiatric nurses in tertiary psychiatric hospitals: Results from a nationwide cross‐sectional study. Journal of Advanced Nursing, 75(12), 3619–3630. https://doi.org/10.1111/jan.14202
Afandi, P., & Heri, H. (2016). Influence Factors Internal and External Factors Motivation and Performance of Employees: Do not Stay Civil Service Policy Unit. International Journal of Economics and Finance, 8(6), 258. https://doi.org/10.5539/ijef.v8n6p258
Bekelepi, N., & Martin, P. (2022). Support interventions for nurses working in acute psychiatric units: A systematic review. Health SA Gesondheid, 27. https://doi.org/10.4102/hsag.v27i0.1811
C Osuala, E., Tlou, B., & B Ojewole, E. (2022). Knowledge, attitudes, and practices towards drug-food interactions among patients at public hospitals in eThekwini, KwaZulu-Natal, South Africa. African Health Sciences, 22(1), 681–690. https://doi.org/10.4314/ahs.v22i1.79
Chaladthanyagid, K., Piaseu, N., Lagampan, S., Junprasert, S., & Isaramalai, S. (2023). Development and Psychometric Evaluation of the Job Satisfaction Scale for Thai Nurses in Primary Care Units. Pacific Rim International Journal of Nursing Research, 28(1), 132–149. https://doi.org/10.60099/prijnr.2024.264487
Chandra, A., Silaen, M., & Jamaluddin, J. (2020). The Relation Between Work Motivation and Nurse Performance of Inpatient Installations at Methodist General Hospital Medan. Journal Wetenskap Health, 1(2), 83–89. https://doi.org/10.48173/jwh.v1i2.40
Chang, S., Picco, L., Abdin, E., Yuan, Q., Chong, S. A., & Subramaniam, M. (2019). Resilience and associative stigma among mental health professionals in a tertiary psychiatric hospital: a cross-sectional study in Singapore. BMJ Open, 9(12), e033762. https://doi.org/10.1136/bmjopen-2019-033762
Creswell, J. W. (2013). Qualitative inquiry and research design. SAGE Publication.
Fereidouni, A., Teymoori, E., Maleki, Z., Ghanavati, M., & Vizeshfar, F. (2023). Relationships Between Job Satisfaction of Operating Room Nurses and Hospital’s Compliance With Protective Guidelines During the Covid-19 Pandemic: A Cross-Sectional Study, Iran. Journal of PeriAnesthesia Nursing, 38(1), 51–57. https://doi.org/10.1016/j.jopan.2022.03.007
Gehri, B., Ausserhofer, D., Zúñiga, F., Bachnick, S., Schwendimann, R., & Simon, M. (2023). Nursing care left undone in psychiatric hospitals and its association with nurse staffing: A cross‐sectional multi‐centre study in Switzerland. Journal of Psychiatric and Mental Health Nursing. https://doi.org/10.1111/jpm.12978
Gehri, B., Bachnick, S., Schwendimann, R., & Simon, M. (2023). Work-schedule management in psychiatric hospitals and its associations with nurses’ emotional exhaustion and intention to leave: A cross-sectional multicenter study. International Journal of Nursing Studies, 146, 104583. https://doi.org/10.1016/j.ijnurstu.2023.104583
Giles, E. L., Robalino, S., McColl, E., Sniehotta, F. F., & Adams, J. (2014). The Effectiveness of Financial Incentives for Health Behaviour Change: Systematic Review and Meta-Analysis. PLoS ONE, 9(3), e90347. https://doi.org/10.1371/journal.pone.0090347
Gordon, H. J., Demerouti, E., Le Blanc, P. M., Bakker, A. B., Bipp, T., & Verhagen, M. A. M. T. (2018). Individual job redesign: Job crafting interventions in healthcare. Journal of Vocational Behavior, 104, 98–114. https://doi.org/10.1016/j.jvb.2017.07.002
Gunawan, N. P. I. N., Hariyati, R. T. S., & Gayatri, D. (2019). Motivation as a factor affecting nurse performance in Regional General Hospitals: A factors analysis. Enfermería Clínica, 29, 515–520. https://doi.org/10.1016/j.enfcli.2019.04.078
Ibrahim, M. U., Maidin, A., Irwandy, I., Sidin, I., Rivai, F., & Shaleh, K. (2023). The Influence of Job Satisfaction and Organizational Commitment on Nurse Performance with Work Motivation as a Mediating Factor at I Lagaligo East Luwu Hospital In 2022. Pharmacognosy Journal, 15(2), 319–324. https://doi.org/10.5530/pj.2023.15.47
Jiao, R., Li, J., Cheng, N., Liu, X., & Tan, Y. (2023). The mediating role of coping styles between nurses’ workplace bullying and professional quality of life. BMC Nursing, 22(1), 459. https://doi.org/10.1186/s12912-023-01624-y
Kagwe, J., Jones, S., & Johnson, S. L. (2019). Factors Related to Intention to Leave and Job Satisfaction among Registered Nurses at a Large Psychiatric Hospital. Issues in Mental Health Nursing, 40(9), 754–759. https://doi.org/10.1080/01612840.2019.1611977
Kim, Y. J., Jang, H., Kwon, J. H., & Hwang, J. J. (2020). The Influence of Importance and Performance of Nursing Activities, and Professional Self-Concept on Ambulatory Care Nurses’ Job Satisfaction. Journal of Korean Academy of Nursing Administration, 26(3), 262. https://doi.org/10.11111/jkana.2020.26.3.262
Kohnen, D., De Witte, H., Schaufeli, W. B., Dello, S., Bruyneel, L., & Sermeus, W. (2023). What makes nurses flourish at work? How the perceived clinical work environment relates to nurse motivation and well-being: A cross-sectional study. International Journal of Nursing Studies, 148, 104567. https://doi.org/10.1016/j.ijnurstu.2023.104567
Konttila, J., Kähkönen, O., & Tuomikoski, A.-M. (2020). Nurses’ experiences of workplace violence in psychiatric nursing: a qualitative review protocol. JBI Evidence Synthesis, 18(9), 2025–2030. https://doi.org/10.11124/JBISRIR-D-19-00254
Lee, K. M. K., Page, A., Kim, S., Al-Diery, T., Koeper, I., Singh, I., Hawthorne, D., & Johnson, J. (2023). Perceptions and expectations of health professionals regarding hospital pharmacy services and the roles of hospital pharmacists: A qualitative systematic review and meta-synthesis. Exploratory Research in Clinical and Social Pharmacy, 10, 100264. https://doi.org/10.1016/j.rcsop.2023.100264
Ma, X., Wu, D., & Hou, X. (2023). Positive affect and job performance in psychiatric nurses: A moderated mediation analysis. Nursing Open, 10(5), 3064–3074. https://doi.org/10.1002/nop2.1553
Muatafa, R. J., Moini, A., & Haji-Ali Asgari, F. (2012). Unified Performance Evaluation of Health Centers with Integrated Model of Data Envelopment Analysis and Bargaining Game. Journal of Medical Systems, 36(6), 3805–3815. https://doi.org/10.1007/s10916-012-9853-z
Muthmainnah, Yetti, K., Gayatri, D., & Kuntarti. (2019). Remuneration Satisfaction to Improve Work Motivation of Nurses: A Cross-Sectional, Descriptive Analysis Study. Journal of International Dental and Medical Research, 12(1), 291–298.
Park, J. E., & Song, M. R. (2023). Effects of Emergency Nurses’ Experiences of Violence, Resilience, and Nursing Work Environment on Turnover Intention: A Cross-Sectional Survey. Journal of Emergency Nursing, 49(3), 461–469. https://doi.org/10.1016/j.jen.2022.10.001
Rakhim, A. A., Arifin, S., & Rofi’i, A. (2021). Relationship Between Leadership Style And Motivation With Nurse Performance In Hospitals. Interest : Jurnal Ilmu Kesehatan, 93–108. https://doi.org/10.37341/interest.v0i0.330
Ruffin, A., Shirey, M. R., Dick, T., Fazeli, P. L., & Patrician, P. A. (2023). Understanding the Impact of Span of Control on Nurse Managers and Hospital Outcomes. Journal of Healthcare Management, 68(3), 158–173. https://doi.org/10.1097/JHM-D-22-00191
Sabetsarvestani, R., & Geçkil, E. (2024). A meta‐synthesis of the experience of paediatric nurses in communication with children. Journal of Advanced Nursing. https://doi.org/10.1111/jan.16072
Susanti, Y., Handoyo, S., Ernawaty, E., & Hendriani, W. (2023). Factors influencing hospital preparedness and resilience for emerging infectious diseases: a systematic review. Journal of Public Health in Africa. https://doi.org/10.4081/jphia.2023.2555
Van Bogaert, P., Wouters, K., Willems, R., Mondelaers, M., & Clarke, S. (2013). Work engagement supports nurse workforce stability and quality of care: nursing team‐level analysis in psychiatric hospitals. Journal of Psychiatric and Mental Health Nursing, 20(8), 679–686. https://doi.org/10.1111/jpm.12004
van Oort, P., Maaskant, J., Luttik, M. L., & Eskes, A. (2024). Impact of a patient and family participation education program on hospital nurses’ attitudes and competencies: A controlled before-after study. PEC Innovation, 4, 100249. https://doi.org/10.1016/j.pecinn.2023.100249
Wahyuhadi, J., Hidayah, N., & Aini, Q. (2023). Remuneration, Job Satisfaction, and Performance of Health Workers During the COVID-19 Pandemic Period at the Dr. Soetomo Hospital Surabaya, Indonesia. Psychology Research and Behavior Management, Volume 16, 701–711. https://doi.org/10.2147/PRBM.S396717
Yektiningsih, E., Astari, A. M., & Utami, Y. W. (2021). A Correlation between Working Environment and Job Experience Toward Culture Shock among Indonesian Nurses in Japan. Jurnal Ners, 16(1), 17–25. https://doi.org/10.20473/jn.v16i1.23824
Zainaro, M. A., Ridwan, R., & Isnainy, U. C. A. S. (2021). Motivation and Workload of Nurses with Nurse Performance in Handling Events of Corona Virus (Covid-19). Jurnal Aisyah : Jurnal Ilmu Kesehatan, 6(4), 673–680. https://doi.org/10.30604/jika.v6i4.688
Zhou, H., Jiang, F., Rakofsky, J., Hu, L., Liu, T., Wu, S., Liu, H., Liu, Y., & Tang, Y. (2019). Job satisfaction and associated factors among psychiatric nurses in tertiary psychiatric hospitals: Results from a nationwide cross‐sectional study. Journal of Advanced Nursing, 75(12), 3619–3630. https://doi.org/10.1111/jan.14202