Health status, ability, and motivation infl uenced district hospital nurse performance

  • Hafizurrachman Hafizurrachman
Keywords: health status, ability, motivation, performance, path analysis
Abstract viewed: 589 times
PDF downloaded: 415 times


Aim To investigate the influence of health status, ability and motivation of nurses' performances in a district hospital.

Methods A survey was conducted during May 2009 in a district hospital in West Java, Indonesia. Nurses in the inpatient and outpatient unit and fulfilled inclusion and exclusion criteria were randomly chosen as the unit of analysis. A questionnaire of 18-23 questions was used to measure the indicator of the four variables. The path analysis was performed using multiple regressions for calculating ß as the value of path coefficient between variables, p value and R2. Goodness of fit test was used to calculated Q and W coefficient.

Results Test was performed on 125 of 493 nurses with exogenous (independent) and endogenous (intermediate or dependent) variables in the model proposed. The p-value was > 0.05, indicating that the characteristics variation of the subjects did not affect the answers on the endogenous and exogenous variables. The health status, ability, motivation and performance variables showed normal and homogenous distribution. Line equation between variables showed linear relation with p<0.05. Simple correlation score between variables was 0.376 to 0.833. Ability was the biggest variable that influences nurses' performance (44.8%), followed by motivation (33.9%) and health status (21.8%). The influences of the three exogenous variables to nurses' performance were 76.2% and 23.8% which was influenced by other variables.

Conclusion Nurses' health status, ability, and motivation influenced their performance. Therefore, these variables can be considered for an intervention to improve the nurses' performance. (Med J Indones 2009; 18: 283-9)


  1. Cherry B, Jacob SR. Contemporary nursing: issues, trends and management. 3rd ed. Philadelphia: Elsevier Mosby; 2005. [Cited 2009 April 12]. Available from:

  2. Clark. RE. The Economic benefits of supported employment for persons with mental illness. J. Mental Health Policy Econ. 2008; 187: 63–7.

  3. Cole MA. Neumayer MA. The impact of poor health on total factor productivity. Journal of Development Studies. 2006 August [Cited: 2009 April 20]; 42(6); [about 12 p]. Available from:

  4. Leigh GT. High-fi delity patient simulation and nursing students' self-efficacy: A Review of the Literature. International J Nursing Education Scholarship. 2008; 342:289-98.

  5. Kivimäki MP, Voutilainen P, Koskinen P. Job enrichment, work motivation, and job satisfaction in hospital wards: testing the job characteristics model. J Nursing Management, 2008; 310:87–91.

  6. Gifford DB, Zammuto RF, Goodman EA, Hill KS. The relationship between hospital unit culture and nurses' quality of work life, J Healthcare Management. 2007; 247:281-4.

  7. Hagerty BM, Williams RG, Coyne JM, Early MR. Sense of belonging and indicators of social and psychological functioning. J Psychiatric Nursing. 2006; 375:235-44.

  8. Melani AS, Verponziani WA, Boccoli GL, Federici TA, Amerini RM, Sestini P. Tobacco smoking habits, attitudes and beliefs among nurse and medical students in Tuscany, European J Epidemiology. 2000 July; [cited 2009 Jun 20]; 923 (16): [about 4 p]. Available from :

  9. Health indicators 82-221-XIE. Health status. Health indicators, Vol. 2001, no.3. [Cited 2009 August 12]. Available from:

  10. Barnum BS, Karlene M, Kerfoot KM. The nurse as executive. 7th ed. Gaithersburg: Aspen Publishers; 2005

  11. Quinn FM. Continuing professional development in nursing: a guide for practitioners and educators. New York: Nelson Thornes Publishers; 2004.

  12. Robbins SP. Organizational behavior: human behavior at work. New Jersey: Prentice Hall Pearson Education Inc; 2003.

  13. Li, Ching Chun. Path analysis a primer. CA: The Boxwood Press; 1975

  14. Schumacker RE, Lomax RG. A beginner's guide to SEM. Mahwah. Hillsdale, New Jersey: Lawrence Erlbaum Assoc. Inc. Pub; 1996.

  15. Raines D. A competency-based approach to the nursing research. J Nurse Educ in Practice. 2007; 423:373-81.

  16. Riggio RE, Taylor SJ. Personality and communication skills as predictors of hospice nurse performance. J Business Psychol. 2004; 381:351-9.

  17. Lanara V. Research and the discipline of nursing: a European perspective. Intensive and critical care nursing. 2000 July; [cited 2009 Jun 20]; 844 (12): [about 6 p]. Available from:

  18. Neelam M. Motivating nursing personnel. Nursing J India. 2008. Jun; [cited 2009 Oct 17] 322 (6): [about 2 p].

  19. Available from:

  20. McCauley K, Irwin RS. Changing the work environment in intensive care units to achieve patient-focused care: The Time Has Come, Am J Critical Care. 2006; 687:541-8.

  21. Muneera B. Motivation for better nursing management. Nursing Journal of India. 2008. Jun; [cited 2009 Oct 17] 322 (6): [about 4 p]. Available from:

  22. Beil M. Nurse absence: The cause and consequences. J Nursing Management. 2008; 102:11-17.

How to Cite
Hafizurrachman H. Health status, ability, and motivation infl uenced district hospital nurse performance. Med J Indones [Internet]. 2009Nov.1 [cited 2021Dec.3];18(4):283-89. Available from:
Community Research