Association of Competence, Motivation and Nurse Workload with Nurse Performance at Mental Hospital in Bali Province

Background and purpose: Average Bed Ocupation Rate (BOR) of Mental Hospital in Bali Province in 2014amounted to 85.3% with an average length of stay about 50 days. Preliminary study indicated inadequate performanceof nurses at Mental Hospital in Bali. The purpose of this study was to determine the association of competence,motivation and nurses workload with the performance of nurses in ward of Mental Hospital in Bali Province.Methods: This research was a cross sectional survey. The subjects of the study consisted of all nurses in the inpatientunit, amounting to 111 people. Data were collected by self-administered questionnaires and observation sheet filledout by the head of the room. Data were analyzed using bivariate with chi-square test, and multivariate with logisticregression method.Results: Bivariate analysis showed significant association between the performance of nurses with competence andmotivation (p<0.001), however no association with workload (p=0.94). Multivariate analysis showed that theperformance of nurses was associated with competence with (AOR=65.38; 95%CI: 6.88-621.52) and with motivation(AOR=61.71; 95%CI: 7.15-532.59), however was not significantly associated with workload (AOR=1.012; 95%CI: 0.32-3.17).Conclusion: The performance of nurses were significantly associated with competence and motivation of its work,however not related to workload

Probabilistic priority assessment of nurse calls

Current nurse call systems are very static. Call buttons are fixed to the wall, and systems do not account for various factors specific to a situation. We have developed a software platform, the ontology-based Nurse Call System (oNCS), which supports the transition to mobile and wireless nurse call buttons and uses an intelligent algorithm to address nurse calls. This algorithm dynamically adapts to the situation at hand by taking the profile information of staff and patients into account by using an ontology. This article describes a probabilistic extension of the oNCS that supports a more sophisticated nurse call algorithm by dynamically assigning priorities to calls based on the risk factors of the patient and the kind of call. The probabilistic oNCS is evaluated through implementation of a prototype and simulations, based on a detailed dataset obtained from 3 nursing departments of Ghent University Hospital. The arrival times of nurses at the location of a call, the workload distribution of calls among nurses, and the assignment of priorities to calls are compared for the oNCS and the current nurse call system. Additionally, the performance of the system and the parameters of the priority assignment algorithm are explored. The execution time of the nurse call algorithm is on average 50.333 ms. Moreover, the probabilistic oNCS significantly improves the assignment of nurses to calls. Calls generally result in a nurse being present more quickly, the workload distribution among the nurses improves, and the priorities and kinds of calls are taken into account

Facts and Controversies About Nurse Staffing Policy: A Look at Existing Models, Enforcement Issues, and Research Needs

Examines state-mandated nurse-to-patient ratios as a policy model for solving staffing problems and ensuring patient safety and quality of care, as well as patient classification systems and pay-for-performance models. Includes tips for policy makers

ACTIVITIES OF NURSE PRACTITIONERS AS IDENTIFIED BY MEDICAL DIRECTORS OF UNIVERSITY STUDENT HEALTH SERVICES

University health services play a very important role in the general health, performance, and well-being of the students, the university itself, and the community. As stated by the American College Health Association, the goal of a university health service is to promote and maintain those conditions which will permit and encourage each individual to realize optimum physical, emotional, intellectual, and social well-being. University students have special health care needs such as drug and alcohol abuses, emotional problems, and gynecological, sexual, and contraceptive problems. It is the goal of the health professionals involved with students to meet those needs. Because of these special health care needs, the increasing number of university students, and the present problems associated with medical care and medical distribution, nurse practitioners have become involved in some university percent of these nurse practitioners are in college health services.3 It was believed by the investigators of this study that nurse practitioners could play a special role in this area of health care. As student health medical directors are key persons in defining nurse practitioner activities, the purpose of this study was to determine the activities the directors identified as appropriate for nurse practitioners to perform in a university health care setting. The type of activities identified by them may be crucial in the decision to utilize nurse practitioners in the university student health setting

Pengaruh Stress Kerja, Sikap dan Kecerdasan Emosional Terhadap Kinerja Perawat Di Ruang Rawat Inap RSUD Kota surakarta

The purpose of this study was to significant effect analysis: 1) work stress to nurse performance in treatment installation room at ARea Public Hospital of Surakarta 2) work attitude to nurse performance in treatment installation room at Area Public Hospital of Surakarta. 3)emotional intellegence to nurse performance in treatment installation room at Area Public Hospital of Surakarta. 4) work stres, work attitude and emotional intellegence simultaneous to nurse performance in treatment installation room at Area Public Hospital of Surakarta. Appropriate objectives so this study was using survey method by quantitative approach. This research population was all of nurse in treatment installation room at Area Public Hospital of Surakarta. Sample was taking 65 nurses by using total sampling technique. The main data collection tool using a questionnaire what relate the questionnaire from Sutrisno (2014), Carter (2010), and Indrayani (2015) and tested for validity and reliability in order to qualify a good measuring tool. Analysis tools used to test this hypothesis using Multiplled Regresion Analysis using SPSS 20.0 for Windows. Results of this study concluded: 1) Work stress has negative influence to nurse performance in treatment installation room at Area Public Hospital of Surakarta. 2) Work attitude has positive influence to nurse performance in treatment installation room at Area Public Hospital of Surakarta. 3) Emotional intellegence has positive influence to nurse performance in treatment installation room at Area Public Hospital of Surakarta. 4)work stres, work attitude, and emotional intellegence have an effect simultaneous to nurse performance in treatment installation room at Area Public Hospital of Surakarta

Faktor-Faktor Motivasi Kerja: Supervisi, Penghasilan, Dan Hubungan Interpersonal Mempengaruhi Kinerja Perawat Pelaksana

Performance of nurses directly affect to quality health care. Staff nurse is a contribution worker directly to the quality of theservices for the client. The work motivation factor is one of factors which influence the work of nurse. This research is adescriptive quantitative by a cross sectional design which aiming to know relationship between the work motivation factorswith staff nurse performance inpatient wards in Hospital X. Research used a proportionate random sampling which fulfilledan inclusion criterion; it was almost 100 staff nurse at inpatient wards in Hospital X. This research result indicated three subvariables of work motivation which related significantly by nurse performance including interpersonal relation (OR= 4.345),supervision (OR= 72.952) and incomes or salary (OR=7.304). While individual characteristic variable indicated two variableswhich related significantly by performance is education of staff nurse (OR= 7.567) and age (OR= 25.948). There are dominantsub variable connected with staff nurse performance is supervision (OR= 72.952), after it was controlled by variables of age,incomes or salary and education level. Increase of supervision by head nurse, nursing committee, and nursing section need tobe improved, with the approach of organizational structure in order to motivate the performance of nurses

The Association between the Competence, Motivation, Workload, and Performance of the Nurses at Dr. Arif Zaenudin Mental Hospital, Surakarta, Central Java

Background: Nurse performance in hospitals has an important role to support the achievement of good and satisfactory health services. The performance of nurses was hypothesized to be influence by several factors such as motivation, competence, and workload. This study aimed to examinethe association between competence, motivation, workload, and performance of the nurses at Dr. Arif Zaenudin Mental Hospital, Surakarta, Central Java. Subjects and Method: This was an analytic observational study with a cross-sectional design. The study was conducted at Dr. Arif Zaenudin Mental Hospital, Surakarta, Central Java. A sample of 200 nurses was selected for this study by exhaustive sampling. The dependent variable was nurse performance. The independent variables were competence, motivation, workload, education, and distance to the hospital. The data were collected by questionnaire and analyzed by path analysis on Stata 13. Results: Nurse performance increased with competence (b= 0.97; 95% CI= 0.20 to 1.74; p= 0.014), motivation (b= 0.95; 95% CI= 0.17 to 1.73; p= 0.017), and workload (b= 2.81; 95% CI= 2.01 to 3.60; p< 0.001). Nurse performance was indirectly affected by work duration, nurse education, and distance to the hospital. Conclusion: Nurse performance increases with competence, motivation, and workload of the nurse. Nurse performance is indirectly affected by work duration, nurseeducation, and distance to the hospital. Keywords: nurse, performance, competence, motivation, workloa