Abstract
Introduction: Nurses performance is still not optimal. The aim this study was to develop a quality of nursing work life to improve nurse performance by integrating Swanson's theory of caring. Methods: An explanative observational design was used with cross-sectional approach. The sample was nurses in inpatient care, intensive care, surgical installations, neonates, hemodialysis from eight hospitals in East Java. The sample size of 430 respondents used total sampling. The variables included QNWL, individual, social and environmental, administrative factors, nurse performance. Data were collected using Nurse Quality of Communication with Patient Questionnaire (NQCPQ), Questionnaire of Personal and Organizational Values Congruence for Employee (Q-POVC), Questionnaire of Brooks & Anderson's quality of nursing work life. The data analysis used Partial Least Square. Results: Twenty-five indicators were declared valid (outer loading value> 0.5) with variable diversity was 24.43%, so that internal, social and environmental, operational and administrative factors affect the performance of nurses directly or indirectly through caring based on QNWL. Predictive relevance value was >0, which indicates that the model was good enough. The individual factors (p= 0.043; T-Statistics= 2.040), social and environment factors (p= 0.025; T= 2.242), administrative factors (p= 0.001; T= 3.438) have significant influence QNWL based on caring and QNWL based on caring had a significant influence on nurse performance (p= 0.000; T= 4.997). Conclusion: The development of the QNWL model based on caring has good effect in improving nurse performance. From the developed model, nurse performance related to individual factors, social and environmental factors, administrative factors.
Highlights
The lack of professional opportunities such as education and training have an impact on the low quality of nursing work life (Nursalam, Fibriansari, et al, 2018b; Oshodi et al, 2019)
The quality of nursing work life has decreased, as much as 32.6% of nurses are paid a low rate of the salaried sector, and working hours are not suitable
The relationship between nurses, departments, and professions was good. Nurses stated that they have a high level of workload, but the shift schedule was in a good category and had high flexibility (66.05%)
Summary
The variables included QNWL, individual, social and environmental, administrative factors, nurse performance. Results: Twenty-five indicators were declared valid (outer loading value> 0.5) with variable diversity was 24.43%, so that internal, social and environmental, operational and administrative factors affect the performance of nurses directly or indirectly through caring based on QNWL. Nurse performance related to individual factors, social and environmental factors, administrative factors. The quality of nursing work life has decreased, as much as 32.6% of nurses are paid a low rate of the salaried sector, and working hours are not suitable These results affect incomplete nursing care; nurses think that the performance given is commensurate with the salary given, even though not all tasks are complete (Momeni, Shafipour, Esmaeili, & Yazdani Charati, 2016; Suleiman, Hijazi, Al Kalaldeh, & Sharour, 2019)
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