Abstract
Community demands for quality health services are a challenge for health care providers, one of them being a hospital. Patient satisfaction is an indicator of service that is influenced by nurse performance because nursing staff is the first and longest contact person in the patient, so that it can represent the entire image and appearance of the hospital. This study aims to determine the influence of competence, career development and work stress on job satisfaction and its impact on nurses' performance in implementing a professional nursing practice model. This research is a survey research, with a total sample of 104 selected with proportionate sampling. The results of the study show that competence has a positive and significant effect on job satisfaction. Career development has a positive and significant effect on nurse job satisfaction. Job stress has a negative and significant effect on nurse job satisfaction. Competence has a positive and significant effect on performance and a positive indirect effect on nurse performance through mediating job satisfaction. Career development does not have a significant effect on nurse performance but can affect nurse performance through job satisfaction. Job stress has a negative influence and is significant for nurse work. and negatively indirect effect on nurse performance through mediating job satisfaction. Job satisfaction has a positive and significant effect on nurse work. It is suggested to management to hold capacity building and family gathering activities to build teamwork between nurses.
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