Nursing Care Services Research Articles

The Relationships Between Patient Experience with Nursing Care, Patient Satisfaction and Patient Loyalty: A Structural Equation Modeling.

When creating and managing patient loyalty, medical institutes always focus on medical technicians, overall healthcare quality, and hospital brands, and the role of nursing seems to be underappreciated. Empirical evidence about the relationship between patient experience with nursing care and patient loyalty is limited, especially in the Chinese healthcare system. This study aimed to explore to what extent patient experience with nursing care influences patient loyalty to the hospital and the impact routes. This study is a multicenter cross-sectional survey. The STROBE was selected as the checklist in this study. Patient experience with nursing care, patient satisfaction and patient loyalty were collected from 1469 inpatients in three hospitals in China through a paper-based survey. Data were analyzed using SPSS and AMOS software; a structural equation model was established to explore the effect of patient experience with nursing care and satisfaction on patient loyalty using the PROCESS macro. There were significant direct and indirect effects between patient experience with nursing care and patient loyalty, explaining 32.0% of patient loyalty variance. Patient experience with nursing care had a direct and positive impact on patient loyalty (β=0.298, P<0.01), and better patient experience with nursing care was directly associated with better patient loyalty. In addition, the results also revealed the effect of patient experience with nursing care on patient loyalty was partially mediated by patient satisfaction with nursing care and overall hospital services (β=0.162, P<0.01). This study confirmed the importance of nursing care in creating patient loyalty; improving the patient experience with nursing care would be beneficial to patient loyalty. When creating patient loyalty, hospital administrators and nursing managers should make efforts to develop positive patient experience of nursing care in daily clinical practice through organizational changes, culture shaping and staff education.

Patient Satisfaction: Evaluating Nursing Care for Patients Hospitalized with Cancer

Patient’s satisfaction is an indicator of quality care and it encompasses the different aspects of nursing care leading to cancer patient’s satisfaction like information given by nurses. Aim: To assess the level of satisfaction with nursing care among hospitalized cancer patients. Study design: Cross-sectional descriptive study. Methodology: A sample of 158 patients in two hospitals was selected from Jinnah hospital Lahore and INMOL by using method of non-probability convenient sampling. Data was collected by adopted questionnaire. Data was analyzed by SPSS software, version 20. Chi square was used for qualitative variables like satisfaction, educational status. A p-value of ≤ 0.05 was considered as statistically significant. Results: The results of this study indicated that a majority of the cancer patients were satisfied with different aspects of nursing care such as information given by nurses, 60.28% of patients were satisfied but interpersonal relations between nurses and patients were found to have mixed response as only 60.61% patients were satisfied. Regarding the technical quality of nurse 68.07% of patients were satisfied. Practical Implication: This study identified the lacking among health care providers regarding nursing care that make a barrier for patient’s satisfaction and helped in Program planning for monitoring and improving the nursing care services at health care setups. Conclusion: We concluded that majority of the patients were satisfied by the nursing care but there is a need to improve the information given by nurses and interpersonal relationship in the nursing care provided by the selected hospitals to improve patients’ overall satisfaction. Keywords: Patient Satisfaction, Nursing Care and Cancer.

Evaluating the Impact of Nursing Care and Laboratory Services on Healthcare Quality: A Comprehensive Analysis

This article provides a critical examination of the integral roles that nursing care and medical laboratory services play in determining the quality of healthcare services. With an emphasis on evidence-based practices, the paper explores how proficient nursing care directly influences patient outcomes, including satisfaction levels, recovery rates, and effective chronic disease management. Concurrently, the analysis delves into the pivotal function of medical laboratory services in the diagnostic process, emphasizing the necessity for accuracy and timeliness in test results, which significantly impact therapeutic decisions and patient well-being. By integrating findings from various studies and case examples, the article highlights the importance of seamless collaboration and communication between nursing staff and laboratory professionals in optimizing patient care. Furthermore, it addresses the challenges faced in this integration and proposes viable solutions grounded in current research and best practices. The discussion extends to the implications of healthcare policies and the potential future directions of nursing and laboratory services, underscored by technological advancements. The article concludes with actionable recommendations for healthcare practitioners and policymakers aimed at enhancing the synergy between nursing care and laboratory services to improve overall healthcare quality

Studi Perbandingan : Beban Kerja Perawat Isolasi Covid19 di Rumah Sakit dr. Rasidin Padang dan Rumah Sakit Ibnu Sina Padang

The workload experienced by health workers, especially nurses, occurs because of anxiety about the high risk of disease transmission, the increasing number of cases of the spread of Covid-19 and confirmed Covid-19 patients, the lack of human resources for hospitals so that the services provided are not optimal, coupled with high work pressure. , unclear task and role conflict. The purpose of this study was to compare the Covid 19 Isolation Nurse Workload in 2 hospitals, namely RSUD dr.Rasidin and RS Ibnu Sina Padang. The research design is descriptive quantitative with cross sectional method. The sample in the study was 66 nurses at dr.Rasidin Hospital and at Ibnu Sina Hospital Padang with 55 nurses. The research instrument used a questionnaire. Data collection with frequency distribution analysis, independent t test and one way ANOVA. The results showed that the t value (2.490) &gt; t table 1.657) or the sig value (0.014) &lt; 0.05, so there was a difference in the workload of the Covid 19 isolation nurse at Dr. Rasidin Hospital Padang and Ibnu Sina Hospital Padang. Based on the results of this study, it is expected that the hospital will pay more attention to and maintain every situation and condition when providing nursing care services during the COVID-19 pandemic by paying attention to all aspects related to workload, psychological conditions, physical tasks, organization and work environment.

Factors Affecting The Level Of Occupational Stress Among First Line Healthcare Workers Saudi Arabia Hospitals During Covid-19 Pandemic

Background: the rapid increase in number of covid-19 patients has led to an elevated demand of nursing care services, which may cause physiological issues and concerns among the first line Healthcare Workers. While there are speculations of increased cases of occupational stress among the first line Healthcare Workers, little has been done to verify the rate among Healthcare Workers in Saudi Arabia Hospitals.&#x0D; Purpose: this study was conducted to determine the factors affecting occupational stress among first line Healthcare Workers in Saudi Arabia Hospitals during covid-19 pandemic.&#x0D; Methods: this study applied the cross-sectional correlational design of the quantitative methodology. Data was collected using the occupational stress scale from a randomly sampled 250 first line Healthcare Workers working in Saudi Arabia Hospitals. The collected data was analyzed using Chi-square and descriptive statistics of SPSS.&#x0D; Results: 82.8% of the Healthcare Workers had high level of stress, 17.2% had moderate stress and none had low level of stress. The level of occupational stress is affected by four demographic characteristics, including Healthcare Workers’ age (p=.000; r=.713), level of education (p=.000; r=.655), whether the Healthcare Workers stayed alone or with others (p=.000; r=.507) and marital status (p=.014; r=.624). Six work-related factors were also noted to affect the level of occupational stress, including nature of working conditions (p=.000; r=.597), access to PPEs (p=.000; r=.594), nature of relationship with the other co-workers (p=.000; r=.594), hours of working (p=.000; r=.542), years of experience (p=.002; r=.734) and department of work (p=.040; r=.756).&#x0D; Conclusion: there is a high level of occupational stress among the first line Healthcare Workers. Therefore, there is a need for the healthcare systems to devise measures to address the propagating factors around stress among these Healthcare Workers.

Palliative care nurse: A quantitative study of caring for neonates at end-of-life stage.

ObjectiveThis study aimed to evaluate the quality of the care provided to newborns at End-of-Life (EOL) stages and compare the care which is already being given to the infants admitted to the NICUs of the selected hospital in (XXX) with the existing standards. Knowing how End-of-Life nursing care is provided, compared with the standard in the terminal stage of neonates’ life can provide accurate information for policies, research, and educational practices.MethodsIn this descriptive study, 100 nursing care services, provided to neonates at the EOL stages and their parents, were observed and compared to the standard checklist which had been developed based on the literature review and existing standards in 2015. The study setting included the NICUs of the four hospitals affiliated to (XXX) The Content and Face Validity of the checklist were determined based on specialists’ comments. The Content Validity Index was 94.85%, and its reliability was evaluated too through the inter-rater correlation coefficient (ICC = 0.715).ResultsOnly 11.49% of EOL nursing care services were given properly and 77.92% were not given at all. Results showed that 10.59% of EOL nursing care services were performed improperly.ConclusionThe overall rate of accordance with the EOL nursing care standards was poor (16.78%). Nursing care given to infants and their parents at EOL stages is far from the standards. This can be due to various reasons, such as inadequate training and the lack of comprehensive guidelines.

Individual characteristics associated with the utilization of nursing care in the very old population: a cross-sectional study

BackgroundAs older adults ≥80 years are often underrepresented in previous studies, little is known about their characteristics associated with the utilization of nursing care services. Therefore, this study examined individual (predisposing, enabling, and need) predictors of nursing care utilization in the very old population of North Rhine-Westphalia (NRW) in Germany.MethodsData from a representative cross-sectional study included 1531 community-dwelling individuals and nursing home residents aged ≥80 years. Multinomial regression was applied to investigate the factors that explain the use of outpatient care services, day care, and/or private care (odpNCU), and inpatient nursing care (inpNCU).ResultsOverall, 1083 (69.9%) participants did not use nursing care services (noNCU), 339 (21.9%) used outpatient, day, and/or private care, and 127 (8.2%) used inpatient nursing care. Compared to noNCU, odpNCU was associated with a higher likelihood of being older [odds ratio (OR) = 1.06, 95% confidence interval (CI): 1.01-1.11], having no partner (OR = 0.58, 95%CI: 0.37-0.91), experiencing higher functional (basic activities of daily living, OR = 0.02, 95%CI: 0.01-0.04; instrumental activities of daily living, OR = 0.18, 95%CI: 0.11-0.30) and cognitive disabilities (OR = 0.63, 95%CI: 0.44-0.89). Compared to noNCU, nursing home residents were more likely older (OR = 1.14, 95%CI: 1.07-1.22), had lower socioeconomic status (OR = 0.98, 95%CI: 0.97-1.00), were childless (OR = 3.83, 95%CI: 1.71-8.56) and without partners (OR = 0.43, 95%CI: 0.20-0.96), socially isolated (OR = 3.94, 95%CI: 2.06-7.55), were more likely to be lonely (OR = 2.94, 95%CI: 1.58-7.89), more functionally (basic activities of daily living, OR = 0.01, 95%CI: 0.00-0.03; instrumental activities of daily living, OR = 0.04, 95%CI: 0.02-0.09) and cognitively impaired (OR = 0.48, 95%CI: 0.31-0.74), but they were less likely to experience five or more chronic conditions (OR = 0.42, 95%CI: 0.20-0.88) and less likely to be physically pre-frail (OR = 0.24, 95%CI: 0.10-0.58) and frail (OR = 0.09, 95%CI: 0.03-0.27).ConclusionsIndividual need factors dominated in explaining odpNCU, suggesting that the very old population in NRW may have equitable access to these services. As social structure, region, and social resources explain inpNCU, this type of care may be inequitably accessible.

Factors Associated with Home Health Aides' Turnover Intention and Organizational Citizenship Behavior in Long-Term Care Services.

Background: The elderly and disabled population has rapidly increased in the world, and the demand for long-term care is also increasing. Home nursing care services are the main service demand. However, the high turnover rate of home health aides has led to a continuous shortage of staff, which affects the quality of care provided. Objective: This research established a model based on the theory of reasoned action to explore the relationships among home health aides’ work engagement, job satisfaction, turnover intentions, and organizational citizenship behavior for long-term care providers. Method: In this cross-sectional study, a structured questionnaire was sent to 455 participants, and 402 (response rate 88.4%) took part in the study. The goodness-of-fit test and path analysis of Structural Equation Modeling (SEM) was employed to test the proposed model. Results: Through the goodness-of-fit test of SEM, it was found that the data results have a good model fit. The results of path analysis displayed that home health aides’ work engagement and job satisfaction had a significantly negative impact on turnover intention and a significantly positive impact on organizational citizenship behavior; turnover intention had a significantly negative impact on organizational citizenship behavior. Conclusion: This research deduces the theory of reasoned action has sufficient explanatory power for the home health aides’ turnover intention and provides evidence that home health aides’ work engagement and job satisfaction reduce their turnover intention and promote organizational citizenship behavior.

Grading Nursing Care Study in Integrated Medical and Nursing Care Institution Based on Two-Stage Gray Synthetic Clustering Model under Social Network Context.

Establishing a scientific and sustainable grading nursing care evaluation system is the key to realizing the rational distribution of medical and nursing resources in the combined medical and nursing care services. This study establishes a grading nursing care index system for medical and nursing institutions from both medical and nursing aspects, and proposes a grading nursing care evaluation model based on a combination of interval-valued intuitionistic fuzzy entropy and a two- stage gray synthetic clustering model for interval gray number under a social network context. Through case analysis, the proposed method can directly classify the elderly into corresponding grading nursing care grades and realize the precise allocation of medical and nursing resources, which proves the feasibility of the method.

The Perceptions of Head's Room and Team Leader About Workload and Nurse Planning for Every Shift in Tasikmalaya City Hospital

The quality of nursing care services can achieve optimal results if the workload and existing nurse resources have a balanced proportion. Currently, the quality of nursing care services is still unsatisfactory and influenced by various problems including problems of planning and scheduling nursing staff at each service shift. The purpose of this study was to identify the perception of the head’s room and team leader about the workload and planning of nursing staff at each service shift in Tasikmalaya City Hospital. The results showed that the perception of the head’s room and the team leader were mostly 20 nurses (51.3%) with good categories. The results of the survey using a questionnaire showed that the head’s room and the team leader stated that the daily workload seemed to make nurses tired and bored. Planning for nursing staff at each service shift, according to the head’s room and team leader, should be adjusted to the workload in their environment. Therefore, it is recommended to make adjustments to meet the needs of the nursing staff. Planning analysis needs to be done so that the placement of nurses in each inpatient room can be adjusted to the needs to improve health services, especially nursing services.

A Retrospective Analysis of Internet-Based Sharing Nursing Service Appointment Data.

Aims To investigate the historical data of the “Internet+ Nursing” service platform and provide a theoretical basis to optimize the “Internet+ Nursing” service model by analyzing a population in need of nursing care services, service prices, services in demand, willingness to place orders, and feedback on use. Methods A retrospective analysis of data related to home care services on the “Jiuzhou Nursing Care” platform from April 2020 to August 2021, a total of 279 person-times, relevant information about the research subjects, and the status of home care services was conducted. SPSS 24.0 software was used for data analyses, such as calculating frequencies and percentages and conducting chi-square tests. Results The “Jiuzhou Online Nurse” primarily serves elderly patients, and the majority of these patients have lost their ability to care for themselves. The average cost of nursing services was ¥183.45, and the unit cost of services had no effect on the number of service items. This particular internet-based home nursing service has a high level of satisfaction. Patients aged 60 to 74 have the highest number of Internet-based home care service orders (χ2 = 11.791, P < 0.05). Patients who reuse the platform are more willing to assign people to provide services (χ2 = 238.078, P < 0.05). Patients who were unable to care for themselves had a higher rate of repeat order (χ2 = 10.877, P < 0.05). Conclusion The “Internet+ Nursing” service platform specifically meets the individual needs of elderly patients, provides them with home nursing services, and improves local medical treatment and door-to-door services. This platform also provides convenience for elderly individuals who cannot care for themselves so that they can receive prompt treatment and assistance to improve their quality of life.

Application Effect of the 6S Care Model in Sterilization in the Department of Stomatology and Its Impact on the Incidence of Nosocomial Infection.

Objective The study aimed to explore the effectiveness of the 6S care model in sterilization in department of stomatology and its impact on the incidence of nosocomial infections. Methods The infection surveillance indicators of the department of stomatology implementing the routine sterilization care model in 2019 were selected as the general group (including 140 patients and 140 cases of oral instrument kits for unpacking), and the infection surveillance indicators of the department of stomatology implementing the 6S care model in 2020 were selected as the 6S group (including 140 patients and 140 cases of oral instrument kits for unpacking). Analysis of the air culture qualification rate of the consultation room + operating room, medical equipment sterilization qualification rate, medical equipment damage rate, incidence of nosocomial infections, satisfaction of medical and nursing staff with instrument sterilization, and patient satisfaction with medical and nursing staff care services under different care models was carried out. Result The air culture pass rate of the consultation room + operating room in the 6S group was 96.43% (135/140), which was higher than 90.00% (126/140) in the general group, and the difference between the two groups was statistically significant (P > 0.05). The sterilization pass rate of medical devices in the 6S group was 100% (140/140), which was higher than 95.71% (134/140) in the general group, and the difference between the two groups was statistically significant (P > 0.05). The medical device damage rate in the 6S group was 0.71% (1/140), which was lower than 7.14% (10/140) in the general group, and the difference between the two groups was statistically significant (P > 0.05). The incidence of nosocomial infection in the 6S group was 0.71% (1/140), lower than 5.71% (8/140) in the general group, and the difference between the two groups was statistically significant (P > 0.05). In the 6S care model, the satisfaction score of 38 healthcare workers with the disinfection of instruments was (96.55 ± 2.40), which was higher than that of the general group (87.79 ± 3.14), and the difference between the two groups was statistically significant (P > 0.05). The total nursing satisfaction of the 6S group was 97.86% (137/140), which was higher than 91.43% (128/140) of the general group, and the difference between the two groups was statistically significant (P > 0.05). Conclusion The application of the 6S care model in the sterilization of the department of stomatology can significantly improve the passing rate of infection monitoring indicators in the department of stomatology, reduce the occurrence of medical device damage and nosocomial infection, and have high satisfaction among doctors and patients, which has the value of promotion.

Komparasi Kompetensi Kepemimpinan Klinis Perawat Primer Berdasarkan Perspektif Evaluasi Diri dan Evaluasi Kepala Ruangan

This study aims to examine the clinical leadership competence of primary nurses based on the perspective of self-evaluation and evaluation of the head of the room in the inpatient room at Immanuel Hospital, Bandung. This research method is a quantitative research using a comparative research design. The results showed that there was 1 component had an evaluation equation, namely the element of working together with other people both in the primary nurse self-evaluation and the evaluation of the head of the ward had good cooperation. Four components had different evaluation results between the primary nurse's self-evaluation and the evaluation of the head of the room, namely, self-quality, management of nursing care services, improving services, and determining direction. In conclusion, there are differences in the clinical leadership competence of primary nurses based on the primary nurse's self-evaluation with the evaluation of the head of the room.&#x0D; &#x0D; Keywords: Self Evaluation, Head of Room Evaluation, Clinical Leadership, Primary Nurse&#x0D;

HUBUNGAN BEBAN KERJA DENGAN KINERJA PERAWAT DI RUANG RAWAT INAP RSU ADVENT MEDAN

HUBUNGAN BEBAN KERJA DENGAN KINERJA PERAWAT DI RUANG RAWAT INAP RSU ADVENT MEDAN

Evaluation of patient satisfaction with nursing services before and after implementation of the Health System Transformation Plan in Iran: A cross-sectional study.

Background and AimsHow healthcare service delivery is achieved after implementing the Health System Transformation Plan (HSTP) is investigated in the present study by assessing the patients' satisfaction with nursing care services compared to before HSTP.MethodsThis cross‐sectional study was conducted in Iranian hospitals during two periods, that is, before (N = 300) and after (N = 279) HSTP, whereas the Patient Satisfaction Instrument was used to assess the satisfaction with nursing services.ResultsAbout 57.7% and 4.7% of the patients were dissatisfied with nursing care services, whereas 34% and 77.4% for moderate satisfaction, and 8.3% and 17.9% for total satisfaction, before and after HSTP, respectively. The mean score of overall satisfaction was 57.33 (±11.17) and 70.84 (±11.99) before and after HSTP, respectively (p < 0.001), which represents there is an improvement in healthcare services delivery after HSTP. Although none of the sociodemographic factors were significantly associated with satisfaction, higher satisfaction was found among the coronary care unit (CCU) hospitalized patients.ConclusionThe patients' overall satisfaction with nursing care services after HSTP was increased, although higher satisfaction was observed in the patients of special wards such as CCU. Therefore, using more care facilities and equipment and engaging more skilled nursing staff in other wards is highly recommended.

An Analysis of Factors Affecting Nurse Anxiety During the Covid-19 Pandemic in Patient Nursing Care Services Hospitals in Hospital Area Tanjung Pura

The transmission and death of Covid-19 do not only occur in civil society but also in medical personnel. Doctor's Association Indonesia (IDI) noted that in 2020 504 health workers died due to Covid-19. The purpose of this study was to analyze the factors related to nurse anxiety during the Covid-19 pandemic in nursing care services for inpatients was conducted at Tanjung Pura Hospital, an analytical study with a cross-sectional approach. The research population was 92 people and all of them were used as samples. Sampling using total sampling. Factors related to nursing anxiety during the Covid-19 pandemic in nursing care services for inpatients at the Tanjung Pura Regional General Hospital, namely fear of infection (p = 0.001), completeness of PPE (p = 0.002), community stigma (p = 0.001) 0.004), and knowledge (p=0.009). It is recommended to the leadership of the Tanjung Pura Hospital to provide continuous training to all health workers, especially nurses so that they can minimize the transmission of Covid-19 and increase the knowledge of health workers, complete personal protective equipment. Keywords: Nurse Anxiety, Covid-19 Pandemic, Nursing Care Services for Inpatients.

Psychometrics of Stanford Presenteeism Scale-Short Form in Turkish

AIM:Presenteeism means that employees feel obliged to go to work even if there is a real problem that they cannot work.The main purpose is to to adapt the “Stanford Presenteeism Scale-Short Form” into Turkish on Nurses.Method:This is a methodological study. The study sample included the nurses working at the medical and surgical clinics of two public hospitals in 2017 in İstanbul. A total of 290 nurses participated in the study. Language, content, construct validities, total item correlation analysis, Kaiser Meyer Olkin, Bartlett tests, confirmatory and explanatory factor analysis (EFA), stability, and Cronbach’s alpha reliability analyses were tested.Results:The content validity index of the scale was .92. Two items that have correlation values below .40 were removed from the Turkish form. Cronbach’s alpha internal consistency coefficient was .762. The structure of the four-item and single-factor Turkish form was confirmed.Conclusion:Stanford Presenteeism Scale-Short Form is a valid and reliable tool for the nurses in Turkey. It is recommended to be used among nurses in different studies. Hospital and nursing care service managers should deal with “presenteeism,” since it is becoming a critical health human resource workforce issue. Health care managers may use this tool to evaluate the presenteeism level of their employees.

Noneconomic and economic impacts of nurse turnover in hospitals: A systematic review.

AimTo examine and synthesize the noneconomic and economic impacts of nurse turnover in acute hospitals.BackgroundNurse turnover occurs when nurses leave their jobs or the profession and is a major concern for the healthcare industry. Many studies have investigated the determinants of nurse turnover.MethodsThe Preferred Reporting Items for Systematic Reviews and Meta‐Analyses checklist was utilized in the current review. Article search was conducted in June 2021. Research articles published since January 2000 were included. Eight databases (e.g., CINAHL, PubMed, PsycINFO, and Web of Science) were used. The following eligibility criteria were applied for inclusion: Articles that (1) were nonexperimental quantitative studies, (2) examined the impact of actual nurse turnover in acute hospitals, (3) were a peer‐reviewed original research article, and (4) were written in English or Korean.ResultsAmong 9,041 searched articles, 16 were included in the review. Seven studies investigated the association of nurse turnover with processes and outcomes (workgroup processes, nurse staffing, nurse outcomes, and patient outcomes), and partially supported the negative impact of turnover. Nine studies found that nurse turnover is very costly.ConclusionMost studies investigated the turnover cost, which is costly. The negative noneconomic impact of nurse turnover was partially supported.Implications for nursing practice and nursing policyTo prevent the adverse noneconomic and economic impacts of nurse turnover and retain nurses, healthcare organizations, nurse managers, and hospital staff nurses need to develop and implement prevention strategies and policies to address nurse turnover. Efforts to address nurse turnover can increase hospital competency to improve the quality of nursing care services and patient safety.

The Effects of Communication Ability and Nursing Work Environment on Geriatric Nursing Practices of Nurses in Comprehensive Nursing Care Service Wards: A Cross-Sectional Study

Purpose: The purpose of this study was to identify factors influencing geriatric nursing practices in nurses working in comprehensive nursing care service wards.Methods: The participants were 181 nurses from comprehensive nursing care service wards across five hospitals. Data were collected from July 16 to August 06, 2021 and analyzed using t-test, ANOVA, Scheffé test, Pearson correlation coefficients, and stepwise multiple regression.Results: The average age of nurses who work in the comprehensive nursing care service wards was 31.74±7.51 years, total clinical experience was 8.03±6.67 years, and average comprehensive nursing care service wards experience was 2.03±1.28 years. Geriatric nursing practice was influenced by communication ability (β=.30, p&lt;.001), nursing working environment (β=.24, p=.001), and total clinical experience (β=.22, p=.001). The explanatory power was 21.9% (F=17.83, p&lt;.001, Adj. R2=.22).Conclusion: Based on the results of this study, geriatric care is expected to develop if nurses’ work environments in comprehensive nursing care service wards improve and communication skills are trained. Therefore, it is demanded to organize an efficient working space for nurses and educational program that advances communication for comprehensive nursing care service providers.

Individual Characteristics, Motivation its Related on Patient Safety Nurse Performance at Private Hospital in Indonesia

BACKGROUND: Occupational safety is the most common issue in health services. The purpose of this study was for individual characteristics, intrinsic, and extrinsic motivation on the performance of nurses in patient safety. METHODS: This research is a correlation. The study was conducted in June–October 2021 at the Sembiring Hospital. The sample of this study consisted of 175 nurses with simple random sampling. The instruments used are the individual characteristics questionnaire, intrinsic motivation questionnaire and extrinsic motivation questionnaire, and performance questionnaire. The intrinsic motivation questionnaire has a Content Validity Index validity test value of 1 and a Cronbach’s alpha reliability test value of 0.88, the extrinsic motivation questionnaire has a Content Validity Index validity test value of 0.97, and a Cronbach’s alpha reliability test value of 0.81. The performance questionnaire has a validity test value content validity Index 1 and Cronbach’s alpha reliability test value 0.90. RESULT: The results showed that there was an effect (p &lt; 0.05) gender (p = 0.00; RR = 4.76), age (p = 0.00; RR = 0.52), work time (p = 0.00; RR = 10.12), marriage status (p = 0.00; RR = 4), responsibility (p = 0.00; RR = 3.72), achievement (p = 0.00; RR = 19.12), work result (p = 0.00; RR = 23.54), self-actualization (p = 0.01; RR = 10.07), work relationship (p = 0.00; RR = 4.77), work procedure (p = 0.00; RR = 17.31), and supervision (p = 0.00; RR = 4.82) on the nurse’s performance in patient safety. There was no effect (p &gt; 0.05) graduated (p = 0.91; RR = 1.20), self-development (p = 0.15; RR = 2.46), salary (p = 1.30; RR = 2.46), work condition (p = 0.29; RR = 1.90), and insurance (p =1; RR = 0.99) on the nurse’s performance in patient safety. CONCLUSIONS: The importance of strengthening self-character, namely, individual characteristics, intrinsic and extrinsic motivation to improve the performance of nurses to increase the provision of professional and optimal nursing care services.