Analysis of Factors Influencing Nurses' Motivation Based on Self-Determination Theory on the Implementation of Health Education to Pre-Operation Patients
Abstract
Low motivation can affect the quality of nurses' performance, especially in carrying out the duties and roles of nurses in hospitals. One of the hospital personnel who is vulnerable to decreased motivation is nurses. Therefore, support is needed to increase motivation in nurses so that they can improve nurse performance, especially in providing health education to patients in hospitals. Objective: To analyze factors that influence nurse motivation based on self-determinant theory towards the implementation of health education to pre-operative patients at Dr. Soetomo Hospital, Surabaya. Methods: This study used a correlation analytic design with a cross-sectional approach. The sample in the study was 115 nurses taken using a simple random sampling technique. The instruments used were intrinsic and extrinsic motivation questionnaires, as well as a questionnaire on the implementation of health education. Data were analyzed using a logistic regression test. Results: There is a significant relationship between extrinsic factors including: rewards, awards, punishments, internal rules, external rules towards nurse motivation in providing health education to pre-operative patients with a significant p-value of the extrinsic motivation variable of 0.003. Conclusions: Nurses' motivation in providing health education to pre-operative patients is influenced by various intrinsic and extrinsic factors, therefore hospitals should provide interventions that can increase nurses' motivation so that health education to patients can be carried out properly.
References
Abate, S. M., Chekol, Y. A., & Basu, B. (2020). Global prevalence and determinants of preoperative anxiety among surgical patients: A systematic review and meta-analysis. International Journal of Surgery Open, 25, 6–16. https://doi.org/10.1016/j.ijso.2020.05.010
Alfi, A., & Darojat, K. (2024). Affiliation , Reward , and Punishment Relationships on Work Motivation for Nurses in the Emergency Room at Nashrul Ummah Islamic Hospital in 2022. Indonesian Journal of Humanities and Social Sciences, 5(2), 1061–1070.
Baljoon, R. A., Banjar, H., & Banakhar, M. (2019). Factors affecting nurses’ work motivation level at a governmental hospital: A cross-sectional study. Journal of Nursing Education and Practice, 9(9), 25. https://doi.org/10.5430/jnep.v9n9p25
Baljoon, R., Banjar, H., & Banakhar, M. (2018). Nurses’ Work Motivation and the Factors Affecting It: A Scoping Review. International Journal of Nursing & Clinical Practices, 5(1). https://doi.org/10.15344/2394-4978/2018/277
Basalamah, F. A. R. & A. A. (2021). The Influence of Work Fatigue, Work Stress, Work Motivation and Workload On Nurse Performance in Makassar City Hospital. An Idea Health Journal, 1(03), 67–80.
Dwi Fibriansari, R., Astuti, A., Maisyaroh, A., & Widyanto, E. P. (2022). Perceptions of Applications of Standard Nursing Language in Nursing Care Documentation. 1, 42–47.
Dyah, L. A. S., Setiawan, M., Irawanto, D. W., Rohman, F., & Nursalam. (2020). Intrinsic and extrinsic motivation on job satisfaction and nurse performance at the hospital. Journal of Global Pharma Technology, 12(1), 111–116.
Faridah, I., Winarni, L. M., & Nasrudin. (2022). Faktor – Faktor Yang Berhubungan Dengan Kepatuhan Perawat Terhadap Penilaian Resiko Jatuh Di Rumah Sakit. Jurnal Kesehatan Panrita Husada, 7(2), 142–151. https://doi.org/10.37362/jkph.v7i2.764
Febriani, N., & Handiyani, H. (2019). Pentingnya Persiapan dalam Pendidikan Kesehatan pada Pasien di Rumah Sakit. Jurnal Ilmiah Kesehatan Masyarakat, 11(2), 181–187.
Feninets, V., Adamakidou, T., Mantzorou, M., Mastrogiannis, D., Govina, O., & Tsiou, C. (2022). The Effect of Preoperative Educational Intervention on Anxiety and Pain of Patients Undergoing Spinal Decompression Surgery: A Pilot Randomized Controlled Study. Cureus, 14(8), 1–10. https://doi.org/10.7759/cureus.28368
Gheshlaghi, P. A., Farahani, Z. B., Anboohi, S. Z., Nasiri, M., Ziapour, A., & Garosi, V. H. (2021). Effect of family presence on pain and anxiety levels among patients during invasive nursing procedures in an emergency department at a public hospital in Western Iran. African Journal of Emergency Medicine, 11(1), 31–36. https://doi.org/10.1016/j.afjem.2020.11.003
Gopalan, V., Bakar, J. A. A., Zulkifli, A. N., Alwi, A., & Mat, R. C. (2017). A review of the motivation theories in learning. AIP Conference Proceedings, 1891(October 2017). https://doi.org/10.1063/1.5005376
Hakman, Suhadi, & Nani, Y. (2021). Pengaruh Beban Kerja , Stres Kerja , Motivasi Kerja Terhadap Kinerja. Nursing Care and Health Technology Journal, 1(2), 47–54.
Jum’atina. (2016). Pengaruh Pemberian Pendidikan Kesehatan Pada Pasien Gagal Ginjal Kronik Terhadap Kepatuhan Hemodialisa di RSUD Koja Jakarta Utara. In Universitas Muhammadiyah Jakarta (Vol. 66). Universitas Muhammadiyah Jakarta.
Juniarti, R., Somantri, I., & Nurhakim, F. (2020). Gambaran Kualitas Dokumentasi Asuhan Keperawatan di Ruang Rawat Inap RSUD Dr.Slamet Garut. Jurnal Keperawatan BSI, vol 8 no 2(2), 163–172.
Karmadi, K. (2019). Pengaruh Motivasi Kerja Perawat Terhadap Kinerja Perawat Di Rumah Sakit Panti Waluyo Surakarta. Avicenna : Journal of Health Research, 2(2), 63–74. https://doi.org/10.36419/avicenna.v2i2.303
Khazhymurat, A., Paiyzkhan, M., Khriyenko, S., Seilova, S., Baisanova, S., Kuntuganova, A., Almazan, J. U., & Cruz, J. P. (2023). Health education competence: An investigation of the health education knowledge, skills and attitudes of nurses in Kazakhstan. Nurse Education in Practice, 68, 103586. https://doi.org/https://doi.org/10.1016/j.nepr.2023.103586
Mito Julianto. (2016). Peran dan fungsi manajemen keperawatan dalam manajemen Konflik. Fatmawati Hospital Journal, 1–7.
Mohamad As’ad Efendy, & Mega Puspita. (2023). The Relationship between Work Motivation and Nurse Performance in Documenting Nursing Care at X Hospital, Malang City. Journal Of Nursing Practice, 7(1), 169–175. https://doi.org/10.30994/jnp.v7i1.430
Mukrimaa, S. S., Nurdyansyah, Fahyuni, E. F., YULIA CITRA, A., Schulz, N. D., غسان, د., Taniredja, T., Faridli, E. M., & Harmianto, S. (2020). Hubungan Motivasi Perawat Dengan Kepatuhan Pendokumentasian Asuhan Keperawatan. Jurnal Penelitian Pendidikan Guru Sekolah Dasar, 6(2), 128.
Nopita Wati, N. M., Prihatiningsih, D., & Nanik Haryani, N. P. (2019). Hubungan Supervisi Keperawatan Dengan Pelaksanaan Budaya Safety. Adi Husada Nursing Journal, 4(2), 56. https://doi.org/10.37036/ahnj.v4i2.126
Notoatmodjo, S. (2012). Promosi Kesehatan dan Perilaku Kesehatan (Edisi Revi). PT Rineka Cipta.
Novita, W., Rita Wahidi, K., & Jus, I. (2022). Working Motivation and Reward System Influenced Nurses’ Perception of Performance Mediated by Organizational Commitment. Original Research International Journal of Nursing and Health Services (IJNHS), 5(4), 374–383. https://doi.org/10.35654/ijnhs.v5i4.639
Nursalam. (2020). Metodologi Penelitian Ilmu Keperawatan Edisi 5 (P. Lestari (ed.); 5th ed.). Salemba Medika.
Priyoto, D. (2018). Perilaku Kesehatan dan Pendidikan Kesehatan. Pustaka Panasea.
Pueyo-Garrigues, M., Pardavila-Belio, M. I., Canga-Armayor, A., Esandi, N., Alfaro-Díaz, C., & Canga-Armayor, N. (2022). nurses’ knowledge, skills and personal attributes for providing competent health education practice, and its influencing factors: A cross-sectional study. Nurse Education in Practice, 58. https://doi.org/10.1016/j.nepr.2021.103277
Putra, D. M. A., Amaliah, N., & Iswantoro. (2021). Supervisi Berpengaruh Terhadap Kepatuhan Perawat Dalam Melaksanakan Asesmen Risiko Jatuh Di Ruang Rawat Inap RSJ Sambang Lihum. Dinamika …, 12(1), 161–170. https://doi.org/10.33859/dksm.v12i1.711
Romadhoni, R. D., & Pudjirahardjo, W. J. (2016). Beban Kerja Obyektif Tenaga Perawat di Pelayanan Rawat Inap Rumah Sakit. Jurnal Administrasi Kesehatan Indonesia, 4(A1), 57–66.
Ryan, R. M., & Deci, E. L. (2000). Self-Determination Theory and the Facilitation of Intrinsic Motivation, Social Development, and Well-Being. American Psychologist, 55(1), 68–78. https://doi.org/10.4324/9780429052675-23
Ryan, R. M., Deci, E., & Olafsen, A. (2017). Self-DeterminationTheoryin WorkOrganizations:TheState ofaScienc. Annual Review of Organizational Psychology and Organizational Behavior, 4, 19–43.
Saleh, M. O., Eshah, N. F., & Rayan, A. H. (2022). Empowerment Predicting Nurses’ Work Motivation and Occupational Mental Health. SAGE Open Nursing, 8. https://doi.org/10.1177/23779608221076811
Tamaka, R. S., Mulyadi, & Malara, R. (2019). Hubungan Beban Kerja Dengan Pendokumentasian Asuhan Keperawatan Di Instalasi Gawat Darurat Medik RSUP. Prof.Dr.R.D Kandou Manado. E-Journal Keperawatan, 3(2), 1–7.
Waryantini, & Maya. (2020). Hubungan Beban Kerja Dengan Kinerja Perawat Dalam Melakukan Asuhan Keperawatan Di Ruang Rawat Inap Rumah Sakit. Healthy Journal, 8(1), 49–57.
Wirati, N. P. R., Wati, N. M. N., & Saraswati, N. L. G. I. (2020). Hubungan Burnout Dengan Motivasi Kerja Perawat Pelaksana. Jurnal Kepemimpinan Dan Manajemen Keperawatan, 3(1), 8. https://doi.org/10.3258.
Copyright (c) 2024 Indonesian Journal of Global Health Research

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.



