Enhancing Nursing Careers: The Role of Training and Work Environment Through Clinical Competence in X Sukabumi Hospital
DOI:
https://doi.org/10.35654/ijnhs.v8i4.881Keywords:
Training, work environment, clinical competence, career developmentAbstract
Background: Career development for healthcare professionals, particularly nurses, is a crucial aspect of Human Resource Management (HRM) in hospitals. At X Sukabumi Hospital, only 1.8% of the 159 nurses successfully advanced in their careers, despite the majority having more than 10 years of experience. Objective: This study examines the impact of training and work environment on nurses' career development, with clinical competence as a mediating variable. Method: A quantitative associative design with a cross-sectional approach was employed, using a questionnaire for data collection. The sample consisted of 159 nurses, and data were analyzed using the Three-Box Method and Structural Equation Modeling (SEM) with PLS v.03, incorporating T-tests and F-tests. Result: findings reveal that training, work environment, and clinical competence significantly influence nurses' career development (F-statistic = 86.55 > F-table = 2.81). However, training alone does not directly impact career development (p-value = 0.309), while the work environment has a significant effect (p-value = 0.000). Both training and work environment significantly influence clinical competence (p-value = 0.000), which in turn positively affects career development (p-value = 0.009). Furthermore, clinical competence plays a key mediating role (p-value= 0.018). Conclusion: In conclusion, training and work environment influence nurses' career development through clinical competence at X Sukabumi Hospital
Downloads
References
(1) Marquis BL, Huston CJ. Leadership roles and management functions in nursing: Theory and application (8th ed.). Wolters Kluwer Health/Lippincott Williams & Wilkins. 2012.
(2) Dessler G. Human resource management (14th ed.). Pearson. 2015
(3) Marlina FN, Hermanto, Wahyulina S. The effect of work experience, competence, education & training (training) on employee career development at PT Air Minum Giri Menang (Perseroda) Mataram. International Journal of Multicultural and Multireligious Understanding. 2022; 9(11): 149-156. https://doi.org/10.18415/ijmmu.v9i11.4203
(4) Onang, Y., Djawoto, & Prijati. (2023). The influence of competence, motivation and career development on nurse performance mediated by organizational commitment at Dr. TC. Hillers Maumere Regional General Hospital. Journal of Humanities and Social Studies, 7(2), 414-419. https://doi.org/10.33751/jhss.v7i2.7534
(5) Rianti, S. A., Wahidi, K. R., & Banun, A. (2021). The Analysis of Education and Training Implementation Effects on Nurse Competence Improvement and Rewards over Nurse Performance at Bunda Margonda Hospital, Depok. Journal of Multidisciplinary Academic, 5(2), 148-154
(6) Sunarno, N., Susita, D., & Wolor, C. W. (2022). Effect of work environment and training on job satisfaction through career development mediation. The International Journal of Social Sciences World, 4(1), 193-203. https://doi.org/10.5281/zenodo.6469149
(7) Seno, Magito, Didin Hikmah Perkasa. (2023). The role of work satisfaction mediation in determining competency effects, career development and work stress on nursing performance in applying professional nursing models in the Soul Hospital Bali Province. Talent: Journal of Economics and Business, 1(1). https://lenteranusa.id
(8) Rianti, S. A., Wahidi, K. R., & Banun, A. (2021). The Analysis of Education and Training Implementation Effects on Nurse Competence Improvement and Rewards over Nurse Performance at Bunda Margonda Hospital, Depok. Journal of Multidisciplinary Academic, 5(2), 148-154
(9) Saputra, R. A., Setiadi, M. C. S., & Supriadi, B. (2024). Influence of competence, training, and career development on the performance of members of Hanudnas Pusdiklat Surabaya. Innovation Business Management and Accounting Journal, 3(1), 1-15. https://doi.org/10.1234/ibmaj.v3i1.2024
(10) Rahmah NM, Hariyati TS, Sahar J. Nurses' efforts to maintain competence: a qualitative study. J Public Health Res. 2021 Dec 1;11(2):2736. doi: 10.4081/jphr.2021.2736
(11) Rahmah NM, Hariyati TS, Sahar J. Nurses' efforts to maintain competence: a qualitative study. J Public Health Res. 2021 Dec 1;11(2):2736. doi: 10.4081/jphr.2021.2736
(12) Gibson, J. L., Ivancevich, J. M., Donnelly, J. H., & Konopaske, R. (2014). Organizations: Behavior, Structure, Processes. McGraw-Hill Education
(13) Shiri R, El-Metwally A, Sallinen M, Pöyry M, Härmä M, Toppinen-Tanner S. The Role of Continuing Professional Training or Development in Maintaining Current Employment: A Systematic Review. Healthcare (Basel). 2023 Nov 3;11(21):2900. doi: 10.3390/healthcare11212900
(14) Marnisah, L., Kore, J. R. R., & Ora, F. H. (2022). Employee performance based on competency, career development, and organizational culture. Jurnal Aplikasi Manajemen, 20(3), 632–650. http://dx.doi.org/10.21776/ub.jam.2022.020.03. 13
(15) Sari, I. Y., Krisnandi, H., & Digdowiseiso, K. (2024). The influence of physical work environment, communication, motivation, and career development on employee performance at PT. Erlangga Karya Gemilang Jakarta. Journal of Social Science, 5(3), 845-855
(16) Saiga M, Yamamoto Y, Okuda R, Fukada M. Relationship Between Clinical Nursing Competence and Work Environment by Career Stage for Nurses with 1-10 Years of Clinical Experience. Yonago Acta Med. 2024 Jan 20;67(1):9-21. doi: 10.33160/yam.2024.02.002
(17) Shibiru S, Aschalew Z, Kassa M, Bante A, Mersha A. Clinical Competence of Nurses and the Associated Factors in Public Hospitals of Gamo Zone, Southern Ethiopia: A Cross-Sectional Study. Nurs Res Pract. 2023 Sep 26;2023:9656636. doi: 10.1155/2023/9656636
Downloads
Published
Issue
Section
License
Copyright (c) 2025 International Journal of Nursing and Health Services (IJNHS)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
