International Journal of Nursing and Health Services (IJNHS)

Influencing Factors on Nurses' Motivation to Pursue Bachelor’s Degree. A Study in a Class B Hospital in West Jakarta

Indah Mestika Situmorang — 2025-08-20

Background: Hospital X, a state-owned enterprise, aims to increase the ratio of nurses with a Bachelor of Nursing degree to 30:70, but the current ratio is reversed, necessitating an increase in this number. Objective: This study aims to evaluate the influence of social support, and hospital organizational support mediated by self-concept factors on the motivation of nurses to continue formal education. Methods: Quantitative research and a questionnaire, with a 4-point Likert Scale were distributed. There were 489 respondents and 320 respondents met the inclusion criteria. The data was analyzed using three-box method and SEM-PLS. Results: Social support and self-concept independently influence the motivation of the nurses to pursue a Bachelor’s degree. However, organization support does not affect the motivation of nurses. The role of self-concept as a mediator to motivate nurses is significantly positive. Social support and organization support; each have a positive influence on self-concept. Conclusion: Hospital X must calculate the needs of qualified nurses with a Bachelor of Nursing degree and follow it with talent scouting, mentoring, and leadership training programs to improve nurses’ self-concept. Providing scholarships or tuition assistance can increase the perception of organization support, which further increases commitment and loyalty of the nurses. Recommendation: The equalization Bachelor of Nursing degree program must be improved to utilize the potential of nurses who have already obtained the degree independently. Further study to explore the type of organization support and other motivational factors is also needed

The Role of Customer Engagement Influenced Brand Image, Advertising, and Patient Experience on Customer Delight of Outpatients in Hospital X

Selvyana C. Palit — 2025-08-20

Background: This research originates from a preliminary survey indicating that while most BSD area residents are aware of Hospital X, there is potential to enhance both the quality of its services and the extent of its utilization within the community. Objective: The aim of this study was to examine brand image, advertising, and patient experience on customer delight, with customer engagement serving as a mediating variable among Hospital outpatient population. Method: The study employed a quantitative approach using a cross-sectional design. The target population included all patients who had received care at Hospital X's Internal Medicine outpatient department in the past six months, though the exact number of patients is unknown. Using purposive sampling and the Lemeshow formula, 99 respondents were selected. Data was gathered through questionnaires and analyzed using the three-box method combined with multiple linear regression. Result: The findings demonstrate that brand image, advertising, and patient experience influence customer delight, with customer engagement as a mediating factor. However, brand image and advertising do not significantly affect customer engagement or customer delight among Hospital X's outpatients. Conversely, patient experience has a notable direct impact on both customer engagement and customer delight. Additionally, customer engagement directly enhances customer delight. Conclusion: Patient experience emerges as the most influential factor in boosting customer engagement and delight, whereas advertising is the least impactful in achieving these outcomes

The Role of Coaching In Enhancing The Completeness of Nursing Care Documentation

Muhammad Fachrur Rozi — 2025-08-20

Abstract. This study was based on preliminary research indicating that the average completeness of nursing documentation in the inpatient unit was around 57.32%. The study aimed to examine coaching on mediating the knowledge and motivation on the completeness of nursing documentation. The cross-sectional study was employed in this study. We recruited the 121 inpatient nurses from Sultan Sulaiman hospital. Data collection was performed using questionnaires, and the analysis methods employed were the three-box method and SEM-PLS. The results show F_count 150,320 > F_table 2,68 indicated that knowledge, motivation, and coaching simultaneous influenced the completeness of nursing and result show path coefficient values 0,348 (positive) 0,195 (positive) and 0,417 (positive), which means that knowledge, motivation and coaching have an effect completeness of nursing care documentation individually. . Furthermore, coaching acted as a mediator, enhancing the impact of knowledge and motivation on documentation completeness. Therefore, the hospital needed to focus on improving nurses' knowledge and motivation through effective and sustainable coaching programs to enhance the quality of nursing documentation.

Enhancing Nursing Careers: The Role of Training and Work Environment Through Clinical Competence in X Sukabumi Hospital

Tioma Lusi Septiana Simarmata — 2025-08-20

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

Effectiveness of training program on the knowledge of midwifes and nursing responsibilities Post Blood Transfusion at Nasser medical complex, Palestine

Taghreed Taghreed Mohammed Abu hadaf — 2025-08-31

Blood transfusion is a crucial procedure in medical care, especially in obstetrics and emergencies, where strict adherence to protocols is essential to avoid severe complications. This study assesses the impact of a targeted training program on midwives and nurses at Nasser Medical Hospital in Palestine, focusing on essential post-transfusion nursing responsibilities. The program aimed to enhance critical skills, including patient identification, blood product verification, and risk management, addressing key knowledge gaps in healthcare practice. Using a Randomized Controlled Trial (RCT) design, 45 midwives and nurses were randomly chosen to participate. Data collected through structured questionnaires were analyzed with SPSS to evaluate knowledge levels before and after training. The participant cohort, predominantly female (84.4%) and largely aged 35-40 years (42.2%), is primarily composed of professionals holding a Bachelor’s degree (77.8%). Participants represent diverse roles, with midwives (57.8%) and nurses (42.2%) from departments such as the Labor and Delivery Ward (46.7%), Cesarean Section Operations (28.9%), and Neonatal and Maternity Department ((24.4%). The training program led to significant improvements in knowledge scores related to post-transfusion complications, with a mean increase from 76.71 to 96.81 (MD = 20.10, P < 0.001). This improvement was consistent across various demographics, including gender, age, education, marital status, professional experience, and department. For instance, participants over 40 years achieved the highest effect size (2.27), and diploma holders displayed the greatest mean difference (28.99). Additionally, both midwives and nurses saw substantial knowledge gains, with the Cesarean Section Operations and Neonatal and Maternity Departments exhibiting the highest improvements. These findings underscore the program's broad efficacy in enhancing transfusion-related knowledge, reinforcing its value in promoting patient safety and care quality at the ComplexThe study recommends expanding targeted training to include other healthcare professionals, conducting long-term evaluations, incorporating simulation-based learning, and analyzing patient outcomes. It suggests broader implementation in diverse settings, tailoring content to specific roles, and addressing psychological readiness to enhance skills, promote safety, and improve transfusion practices in clinical care

The Effect of Endotracheal Suction on Hemodynamics of Neurological Patients: A Literature Review

Rahaemil Jannah Aris — 2025-08-20

Introduction: One of the challenges in caring for neurology patients is the risk of increased intracranial pressure. Endotracheal suction is a routine nursing action but this procedure is reported can affect hemodynamic parameters. Artificial Airway Suction endotracheal recommends open and closed endotracheal suction safety and effective but several studies recommend the use of closed endotracheal suction so that study of the effect of endotracheal suction is needed.

Objective: To determine the effect of endotracheal suction on hemodynamics of neurology patients.

Method: The author was using a flow chart prism from 3 databases, namely Pubmed, Research Gate and Europe PMC with quantitative articles and Randomized Controlled Trial studies.

Results: There were 11 articles found by the author, 8 articles compared the effect of endotracheal suction on hemodynamics, showing a significant effect between the use of open endotracheal suction and closed endotracheal suction on several hemodynamic assessment variables, which results were found more stable hemodynamic in the use of closed endotracheal suction, 3 articles looked at the effect of open endotracheal suction on oxygen saturation and all concluded that there was an effect of open endotracheal suction. 4 articles recommended the use of closed endotracheal suction in critical care areas because there were fewer physiological disorders.

Conclusion: The use of closed endotracheal suction is recommended for neuro patients because of the more stable hemodynamic effects. The author suggests further studies on the effect of endotracheal suction of neurology patients spesifik for increased intracranial pressure.