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Journal : Lentera Perawat

The Relationship between locus of control based on King’s theory of goal attainment and nurses’ performance in hospitals: A cross-sectional study Dinah, Nur Eka Djihan; Setyowati, Wahyu Endang; Abdurrouf, Muh
Lentera Perawat Vol. 7 No. 1 (2026): January - March
Publisher : School of Health Sciences Al-Ma'arif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v7i1.710

Abstract

Background: Nurses’ performance is a central determinant of hospital service quality, patient safety, and continuity of care. In demanding clinical environments, performance is influenced not only by organizational conditions but also by psychological factors, including locus of control. Within the perspective of King’s Theory of Goal Attainment, locus of control is relevant because nurses’ beliefs about personal control may shape communication, responsibility, decision making, and the achievement of care goals. Objective: This study aimed to examine the relationship between locus of control based on King’s Theory of Goal Attainment and nurses’ performance in hospitals. Methods: This study employed a quantitative correlational design with a cross-sectional approach. The study was conducted at Weda Hospital, Central Halmahera Regency, North Maluku, Indonesia, in September 2025. The population consisted of 145 nurses working in the Male Internal Medicine Ward and Neurology Ward. A total of 117 respondents were selected using simple random sampling. Locus of control was measured using a 16-item questionnaire, while nurses’ performance was assessed using a 15-item questionnaire. Data were analyzed using univariate statistics, cross-tabulation, and Pearson correlation analysis. Results: Most respondents were aged 36–45 years (29.9%), female (72.6%), held a bachelor’s degree (66.7%), and had 21–30 years of work experience (32.5%). Internal locus of control was the most common category (45.3%), while low nurses’ performance was slightly more frequent (37.6%) than high performance (35.9%). Cross-tabulation showed that nurses with external locus of control were predominantly in the low-performance category (60.5%), whereas those with internal locus of control were predominantly in the high-performance category (52.8%). Pearson correlation analysis revealed a statistically significant positive relationship between locus of control and nurses’ performance (r = 0.479; p < 0.001; 95% CI: 0.32–0.62). Conclusion: Locus of control was significantly associated with nurses’ performance in the hospital setting. Nurses with stronger internal control beliefs tended to demonstrate better performance. These findings suggest that strengthening nurses’ personal agency, responsibility, and goal-oriented professional attitudes may contribute to improving nursing performance and the quality of hospital care.
The impact of quality of nursing care on patient satisfaction: A systematic review Hermansyah, Hermansyah; Sari, Dyah Wiji Puspita; Abdurrouf, Muh; Ardian, Iwan
Lentera Perawat Vol. 7 No. 1 (2026): January - March
Publisher : School of Health Sciences Al-Ma'arif

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52235/lp.v7i1.711

Abstract

Background: Patient satisfaction is a key indicator of healthcare quality and reflects how patients evaluate the care they receive during treatment. Among the determinants of patient satisfaction, the quality of nursing care has a particularly important role because nurses maintain the most continuous contact with patients across healthcare settings. A systematic synthesis is therefore needed to clarify how the quality of nursing care influences patient satisfaction. Objective: This systematic review aimed to identify, synthesize, and interpret the available evidence on the impact of quality of nursing care on patient satisfaction across various healthcare settings. Methods: This study used a systematic review design. Literature searches were conducted in PubMed, Scopus, ScienceDirect, Google Scholar, and the Directory of Open Access Journals for studies published between 2015 and 2025. The search strategy used combinations of keywords related to nursing care, nursing service quality, and patient satisfaction in English and Indonesian. Studies were included if they examined patients receiving care in hospitals, primary healthcare centers, or clinics and reported patient satisfaction in relation to nursing care.  Ten studies met the inclusion criteria and were synthesized narratively. Results: The findings consistently showed that better quality of nursing care was associated with higher patient satisfaction across inpatient, outpatient, primary care, and specialty care settings. Interpersonal dimensions of nursing care, particularly responsiveness, attention, caring behavior, and therapeutic communication, emerged as the most influential contributors to patient satisfaction. Several studies also indicated that patient satisfaction was shaped by contextual factors such as hospital type, educational level, income, and service organization.  Conclusion: The quality of nursing care has a meaningful and consistent impact on patient satisfaction across diverse healthcare contexts. Nursing care that is responsive, communicative, caring, and patient-centered contributes substantially to favorable patient evaluations of care.