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THE RELATIONSHIP WE WANT, AND WE NEED WITH THE ENGAGEMENT OF MEDICAL PROFESSIONALS AND THE RELATIONSHIP WITH THE QUALITY OF CLINICAL SERVICES IN MUHAMMADIYAH HOSPITAL, NORTH SUMATERA Nora Damayanti; Crismis Novalinda Ginting; Muhammad Faridz Syahrian
International Journal of Social Science, Educational, Economics, Agriculture Research and Technology (IJSET) Vol. 5 No. 5 (2026): APRIL
Publisher : RADJA PUBLIKA

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.5281/zenodo.20065390

Abstract

This study examines the relationship between intrinsic motivation (We Want) and organizational support (We Need) with professional engagement and their implications for clinical service quality at Muhammadiyah General Hospital, North Sumatra. The study aims to analyze how internal and external factors influence engagement among medical professionals and how this engagement contributes to service quality. A quantitative cross-sectional design was employed involving 32 respondents selected from medical professionals. Data were collected using structured questionnaires and analyzed using descriptive statistics and inferential analysis. The results indicate that intrinsic motivation has a positive and significant relationship with professional engagement, while organizational support demonstrates a stronger influence on engagement levels. Furthermore, professional engagement significantly affects clinical service quality, indicating that engaged medical professionals are more committed, responsive, and adherent to clinical standards. However, findings also reveal that organizational support remains suboptimal, particularly in leadership and communication aspects, which may hinder optimal engagement. Overall, clinical service quality is perceived as good but is primarily driven by individual commitment rather than systemic organizational support. These findings highlight the importance of balancing intrinsic motivation and organizational support to enhance engagement and improve sustainable healthcare service quality.
KOMUNIKASI PERAWAT-PASIEN DAN HAMBATANNYA DI INSTALASI GAWAT DARURAT RS ANDINI PEKANBARU Chrismis Novalinda Ginting; Muhammad Faridz Syahrian; Octisa Almira Chalida Hutasuhut
Zona Kedokteran: Program Studi Pendidikan Dokter Universitas Batam Vol 16 No 1 (2026): Zona Kedokteran: Program Studi Pendidikan Dokter Universitas Batam
Publisher : Universitas Batam

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Abstract

Abstract The Emergency Department (ED) requires effective communication between nurses and patients to ensure patient safety and quality of care; however, various barriers to communication remain prevalent. This study aimed to analyze differences in communication barrier factors between nurses and patients in the ED of Andini Hospital, Pekanbaru. This observational analytic study employed a retrospective cohort approach and involved 80 respondents (40 nurses and 40 patients) selected through consecutive sampling using a questionnaire. Data analysis was performed using an independent t-test or the Mann–Whitney test with a significance level of p < 0.05. The results demonstrated no statistically significant difference in nurse-related factors between the nurse and patient groups (p = 0.134). In contrast, health system–related factors showed a significant difference (p < 0.001), with nurses perceiving system-related communication barriers to be higher than patients. These findings indicate that communication barriers in the ED are more predominantly influenced by health system factors rather than individual nurse-related factors. Therefore, strengthening service systems and institutional support is necessary to improve communication effectiveness and enhance patient safety in the ED. Keywords: Nurse–patient communication, communication barriers, emergency department, health system, patient safety.