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The Effect of Motivation and Career Development on Nurses' Performance Through Nurses' Job Satisfaction at Pertamina Balikpapan Hospital Lita Ripiani; Andini Nurwulandari; Hasanudin Hasanudin; Edi Sugiono
International Journal of Economics and Management Sciences Vol. 3 No. 1 (2026): February : International Journal of Economics and Management Sciences
Publisher : Asosiasi Riset Ekonomi dan Akuntansi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/ijems.v3i1.1144

Abstract

This study aims to analyze the effects of work motivation and career development on nurses’ performance through job satisfaction among nurses at Pertamina Balikpapan Hospital. Nurses’ performance is a key determinant of service quality and patient safety because nurses interact most intensively with patients and ensure continuity of nursing care. However, prior studies on the relationships among motivation, career development, job satisfaction, and performance have reported mixed findings. Therefore, further examination is needed by incorporating job satisfaction as a mediating variable to explain the mechanism of influence more comprehensively. This research employed an explanatory design with a quantitative approach. Primary data were collected using a Likert-scale questionnaire distributed to 165 permanent nurses selected through purposive sampling from a population of 292 nurses. Data were analyzed using variance-based SEM with SmartPLS 4, including outer model evaluation (convergent and discriminant validity) and construct reliability, as well as inner model assessment through the coefficient of determination, effect size, and hypothesis testing using bootstrapping. The results indicate that work motivation has a positive and significant effect on job satisfaction, and career development also has a positive and significant effect on job satisfaction. Job satisfaction has a positive and significant effect on nurses’ performance. In addition, work motivation and career development have positive and significant direct effects on nurses’ performance. Indirect effect testing confirms that job satisfaction mediates the relationship between work motivation and nurses’ performance and also mediates the relationship between career development and nurses’ performance. These findings emphasize that hospitals should strengthen strategies to enhance motivation and career development in a targeted manner while ensuring key sources of job satisfaction so that nurses’ performance improves sustainably.
Employee Competency Development Strategies for Improving Organizational Performance at Pertamina Balikpapan Hospital Lita Ripiani; Edi Sugiono; Irma Setyawati
International Journal of Economics and Management Sciences Vol. 3 No. 3 (2026): Agustus: International Journal of Economics and Management Sciences
Publisher : Asosiasi Riset Ekonomi dan Akuntansi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/ijems.v3i3.1276

Abstract

Hospital employee competency development should be positioned as a strategic investment that connects individual capacity with service quality, patient safety, process efficiency, and organizational sustainability. This article analyzes competency development needs and formulates strategies applicable to Pertamina Balikpapan Hospital. The study employed a descriptive approach through a literature study and document review. The materials included national and international scientific articles, regulations, accreditation standards, books, corporate reports, and official websites published from 2022 to 2026. Data were examined using thematic content analysis through evidence grouping, organizational-needs mapping, strategy formulation, and evaluation-indicator development. The findings indicate that competency development should operate as an integrated cycle comprising job-based competency architecture, gap analysis, individual development plans, blended learning, simulation-based practice, coaching, mentoring, job rotation, digital competency strengthening, integration with performance and career management, and impact evaluation extending to organizational results. The strategy is organized into a three-stage road map covering foundation building, expansion and integration, and analytics-based optimization. Success should be measured through behavioral change, standards compliance, patient-safety indicators, patient experience, productivity, and succession readiness. The article concludes that Pertamina Balikpapan Hospital requires needs-based, interprofessional, documented competency-development governance directly connected to quality objectives. The proposed model provides an operational foundation for transforming training activities into measurable and sustainable drivers of organizational performance.