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p-Index From 2021 - 2026
0.408
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All Journal Journal of Health Innovation and Environmental Education
Viji Alex
Lincoln University College
Humanities Education Environmental Science Public Health

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Determinants of Nurses’ Clinical Performance in Implementing Nursing Care Standards within Inpatient Services: A Practice-Based Perspective at Kota Tinggi Hospital Viji Alex; Norazalina Mohamad Zah
Journal of Health Innovation and Environmental Education Vol. 3 No. 1 (2026): June (On Going)
Publisher : Cahaya Ilmu Cendekia Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37251/jhiee.v3i1.2979

Abstract

Purpose of the study: This study aimed to analyze the determinants of nurses’ clinical performance in implementing nursing care standards within inpatient services at Kota Tinggi Hospital, Johor. Methodology: A quantitative analytical study with a cross-sectional design was conducted involving 98 nurses selected through total sampling. Data were collected using structured questionnaires and observation checklists. Statistical analysis included univariate, bivariate (Chi-square), and multivariate (logistic regression) analyses. Main Findings: The findings revealed that knowledge (p=0.001), motivation (p=0.002), leadership (p=0.000), and compensation (p=0.003) were significantly associated with clinical performance. Leadership was identified as the most dominant factor (OR=3.86). A majority of nurses (64.3%) demonstrated high clinical performance, although a notable proportion (35.7%) showed lower performance. Novelty/Originality of this study: This study provides a practice-based and integrative analysis of multiple determinants influencing nurses’ clinical performance in inpatient settings, emphasizing the role of leadership in bridging the gap between nursing standards and real clinical implementation.
Determinants of Nurses’ Clinical Performance in Implementing Nursing Care Standards within Inpatient Services: A Practice-Based Perspective at Kota Tinggi Hospital Viji Alex; Norazalina Mohamad Zah
Journal of Health Innovation and Environmental Education Vol. 3 No. 1 (2026): June (On Going)
Publisher : Cahaya Ilmu Cendekia Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37251/jhiee.v3i1.2979

Abstract

Purpose of the study: This study aimed to analyze the determinants of nurses’ clinical performance in implementing nursing care standards within inpatient services at Kota Tinggi Hospital, Johor. Methodology: A quantitative analytical study with a cross-sectional design was conducted involving 98 nurses selected through total sampling. Data were collected using structured questionnaires and observation checklists. Statistical analysis included univariate, bivariate (Chi-square), and multivariate (logistic regression) analyses. Main Findings: The findings revealed that knowledge (p=0.001), motivation (p=0.002), leadership (p=0.000), and compensation (p=0.003) were significantly associated with clinical performance. Leadership was identified as the most dominant factor (OR=3.86). A majority of nurses (64.3%) demonstrated high clinical performance, although a notable proportion (35.7%) showed lower performance. Novelty/Originality of this study: This study provides a practice-based and integrative analysis of multiple determinants influencing nurses’ clinical performance in inpatient settings, emphasizing the role of leadership in bridging the gap between nursing standards and real clinical implementation.
Co-Authors Norazalina Mohamad Zah