Nurse performance is essential to hospital service quality and is influenced by work motivation, organizational climate, and job satisfaction. This study examined these factors and their relationships among 60 nurses at Jasa Kartini Hospital, Tasikmalaya. A quantitative descriptive and verificative design employed census sampling, questionnaires, interviews, observations, and documentation. Data were analyzed using descriptive statistics and path analysis with SPSS. Mean scores indicated relatively low work motivation (3.17) and job satisfaction (3.07), alongside relatively poor organizational climate (3.18) and nurse performance (3.11). Work motivation (path coefficient 0.490) and organizational climate (0.403) positively and significantly affected job satisfaction. Together, they explained 70.69% of job satisfaction variance (F = 85.827), leaving 29.31% attributable to other factors. Job satisfaction positively and significantly affected nurse performance (path coefficient 0.869; t = 9.208), explaining 75.52% of its variance. All reported relationships were statistically significant (p < 0.001). Strengthening motivation and organizational climate may improve overall satisfaction, nurse performance, and nursing service quality at the hospital.
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