Efforts to Implement a Reward System (Incentives, Promotions, and Career Development) to Improve the Performance of Nurses
DOI:
https://doi.org/10.53713/htechj.v3i6.552Keywords:
Incentives, Promotions, Career Development, Nurse PerformanceAbstract
The working conditions of healthcare workers in Indonesia, especially in state hospitals, remain unsatisfactory. One factor that influences this is the low reward system in state hospitals compared to private hospitals. The purpose of this research is to determine the effect of the reward system (incentives, promotions, and career development) on improving the performance of nurses. The design of this research is quantitative, employing a cross-sectional approach, with the population in this study comprising all 150 nurses at UPTD RSUD Bobong. The sample consisted of a portion of the population that met the inclusion criteria, comprising 112 people selected using a simple random sampling technique. The collected data were analyzed using Spearman's rho statistical test and ordinal logistic regression analysis with an α error rate of 0.05. The results of the analysis using the ordinal regression test yielded a significant result. (2-tailed) values for the incentive factor (p-value = 0.012 < 0.05), promotion factor (p-value = 0.023 < 0.05) and career development factor (p-value = 0.019 < 0.05). The research shows that incentive, promotion, and career resulted in harm er development factors in implementing the reward system influence the performance of nurses at Bobong Hospital, Taliabu Island Regency. The incentives factor is the most dominant in the reward system, which influences nurse performance.
References
Adams, U. E. (2025). The Effect of Reward System on Employee Performance. International Journal of Science and Management Studies (IJSMS), 8(3), 225-232. https://doi.org/10.51386/25815946/ijsms-v8i3p118
Aggarwal, M., Hutchison, B., Kokorelias, K. M., Bilgic, S., & Glazier, R. H. (2025). The impact of remuneration, extrinsic and intrinsic incentives on interprofessional primary care teams: results from a rapid scoping review. BMC Primary Care, 26(1), 25. https://doi.org/10.1186/s12875-024-02653-5
Ali J, Jusoh A, Idris N, Nor KM. (2024). Healthcare service quality and patient satisfaction: a conceptual framework. International Journal of Quality & Reliability Management, 41(2), 608–627, doi: https://doi.org/10.1108/IJQRM-04-2022-0136
Alsadaan, N., Salameh, B., Abdelkader Elsaid Reshia, F. A., Alruwaili, R. F., Alruwaili, M., Awad Ali, S. A., Alruwaili, A. N., Hefnawy, G. R., S. Alshammari, M. S., Rumayh Alrumayh, A. G., Alruwaili, A. O., & Jones, L. K. (2023). Impact of Nurse Leaders Behaviors on Nursing Staff Performance: A Systematic Review of Literature. INQUIRY: The Journal of Health Care Organization, Provision, and Financing. https://doi.org/10.1177/00469580231178528
Bates, D. W., Levine, D. M., Salmasian, H., Syrowatka, A., Shahian, D. M., Lipsitz, S., Zebrowski, J. P., Myers, L. C., Logan, M. S., Roy, C. G., Iannaccone, C., Frits, M. L., Volk, L. A., Dulgarian, S., Amato, M. G., Edrees, H. H., Sato, L., Folcarelli, P., Einbinder, J. S., Reynolds, M. E., … Mort, E. (2023). The Safety of Inpatient Health Care. The New England Journal of Medicine, 388(2), 142–153. https://doi.org/10.1056/NEJMsa2206117
Budiarti, M Maryati, & V Lavira. (2023). The Impact of Providing Material and Non-Material Incentives on Employee Work Motivation (Study on the Automotive Industry in West Bandung). Proceedings of the International Conference on Business, Economics, Social Sciences, and Humanities, 5, 192-198. https://doi.org/10.34010/icobest.v3i.135
Chi, H., Vu, T., Nguyen, H. V., & Truong, T. H. (2023). How financial and non–financial rewards moderate the relationships between transformational leadership, job satisfaction, and job performance. Cogent Business & Management, 10(1). https://doi.org/10.1080/23311975.2023.2173850
Ćulafić, S., Janovac, T., Jovanović, S. V., Tadić, J., Jaganjac, J., Milošević, A., & Bibić, A. (2020). State Incentives and Sustainable Motivation System in the Health Sector. Sustainability, 13(24), 13592. https://doi.org/10.3390/su132413592
Geta, A., Biks, G. A., Dellie, E., & Yazachew, L. (2020). Job Satisfaction and Associated Factors among Health Professionals Working at Public and Private Hospitals in Bahir Dar City, Northwest Ethiopia: A Comparative Cross-Sectional Study. BioMed Research International, 2021(1), 6632585. https://doi.org/10.1155/2021/6632585
Greene, J., & Samuel-Jakubos, H. (2021). Building Patient Trust in Hospitals: A Combination of Hospital-Related Factors and Health Care Clinician Behaviors. The Joint Commission Journal on Quality and Patient Safety, 47(12), 768-774. https://doi.org/10.1016/j.jcjq.2021.09.003
Jesús, M. (2022). Acquisition of Competencies of Nurses: Improving the Performance of the Healthcare System. International Journal of Environmental Research and Public Health, 20(5), 4510. https://doi.org/10.3390/ijerph20054510
Karaferis, D., Aletras, V., Raikou, M., & Niakas, D. (2022). Factors Influencing Motivation and Work Engagement of Healthcare Professionals. Materia Socio-Medica, 34(3), 216–224. https://doi.org/10.5455/msm.2022.34.216-224
Kitsios, F., & Kamariotou, M. (2021). Job satisfaction behind motivation: An empirical study in public health workers. Heliyon, 7(4), e06857. https://doi.org/10.1016/j.heliyon.2021.e06857
Krijgsheld, M., Tummers, L. G., & Scheepers, F. E. (2022). Job performance in healthcare: a systematic review. BMC Health Services Research, 22(1), 149. https://doi.org/10.1186/s12913-021-07357-5
Lin, T. K., Werner, K., Witter, S., Alluhidan, M., Alghaith, T., Hamza, M. M., Herbst, C. H., & Alazemi, N. (2022). Individual performance-based incentives for health care workers in Organisation for Economic Co-operation and Development member countries: A systematic literature review. Health Policy, 126(6), 512-521. https://doi.org/10.1016/j.healthpol.2022.03.016
Luo, Y., Chen, Y., & Feng, M. (2025). The Perception of Career Planning and Development Among Senior Clinical Nurses: A Qualitative Analysis. International Nursing Review, 72(3), e70050. https://doi.org/10.1111/inr.70050
Mostafa, R., & El-Atawi, K. (2024). Strategies to Measure and Improve Emergency Department Performance: A Review. Cureus, 16(1), e52879. https://doi.org/10.7759/cureus.52879
Pani, S. R., Nallala, S., Rout, S. K., Sundari, S., Chokshi, M., Mokashi, T., Nair, A., & Kadam, S. M. (2022). Effects of Various Financial and Non-financial Incentives on the Performance of Accredited Social Health Activist: Evidence from Two Selected Districts of Odisha. Journal of Health Management. https://doi.org/10.1177/09720634221078754
Phang, S. K., Lin, M., Kho, Y. X., Toh, R. J., Kuah, T. T., Lai, Y. F., & Xie, J. K. (2023). Community hospitals of the future—Challenges and opportunities. Frontiers in Health Services, 3, 1168429. https://doi.org/10.3389/frhs.2023.1168429
Setyawati, Dewi Sri Woelandari PG, & Muhammad Richo Rianto. (2022). Career Development, Motivation and Promotion on Employee Performance. East Asian Journal of Multidisciplinary Research, 1(9), 1957–1970. https://doi.org/10.55927/eajmr.v1i9.1453
Zhang, C., Xu, C., Wang, R., Han, X., Yang, G., & Liu, Y. (2024). The learning experiences and career development expectations of Chinese nursing master's degree students: A qualitative investigation. Nurse Education in Practice, 77, 103996. https://doi.org/10.1016/j.nepr.2024.103996
