Determinants of Nurse Job Satisfaction: Work Design and Supervision in a Private Hospital
DOI:
https://doi.org/10.36312/jar.v4i1.3161Keywords:
job characteristics, supervision, nurse satisfaction, private hospitalAbstract
Nurse turnover and burnout threaten healthcare quality and workforce stability, especially in private hospital settings. Understanding the factors that drive job satisfaction is essential for improving retention. This quantitative, cross-sectional study involved 140 registered nurses at a private hospital in Banda Aceh. Data were collected using a structured self-administered questionnaire that measured six predictors job characteristics, promotion opportunities, working conditions, salary, supervision, and coworker relationships along with overall job satisfaction. Validity was ensured through expert review and a pilot test (n = 30), and reliability was confirmed with Cronbach’s alpha (? 0.70). Data were analyzed using bivariate (Pearson’s r, simple regression) and multivariate (multiple regression) techniques. All six predictors showed significant positive correlations with job satisfaction (p < 0.01). However, multivariate regression identified only job characteristics (? = 1.18, p = 0.001) and supervision (? = 0.58, p = 0.012) as independent predictors, together explaining 20.2% of the variance. Intrinsic work design and supervisory support are critical to enhancing nurse satisfaction. Hospitals should prioritize job redesign and leadership development strategies to promote staff retention and well-being.
References
Adi Pratama, R., Japar, M., Purwati, P., Nikmah, F. K., & Kurniawan, I. S. (2023). Effect of Extrinsic Job Satisfaction Hygiene Factors and Intrinsic Job Satisfaction Motivation on Turnover Intention. Bulletin of Counseling and Psychotherapy, 5(2), 148–158. https://doi.org/10.51214/00202305605000
Al Hamad, R. H., Almalki, M. H. M., Alkhathami, A. M., Alharbi, A. A., Albalawi, K. I., Alenezi, A. M., Alsahli, S. S., Alharbi, A. M., Binselm, K. R. A., Alotaibi, M. S. H., Almalki, M. H. M., & Binselm, K. R. A. (2018). Burnout and workforce retention in healthcare: Challenges and evidence-based strategies. International Journal of Health Sciences, 2(S1), 480–503. https://doi.org/10.53730/ijhs.v2nS1.15407
Alam, S. M. I. (2021). Herzberg Motivation-Hygiene Fallacy in Measuring Levels of Job Satisfaction Herzberg Motivation-Hygiene Fallacy in Measuring Levels of Job Satisfaction and Dissatisfaction I . Introduction and Related Research. Researchgate.Net, January. https://doi.org/10.13140/RG.2.2.14597.17129
Alberto Mendez, C. (2024). Cooling Nurse Burnout: A Theoretical Approach to Patient Care. Health Economics and Management Review, 5(4), 110–120. https://doi.org/10.61093/hem.2024.4-07
Alrawahi, S., Sellgren, S. F., Altouby, S., Alwahaibi, N., & Brommels, M. (2020). The application of Herzberg’s two-factor theory of motivation to job satisfaction in clinical laboratories in Omani hospitals. Heliyon, 6(9), e04829. https://doi.org/10.1016/j.heliyon.2020.e04829
Alzoubi, M. M., Al-Mugheed, K., Oweidat, I., Alrahbeni, T., Alnaeem, M. M., Alabdullah, A. A. S., Abdelaliem, S. M. F., & Hendy, A. (2024). Moderating role of relationships between workloads, job burnout, turnover intention, and healthcare quality among nurses. BMC Psychology, 12(1), 495. https://doi.org/10.1186/s40359-024-01891-7
Aungsuroch, Y., Gunawan, J., Juanamasta, I. G., & Montayre, J. (2024). Updating Factors Influencing Nurse Work Engagement in the Hospital Settings: A Systematic Review. Journal of Healthcare Leadership, Volume 16, 157–176. https://doi.org/10.2147/JHL.S451056
Boakye, K. G., Opoku, S. T., & Apenteng, B. A. (2023). Linking quality supervisory support to turnover intentions among rural healthcare professionals: The mediating role of performance appraisal satisfaction and moderating role of perceived organizational support. Quality Management Journal, 30(4), 210–224. https://doi.org/10.1080/10686967.2023.2245090
Brook, J., Aitken, L., Webb, R., MacLaren, J., & Salmon, D. (2019). Characteristics of successful interventions to reduce turnover and increase retention of early career nurses: A systematic review. International Journal of Nursing Studies, 91, 47–59. https://doi.org/10.1016/j.ijnurstu.2018.11.003
Cao, T., Huang, X., Wang, L., Li, B., Dong, X., Lu, H., Wan, Q., & Shang, S. (2020). Effects of organisational justice, work engagement and nurses’ perception of care quality on turnover intention among newly licensed registered nurses: A structural equation modelling approach. Journal of Clinical Nursing, 29(13–14), 2626–2637. https://doi.org/10.1111/jocn.15285
Chami-Malaeb, R. (2022). Relationship of perceived supervisor support, self-efficacy and turnover intention, the mediating role of burnout. Personnel Review, 51(3), 1003–1019. https://doi.org/10.1108/PR-11-2019-0642
Dumai, U., Kusumapradja, R., & ... (2021). Affect Analysis of Work Load, Competence to Work Motivation with Compensation as Intervening Variables of Nurse Care Implementation in Ananda Hospital Bekasi Indonesia. International Journal of Science and Research, 9(8), 292–301. https://doi.org/10.21275/SR20802165518
Efendi, F., Has, E. M. M., Pradipta, R. O., Houghty, G. S., Oda, H., & Tsujita, Y. (2025). Retention of international nurses in receiving country: Voices of Indonesian nurses in Japanese healthcare facilities. International Journal of Nursing Sciences, 12(1), 3–11. https://doi.org/10.1016/j.ijnss.2024.12.008
Ernes, C., & Meilani, Y. F. C. P. (2023). The Effect of Job Security and Burnout on Turnover Intention Mediated by Job Satisfaction. Jurnal Manajemen Kesehatan Indonesia, 11(1), 79–90. https://doi.org/10.14710/jmki.11.1.2023.79-90
Fukui, S., Wu, W., & Salyers, M. P. (2019). Impact of Supervisory Support on Turnover Intention: The Mediating Role of Burnout and Job Satisfaction in a Longitudinal Study. Administration and Policy in Mental Health and Mental Health Services Research, 46(4), 488–497. https://doi.org/10.1007/s10488-019-00927-0
Hung, T. H., Luu, T.-M.-N., & Nguyen, P. M. (2024). Does Employee Wellbeing Mediate the Relationship between Job Characteristics and Job Performance in the Banking Industry? An Emerging Country Perspective. International Review of Management and Marketing, 15(1), 53–60. https://doi.org/10.32479/irmm.17509
Juanamasta, I. G., Aungsuroch, Y., Gunawan, J., Dino, M. J., & Polsook, R. (2024). Prevalence of burnout and its determinants among Indonesian nurses: a multicentre study. Scientific Reports, 14(1), 31559. https://doi.org/10.1038/s41598-024-63550-6
Kartika, N. D. (2024). The Influence of Transformational Leadership on Nurses’ Performances in Indonesia. American Journal of Physical Education and Health Science, 2(1), 11–16. https://doi.org/10.54536/ajpehs.v2i1.2502
Kee, K., van Wieringen, M., Nies, H., & Beersma, B. (2025). The relationships between certified nursing assistants’ voice behaviour and job satisfaction, work engagement and turnover intentions: A two?wave survey study. Journal of Advanced Nursing, 81(2), 798–808. https://doi.org/10.1111/jan.16238
Koncar, P., Santos, T., Strohmaier, M., & Helic, D. (2022). On the application of the Two-Factor Theory to online employer reviews. Journal of Data, Information and Management, 4(1), 1–23. https://doi.org/10.1007/s42488-021-00061-3
Lamadah, S., & Sayed, H. (2014). Challenges Facing Nursing Profession in Saudi Arabia. Journal of Biology, Agriculture and Healthcare, 4(7), 20–25.
McDermid, F., Judy Mannix, & Peters, K. (2020). Factors contributing to high turnover rates of emergency nurses: A review of the literature. Australian Critical Care, 33(4), 390–396. https://doi.org/10.1016/j.aucc.2019.09.002
Mostafa, R., & Jaafar, H. J. Bin. (2024). Revisiting job characteristics and job satisfaction: A systematic review with bibliographic analysis. Multidisciplinary Reviews, 7(7), 2024142. https://doi.org/10.31893/multirev.2024142
Park, H., & Yu, S. (2019). Effective policies for eliminating nursing workforce shortages: A systematic review. Health Policy and Technology, 8(3), 296–303. https://doi.org/10.1016/j.hlpt.2019.08.003
Rachmiana, A. (2020). Factors Influencing Nursing Job Satisfaction in State And Private Hospitals in Banda Aceh Indonesia. International Journal of Humanities Technology and Civilization, 38–56. https://doi.org/10.15282/ijhtc.v5i1.4818
Scanlan, J. N., & Still, M. (2019). Relationships between burnout, turnover intention, job satisfaction, job demands and job resources for mental health personnel in an Australian mental health service. BMC Health Services Research, 19(1), 62. https://doi.org/10.1186/s12913-018-3841-z
Senek, M., Robertson, S., Ryan, T., King, R., Wood, E., Taylor, B., & Tod, A. (2020). Determinants of nurse job dissatisfaction - findings from a cross-sectional survey analysis in the UK. BMC Nursing, 19(1), 88. https://doi.org/10.1186/s12912-020-00481-3
Suryadi, S., & Rachmiana, A. (2024). Pengaruh mutu pelayanan terhadap kepuasan pasien di Puskesmas Terakreditasi dan bersertifikat ISO di Kota Banda Aceh. MKGK (Majalah Kedokteran Gigi Klinik) (Clinical Dental Journal) UGM, 10(3), 82. https://doi.org/10.22146/mkgk.103521
Usman, M. (2025). From Knowledge to Action: Determinants of University Students’ Hygiene Behavior in Aceh Besar Determinants of University Students’ Hygiene Behavior in Aceh Besar. Healthy-Mu Journal, 9(1), 76–83. https://doi.org/10.35747/hmj.v9i1.1357
Van der Heijden, B., Brown Mahoney, C., & Xu, Y. (2019). Impact of Job Demands and Resources on Nurses’ Burnout and Occupational Turnover Intention Towards an Age-Moderated Mediation Model for the Nursing Profession. International Journal of Environmental Research and Public Health, 16(11), 2011. https://doi.org/10.3390/ijerph16112011
Wang, Z., Wang, Y., Jex, S. M., Liu, L., & Cao, J. (2024). When does cognitive crafting matter more in enhancing employee thriving at work? The moderating role of skill variety and job autonomy. Stress and Health, 40(3). https://doi.org/10.1002/smi.3323
Zaheer, S., Ginsburg, L., Wong, H. J., Thomson, K., Bain, L., & Wulffhart, Z. (2019). Turnover intention of hospital staff in Ontario, Canada: exploring the role of frontline supervisors, teamwork, and mindful organizing. Human Resources for Health, 17(1), 66. https://doi.org/10.1186/s12960-019-0404-2
Zhang, R., Lin, M., Guo, H., & Chintanaporn, P. (2023). the Impact of Job Burnout on Turnover Tendency: a Case Study of Smes in Anhui, China. The 7th STIU International Conference,
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