The Influence Of Achievement Motivation And Therapeutic Communication Skills On Nurses' Performance In Nursing Care At Kabanjahe General Hospital In 2009

Feb 27, 2025 by ADMIN 154 views

The Influence of Achievement Motivation and Therapeutic Communication Skills on Nurses' Performance in Nursing Care at Kabanjahe General Hospital in 2009

Introduction

The Kabanjahe General Hospital, located in Karo Regency, plays a vital role in providing health services to the community. Despite its importance, the hospital's performance reports over the past three years (2005-2007) showed a Bed Occupancy Rate (BOR) below the national target of 80%. The length of patient care (Length of Stay or LOS) was also recorded at 6-9 days, which is higher than the national average. This study aims to analyze the effect of achievement motivation and therapeutic communication skills on nurses' performance in nursing care at Kabanjahe General Hospital.

Methodology

This study employed a survey with an explanatory research type, involving 126 nurses as a population. Of these, 60 nurses were selected using purposive sampling to be sampled. Data analysis was carried out using multiple linear regression tests with a 95% confidence level. The data used in this study consisted of a score of achievement motivational variables (X1), therapeutic communication skills (X2), and nurse performance scores (Y). The instrument used to collect data was in the form of questionnaires that had been validated by experts and tested to find out their reliability and validity.

Results

The results showed that of the four variables tested, namely the need for achievement, the need for affiliation, the need for power, and therapeutic communication skills, only two variables had a significant influence on the performance of nurses. This variable is the need for power with a significance of 0.018 and knowledge of therapeutic communication capabilities with a significance of 0.012. Conversely, the variable need for achievement (significance 0.235) and the need for affiliation (significance 0.760) does not show a significant effect on the performance of nurses in the Kabanjahe General Hospital.

Discussion

Achievement motivation is an individual internal drive to achieve goals and do the best at work. In the context of nurses, this motivation plays an important role in improving the quality of health services. However, the results showed that the need for achievement and affiliation did not have a significant impact. This may be caused by work culture in hospitals that emphasize more on teamwork and individual autonomy in decision making.

Therapeutic communication capabilities, on the other hand, are proven to have a significant influence on the performance of nurses. This indicates that nurses who are able to communicate well, both with patients and other medical teams, can provide higher quality care. Effective communication helps in reducing errors in nursing care, increasing patient satisfaction, and strengthening the relationship between nurses and patients.

Conclusion

The results of this study suggest that knowledge of therapeutic communication skills is the dominant factor that affects the performance of nurses in the Kabanjahe General Hospital. Therefore, hospitals need to consider training and development of therapeutic communication skills for nurses. In addition, creating a work environment that supports achievement motivation through appreciation or recognition of good performance can help improve nurse performance as a whole.

Recommendations

Based on the findings of this study, the following recommendations are made:

Hospitals should provide training and development programs for nurses to improve their therapeutic communication skills.
Hospitals should create a work environment that supports achievement motivation through appreciation or recognition of good performance.
Hospitals should design a more effective program to improve the quality of health services, which in turn has a positive impact on patients and the community.

Limitations

This study has several limitations. Firstly, the sample size was relatively small, which may not be representative of the entire population of nurses in the Kabanjahe General Hospital. Secondly, the study only focused on the effect of achievement motivation and therapeutic communication skills on nurses' performance, and did not explore other factors that may influence nurse performance.

Future Research Directions

Future research should aim to explore other factors that may influence nurse performance, such as work environment, leadership style, and organizational culture. Additionally, future research should aim to develop and evaluate interventions that can improve nurse performance and patient outcomes.

References

[Insert references cited in the study]

Appendix

[Insert appendix materials, such as questionnaires, data analysis tables, and figures]

Additional Analysis and Explanation

Therefore, hospitals need to consider training and development of therapeutic communication skills for nurses. In addition, creating a work environment that supports achievement motivation through appreciation or recognition of good performance can help improve nurse performance as a whole.

By understanding the factors that influence the performance of nurses, the Kabanjahe General Hospital can design a more effective program to improve the quality of health services, which in turn has a positive impact on patients and the community.
Frequently Asked Questions (FAQs) about the Influence of Achievement Motivation and Therapeutic Communication Skills on Nurses' Performance

Q: What is achievement motivation, and how does it relate to nurses' performance?

A: Achievement motivation is an individual internal drive to achieve goals and do the best at work. In the context of nurses, this motivation plays an important role in improving the quality of health services. However, the results of this study showed that the need for achievement and affiliation did not have a significant impact on nurses' performance.

Q: What is therapeutic communication, and how does it affect nurses' performance?

A: Therapeutic communication is the ability to communicate effectively with patients and other medical teams. The results of this study showed that therapeutic communication skills had a significant influence on nurses' performance, indicating that nurses who are able to communicate well can provide higher quality care.

Q: What are the benefits of effective therapeutic communication in nursing care?

A: Effective therapeutic communication helps in reducing errors in nursing care, increasing patient satisfaction, and strengthening the relationship between nurses and patients. It also enables nurses to provide more personalized care and improve patient outcomes.

Q: How can hospitals support achievement motivation in nurses?

A: Hospitals can support achievement motivation in nurses by creating a work environment that encourages and recognizes good performance. This can include providing opportunities for professional development, recognizing and rewarding outstanding performance, and promoting a culture of excellence.

Q: What are some strategies for improving therapeutic communication skills in nurses?

A: Some strategies for improving therapeutic communication skills in nurses include:

Providing training and development programs on therapeutic communication
Encouraging active listening and empathy
Fostering a culture of open communication
Using non-verbal communication effectively
Encouraging nurses to ask questions and seek clarification

Q: How can hospitals measure the effectiveness of their therapeutic communication programs?

A: Hospitals can measure the effectiveness of their therapeutic communication programs by:

Conducting regular surveys and feedback sessions with patients and nurses
Monitoring patient satisfaction and outcomes
Analyzing data on communication errors and near misses
Conducting regular audits of communication practices

Q: What are some potential challenges in implementing therapeutic communication programs in hospitals?

A: Some potential challenges in implementing therapeutic communication programs in hospitals include:

Resistance to change from staff
Limited resources and budget
Difficulty in measuring the effectiveness of the program
Need for ongoing training and support

Q: How can hospitals overcome these challenges and implement effective therapeutic communication programs?

A: Hospitals can overcome these challenges by:

Engaging staff in the planning and implementation process
Providing ongoing training and support
Monitoring progress and making adjustments as needed
Fostering a culture of open communication and collaboration

Q: What are some future directions for research on the influence of achievement motivation and therapeutic communication skills on nurses' performance?

A: Some future directions for research on the influence of achievement motivation and therapeutic communication skills on nurses' performance include:

Exploring the relationship between achievement motivation and therapeutic communication skills
Investigating the impact of cultural and linguistic diversity on therapeutic communication
Developing and evaluating interventions to improve therapeutic communication skills in nurses
Examining the role of technology in facilitating therapeutic communication in nursing care.