The Influence of Training and Development, Education and Learning, Performance Management, and Career Development on Nurses' Performance

This study aims to analyze the effect of Training and Development, Education and Learning, Performance Management, and Career Development on nurse performance in the Hemodialysis Unit of Ratu Aji Putri Botung Regional Hospital, North Penajam Paser Regency. The study used a quantitative design with a survey approach, supplemented by qualitative data to obtain a comprehensive understanding. Quantitative data were collected through a Likert-scale questionnaire from the entire population of 31 nurses, while qualitative data were obtained through semi-structured interviews and documentation studies. Data analysis was conducted using descriptive analysis and multiple linear regression to test the partial and simultaneous effects of independent variables on nurse performance. The results showed that partially, Training and Development, Education and Learning, and Career Development did not significantly influence nurse performance. Conversely, Performance Management significantly influenced nurse performance. However, simultaneously, all four human resource development variables significantly influenced nurse performance. These findings indicate that in standardized, high-risk clinical work units such as hemodialysis, an objective performance management system, regular evaluations, and consistent feedback are dominant factors in improving performance. Meanwhile, individual development factors serve more as supporting factors that contribute collectively. This study recommends strengthening the performance management system integrated with human resource development programs and adjusting development policies based on the characteristics of the work unit.