Motivation, work environment, job satisfaction, and job performance among nurses: An inferential analysis

Background: Many researchers have studied performance, but lack has combined the influence of work motivation, work environment, and job satisfaction on nurse performance simultaneously. Purpose: To analyze the influence of Motivation, work environment, job satisfaction, and job performance among nurses Method: An observational study with a cross sectional approach involving nurses in 15 units at a hospital in Jember, Indonesia. The data taken were demographic, work motivation, work environment, job satisfaction, and nurse performance using various validated questionnaire. Data were analyzed descriptively and inferential analysis using the Partial Least Square (PLS) method using the smart PLS version 3.0 program. Results: A total of 111 respondents were involved in this research. The majority of respondents were female (67/60.4%), aged 21-30 years (67/60.4%), had a bachelor's degree in nursing (50/45.0%), married (67/60.4%) and have worked for ≤ 5 years (70/63.1%). work motivation (3.6-3.8), perception of the work environment (3.5-4.0), job satisfaction (3.3-3.7), and nurse performance (3.7-3.9) were obtained in the high/good score range category. all variables produced a loading factor of more than 0.5 and an Average Variance Extracted (AVE) of more than 0.4. Cronbach's Alpha was greater than 0.6 for all variables and had a composite reliability value of more than 0.7. The Q2 value was 0.180 (>0) and R2 0.242. Partially, the work motivation and job satisfaction variables have a p value of 0.007 and 0.000 α 0.05. Simulaneously, work motivation, work environment, and job satisfaction have F statistics value of 11.39 with a p value of 0.000 < α 0.05 on nurse performance. Conclusion: This study has valid and reliable indicators. Independently, work motivation and job satisfaction have a significant correlation with nurse performance, while work environment does not have a significant relationship. However, simultaneously work motivation, work environment and job satisfaction have a positive and significant influence on the performance of nurses in hospitals by 24.2%. In order to improve the performance of nurses in the hospital, it is expected to increase work motivation and job satisfaction.