Associations Between Work Motivation and Quality of Anesthesia and Surgical Services: A National Cross-Sectional Study of Nurse Anesthetists in Indonesia
Abstract
Introduction: The operating room consists of various health professionals so that they must build good teamwork to realize optimal anesthesia and surgical services. Therefore, it is necessary to have work motivation to be able to improve the quality of anesthesia and surgical services. The purpose of this study was to determine the components of work motivation in the operating room and anesthesia that can provide implications for anesthesia and surgical services.
Methods: This type of research is quantitative with cross sectional. The sample used was nurse anesthetist who worked at the hospital, using accidental sampling so that a sample of 188 nurse anesthetists was obtained. The research instrument was a Motivating Potential Score (MPS) questionnaire and a surgical anesthesia service questionnaire from the Ministry of Health Accreditation Standards Year 2022 which was provided via google form. Data analysis using Spearman rank correlation coefficient. This research has obtained permission from the IPAI professional organization and is ethically feasible No. 209/09.KEPK/UBK/VIII/2024.
Results: The results indicate that the average work motivation score was 9.86 (min 3.6; max 12), while the quality of anesthesia and surgical services averaged 14.31 (min 8.14; max 16). All components of work motivation: skill variety, task identity, job significance, autonomy, and feedback showed significant associations with service quality. Notably, autonomy demonstrated a moderate positive correlation with anesthesia and surgical service quality (r = 0.511, p < 0.001, 95% CI: 0,42-0,59), highlighting the magnitude of its effect and strengthening the analytical robustness of the findings.
Conclusion: There is an influence of motivation on anesthesia and surgical services with a p value of 0.013 and a CC value of 0.181. Increasing conducive work motivation successfully provides satisfaction for nurse anesthetists and has an important role in quality anesthesia and surgical services.
References
Grasiaswaty N, Pradita L, Sadida N. Health and Safety Executive Work Related Stress Scale-Indonesian Version: Reliability and Convergent Validity. Indones J Occup Saf Heal. 2022;11(3):402–411. https://doi.org/10.20473/ijosh.v11i3.2022.402-411
Noprianty R, Wahdana W, Suryanah A. Dampak Beban Kerja terhadap Produktifitas Kerja di Ruang Perioperasi. J Kepemimpinan dan Manajemen Keperawatan. 2022;5(2). https://doi.org/10.32584/jkmk.v5i2.1753
Shah MK, Gandrakota N, Cimiotti JP, Ghose N, Moore M, Ali MK. Prevalence of and Factors Associated with Nurse Burnout in the US. JAMA Network Open. 2021;4(2):1–11. https://doi.org/10.1001/jamanetworkopen.2020.36469
Teymoori E, Zareiyan A, Babajani-Vafsi S, Laripour R. Viewpoint of Operating Room Nurses About Factors Associated With Occupational Burnout: A Qualitative Study. Frontiers in Psychology. 2022;13:947189. https://doi.org/10.3389/fpsyg.2022.947189
Li N, Zhang L, Li XJ, Lu Q. The Influence of Operating Room Nurses’ Job Stress on Burnout and Organizational Commitment: The Moderating Effect of Over-Commitment. Journal of Advanced Nursing. 2021;77(4):1772–1782. https://doi.org/10.1111/jan.14725
Sillero-Sillero A, Zabalegui A. Analysis of the Work Environment and Intention of Perioperative Nurses to Quit Work. Revista Latino-Americana de Enfermagem. 2020;28. https://doi.org/10.1590/1518-8345.3239.3256
Wirayuda T, Maryana M, Sari IP. Faktor-Faktor yang Mempengaruhi Beban Kerja Perawat Kamar Operasi di RSUD Dr. (H.C.) Ir. Soekarno Provinsi Bangka Belitung. Jurnal Keperawatan. 2023;12(1):75–82. https://doi.org/10.47560/kep.v12i1.494
Collins A, Fecher-Jones I, Grimmett C, Hartle A, King A, Matthews L. Preoperative Assessment and Optimisation for Adult Surgery Including Consideration of COVID-19 and Its Implications. Royal College of Anaesthetists Centre for Perioperative Care. 2021. Available from: https://www.rcseng.ac.uk/-/media/files/rcs/news-and-events/2020/preoperative-assessment-and-optimisation-guidance_format.pdf
McNally SA, El-Boghdadly K, Kua J, Moonesinghe SR. Preoperative Assessment and Optimisation: The Key to Good Outcomes After the Pandemic. British Journal of Hospital Medicine. 2021;82(6):1–6. https://doi.org/10.12968/hmed.2021.0318
Noprianty R, Mutmainah I, Wahdana W, Wahyudi FM. Compliance With the Implementation of Pre-Anesthesia Assessment Toward the Prevention of Adverse Events in the Operating Room. 2025;133(1):48–59. https://doi.org/10.47307/GMC.2025.133.1.5
Noprianty R, Putri RA, Manuopo H. Compliance in Filling Surgical Safety Checklist at The Central Surgical Installation. Jurnal Anestesiologi Indonesia. 2024;16(3):208–217. https://doi.org/10.14710/jai.v0i0.61515
Noprianty R, Nafiz MH, Herawan R. The Completeness of Filling in the Anesthesia Card Form in West Java, Indonesia. International Journal of Scientific Research. 2024;13(1):1122–1127. https://doi.org/10.21275/SR24117111059
Gheiasi SF, Gitifard AH, Rafiei F, Karimi V, Rabie Siahkali S, Hasanloo M. Components of Job Motivation in Operating-Room and Anesthesia Staff. Preventive Care in Nursing and Midwifery Journal. 2022;12(3):14–23. https://doi.org/10.52547/pcnm.12.3.3
Junça-Silva A. How Job Characteristics Influence Healthcare Workers’ Happiness: A Serial Mediation Path Based on Autonomous Motivation and Adaptive Performance. Sustainability. 2022;14:14251. https://doi.org/10.3390/su142114251
Zhao S, Ping J, Zhu H, Ji W, Wang Y, Wang Y. Job Characteristics Model-Based Study of the Intrinsic Motivations for Primary Care Practitioners. Chinese General Practice Journal. 2024;1:3–10. https://doi.org/10.1016/j.cgpj.2024.03.004
Van Dorssen-Boog P. Healthcare Workers’ Autonomy: Testing the Reciprocal Relationship Between Job Autonomy and Self-Leadership and Moderating Role of Need for Job Autonomy. Journal of Health Organization and Management. 2022;36(9):212–231. https://doi.org/10.1108/JHOM-04-2022-0106
Abd-Elhameed NE, Mahmoud HG, Ahmed MF. Role of Job Characteristics Model on Nurses’ Work Motivation and Involvement in Intensive Care Units. 2023;10(2):227–236. https://doi.org/10.21608/mnj.2023.340384
Andereggen L, Andereggen S, Bello C, Urman RD, Luedi MM. Technical Skills in the Operating Room: Implications for Perioperative Leadership and Patient Outcomes. Best Practice & Research Clinical Anaesthesiology. 2022;36(2):237–245. https://doi.org/10.1016/j.bpa.2022.05.002
Escher C, Rystedt H, Creutzfeldt J, Meurling L, Hedman L, Felländer-Tsai L, et al. All Professions Can Benefit—A Mixed-Methods Study on Simulation-Based Teamwork Training for Operating Room Teams. Advances in Simulation. 2023;8(1):1–9. https://doi.org/10.1186/s41077-023-00257-0
Hurwitz EE, Simon M, Vinta SR, Zehm CF, Shabot SM, Minhajuddin A, et al. Adding Examples to the ASA-Physical Status Classification Improves Correct Assignment to Patients. Anesthesiology. 2017;126(4):614–622. https://doi.org/10.1097/ALN.0000000000001541
Horvath B, Kloesel B, Todd MM, Cole DJ, Prielipp RC. The Evolution, Current Value, and Future of the American Society of Anesthesiologists Physical Status Classification System. Anesthesiology. 2021;135(5):904–919. https://doi.org/10.1097/ALN.0000000000003947
Noprianty R, Mourly F. Quality of Work Life of Nurse Anesthetist During COVID-19 in Indonesia. Jurnal Medicoeticolegal dan Manajemen Rumah Sakit. 2021;10(3):271–281. https://doi.org/10.18196/jmmr.v10i3.12589
Dias P, Clerc D, Rodrigues MGR, Demartines N, Grass F, Hübner M. Impact of an Operating Room Nurse Preoperative Dialogue on Anxiety, Satisfaction and Early Postoperative Outcomes in Patients Undergoing Major Visceral Surgery. Journal of Clinical Medicine. 2022;11(7). https://doi.org/10.3390/jcm11071895
Listyaningrum TH, Sari SM. Qualitative Study Legal Protection of the Implementation of Anesthesiologists’ Duties in Delegation of Doctor Authority. International Journal of Health Science and Technology. 2023;5(1):63–69. https://doi.org/10.31101/ijhst.v5i1.3230
Noprianty R, Dewi W, Muhsinin S, Soleha S, Sugiharti I, Andriyansyah I. Perencanaan Sumber Daya Manusia Kesehatan Rumah Sakit Melalui Pelatihan Aplikasi Software Workload Indicators of Staffing Need. PengabdianMu. 2023;8(5):781–788. https://doi.org/10.33084/pengabdianmu.v8i5.4991
Listyaningrum TH, Sari SM. Qualitative Study Legal Protection of the Implementation of Anesthesiologists’ Duties in Delegation of Doctor Authority: Legal Protection of Anesthesiologists in Carrying Out Professional Duties. International Journal of Health Science and Technology. 2023;5(1):63–69. https://doi.org/10.31101/ijhst.v5i1.3230
Noprianty R, Dewi W, Muhsinin S, Soleha S, Sugiharti I, Andriyansyah I. Perencanaan Sumber Daya Manusia Kesehatan Rumah Sakit Melalui Pelatihan Aplikasi Software Workload Indicators of Staffing Need. PengabdianMu: Jurnal Ilmiah Pengabdian kepada Masyarakat. 2023;8(5):781–788. https://doi.org/10.33084/pengabdianmu.v8i5.4991
Noprianty R. Buku Ajar Manajemen dan Kepemimpinan. Yogyakarta: Deepublish; 2023. 353 p.
Muliarini P, Azalia NN, Ashila MN. Kerangka Hukum Pelayanan Kesehatan yang Berbasis pada Patient-Centered Care. Journal of Hospital Accreditation. 2021;3(1):10–16. https://doi.org/10.35727/jha.v3i01.83
Joint Commission International (JCI). National Patient Safety Goals Effective January 2022 for the Hospital Program. 2022. Available from: https://www.jointcommission.org/-/media/tjc/documents/standards/national-patient-safety-goals/2022/npsg_chapter_hap_jan2022.pdf
Kirlan S, Dan S. Pemenuhan Standar Akreditasi Pelayanan Anestesi dan Bedah. Journal of Hospital Accreditation. 2022;4(1):28–31. https://doi.org/10.35727/jha.v4i1.91
American Association of Nurse Anesthesiology (AANA) Board of Directors. Patient-Driven Interdisciplinary Practice. American Association of Nurse Anesthesiology; 2023. p. 1–4. Available from: https://www.aana.com
Gitifard AH, Rafiei F. Components of Job Motivation in Operating-Room and Anesthesia Staff. Preventive Care in Nursing and Midwifery Journal. 2022;12(3):14–23. https://doi.org/10.52547/pcnm.12.3.3
Royal College of Physicians. National Hip Fracture Database (NHFD) 2019 Annual Report. London: Royal College of Physicians; 2019. Available from: https://www.nhfd.co.uk/20/hipfractureR.nsf/docs/2019Report
National Emergency Laparotomy Audit (NELA). Sixth Patient Report of the National Emergency Laparotomy Audit: December 2018 to November 2019. London: Royal College of Anaesthetists; 2020. Available from: https://www.nela.org.uk/reports
Limpoon S, Seangrung R, Nimmankiatkul A. Factors Affecting Completeness of Anaesthetic Record: A Cross-Sectional Study. Annals of Medicine and Surgery. 2023;85(11):5433–5438. https://doi.org/10.1097/MS9.0000000000001336
Misganaw A, Seyoum F. Assessment of Manual Perioperative Anesthesia Record-Keeping Practice: A Multicenter Descriptive Cross-Sectional Study, Ethiopia, 2022. International Journal of Surgery Open. 2022;46:100526. https://doi.org/10.1016/j.ijso.2022.100526
Maryani L, Anggreny Y, Rohita T, Astari DW, Sakti B, Susilowati YA, et al. Kepemimpinan dan Manajemen Keperawatan (Berdasarkan Kurikulum Pendidikan Ners Indonesia Tahun 2021). 1st ed. Purbalingga: CV Eureka Media Aksara; 2024. 428 p.
Sulaeman I, Noprianty R, Wirda E, Yahana Teodososia. Kepemimpinan dan Manajemen Keperawatan. Bandung: Media Sains Indonesia; 2024. 245 p.
Djariah AA, Sumiaty, Andayanie E. Hubungan Pengetahuan, Sikap, dan Motivasi Kerja Perawat dengan Pelaksanaan Keselamatan Pasien di Ruang Rawat Inap RSUD Kota Makassar Tahun 2020. Window of Public Health Journal. 2020;1(4):317–326. https://doi.org/10.33096/woph.v1i4.76
Zainaro MA, Saadiah ACU. Motivation and Workload of Nurses with Nurse Performance in Handling Events of Corona Virus (COVID-19). Jurnal Aisyah: Jurnal Ilmu Kesehatan. 2021;6(4):673–680. https://doi.org/10.30604/jika.v6i4.688
Wang B, Liu K, Shi H, Chen X. A Cross-Sectional Study of Anesthesia Medical Staff’s Occupational and Health Status in Nongovernment Medical Institutions in China. Journal of Evaluation in Clinical Practice. 2024. https://doi.org/10.1111/jep.14194
Noprianty R, Wahyudi FM, Valiani C. Pemenuhan Kebutuhan Dasar Manusia II. 1st ed. Bandung: Media Sains Indonesia; 2023.
Sharma H. Statistical Significance or Clinical Significance? A Researcher’s Dilemma for Appropriate Interpretation of Research Results. Saudi Journal of Anaesthesia. 2021;15(4):431–434.
Kurimoto S, Minagawa T, Tamura A. Operating-Room Nurses’ Classifications in Job Satisfaction. Journal of Medical Investigation. 2020;67(1–2):113–123. https://doi.org/10.2152/jmi.67.113
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