Analysis of Factors Related to the Performance of Health Workers at the Royal Prima Medan General Hospital in 2022

Abstract

The performance of health workers at RSU Royal Prima is experiencing a fluctuating trend so that it is still not optimal in providing services to patients and organizational responsibilities. Factors that are suspected to be related to the performance of health workers are individual, psychological, and organizational variables. This study aims to analyze the factors related to the performance of health workers. This type of research is quantitative analytic using a cross sectional design. The research was conducted at RSU Royal Prima Medan. The research population was 651 people, while the sample was 100 people. Sampling by means of simple random sampling. Data were analyzed using univariate, bivariate with chi-square test, and multivariate with multiple logistic regression at 95% confidence level (=0.05). The results showed that the factors related to the performance of health workers at RSU Royal Prima Medan were abilities and skills (p=0.015), motivation (p=0.033), leadership (p=0.024), and rewards (p=0.044). Factors that were not related were age (p=1.000), gender (p=1.000), perception (p=0.240), attitude (p=0.163), and job design (p=0.464). The most dominant variable relates to the performance of health workers, namely leadership. Health workers who stated good leadership had the opportunity to have good performance 8.2 times higher than health workers who stated poor leadership. It is recommended that the management of RSU Royal Prima Medan conduct continuous performance assessments of health workers.

A mixed‐method approach to examining the experiences of allied health clinicians and managers of the performance, appraisal and development framework in a regional health care service

“…Many clinician respondents commented that the PAD framework tended to favour organisational needs and changes rather than clinician performance within the organisation. Research by Kurniawan et al 19 also highlighted the importance of good leadership and its impact on workforce performance. Experienced leadership that is discipline related is essential for organisational success in the health care service and requires invested managers to integrate the goals of the organisation and the individual to maximise patient care.…”

“…Many clinician respondents commented that the PAD framework tended to favour organisational needs and changes rather than clinician performance within the organisation. Research by Kurniawan et al 19 . also highlighted the importance of good leadership and its impact on workforce performance.…”

“…[15][16][17] Positive components of effective performance appraisal systems include implementation of an individual approach for employees, regular verbal and written feedback, development of action plans and, competency in administration of the ongoing performance evaluation process. 6,7,18 Research by Kurniawan et al 19 reports good leadership as the dominant variable for hospital health staff performance and continued improvement. Further, literature reports the value of a 360-degree peer assessment tool involving key stakeholders of the employee's work to inform health appraisals.…”