Analysis of Factors Affecting Nurse Job Satisfaction at Murni Teguh Horas Insani Hospital Pematangsiantar in 2025
Keywords:
Nurse Job Satisfaction, Leadership, Work Environment, Workload, HospitalAbstract
Nurse job satisfaction is an important factor that influences the quality of healthcare services, staff retention, and hospital performance. Job satisfaction is affected by various organizational and workplace factors such as salary, work environment, coworker relationships, leadership, and workload. This study aimed to analyze the factors affecting nurse job satisfaction at Murni Teguh Horas Insani Hospital, Pematangsiantar, in 2025. This research used a quantitative approach with a descriptive correlational design. The study population consisted of nurses working at Murni Teguh Horas Insani Hospital Pematangsiantar, with a sample of 42 respondents selected using total sampling based on inclusion criteria. Data were collected using a Likert-scale questionnaire and analyzed using multiple linear regression. The results showed that simultaneously salary, work environment, coworker relationships, leadership, and workload had a significant effect on nurse job satisfaction (F = 10.332; p = 0.000). Partially, leadership had a positive and significant effect on nurse job satisfaction (B = 0.688; p = 0.000) and was the most dominant factor. Meanwhile, salary, work environment, coworker relationships, and workload did not show a significant partial effect. The regression model met classical assumption tests including normality, multicollinearity, heteroscedasticity, and autocorrelation. It can be concluded that improving leadership quality is the key factor in increasing nurse job satisfaction. Hospital management is recommended to strengthen supportive and participative leadership styles to enhance nurse satisfaction and performance.
References
M. F. Hellín Gil et al., “Relationship between Job Satisfaction and Workload of Nurses in Adult Inpatient Units,” Int J Environ Res Public Health, vol. 19, no. 18, p. 11701, Sep. 2022, doi: 10.3390/ijerph191811701.
G. Doleman, A. De Leo, and D. Bloxsome, “The impact of pandemics on healthcare providers’ workloads: A scoping review,” J Adv Nurs, vol. 79, no. 12, pp. 4434–4454, Dec. 2023, doi: 10.1111/jan.15690.
A. Rachmiana and S. Suryadi, “Determinants of Nurses’ Job Satisfaction: A Cross-Sectional Study in an Indonesian Public Hospital,” Borneo Journal of Medical Laboratory Technology, vol. 8, no. 1, pp. 853–862, Nov. 2025, doi: 10.33084/bjmlt.v8i1.10186.
C. Quesada-Puga et al., “Job satisfaction and burnout syndrome among intensive-care unit nurses: A systematic review and meta-analysis,” Intensive and Critical Care Nursing, vol. 82, p. 103660, Jun. 2024, doi: 10.1016/j.iccn.2024.103660.
H. Lu, Y. Zhao, and A. While, “Job satisfaction among hospital nurses: A literature review,” International Journal of Nursing Studies, vol. 94, pp. 21–31, Jun. 2019, doi: 10.1016/j.ijnurstu.2019.01.011.
M. Queen-Lomas, “Night Shift Acute Care Nurse Narratives: Exploring Collaborative Solutions to Reduce Burnout, Increase Morale and Engagement, and Improve Retention,” Dissertations, May 2024, [Online]. Available: https://aquila.usm.edu/dissertations/2231
A. R. Kadir, N. Kamariah, A. Saleh, and Ratnawati, “The effect of role stress, job satisfaction, self-efficacy and nurses’ adaptability on service quality in public hospitals of Wajo,” International Journal of Quality and Service Sciences, vol. 9, no. 2, pp. 184–202, Jun. 2017, doi: 10.1108/IJQSS-10-2016-0074.
N. Gillet et al., “The effects of work factors on nurses’ job satisfaction, quality of care and turnover intentions in oncology,” J Adv Nurs, vol. 74, no. 5, pp. 1208–1219, May 2018, doi: 10.1111/jan.13524.
K. Newman, U. Maylor, and B. Chansarkar, “‘The nurse satisfaction, service quality and nurse retention chain’: Implications for management of recruitment and retention,” J Manag Med, vol. 16, no. 4, pp. 271–291, Aug. 2002, doi: 10.1108/02689230210445095.
T. A. Judge, S. (Carrie) Zhang, and D. R. Glerum, “Job Satisfaction,” in Essentials of Job Attitudes and Other Workplace Psychological Constructs, Routledge, 2020.
B. Mazumdar, A. Warren, K. Dupré, and T. Brown, “Employment expectations: examining the effect of psychological contract fulfillment on bridge employees’ personal and work attitudes,” Personnel Review, vol. 52, no. 5, pp. 1563–1578, Jun. 2022, doi: 10.1108/PR-08-2020-0658.
R. Stemmer et al., “A systematic review: Unfinished nursing care and the impact on the nurse outcomes of job satisfaction, burnout, intention-to-leave and turnover,” Journal of Advanced Nursing, vol. 78, no. 8, pp. 2290–2303, 2022, doi: 10.1111/jan.15286.
M. Galanakis and G. Peramatzis, “Herzberg’s Motivation Theory in Workplace,” JPR, vol. 12, no. 12, Dec. 2022, doi: 10.17265/2159-5542/2022.12.009.
M. Tang, D. Wang, and A. Guerrien, “A systematic review and meta-analysis on basic psychological need satisfaction, motivation, and well-being in later life: Contributions of self-determination theory,” PsyCh Journal, vol. 9, no. 1, pp. 5–33, 2020, doi: 10.1002/pchj.293.
A. C. Waddimba, D. C. Mohr, H. B. Beckman, T. L. Mahoney, and G. J. Young, “Job satisfaction and guideline adherence among physicians: Moderating effects of perceived autonomy support and job control,” Social Science & Medicine, vol. 233, pp. 208–217, Jul. 2019, doi: 10.1016/j.socscimed.2019.04.045.
C. Budge, J. Carryer, and S. Wood, “Health correlates of autonomy, control and professional relationships in the nursing work environment,” Journal of Advanced Nursing, vol. 42, no. 3, pp. 260–268, 2003, doi: 10.1046/j.1365-2648.2003.02615.x.
S. Chib, A. K. Mehta, P. Selvakumar, A. Saravanan, B. R. Mishra, and T. C. Manjunath, “Mental Health Challenges and Solutions in High-Pressure Work Environments,” in Innovative Approaches to Managing Conflict and Change in Diverse Work Environments, IGI Global Scientific Publishing, 2025, pp. 247–272. doi: 10.4018/979-8-3693-9556-1.ch011.
A. A. Nassani, W. Badshah, A. Grigorescu, A. N. Cozorici, Z. Yousaf, and X. Zhan, “Participatory leadership and supportive organisational culture Panacea for job satisfaction regulatory role of work-life balance,” Heliyon, vol. 10, no. 16, Aug. 2024, doi: 10.1016/j.heliyon.2024.e36043.
C. M. Mabaso and B. I. Dlamini, “Recent Study on the Impact of Compensation and Benefits on Job Satisfaction,” Insights into Economics and Management Vol. 7, pp. 55–68, Apr. 2021, doi: 10.9734/bpi/ieam/v7/1575C.
P. Wicaksana, “Exploring the Impact of Burnout and Job Insecurity on Turnover Intention During the Covid-19 Pandemic,” Acta Psychologia, vol. 2, no. 4, pp. 141–149, Jan. 2024, doi: 10.35335/psychologia.v2i4.47.
E. S. AbdELhay, S. M. Taha, M. M. El-Sayed, S. H. Helaly, and I. S. AbdELhay, “Nurses retention: the impact of transformational leadership, career growth, work well-being, and work-life Balance,” BMC Nurs, vol. 24, no. 1, p. 148, Feb. 2025, doi: 10.1186/s12912-025-02762-1.
K. Karsim, E. Susilowati, W. B. Setiawan, M. Syafii, and S. Rijal, “Nurturing Job Satisfaction: Social Interactions and Work Environment via Empowering Motivation,” Jurnal Informatika Ekonomi Bisnis, pp. 772–778, Sep. 2023, doi: 10.37034/infeb.v5i3.645.
E. F. Adanlawo, N. Y. Nkomo, and M. Vezi-Magigaba, “Compensation as a motivating factor for job satisfaction and performance.,” International Journal of Research in Business & Social Science, vol. 12, no. 3, p. 131, Apr. 2023, doi: 10.20525/ijrbs.v12i3.2474.
B. Akinyemi, B. George, and A. Ogundele, “Relationship between Job Satisfaction, Pay, Affective Commitment and Turnover Intention among Registered Nurses in Nigeria,” Global Journal of Health Science, vol. 14, pp. 37–37, Jan. 2022, doi: 10.5539/gjhs.v14n2p37.
M. Arian, M. Soleimani, and M. B. Oghazian, “Job satisfaction and the factors affecting satisfaction in nurse educators: A systematic review,” J Prof Nurs, vol. 34, no. 5, pp. 389–399, 2018, doi: 10.1016/j.profnurs.2018.07.004.
M. Marliani, R. Tanjung, and R. K. Rochadi, “Hubungan Lingkungan Kerja dengan Kepuasan Kerja Perawat,” Journal of Telenursing (JOTING), vol. 5, no. 2, pp. 2421–2428, Oct. 2023, doi: 10.31539/joting.v5i2.7640.
Y. Zhen et al., “Analysis of the difference in pulse oxygen saturation between the ventral and dorsal fingers,” International Journal of Nursing Practice, vol. 28, no. 2, p. e12916, 2022, doi: 10.1111/ijn.12916.
J. Donley, “The Impact of Work Environment on Job Satisfaction: Pre-COVID Research to Inform the Future,” Nurse Leader, vol. 19, no. 6, pp. 585–589, Dec. 2021, doi: 10.1016/j.mnl.2021.08.009.
M. S. Syahrir and F. Falah, “Occupational Burnout and Workload: Mental Health Challenges in the Workplace and Solutions,” Journal of Health Literacy and Qualitative Research, vol. 1, no. 2, pp. 69–83, Sep. 2021, doi: 10.61194/jhlqr.v1i2.528.
M. M. Alzoubi et al., “Moderating role of relationships between workloads, job burnout, turnover intention, and healthcare quality among nurses,” BMC Psychol, vol. 12, no. 1, p. 495, Sep. 2024, doi: 10.1186/s40359-024-01891-7.
M. L. Specchia et al., “Leadership Styles and Nurses’ Job Satisfaction. Results of a Systematic Review,” International Journal of Environmental Research and Public Health, vol. 18, no. 4, p. 1552, Jan. 2021, doi: 10.3390/ijerph18041552.
M. Al Maqbali, M. Al Shehhi, F. Al Hosani, and C. Hughes, “Factors influencing job satisfaction and turnover intention among nurses in the UAE,” PLoS One, vol. 21, no. 3, p. e0344434, Mar. 2026, doi: 10.1371/journal.pone.0344434.













