The Influence of Individual and Organizational Factors on Nurse Motivation in Filling Medical Records in the Inpatient Room of the Medan Hajj Hospital

Oct 13, 2025 by windailys.com 69 views

The Influence of Individual and Organizational Factors on Nurse Motivation in Filling Medical Records in the Inpatient Room of the Medan Hajj Hospital

Introduction

Medical records play a crucial role in the hospital service system, as they contain a comprehensive record of every service and action provided to patients. However, the results of a preliminary survey conducted at the Medan Hajj Hospital in 2009 revealed that only 55% of the 100 medical record files taken from the inpatient room were completely filled by the nurse. This indicates a significant problem in the process of filling in medical records at the hospital. The low level of completeness of filling medical records by nurses is allegedly related to individual and organizational factors. Therefore, this study aims to investigate the influence of these two factors on nurse motivation in filling medical records.

Background

Medical records are essential for providing high-quality healthcare services. They contain a comprehensive record of every service and action provided to patients, including diagnoses, treatments, and test results. However, the completeness and accuracy of medical records are often compromised due to various factors, including nurse motivation. Nurse motivation is a critical factor that affects the quality of medical records, as motivated nurses are more likely to complete medical records accurately and on time.

Methodology

This study employed the Explanatory Survey Method to investigate the influence of individual and organizational factors on nurse motivation in filling medical records. The study involved all nurses in the inpatient room of the Medan Hajj Hospital, totaling 149 people, who were used as samples. Data was collected through interviews using a questionnaire and analyzed using multiple logistics regression tests with a significance level of α = 0.05.

Results

The results of this study showed that individual factors, such as needs, goals, and ability, have a significant influence on nurses' motivation in completing medical record filling (P <0.05). However, the attitude variable did not show a significant effect (P> 0.05). This indicates that although the nurse's attitude towards filling in the medical record is important, other factors such as needs, goals, and ability play a more dominant role in motivating them.

Organizational factors, such as salary, occupational security, worker relations, supervision, and appreciation, also have a significant influence on the motivation of nurses in completing the filling of medical records (P <0.05). Interestingly, the salary variable has the most dominant influence on nurse motivation. That is, adequate and fair salary is an important factor that can increase nurses' motivation to be more serious in filling medical records.

Discussion

The results of this study highlight the importance of individual and organizational factors in influencing nurse motivation in filling medical records. The findings suggest that nurses' motivation is influenced by their needs, goals, and ability, as well as organizational factors such as salary, occupational security, worker relations, supervision, and appreciation. The results also show that the motivation of nurses in filling medical records was relatively low, which was 50.3%. This indicates the need for efforts to increase the motivation of nurses so that they are more encouraged to complete the filling of medical records accurately and on time.

Recommendations

Based on the findings of this study, some recommendations can be applied by the management of Medan Hajj Hospital to increase the motivation of nurses in filling in medical records:

Career and promotion development: Provides opportunities for nurses to develop in their careers, such as training and promotions, can increase their motivation.
Giving feedback: Providing regular feedback on the performance of nurses in filling in medical records can increase their motivation and help them to correct deficiencies.
Reward and punishment systems: The application of a fair reward and punishment system can encourage nurses to improve their performance in filling medical records.
Improved ability through training: Training that focuses on the procedures and completeness of filling medical records, with the method of lecture, discussion, and coaching can increase the knowledge and skills of nurses in filling medical records.
SOP confirmation and application of Permenkes: Medan Hajj Hospital Management needs to reiterate the Standard Operating Procedure (SOP) of filling medical records and ensuring its application consistently based on Permenkes Number 269/Menkes/PER/III/2008 concerning Medical Records.

Conclusion

In conclusion, this study highlights the importance of individual and organizational factors in influencing nurse motivation in filling medical records. The findings suggest that nurses' motivation is influenced by their needs, goals, and ability, as well as organizational factors such as salary, occupational security, worker relations, supervision, and appreciation. The results also show that the motivation of nurses in filling medical records was relatively low, which was 50.3%. Therefore, efforts should be made to increase the motivation of nurses so that they are more encouraged to complete the filling of medical records accurately and on time. By implementing the right strategy, the management of Medan Hajj Hospital can increase the motivation of nurses in filling in medical records so that the quality of medical records becomes better and the health service system in the hospital can increase significantly.
Frequently Asked Questions (FAQs) about the Influence of Individual and Organizational Factors on Nurse Motivation in Filling Medical Records

Q: What is the importance of medical records in the hospital service system?

A: Medical records are essential for providing high-quality healthcare services. They contain a comprehensive record of every service and action provided to patients, including diagnoses, treatments, and test results.

Q: What is the problem with the completeness of filling medical records by nurses at the Medan Hajj Hospital?

A: The results of a preliminary survey conducted at the Medan Hajj Hospital in 2009 revealed that only 55% of the 100 medical record files taken from the inpatient room were completely filled by the nurse.

Q: What are the individual factors that influence nurse motivation in filling medical records?

A: The individual factors that influence nurse motivation in filling medical records include needs, goals, and ability.

Q: What is the significance of the attitude variable in influencing nurse motivation?

A: The attitude variable did not show a significant effect on nurse motivation in filling medical records.

Q: What are the organizational factors that influence nurse motivation in filling medical records?

A: The organizational factors that influence nurse motivation in filling medical records include salary, occupational security, worker relations, supervision, and appreciation.

Q: What is the most dominant influence on nurse motivation in filling medical records?

A: The salary variable has the most dominant influence on nurse motivation in filling medical records.

Q: What is the motivation of nurses in filling medical records at the Medan Hajj Hospital?

A: The motivation of nurses in filling medical records was relatively low, which was 50.3%.

Q: What are some recommendations that can be applied by the management of Medan Hajj Hospital to increase the motivation of nurses in filling in medical records?

A: Some recommendations that can be applied by the management of Medan Hajj Hospital to increase the motivation of nurses in filling in medical records include:

Career and promotion development
Giving feedback
Reward and punishment systems
Improved ability through training
SOP confirmation and application of Permenkes

Q: Why is it essential to increase the motivation of nurses in filling medical records?

A: It is essential to increase the motivation of nurses in filling medical records to ensure the quality of medical records and the health service system in the hospital.

Q: What are the benefits of implementing the right strategy to increase nurse motivation in filling medical records?

A: The benefits of implementing the right strategy to increase nurse motivation in filling medical records include:

Improved quality of medical records
Increased health service system in the hospital
Better patient care
Improved nurse job satisfaction

Q: Who can benefit from the findings of this study?

A: The findings of this study can benefit nurses, hospital administrators, and healthcare policymakers who are interested in improving the quality of medical records and the health service system in hospitals.