The Relationship Between Stress and Motivation, Burnout, and Performance Among Nurses in the Emergency Department of Soewondo Regional General Hospital in Kendal
Keywords:
Burnout, Emergency Department, Nurse Performance, Work Motivation, Work Stress.Abstract
Work stress is an occupational concern among Emergency Department (ED) nurses because of workloads, time pressure, unpredictable patient conditions, and demands for rapid clinical responses. This study examined the relationships between work stress and work motivation, burnout, and performance among ED nurses at Soewondo Regional General Hospital, Kendal. A quantitative descriptive-correlational study with a cross-sectional approach involved 32 ED nurses recruited through total sampling. Data were collected using the Work Stress Questionnaire and questionnaires measuring work motivation, burnout, and nursing performance. Descriptive statistics summarized study variables, while bivariate relationships were analyzed using Spearman’s rank correlation. Moderate work stress was observed in 13 nurses (40.6%), while low and moderate work motivation were each identified in 11 nurses (34.4%). High burnout was found in 12 nurses (37.5%), and 14 nurses (43.8%) demonstrated adequate performance. Work stress was strongly and negatively associated with work motivation (rho = −0.954; p = 0.000) and nursing performance (rho = −0.872; p = 0.000), while a strong positive association was identified with burnout (rho = 0.935; p = 0.000). These findings indicate that higher work stress is associated with lower motivation, greater burnout, and poorer nursing performance, highlighting the importance of occupational stress management to support psychological well-being and performance among ED nurses.
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