THE RELATIONSHIP WE WANT, AND WE NEED WITH THE ENGAGEMENT OF MEDICAL PROFESSIONALS AND THE RELATIONSHIP WITH THE QUALITY OF CLINICAL SERVICES IN MUHAMMADIYAH HOSPITAL, NORTH SUMATERA
Main Article Content
Nora Damayanti
Crismis Novalinda Ginting
Muhammad Faridz Syahrian
This study examines the relationship between intrinsic motivation (We Want) and organizational support (We Need) with professional engagement and their implications for clinical service quality at Muhammadiyah General Hospital, North Sumatra. The study aims to analyze how internal and external factors influence engagement among medical professionals and how this engagement contributes to service quality. A quantitative cross-sectional design was employed involving 32 respondents selected from medical professionals. Data were collected using structured questionnaires and analyzed using descriptive statistics and inferential analysis. The results indicate that intrinsic motivation has a positive and significant relationship with professional engagement, while organizational support demonstrates a stronger influence on engagement levels. Furthermore, professional engagement significantly affects clinical service quality, indicating that engaged medical professionals are more committed, responsive, and adherent to clinical standards. However, findings also reveal that organizational support remains suboptimal, particularly in leadership and communication aspects, which may hinder optimal engagement. Overall, clinical service quality is perceived as good but is primarily driven by individual commitment rather than systemic organizational support. These findings highlight the importance of balancing intrinsic motivation and organizational support to enhance engagement and improve sustainable healthcare service quality.
Albrecht, S. L., Breidahl, E., & Marty, A. (2023). Organizational resources, employee engagement, and performance: A systematic review. Journal of Organizational Effectiveness, 10(1), 1–20.
Bailey, C., Madden, A., Alfes, K., & Fletcher, L. (2022). The meaning, antecedents, and outcomes of employee engagement. International Journal of Management Reviews, 24(2), 200–219.
Bakker, A. B., & Demerouti, E. (2023). Job demands–resources theory: Taking stock and looking forward. Journal of Occupational Health Psychology, 28(1), 1–15.
Breevaart, K., & Bakker, A. B. (2022). Leadership and employee engagement. Annual Review of Organizational Psychology, 9, 389–414.
Deci, E. L., Olafsen, A. H., & Ryan, R. M. (2022). Self-determination theory in work organizations. Annual Review of Organizational Psychology, 9, 19–43.
Dzau, V. J., Kirch, D., & Nasca, T. (2023). Preventing clinician burnout. New England Journal of Medicine, 388(6), 513–515.
Handayani, P. W., Hidayanto, A. N., & Sandhyaduhita, P. I. (2023). Factors influencing healthcare service quality. BMC Health Services Research, 23, 112.
Jankelová, N., Joniaková, Z., & Skorková, Z. (2023). Organizational support and engagement. Healthcare, 11(3), 455.
Karatepe, O. M., Rezapouraghdam, H., & Hassannia, R. (2023). Job embeddedness and engagement. International Journal of Contemporary Hospitality Management, 35(2), 456–474.
KEMENKES RI. (2023). Standar nasional akreditasi rumah sakit. Kemenkes RI.
Kim, H., & Park, J. (2022). Work engagement and healthcare service quality. Journal of Healthcare Management, 67(4), 245–256.
Martela, F., & Riekki, T. (2023). Meaningful work and motivation. Journal of Positive Psychology, 18(2).
OECD. (2023). Health at a glance 2023. OECD Publishing.
Prasetyo, A., Wibowo, A., & Santoso, B. (2024). Organizational support and clinical quality. Journal of Health Management, 26(1), 45–58.
Putri, D. A., Siregar, K. N., & Nasution, M. (2023). Workforce engagement challenges. Jurnal Administrasi Kesehatan Indonesia, 11(2), 101–110.
Rahman, F., Yuliani, R., & Kurniawan, D. (2023). Work environment and engagement. Journal of Nursing Management, 31(5), 890–899.
Ryan, R. M., & Deci, E. L. (2022a). Intrinsic and extrinsic motivation. Contemporary Educational Psychology, 61, 101860.
Ryan, R. M., & Deci, E. L. (2022b). Intrinsic and extrinsic motivation from a self-determination theory perspective. Contemporary Educational Psychology, 61, 101860. https://doi.org/10.1016/j.cedpsych.2020.101860
Schaufeli, W. B. (2022). Work engagement review. European Journal of Work and Organizational Psychology, 31(1), 1–15.
Siregar, M. H., Lubis, R., & Harahap, R. (2024). Workforce challenges in hospitals. Jurnal Kesehatan Masyarakat Nasional, 19(1), 12–20.
Steger, M. F., Dik, B. J., & Duffy, R. D. (2022). Meaningful work inventory. Journal of Career Assessment, 30(1).
Wei, H., Sewell, K. A., Woody, G., & Rose, M. A. (2023a). Nurse work engagement and quality of care. International Journal of Nursing Sciences, 10(2), 224–231.
Wei, H., Sewell, K. A., Woody, G., & Rose, M. A. (2023b). The associations among nurse work engagement, job satisfaction, quality of care, and intent to leave. International Journal of Nursing Sciences, 10(2), 224–231. https://doi.org/10.1016/j.ijnss.2023.02.003
West, C. P., Dyrbye, L. N., & Shanafelt, T. D. (2023a). Physician burnout: Contributors, consequences, and solutions. Journal of Internal Medicine, 293(4), 516–529. https://doi.org/10.1111/joim.13469
West, C. P., Dyrbye, L. N., & Shanafelt, T. D. (2023b). Physician burnout and solutions. Journal of Internal Medicine, 293(4), 516–529.
WHO. (2023). Global patient safety report. WHO.
WORLD BANK. (2022). World development report: Health systems resilience. World Bank.
