Work Performance Predictors and Challenges of Nurses in a Level 2 Hospital

Abstract

This study assessed the work performance of nurses, examined the influence of personal characteristics on performance, and identified workplace challenges. A quantitative descriptive–correlational design was employed at a Level 2 hospital in Surigao City, Philippines with 299 nurses engaged in direct patient care participating. Data were collected using a structured Work Performance Questionnaire covering attendance, appearance, work habits, staff relations, patient communication, nursing care planning, safety, innovation, documentation, and technical knowledge. Descriptive statistics, multiple linear regression, and frequency analysis were applied. Most respondents were 18–35 years old, female, job-order nurses, and held a bachelor’s degree. Overall, nurses’ work performance exceeded requirements across all dimensions, with innovation, technical competence, and documentation showing the highest scores. Regression analysis revealed that age, sex, marital status, employment status, rank, and years of employment significantly predicted performance, whereas religion, education, area of assignment, and training attendance were not significant. The most reported challenges included staff shortages, heavy workload, low salary, limited advancement, and lack of training, which impacted productivity and motivation. Findings confirm that both individual characteristics and organizational factors shape nursing performance, consistent with the Job Demands–Resources Model. To sustain high performance and improve patient care, recommendations include staffing optimization, structured mentorship, equitable compensation, continuous professional development, and innovation-driven quality improvement initiatives.