Examining determinants of career progression and competency enhancement among nurses
DOI: https://doi.org/10.33024/minh.v8i6.879
Career Level Nurse Competencies Supervisor Support
Abstract
Background: Career progression in nursing is achieved through enhanced competencies gained from formal, structured education, relevant informal learning, and clinical experience. However, the implementation of career pathways in several hospitals remains suboptimal.
Purpose: To examine the key factors influencing the development of nurses' career levels and competencies at Haji Abdoel Majid Batoe Hospital, Batang Hari Jambi.
Method: A quantitative correlational study with an ex post facto design was conducted at Haji Abdoel Majid Batoe Hospital between October and November 2024. Data were collected using a questionnaire from a proportionally randomized sample of 141 nurses. Data analysis was carried out using multiple linear regression.
Results: Supervisor support was the most influential factor affecting nurses' career level and competency development (p = 0.000). Overall, 38.5% of the variance in career level and competency development could be explained by job satisfaction, supervisor support, and management support, while the remaining 61.5% was attributed to other variables outside the model.
Conclusion: Job satisfaction, supervisor support, and management support significantly contribute to the development of nurses' career levels and competencies. It is recommended that hospital management, particularly the nursing committee, implement a policy of monthly mentoring sessions for nurses undergoing competency assessments for career advancement.
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References
Abele, A. E., Hagmaier, T., & Spurk, D. (2016). Does career success make you happy? The mediating role of multiple subjective success evaluations. Journal of happiness studies, 17(4), 1615-1633.
Benner, P. (1984). From novice to expert excellence and power in clinical nursing practice. AJN The American Journal of Nursing, 84(12), 1479.
Brook, J., Aitken, L., Webb, R., MacLaren, J., & Salmon, D. (2019). Characteristics of successful interventions to reduce turnover and increase retention of early career nurses: A systematic review. International journal of nursing studies, 91, 47-59.
Burch, J., & Taylor, C. (2019). Developing specialist nursing practice: participants' experiences of a nursing scholarship programme. Gastrointestinal Nursing, 17(10), 28-33.
Chetana, N., & Mohapatra, A. D. (2017). Career planning and career management as antecedents of career development: A study. Asian Journal of Management, 8(3), 614-618. Retrieved from: https://www.researchgate.net/publication/319987651_Career_planning_and_career_management_as_antecedents_of_career_development_A_study
Department of Health of the Republic of Indonesia. (2006). Pedoman Pengembangan Jenjang Karir Profesional Perawat. Direktorat BIna Keperawatan, Direktoral Jenderal Bina Pelayanan Medik, Departemen Kesehatan RI. Retrieved from: https://www.scribd.com/document/503508134/Pedoman-Pengembangan-Jenjang-Karir-Profesional-Perawat
Fatima, F. (2017). Investigating the predecessors and consequences of career development program: empirical evidence from Omani and Emirati employees. Ahead International Journal of Recent Research Review, 1(11), 28–34
Galvin, K. T., Sloan, C., Cowdell, F., Ellis‐Hill, C., Pound, C., Watson, R., & Brooks, S. (2018). Facilitating a dedicated focus on the human dimensions of care in practice settings: Development of a new humanised care assessment tool (HCAT) to sensitise care. Nursing Inquiry, 25(3), e12235.
General Public Hospital of Haji Abdoel Madjid Batoe. (2025). Profil RSUD Abdoel Madjid Batoe Tahun 2025. Pemerintah Kabupaten Batang Hari. Retrieved from https://drive.google.com/file/d/1iCLeAnuD6j0XCyy0Q49baKNG9BF5H8n1/view
Haryanto, M. S., & Nurhidayah, S. (2023). Hubungan Pelaksanaan Jenjang Karir Perawat Pelaksana Dengan Kepuasan Kerja Di Rumah Sakit Umum Daerah Cimahi. Jurnal Keperawatan, 11(2), 187-195.
Hedge, J. W., & Rineer, J. R. (2017). Improving career development opportunities through rigorous career pathways research. RTI Press.
Heslin, P. A., Keating, L. A., & Minbashian, A. (2019). How situational cues and mindset dynamics shape personality effects on career outcomes. Journal of Management, 45(5), 2101-2131.
Hite, R. L., & McDonald, T. L. (2021). Exploring science relevancy by gender and SES in The Bahamas: secondary Bahamian students' interests in science and attractive attributes of future careers. International Journal of Science Education, 43(11), 1860-1879.
Huston, C. J. (2022). Leadership roles and management functions in nursing: theory and application. Lippincott Williams & Wilkins.
Ismaiel, M. H., Reizian, A. E., & Hamouoda, G. M. (2013). Factors Affective Nurses’ Career Development. Journal of American Science, 9(5), 163–172. Retrieved from: https://www.jofamericanscience.org/journals/am-sci/am0905/023_16044am0905_163_172.pdf
Khoshknab, M. F., Mohammadi, F., & Oskouie, F. (2015). Nurses’ experience of flourishing work environment in career advancement: A qualitative study. Journal of Inflammatory Diseases, 18(6), 55-62.
Kim, M., & Beehr, T. A. (2020). Job crafting mediates how empowering leadership and employees’ core self-evaluations predict favourable and unfavourable outcomes. European Journal of Work and Organizational Psychology, 29(1), 126-139.
Kitana, A., & Karam, A. A. (2017). The relationship between work environment into women’s career development and job satisfaction in the United Arab Emirates: A large scale sampling. International Journal of Business and Management Invention, 6(1), p22-28.
Landolt, K., Maruff, P., Horan, B., Kingsley, M., Kinsella, G., O'Halloran, P. D., & Wright, B. J. (2019). Reduced professional efficacy is associated with a blunted salivary alpha-amylase awakening response. Physiology & Behavior, 199, 292-299.
Lee, H. J., & Lee, S. K. (2022). Effects of job embeddedness and nursing working environment on turnover intention among trauma centre nurses: A cross‐sectional study. Journal of nursing management, 30(7), 2915-2926.
Longge, E., Anindita, R., & Pamungkas, R. A. (2021). Indonesian Journal of Global Health Research. Indonesian Journal of Global Health Research, 3(3), 389-398.
Ministry of Health of the Republic of Indonesia. (2013). Petunjuk Pelaksanaan Jenjang Karir Perawat di Rumah Sakit. Direktorat Bina Pelayanan Keperawatan dan Keteknisian Medik. Direktorat Jenderal Upaya Kesehatan. Retrieved from: https://www.scribd.com/doc/279697523/Petunjuk-Pelaksanaan-Jenjang-Karir-Perawat-Di-Rumah-Sakit
Ministry of Health of the Republic of Indonesia. (2017). Peraturan Menteri Kesehatan Nomor 40 Tahun 2017 tentang Pengembangan Jenjang Karir Profesional Perawat Klinis. Retrieved from: https://peraturan.bpk.go.id/Details/112121/permenkes-no-40-tahun-2017
Mohammed, R. R., Abdel Wahab, E. A., & El-Sayed, R. I. (2020). Factors Influencing Career Development among Nursing Staff at Port-Said Governmental Hospitals. Port Said Scientific Journal of Nursing, 7(1), 191-211.
Noprianty, R., Kusumah, N. A. R., & Laelasari, L. (2019). Evaluasi Pelaksanaan Kompetensi Berdasarkan Jenjang Karir Profesional Perawat. Jurnal Kesehatan Vokasional, 4(2), 90-98.
Noe, R. A., Hollenbeck, J. R., Gerhart, B. A., & Wright, P. M. (2016). Fundamentals of human resource management (p. 608). New York, NY: McGraw-Hill Education.
Obiunu, J. J., & Ebunu, O. R. (2010). Factors affecting career development of senior secondary school students in Ethiope east local government area, Delta state, Nigeria. Educational Research, 1(11), 594-599.
Pertiwi, B., & Hariyati, R. T. S. (2019). The impacts of career ladder system for nurses in hospital. Enfermeria clinica, 29, 106-110.
Price, S., & Reichert, C. (2017). The importance of continuing professional development to career satisfaction and patient care: meeting the needs of novice to mid-to late-career nurses throughout their career span. Administrative Sciences, 7(2), 17.
Republic of Indonesia. (2023). Undang-undang (UU) Nomor 17 Tahun 2023 tentang Kesehatan. Retrieved from: https://peraturan.bpk.go.id/Details/258028/uu-no-17-tahun-2023
Rinaldi, R., & Wardani, E. (2022). Application of the Clinical Nurse Career Path Pattern at Regional General Hospital in Aceh Province. EAS Journal of Nursing and Midwifery, 4(1), 1-7.
Sal, A., & Raja, M. (2016). The impact of training and development on employees performance and productivity. International Journal of Management Sciences and Business Research, 5(7).
Sausan, A., & Yusuf, M. (2019). Jenjang Karir Perawat di Rumah Sakit Umum Daerah Meuraxa Kota Banda Aceh. Jurnal Ilmiah Mahasiswa Fakultas Keperawatan, 4(2).
Sia, S. K., & Appu, A. V. (2015). Work autonomy and workplace creativity: Moderating role of task complexity. Global business review, 16(5), 772-784.
Tokarz, A., & Malinowska, D. (2019). From psychological theoretical assumptions to new research perspectives in sustainability and sustainable development: Motivation in the workplace. Sustainability, 11(8), 2222.
Vera, M., Martínez, I. M., Lorente, L., & Chambel, M. J. (2016). The role of co-worker and supervisor support in the relationship between job autonomy and work engagement among Portuguese nurses: A multilevel study. Social Indicators Research, 126(3), 1143-1156.
Yusuf, A., & Kumar, S. B. (2023). A study on psychological empowerment on work–life balance and retention in the organization. European Chemical Bulletin, 12(S2), 2472-2477.
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