Original Articles
Open Access

The Relationship Between Workload and Nurse Performance in the Inpatient Wards of Ampana Regional General Hospital: A Cross-Sectional Study

Abdul Rahman Adjimalaha 1 ID
1 RSUD Ampana
Published 2026-05-30
Vol. 6 No. 2 (2026) Pages 74-80
DOI https://doi.org/10.33860/g2860z10
Views / Downloads 3 0
Download PDF

Abstract

Nurses’ workload may be associated with the quality and consistency of nursing performance in inpatient settings. Local evidence from Ampana Regional General Hospital is needed to inform workload planning. Objective: To examine the association between workload and nurse performance among inpatient nurses at Ampana Regional General Hospital. A cross-sectional correlational study was conducted on June 10–20, 2025. The thesis reports 54 nurses sampled from a population of 119 using Slovin’s formula with a 10% error margin and proportional allocation across eight wards, followed by simple random sampling. Workload and performance were measured with 13-item and 30-item questionnaires; Spearman’s rho was used. Moderate workload was reported by 38 nurses (70.4%), light workload by 13 (24.1%), and heavy workload by 3 (5.6%). Performance was moderate in 30 nurses (55.6%) and good in 24 (44.4%). The results report a positive correlation (Spearman’s ρ=0.530, p<0.001). Workload and performance scores were significantly associated.

Keywords: Workload Nurse Performance Inpatient Wards hospital cross-sectional study.

How to Cite

The Relationship Between Workload and Nurse Performance in the Inpatient Wards of Ampana Regional General Hospital: A Cross-Sectional Study. (2026). Lentora Nursing Journal, 6(2), 74-80. https://doi.org/10.33860/g2860z10
More Citation Formats

Views / Downloads

No statistics available yet.
3 Abstract
0 Downloads

Files

pdf
0 downloads Download

License

Copyright (c) 2026 Abdul Rahman Adjimalaha

Creative Commons License

This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

References

Alzoubi, M. M., Al-Mugheed, K., Oweidat, I., et al. (2024). Moderating role of relationships between workloads, job burnout, turnover intention, and healthcare quality among nurses. BMC Psychology, 12, 495. https://doi.org/10.1186/s40359-024-01891-7

Assaye, A. M., Wiechula, R., Schultz, T. J., & Feo, R. (2021). Impact of nurse staffing on patient and nurse workforce outcomes in acute care settings in low- and middle-income countries: a systematic review. JBI Evidence Synthesis, 19(4), 751–793. https://doi.org/10.11124/JBISRIR-D-19-00426

Bae, S. H. (2021). Relationships between comprehensive characteristics of nurse work schedules and adverse patient outcomes: a systematic literature review. Journal of Clinical Nursing, 30(15–16), 2202–2221. https://doi.org/10.1111/jocn.15728

Bae, S. H. (2024). Nurse staffing, work hours, mandatory overtime, and turnover in acute care hospitals affect nurse job satisfaction, intent to leave, and burnout: a cross-sectional study. International Journal of Public Health, 69, 1607068. https://doi.org/10.3389/ijph.2024.1607068

Batubara, K., Syam, B., & Wahyuni, S. E. (2020). Job Demands–Resources Model affects the performance of associate nurses in hospital. Jurnal Keperawatan Indonesia, 23(2), 111–118. https://doi.org/10.7454/jki.v23i2.1132

Chang, H. Y., Lin, Y. A., Yu, W. P., et al. (2025). Impact of nurses’ peak workload and time pressure on work exhaustion and turnover intention. Journal of Nursing Management, 2025, 2311721. https://doi.org/10.1155/jonm/2311721

Cho, H., & Steege, L. M. (2021). Nurse fatigue and nurse, patient safety, and organizational outcomes: a systematic review. Western Journal of Nursing Research, 43(12), 1157–1168. https://doi.org/10.1177/0193945921990892

Cho, H., Steege, L. M., & Arsenault Knudsen, É. N. (2022). Occupational fatigue, workload and nursing teamwork in hospital nurses. Journal of Advanced Nursing, 78(8), 2313–2326. https://doi.org/10.1111/jan.15246

Dall’Ora, C., Saville, C., Rubbo, B., et al. (2022). Nurse staffing levels and patient outcomes: a systematic review of longitudinal studies. International Journal of Nursing Studies, 134, 104311. https://doi.org/10.1016/j.ijnurstu.2022.104311

Diehl, E., Rieger, S., Letzel, S., et al. (2021). The relationship between workload and burnout among nurses: the buffering role of personal, social and organisational resources. PLOS ONE, 16(1), e0245798. https://doi.org/10.1371/journal.pone.0245798

Ferramosca, F. M. P., De Maria, M., Ivziku, D., et al. (2023). Nurses’ organization of work and its relation to workload in medical-surgical units: a cross-sectional observational multi-center study. Healthcare, 11(2), 156. https://doi.org/10.3390/healthcare11020156

Getie, A., Ayenew, T., Gedfew, M., et al. (2025). Global prevalence and contributing factors of nurse burnout: an umbrella review of systematic review and meta-analysis. BMC Nursing, 24, 596. https://doi.org/10.1186/s12912-025-03266-8

Griffiths, P., Saville, C., Ball, J., et al. (2020). Nursing workload, nurse staffing methodologies and tools: a systematic scoping review and discussion. International Journal of Nursing Studies, 103, 103487. https://doi.org/10.1016/j.ijnurstu.2019.103487

Hoogendoorn, M. E., Brinkman, S., Spijkstra, J. J., et al. (2021). The objective nursing workload and perceived nursing workload in intensive care units: analysis of association. International Journal of Nursing Studies, 115, 103852. https://doi.org/10.1016/j.ijnurstu.2020.103852

Ivziku, D., Ferramosca, F. M. P., Filomeno, L., et al. (2022). Defining nursing workload predictors: a pilot study. Journal of Nursing Management, 30(2), 473–481. https://doi.org/10.1111/jonm.13523

Ivziku, D., Gualandi, R., Ferramosca, F. M. P., et al. (2024). Decoding nursing job demands: a multicenter cross-sectional descriptive study assessing nursing workload in hospital medical-surgical wards. SAGE Open Nursing, 10. https://doi.org/10.1177/23779608241258564

Izadi, N., Saraie, M., Aminian, O., & Forouzan, N. (2023). Occupational stress and job performance among Iranian hospital nurses: a cross-sectional survey. Work, 74(4). https://doi.org/10.3233/WOR-211015

Juhairiyah, S., Febriyanty, D., Nitami, M., & Puspitaloka, E. (2021). Relationship between workload and nurse performance at the Rawamangun Special Surgery Hospital in 2021. KESMAS UWIGAMA: Jurnal Kesehatan Masyarakat, 7(2), 239–243. https://doi.org/10.24903/kujkm.v7i2.1168

Kurnia, A., Karmilah, K., Khusnul, N., et al. (2024). The effect of workload on nurse performance in hospital inpatient settings: a systematic literature review. Genius Journal, 5(2), 315–325. https://doi.org/10.56359/gj.v5i2.422

Lake, E. T., Riman, K. A., & Sloane, D. M. (2020). Improved work environments and staffing lead to less missed nursing care: a panel study. Journal of Nursing Management, 28(8), 2157–2165. https://doi.org/10.1111/jonm.12970

Li, L. Z., Yang, P., Singer, S. J., et al. (2024). Nurse burnout and patient safety, satisfaction, and quality of care: a systematic review and meta-analysis. JAMA Network Open, 7(11), e2443059. https://doi.org/10.1001/jamanetworkopen.2024.43059

Maghsoud, F., Rezaei, M., Asgarian, F. S., & Rassouli, M. (2022). Workload and quality of nursing care: the mediating role of implicit rationing of nursing care, job satisfaction and emotional exhaustion by using structural equations modeling approach. BMC Nursing, 21(1), 273. https://doi.org/10.1186/s12912-022-01055-1

Nantsupawat, A., Poghosyan, L., Wichaikhum, O. A., et al. (2022). Nurse staffing, missed care, quality of care and adverse events: a cross-sectional study. Journal of Nursing Management, 30(2), 447–454. https://doi.org/10.1111/jonm.13501

Ni, Y. X., Li, Y., Yu, H., et al. (2024). Relationship between job demands, work engagement, emotional workload and job performance among nurses: a moderated mediation model. International Nursing Review, 71, 924–932. https://doi.org/10.1111/inr.12941

Pamungkas, R. A., Ruga, F. B., & Kusumapradja, R. (2022). Impact of physical workload and mental workload on nurse performance: a path analysis. International Journal of Nursing and Health Services, 5(2), 219–225. https://doi.org/10.35654/ijnhs.v5i2.604

Pourteimour, S., Yaghmaei, S., & Babamohamadi, H. (2021). The relationship between mental workload and job performance among Iranian nurses providing care to COVID-19 patients: a cross-sectional study. Journal of Nursing Management, 29(6), 1723–1732. https://doi.org/10.1111/jonm.13305

Rusdi, A. R. N., Russeng, S. S., Salmah, A. U., et al. (2020). The influence of workload on the nurses’ performance at Ambon General Hospital. Enfermería Clínica, 30, 419–422. https://doi.org/10.1016/j.enfcli.2019.10.114

Shin, S., Park, J. H., & Bae, S. H. (2020). Impact of nurse staffing on intent to leave, job satisfaction, and occupational injuries in Korean hospitals: a cross-sectional study. Nursing & Health Sciences, 22, 658–666. https://doi.org/10.1111/nhs.12709

Twigg, D. E., Whitehead, L., Doleman, G., et al. (2021). The impact of nurse staffing methodologies on nurse and patient outcomes: a systematic review. Journal of Advanced Nursing, 77(12), 4599–4611. https://doi.org/10.1111/jan.14909

van den Oetelaar, W. F. J. M., Roelen, C. A. M., Grolman, W., et al. (2021). Exploring the relation between modelled and perceived workload of nurses and related job demands, job resources and personal resources: a longitudinal study. PLOS ONE, 16(2), e0246658. https://doi.org/10.1371/journal.pone.0246658

Wang, L., Chen, H., Wan, Q., et al. (2021). Effects of self-rated workload and nurse staffing on work engagement among nurses: a cross-sectional survey. Journal of Nursing Management, 29(5), 1329–1337. https://doi.org/10.1111/jonm.13274

Zhang, Y., Zhang, X., Liu, T., et al. (2022). Effects of role overload, work engagement and perceived organisational support on nurses’ job performance during the COVID-19 pandemic. Journal of Nursing Management, 30(4), 901–912. https://doi.org/10.1111/jonm.13598