Incentive System, Workload, and Work Relationships: Their Impact on Nurse Performance in Type D Hospitals

Background: Nurse performance is a critical determinant of healthcare quality, particularly in Type D hospitals, which often face challenges related to limited resources and staffing. However, limited research has explored how organizational factors—such as incentive systems, workload, and work relationships—influence job satisfaction as a driver of nurse performance. Objective: This study aims to examine the impact of incentive systems, workload, and work relationships on job satisfaction among nurses in Type D hospitals. Methods: A quantitative, descriptive research design was applied. Data were collected from nurses in Type D hospitals and analyzed using factor and regression analysis with SPSS software to identify the influence of each variable on job satisfaction. Results: The findings indicate that incentive systems, workload, and work relationships have a significant simultaneous effect on nurse job satisfaction. Each variable also showed a statistically significant partial effect, with the incentive system and work relationships positively influencing satisfaction, while workload showed a negative but significant impact. Conclusion: Incentive systems, workload, and work relationships are key determinants of job satisfaction among nurses in Type D hospitals. Strengthening incentive structures and professional relationships, while managing workload, may enhance nurse satisfaction and potentially improve overall performance.