Association of Competence, Motivation and Nurse Workload with Nurse Performance at Mental Hospital in Bali Province

Background and purpose: Average Bed Ocupation Rate (BOR) of Mental Hospital in Bali Province in 2014amounted to 85.3% with an average length of stay about 50 days. Preliminary study indicated inadequate performanceof nurses at Mental Hospital in Bali. The purpose of this study was to determine the association of competence,motivation and nurses workload with the performance of nurses in ward of Mental Hospital in Bali Province.Methods: This research was a cross sectional survey. The subjects of the study consisted of all nurses in the inpatientunit, amounting to 111 people. Data were collected by self-administered questionnaires and observation sheet filledout by the head of the room. Data were analyzed using bivariate with chi-square test, and multivariate with logisticregression method.Results: Bivariate analysis showed significant association between the performance of nurses with competence andmotivation (p<0.001), however no association with workload (p=0.94). Multivariate analysis showed that theperformance of nurses was associated with competence with (AOR=65.38; 95%CI: 6.88-621.52) and with motivation(AOR=61.71; 95%CI: 7.15-532.59), however was not significantly associated with workload (AOR=1.012; 95%CI: 0.32-3.17).Conclusion: The performance of nurses were significantly associated with competence and motivation of its work,however not related to workload