Effects of Credentials, Competence, Career Levels and Professionalism on the Satisfaction among Nurses in Psychiatric Hospital, Surakarta Central Java, Indonesia


  • Suminanto Suminanto Masters Program of Management, Universitas Islam Batik Surakarta, Indonesia
  • Istiatin Istiatin Masters Program of Management, Universitas Islam Batik Surakarta, Indonesia
  • Sudarwati Sudarwati Masters Program of Management, Universitas Islam Batik Surakarta, Indonesia


Background: Job satisfaction among nurses may be influenced by competency, education, income level, or the work environment, such as the type of facility, management, professional or career deve-lopment, and access to resources. The purpose of this study was to analyze the effect of credentials, competence, career levels, and professionalism on the satisfaction among nurses in mental hospital.Subjects and Method: This was an analytic observational study with a cross sectional design. The study was conducted in Surakarta, Central Java, from September to October 2022. A sample of 215 nurses from 22 Surakarta Mental Hospital was selected for this study. The dependent variable was satisfaction of nurses. The independent variables were credential, competence, career levels, and profesionalism. The data were collected by questionnaire and analyzed by a multivariate linear regression.Results: Education master or doctor (b= 0.05; 95% CI= 0.03 to 0.15; p= 0.02), income (b= 1.47; 95% CI= 0.10 to 0.78; p= 0.04), competence (b= 1.20; 95% CI= 0.07 to 0.32; p= 0.002), career levels (b= 1.08; 95% CI= 0.05 to 0.35; p= 0.007), professionalism (b= 0.22; 95% CI= 0.06 to 0.10; p= 0.005) increased satisfaction and it was statistically significant. Credentials (b= 1.11; 95% CI= 0.006 to 0.67; p= 0.08), increased satisfaction, but it was statistically non-significant.Conclusion: Job satisfaction among nurses increases with high career levels, good competence, good professionalism, good credential, education ≥Diploma III, and high income.Keywords: career levels, competence, credential, job satisfaction, professionalism, nurse.Correspondence:Suminanto. Masters Program of Management, Universitas Islam Batik Surakarta, Indonesia. Jl. Agus Salim 10, Sondakan, Laweyan, Surakarta, Central Java 57147. Email: mr.nannto@gmail.com. Mobile: +62 812-2606-925.Journal of Health Policy and Management (2023), 08(01): 23-29https://doi.org/10.26911/thejhpm.2023.08.01.03 


AbuAlRub R, El-Jardal, F, Jamal D, Abu Al-Rub N (2016). Exploring the relationship between work environment, job satisfaction, and intent to stay of Jordanian nurses in underserved areas. Applied Nursing Research: ANR, 31, 19–23. Doi: 10.1016/j.apnr.2015.11.014

Aloisio LD, Gifford WA, McGilton KS, Lalonde M, Estabrooks CA, Squires J E. (2019). Factors Associated With Nurses’ Job Satisfaction In Residential Longterm Care: The Importance of Organizational Context. Journal of the American Medical Directors

Association, 20(12), 1611–1616.e4. Doi: 10.1016/j.jamda.2019.06.020

Aluko OO, Adebayo AE, Adebisi TF, Ewegbem M, Abidoye, AT, Popoola BF (2016). Knowledge, attitudes and perceptions of occupational hazards and safety practices in Nigerian healthcare workers. BMC Research Notes, 9, 71. Doi: 10.1186/s13104-016-1880-2

Ayalew E, Workineh Y (2019). Job satisfaction and associated factors among nurses in Bahir Dar city administrative, North West Ethiopia, 2017. BMC Research Notes, 12(1), 319. Doi: 10.1-186/s13104-019-4363-4

Dai B, AkeyTorku B (2020). The Influence of Managerial Psychology on Job Satisfaction among Healthcare Employees in Ghana. Healthcare (Basel, Switzerland), 8(3). Doi: 10.3390/healthcare-8030262

Delobelle P, Rawlinson JL, Ntuli S, Malatsi I, Decock R, Depoorter AM (2011). Job satisfaction and turnover intent of primary healthcare nurses in rural South Africa: a questionnaire survey. J. Adv. Nurs., 67(2), 371–383. Doi: 10.1111/j.13652648.2010.05496.x

Dilig-Ruiz A, MacDonald I, Demery VM, Vandyk A, Graham ID, Squires JE (2018). Job satisfaction among critical care nurses: A systematic review. International J. Nurs. Stud., 88, 123–134. Doi: 10.1016/j.ijnurstu.2018.08.014

Gallant-Roman MA (2008). Strategies and tools to reduce workplace violence. AAOHN, 56(11), 449–454. Doi: 10.3928/089101622008110104

Ghahremani E, Parandeh A, Vafadar Z, Ebadi A (2018). Survey of the occupational hazards and related factors in health care workers in military hos-pitals during 2016-2017. Mil. Med., 20(1), 56–64.

Jang Y, Oh Y (2019). Impact of ethical factors on job satisfaction among Korean nurses. Nurs. Ethics, 26(4), 1186–1198. Doi: 10.1177/0969733017742959

Kare AP, Gujo AB, Yote NY (2021). Job Satisfaction Level and Associated Fac-tors Among Rural Health Extension Workers of Sidama Region, Southern Ethiopia. Health serv. res. man, 8, Doi: 10.1177/23333928211051832

Kim K, Han Y, Kwak Y, Kim J (2015). Professional Quality of Life and Clinical Competencies among Korean Nurses. Asian Nursing Research, 9(3), 200–206. Doi: 10.1016/j.anr.2015.03.002

Kitajima M, Miyata C, Tamura K, Kinoshita A, Arai H (2020). Factors associated with the job satisfaction of certified nurses and nurse specialists in cancer care in Japan: Analysis based on the Basic Plan to Promote Cancer Control Programs. PloS One,15(5), e0232336. Doi: 10.1371/journal.pone.0232336

Labrague LJ, McEnroePetitte DM, Tsaras K (2019). Predictors and outcomes of nurse professional autonomy: A cross-sectional study. Int. J. Nurs. Pract., 25(1), e12711. Doi: 10.1111/ijn.12711

Lee MSM, Lee MB, Liao SC, Chiang FT (2009). Relationship between mental health and job satisfaction among employees in a medical center department of laboratory medicine. J. Formos. Med. Assoc. =108(2), 146–154. Doi: 10.1016/S09296646(09)600450

Lee Y, Oh Y (2020). Levels, antecedents, and consequences of critical thinking among clinical nurses: a quantitative literature review. J. Educ. evaluation health Prof., 17, 26. Do: 10.3352/jeehp.2020.17.26

Lu H, Barriball KL, Zhang X, While AE (2012). Job satisfaction among hospital nurses revisited: a systematic review. Int J Nurs Stud. 49(8), 1017–1038. Doi: 10.1016/j.ijnurstu.2011.11.009

Lu H, Zhao Y, While A (2019). Job satisfaction among hospital nurses: A literature review. Int J Nurs Stud. 94: 21–31. Doi: 10.1016/j.ijnurstu.2019.01.011

Mossburg S, Agore A, Nkimbeng M, CommodoreMensah Y (2019). Occupational Hazards among Healthcare Workers in Africa: A Systematic Review. Annals of Global Health, 85(1). Doi: 10.5334/aogh.2434

Negussie N (2016). Job satisfaction of nurses in Jimma University Specialized Teaching Hospital, Ethiopia. The J. Egyp., 91(1), 15–19. Doi: 10.1097/01.EPX.0000480719.14589.89

Robbins SP (2004). Management of organizational behavior. Parsian A, Arabi SM. Institution of Commercial Studies and Research.

Spence LHK, Zhu J, Read E (2016). New nurses perceptions of professional practice behaviours, quality of care, job satisfaction and career retention. J. Nurs. Manag. 24(5), 656–665. Doi: 10.1111/jonm.12370

Suzuki K, Ohida T, Kaneita Y, Yokoyama E, Miyake T, Harano S, Yagi Y, at al. (2004). Mental health status, shift work, and occupational accidents among hospital nurses in Japan. J. Occup. Health, 46(6), 448–454. Doi: 10.1539/joh.46.448

Zakeri MA, Bazmandegan G, Ganjeh H, Zakeri M, Mollaahmadi S, Anbariyan A, Kamiab Z (2021). Is nurses’ clinical competence associated with their compassion satisfaction, burnout and secondary traumatic stress? A cross-sectional study. Nursing Open,8(1), 354–363. Doi: 10.1002/nop2.636




How to Cite

Suminanto, S., Istiatin, I., & Sudarwati, S. (2023). Effects of Credentials, Competence, Career Levels and Professionalism on the Satisfaction among Nurses in Psychiatric Hospital, Surakarta Central Java, Indonesia. Journal of Health Policy and Management, 8(1), 23–29. Retrieved from https://thejhpm.com/index.php/thejhpm/article/view/314