The Implementation of Good Hospital Governance on The Professional Performance of Nurses

Abstract

Bureaucratic reform in Indonesia is a renewal effort to realize a good governance system as a specific practice model that supports nurses' empowerment and decision-making to influence policy, thus affecting their performance. The purpose of this study was to analyze the effect of hospital good governance implementation (i.e., participation, responsiveness, accountability) on the performance of nurses in RSUD Daya Makassar City, Indonesia. This type of research uses a quantitative analytical survey with cross-sectional approach. A total of 101 nurses were sampled with a total sampling method for this study. Data collection was through questionnaires. Chi-square and multiple logistic regression were used for data analysis. There was a relationship between participation (p = 0.025), responsiveness (p = 0.003) and accountability (p = 0.002) with nurses' performance. Multiple logistic regression analysis showed that accountability had the strongest influence (Exp (B) = 77.634, p = 0.006). This study concludes that in implementing good hospital governance, accountability is more effective in improving nurse performance. Nurses should be more accountable in their performance in caring for patients.