Work Motivation as a Mediator in the Influence of Work Environment and Burnout on Nurse Turnover at Husada Hospital
Nurse turnover is one of the main challenges in various hospitals, including Husada Hospital. High turnover rates can disrupt the quality of health services, increase recruitment costs, and hinder continuity of services. This study aims to analyze how the work environment and burnout affect nurse turnover at Husada Hospital, and how work motivation can mediate the relationship. Data were collected through questionnaires filled out by 167 nurses at Husada Hospital, then analyzed using Structural Equation Modeling (SEM) to test the relationship between variables. The results showed that the work environment had a significant effect on work motivation, while burnout had a significant negative effect on work motivation. Work motivation was also shown to mediate the influence of the work environment and burnout on nurse turnover. These findings emphasize the importance of improving the quality of the work environment and reducing burnout as an effort to increase nurse work motivation, which can ultimately reduce turnover. This study provides important implications for hospital management in designing policies that support nurse welfare in order to maintain workforce stability.