The relationships between workload, stress, motivation and performance of nurses' working in the emergency department of public hospitals during the COVID-19 pandemic: A cross-sectional study

Document Type : Brief Report


Institut Kesehatan Medistra Lubuk Pakam, Indonesia


Background: Pandemic conditions increase nurses' workload, trigger stress, decrease motivation, and influence nurses' performance.
Objectives: This study analyzed the relationships between workload, stress, motivation, and performance of nurses working in the Emergency Department of Public Hospital during the COVID-19 pandemic.
Methods: This was a cross-sectional study. Closed-response questionnaires were used to collect data in this study. The sample consisted of 77 respondents. Data were processed using the chi-square test with a significance of 0.050 and the multiple logistic regression analysis.
Results: Nurses were primarily between 30 and 35 years old (64.9%); 70.1% were women, and 70.1% possessed a bachelor's degree. Nurses’ performance was significantly associated with workload (P=0.015) and motivation (P=0.019). Trigger stress was not related to the nurses' performance (P=0.066).
Conclusion: Workload and motivation are associated with nurses' performance. High motivation from hospital management can significantly affect the nurses' performance by 5.921 times.


Rahmad Gurusinga [Pubmed] [Google Scholar]


Main Subjects

  1. Sohrabi C, Alsafi Z, O'neill N, Khan M, Kerwan A, Al-Jabir A, et al. World Health Organization declares global emergency: A review of the 2019 novel coronavirus (COVID-19). Int J Surg 2020;76:71-6. doi:10.1016/j.ijsu.2020.02.034 PMid:32112977 PMCid:PMC7105032
  2. Zaghini F, Fiorini J, Piredda M, Fida R, Sili A. The relationship between nurse managers' leadership style and patients' perception of the quality of the care provided by nurses: Cross sectional survey. Int J Nurs Stud 2020;101:103446. doi:10.1016/j.ijnurstu.2019.103446 PMid:31670220
  3. Ganjizadeh M, Rahemi Z, Tafreshi MZ, Hajibagheri A, Ajorpaz NM. Workplace Conflicts Among Emergency Department Nurses: Instrument Development and Psychometric Properties. J Nurs Meas 2020;28:E1-17. doi:10.1891/JNM-D-18-00088
  4. Moreno LL, Velasco BT, Albuerne YG, García JM. Symptoms of posttraumatic stress, anxiety, depression, levels of resilience and burnout in Spanish health personnel during the COVID-19 pandemic. Int J Environ Res Public Health 2020;17:5514. doi:10.3390/ijerph17155514 PMid:32751624 PMCid:PMC7432016
  5. Korkmaz S, Kazgan A, Çekiç S, Tartar AS, Balcı HN, Atmaca M. The anxiety levels, quality of sleep and life and problem-solving skills in healthcare workers employed in COVID-19 services. J Clin Neurosci 2020;80:131-6. doi:10.1016/j.jocn.2020.07.073 PMid:33099335 PMCid:PMC7425768
  6. Candradewi I, Dewi IGAM. Effect of compensation on employee performance towards motivation as mediation variable. Int Res J Manag IT Soc Sci 2019;6:134-43. doi:10.21744/irjmis.v6n5.711
  7. Yeganeh R, Fashkhami NK, Damiri Z, Kamrani M, Khajevandi AA, Kordmiri SHM. Workload and quality of working life in shift and nonshift workers of a water and wastewater contracting company in 2018. Int Arch Heal Sci 2020;7:210. doi:10.4103/iahs.iahs_9_20
  8. Reganata GP, Saputra IGNMY. Workload and Performance of Nurses During The Covid-19 Pandemic: A Meta Analysis Study. J Varian 2022;5:107-14. doi:10.30812/varian.v5i2.1657
  9. Rajeswari H, Sreelekha BK, Nappinai S, Subrahmanyam U, Rajeswari V. Effect of Accelerated Recovery Program on Recovery from Secondary Traumatic Stress among Nurses. Nurs Midwifery Stud 2020;9:194-200.
  10. Farzin Mollazadeh, Yaser Moradi, Hossein Habibzadeh, Madineh Jasemi, Parivash Karimi. Association between nurses' moral intelligence and their caring behaviors. Nurs Midwifery Stud 2022;11:166-9.