Intensive Nursing Training and Nurse Competence Serve as the Primary Keys to Enhancing Healthcare Service Quality

Natalia Sihombing S.Pd Jumat, Agustus 14, 2026
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FORMOSA NEWS

Nursing service quality in intensive care units is directly determined by the effectiveness of training programs and the level of medical competence, whereas organizational commitment has been proven not to influence service quality. This key finding was revealed by Taufiq Noor Rahman, Novita Rifaul Kirom, and Edy Wahyudi from Universitas Wisnuwardhana in a study published in July 2026. The research highlights that hospitals must prioritize the direct development of technical skills and nurse professionalism rather than merely relying on employees' emotional attachment to the institution.

Maintaining high healthcare service standards remains a major challenge for modern hospitals amid the complexity of critical patient care. The need for sustainable human resource development urges hospital management to understand the crucial factors that genuinely impact direct medical service quality.

This study employed a quantitative explanatory approach involving 98 nurses selected through purposive sampling out of a total population of 129 nurses. Primary data collection was carried out through questionnaires, while data analysis utilized Partial Least Squares Structural Equation Modeling (PLS-SEM) using SmartPLS version 4.1.10 to examine relationships between variables.

Statistical analysis proved several key findings:

  • Intensive nursing training exerts a positive and significant effect on nursing service quality, with coefficient values indicating that increased training intensity directly contributes to nurse performance.
  • Nurse competence proved to provide a positive and significant influence on service quality, confirming that clinical knowledge, technical skills, and professional attitude are the primary foundations of patient safety.
  • Intensive nursing training significantly affects organizational commitment, whereas nurse competence does not directly impact this commitment.
  • Organizational commitment failed to significantly influence nursing service quality and did not prove to be a mediating variable between training or competence and service quality.

The implications of this study emphasize that hospital management needs to shift its quality improvement strategy focus by heavily investing in periodic training programs and competency certifications. The authors highlight that in a highly technical medical profession, professional accountability and practical skill mastery determine service quality far more than employees' emotional loyalty to the organization.

Author Profiles

  • Taufiq Noor Rahman – Researcher and academic at Universitas Wisnuwardhana specializing in health management and nursing.
  • Novita Rifaul Kirom – Lecturer and researcher at Universitas Wisnuwardhana actively engaged in human resource management and healthcare services.
  • Edy Wahyudi – Expert and researcher at Universitas Wisnuwardhana focusing on organizational development and medical staff performance.

Research Sources

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