The Impact Of Self-Efficacy, Discipline And Transformational Leadership On Nurse Performance With Burnout As A Moderating Factor

Abstract

Nurse performance plays a critical role in healthcare quality and patient outcomes. Factors such as transformational leadership, discipline, and self-efficacy have been identified as potential drivers of performance. However, the presence of burnout may alter these relationships, diminishing their positive effects. This research aims to examine the impact of transformational leadership, discipline, and self-efficacy on nurse performance, with burnout as a moderating variable. A quantitative survey design was applied to analyze the relationships among the key variables. Data were collected from 200 nurses working in Muhammadiyah hospitals, selected through purposive sampling. Participants completed validated questionnaires administered both in-person and online. Structural Equation Modeling (SEM) using SmartPLS was employed to assess the direct and moderating effects. The analysis revealed that transformational leadership, discipline, and self-efficacy have a significant and positive influence on nurse performance. However, burnout negatively moderated these relationships. Specifically, high levels of burnout weakened the beneficial effects of leadership, discipline, and self-efficacy on performance outcomes. While transformational leadership, discipline, and self-efficacy are essential in enhancing nurse performance, their effectiveness is compromised under high burnout conditions. This finding underscores the importance of incorporating burnout prevention into performance-enhancement strategies within healthcare institutions. Addressing psychological well-being is not only vital for staff sustainability but also pivotal in ensuring quality patient care.