Volume 7. Number 1, 2026 https://ijble. com/index. php/journal/index The Effect of Workload and Work Motivation on the Performance of Nurses in the Arafah Inpatient Ward at Bogor Islamic Hospital Silvi AgustinA. Eddy Hermawan HasudunganA. Nurwulan Kusuma DeviA aDepartment of Master of Management. Mitra Bangsa University. Jakarta Aagustinsilvi49@gmail. Aeddypanjaitan997@gmail. Anurwulan@umiba. ABSTRACT This study aims to analyse the effect of workload and work motivation on nursesAo performance in the Arafah Inpatient Ward at Bogor Islamic Hospital. A quantitative, cross-sectional design was employed. The study utilised a saturated sampling technique, involving 35 nurses as respondents. Data were collected through questionnaires and analysed using multiple linear The findings indicate that workload has a positive and statistically significant effect on nursesAo performance . = 5. p < 0. Similarly, work motivation has a positive, statistically significant effect on nursesAo performance . = 4. p < 0. Simultaneously, workload and work motivation significantly influence nursesAo performance (F = 77. , with an RA value of 0. 828, indicating that 82. 8% of the variance in nursesAo performance is explained by these two variables. It can therefore be concluded that both workload and work motivation exert a positive and significant influence on nursesAo performance in the Arafah Inpatient Ward at Bogor Islamic Hospital. DOI. https://doi. org/10. 56442/ijble. Keywords: Workload. Work Motivation. Nurse Performance. Hospital INTRODUCTION According to the World Health Organization (WHO), hospitals constitute an integral component of healthcare systems that provide comprehensive services to the In accordance with Law of the Republic of Indonesia Number 17 of 2023 concerning Health, a hospital is defined as a healthcare facility delivering promotive, preventive, curative, rehabilitative, and/or palliative services through outpatient, inpatient, and emergency care. The effectiveness of healthcare services in hospitals is highly dependent on the quality of human resources, particularly medical personnel who possess competence, expertise, and a proven capacity to enhance patient recovery (Amri, 2021. Ministry of Health of the Republic of Indonesia, 2. Human resources in healthcare represent a systematic integration of planning, education, and training efforts aimed at achieving optimal public health outcomes (Suryani, 2. Among healthcare professionals, nurses represent the largest workforce and play a pivotal role in service delivery. Consequently, high levels of nurse performance are essential (Fajriani et al. , 2. The quality of nursing care directly reflects the overall quality of hospital services. Various factors contribute to performance however, this study focuses specifically on workload and work Workload and motivation are critical determinants of employee performance. Excessive workload may lead to physical fatigue, psychological stress, and reduced service quality (Wewengkang et al. , 2. Within the framework of the Job DemandsAe Resources (JD-R) model, job demandsAiincluding physical and psychological workloadAimay result in stress and emotional exhaustion if not balanced by adequate job resources (Lesener et al. , 2. Volume 7. Number 1, 2026 https://ijble. com/index. php/journal/index In addition, work motivation remains a central determinant of performance. Contemporary developments in HerzbergAos Two-Factor Theory suggest that motivator factors . , recognition, achievement, and self-developmen. drive performance, while hygiene factors . , working conditions and organisational policie. prevent dissatisfaction (Bassett-Jones & Lloyd, 2. High motivation encourages greater professional commitment and improved patient care (Indriyani, 2. Despite extensive prior research, gaps remain. Previous studies have often examined workload and motivation separately or relied on simple correlational Furthermore, empirical studies focusing on inpatient units with high workload intensity remain limited. This study addresses these gaps by analysing both variables simultaneously within a single regression model. Preliminary observations in the Arafah Inpatient Ward at Bogor Islamic Hospital revealed high workload levels due to patient volumes exceeding ideal capacity, demanding shift schedules, and complex administrative requirements. Additionally, several nurses reported reduced motivation, partly due to limited organisational METHOD This study employed a quantitative approach with a cross-sectional design to examine the effects of workload and work motivation on nursesAo performance in the Arafah Inpatient Ward at Bogor Islamic Hospital. The research was conducted between August and October 2025. A saturated sampling technique was applied, involving all 35 nurses in the ward as respondents. The study variables comprised workload, work motivation, and nurse Operational definitions were measured using the following indicators: Workload: number of patients, working hours and shift frequency, time pressure, task complexity, and work environment conditions Work Motivation: recognition, responsibility, self-development opportunities, working conditions, interpersonal relationships, salary, and organisational policies Nurse Performance: quality and quantity of work, punctuality, attendance, discipline, communication, and commitment All variables were measured using a five-point Likert scale. Data were collected questionnaires and analysed using descriptive statistics, validity and reliability tests (Pearson correlatio. , and multiple linear regression using SPSS version 27. Hypothesis testing included the t-test . F-test . , coefficient of determination (RA), and p-values. Classical assumption tests . ormality, multicollinearity, and heteroscedasticit. were conducted prior to regression analysis. RESULTS AND DISCUSSION Results 1 Effect of Workload on Nurse Performance The results indicate that the calculated t-value exceeds the critical t-value . 187 > 2. with a significance level below 0. < 0. Therefore, the null hypothesis (HCA) is rejected, confirming that workload has a positive and significant effect on nursesAo performance. Volume 7. Number 1, 2026 https://ijble. com/index. php/journal/index The highest score . %) for the workload variable was observed in the work environment conditions dimension, indicating that supportive environmental factors contribute positively to performance. Table I: Regression Results (Workload and Nurse Performanc. Unstandardised Coefficients Std. (B) Error Constant 4. Workload 0. Model Standardised Coefficients (Bet. Ae Sig. 187 <0. Source: SPSS Data Processing, 2025 2 Effect of Work Motivation on Nurse Performance The calculated t-value . exceeds the critical value . , with p < 0. Thus, work motivation has a positive and statistically significant effect on nurse The highest contribution . %) was found across multiple motivational dimensions, including working conditions, interpersonal relations, and organisational Table II: Regression Results (Work Motivation and Nurse Performanc. Unstandardised Coefficients (B) Std. Error Standardised Coefficients Sig. (Bet. Ae Model Constant Work Motivation 660 <0. Source: SPSS Data Processing, 2025 3 Simultaneous Effect of Workload and Work Motivation The F-test results show F = 77. 219, exceeding the critical value of 3. 27, with p < 0. This confirms that workload and work motivation simultaneously exert a significant effect on nurse performance. Table i: ANOVA Results Model Sum of Squares df Mean Square Sig. Regression 1932. 219 <0. Residual 400. Ae Ae Total 35 Ae Ae Ae Source: SPSS Data Processing, 2025 Discussion The findings are consistent with previous studies demonstrating that workload and motivation significantly influence healthcare performance. These results support the JD-R model, which posits that a balance between job demands and job resources enhances employee engagement and performance. Furthermore, the findings align with contemporary motivation theories, emphasising the combined role of motivator and hygiene factors in shaping positive work behaviours and improving service quality. Volume 7. Number 1, 2026 https://ijble. com/index. php/journal/index CONCLUSION This study concludes that workload and work motivation have both partial and simultaneous positive and statistically significant effects on nursesAo performance in the Arafah Inpatient Ward at Bogor Islamic Hospital. Workload demonstrates a significant effect . = 5. p < 0. , while work motivation also shows a significant effect . = 4. p < 0. Simultaneously, both variables explain 82. 8% of the variance in performance (RA = 0. , indicating a strong relationship. The F-test further confirms this relationship (F = 77. p < 0. , supporting the acceptance of the alternative hypothesis. Recommendations: Hospital management, particularly nursing and human resource departments, should implement measurable and sustainable strategies to balance workload and enhance motivation. Future research should expand variables and methodological approaches to enrich the field of nursing human resource Acknowledgement The authors express their sincere gratitude to all respondents, the hospital management, the nursing team at Bogor Islamic Hospital, academic supervisors, and family members for their invaluable support and contributions to the completion of this study. Reference