NURSE RETENTION STRATEGY AT ADVENT HOSPITAL MEDAN WITH SWOT APPROACH (STRENGTHS, WEAKNESSES, OPPORTUNITIES, THREATS)
Main Article Content
Yohanna Arminta Zega
Yeni Absah
T. Sabrina
The growth and development of health care facilities require hospitals to be able to retain quality nursing staff to ensure the continuity of optimal services. Medan Adventist Hospital as one of the private health institutions in the Medan area faces challenges in maintaining the number and quality of competent and highly committed nurses. Therefore, this study aims to identify factors that influence nurse retention and develop effective strategies using the SWOT (Strengths, Weaknesses, Opportunities, Threats) approach. The research method used is qualitative with a case study approach, collecting data through in-depth interviews, direct observation, and distributing questionnaires to nurses and hospital management. The data obtained were analyzed using SWOT analysis to determine internal strengths, internal weaknesses, external opportunities, and external threats in the context of nursing staff retention at Medan Adventist Hospital. The results of the analysis show that the main strengths of the hospital include adequate service facilities and competency development programs, while its weaknesses include uncompetitive incentive levels and working conditions that result in job dissatisfaction. On the opportunity side, technological developments and the public's need for quality health services open up opportunities for innovation and quality improvement, while threats come from other competitors and high levels of workforce turnover. Based on these results, several strategies are recommended, including improving incentive and benefit programs, improving working conditions and work environment, improving competency and training on an ongoing basis, and strengthening communication and involvement of nurses in decision making. This strategy is expected to increase nurse motivation and loyalty so as to strengthen the retention of nursing staff at Medan Adventist Hospital and ultimately improve the quality of health services provided to the community.
Afrizal. (2019). Qualitative Research Methods: as an effort to support the use of qualitative research in various disciplines. Pt Rajagrfindo Persada.
Agustina, D., Nada, SL, & Madani, NE (2023). Strategy for Improving the Quality of Health Services in Hospitals. Journal of Innovation in Health Science Research,
(3). https://doi.org/10.55606/detector.v1i3.2065
Aiyub, Em Yusuf, Raja Bintan, Adnan, Azhar 2021 conducted a study entitled The Effect of Work Engagement on Employee Performance with Organizational Commitment as an Intervening Variable and Percieved Organization Support as a Moderating Variable at The Regional Secretariat of Bireuen District.
Alfira, Shufairah. 2020. “Analysis of External and Internal Environments on Marketing Strategies Implemented by Keyla Butik in Makassar”. Thesis of Management Study Program, Muhammadiyah University of Makassar. https://digilibadmin.unismuh.ac.id/upload/9950-Full_Text.pdf (Accessed on November 23, 2022).
Anjani, N. (2023). Analysis of Employee Turnover Intention at Kanvaz Resort Seminyak Kuta. (Applied Bachelor Thesis, Bali State Polytechnic).
Arlinta, D. (2023, 05 05). WHO Decides Emergency Phase of Handling Covid-19 is Over. Retrieved from Kompas.id: https://www.kompas.id/baca/humaniora/2023/05/05/who-putuskan- fasedarurat-penularan-covid-19-berakhir
Body Center for Statistics. (2023). Number of hospitals in Indonesia 2023. https://dataindonesia.id/kesehatan/detail/jumlah-rumah-sakit-di-indonesia- 2023
Central Bureau of Statistics. (2023). Number of health workers by province, 2023. https://www.bps.go.id/id/statistics- table/3/YVdwSFJHRjRVVkJqWlRWRU9EQkhNVFY0UjB4VVVUMDkj Mw%3D%3D/jumlah-tenaga-kesehatan-menurut-provinsi--2023.html
Bagaskoro, Verdinanto & Suhana. (2022). Efforts to Reduce Turnover Intention Through Transformational Leadership, Job Satisfaction and Organizational Commitment. EMBA Journal, 10 (1), 1104-1114.
Creswell, JW (2011). Research design: Qualitative, quantitative, and mixed approaches, third edition. (Translated by Achmad Fawaid). Yogyakarta: Pustaka Pelajar. Vocational Education, 2(November 2012), 1–11.
David, Fred, R. (2017). Strategic Management Strategic Management Concept Edition
Jakarta. Salemba Four.
Dewanto, A., & Wardhani, V. (2018). Nurse turnover and perceived causes and consequences: A preliminary study at private hospitals in Indonesia. BMC Nursing, 17, 52. https://doi.org/10.1186/s12912-018-0317-8
North Sumatra Provincial Health Office. (2022). Number of hospitals in North Sumatra 2022. https://dinkes.sumutprov.go.id/unduhan
Ekawati, K., & Ardani, MH (2018). Overview of Retention of Implementing Nurses in Hospitals. Journal of Nursing Leadership and Management, 1(2),
https://doi.org/10.32584/jkmk.v1i2.162
Fristasya, A., Az-Zahra, CR, Sumiati, M., Fauziah, S., & Ahmad, F. (2021). SWOT Approach in HR Planning Decision Making at PT
X. Journal of Community Service.
Gürel & Tat, M. (2017). SWOT ANALYSIS: A THEORETICAL REVIEW. The
Journal of International Social Research, 10(51).
Harvida, DA, & Wijaya, C. (2020). Factors Affecting Employee Turnover and Retention Strategies as Prevention of Employee Turnover: A Literature Review. JIANA (Journal of Public Administration Science), 18(2).
Haryono, CG (2020). Various Qualitative Communication Research Methods. West Java: CV Jejak (Jejak Publisher).
Hasibuan, Malayu SP 2015. Human Resource Management. Revised Edition.
Jakarta: Earth Script.
Hendryadi, Tricahyadinata, I., & Zannati, R. (2019). Research Methods: Business and Academic Research Guidelines. Jakarta: Imperium Management Development and Publication Institute (LPMP Imperium).
Iskandar, Yohana. (2020). Organizational Strategy for Handling Turnover Through Employee Empowerment. Scientific Journal of Economics, 19 (1), 102- 116.
Jannah, M., Faizah, AN, Indraputri, AJ, Puspita, VE, Hidayat, R., & Ikaningtyas, M. (2024). The Importance of SWOT Analysis in Planning
and Business Development. International Journal of Engineering, Economics, Social and Politics and Government.
Juanamasta, I., Iblasi, AS, Aungsuroch, Y., & Yunibhand, J. (2021). Nursing development in Indonesia: Colonialism, after independence and nursing act. SAGE Open Nursing, 7, 1–10. https://doi.org/10.1177/23779608211051467
Ministry of Health of the Republic of Indonesia. (2025). The role of organizational support, social support, and work stress on nurses' turnover intention in hospitals. Ministry of Health of the Republic of Indonesia. https://kms.kemkes.go.id/pengetahuan/detail/67dd14ae3cb8aa045ef50fe5
Ministry of Health. (2024). Number of hospitals in Indonesia as of February 7, 2024. https://dataindonesia.id/kesehatan/detail/data-jumlah-rumah-sakit-di- indonesia-menurut-kelas-per-7-februari-2024
Kurniati, A., Efendi, F., & Bushy, A. (2022). Resilience, depression, and their effect on nurse retention: A survey in rural Indonesia. Rural and Remote Health, 22, Article 7725. https://doi.org/10.22605/RRH7725
Martoyo, Susilo. 2013. Human Resource Management. BPFE. Yogyakarta. Mashuri, & Nurjannah, D. (2020). SWOT Analysis as a Strategy
Improving Competitiveness (Study at PT. Bank Riau Kepri Pekanbaru Sharia Business Unit). Journal of Sharia Banking, 99.
Mutmainnah, M., Mekeama, L., Yuliana, & Ariyani, T. (2021). Caring behavior and associated factors among nurses in Jambi teaching hospital. In Proceedings of the 3rd Green Development International Conference (GDIC 2020) (pp. 421–427). Atlantis Press. https://doi.org/10.2991/aer.k.210825.072
Nugraheni, R. and Kirana, GR (2021) 'SWOT Analysis of Health Services at Lirboyo General Hospital, Kediri City in 2019', Health Journal, 9(2), pp. 115– 122. doi: 10.25047/jkes.v9i2.222.
Nurbaeti, A., Purnamasari, DL, & Lestari, NWFA (2024). The effect of job satisfaction and job stress on employee turnover intention at PT Arteria Power Glorious. ECo-Fin, 6(3), 623–633. https://doi.org/10.32877/ef.v6i3.1653
O'Brien-Pallas, L., Thomson, D., Alksnis, C., Luba, M., Pagniello, A., Ray, K. L., & Meyer, R. (2003). Stepping to Success and Sustainability: An Analysis of
Ontario's Nursing Workforce. Toronto, ON: Nursing Effectiveness, Utilization, and Outcomes Research Unit, University of Toronto.
Rangkuti, F. (2006), SWOT Analysis: Techniques for Dissecting Business Cases, Publisher PT Gramedia Pustaka Utama; Jakarta.
Rangkuti, Freddy. 2001. SWOT Analysis Techniques for Dissecting PT. Gramedia Pustaka Utama Business Case. Jakarta.
Renaldo, Nicholas., Putra, R., Suhardjo., Suyono., Putri, I. (2022). Strategy to Reduce Accountant Turnover Intention at Pekanbaru Accounting Services Office in 2021. Journal of Management and Business Applications, 8 (2), 588-
Saksono, T., Siwi, AS, & Putranti, DP (2022). Nursing Care for Physical Mobility Barriers in Patients with Non-Ischemic Stroke. Journal of Research Innovation, 3(7), 7125–7132.
Saragih, M. (2025). The Relationship between the Role of the Head of the Room and the Performance of Nurses in the Inpatient Ward of the Medan Adventist Hospital. Indonesian Online Journal of Nursing, 7 (2), 41-47.
Sari, NP, & Wahyuni, S. (2021). Related Factors Of Actual Turnover Among Nurses: A Cross-Sectional Study In Indonesia. International Journal Of Public Health Science (IJPHS), 10(3), 498–504. https://doi.org/10.11591/ijphs.v10i3.21770
Silaen, NR et al. (2021) Employee Performance. Pe Mold. Bandung: Widina Bhakti Persada Bandung (CV. Widina Media Utama Group). Available at: www.penerbitwidina.com
Siregar, INA (2014). Factors Related to the Desire to Change Jobs (Turnover Intention) of Nurses at the DD Integrated Healthy Hospital in 2014.
Sugiyono, (2016). Educational Research Methods Quantitative, Qualitative, and R&D Approaches. Bandung: alfabeta.
Sugiyono, 2013, Quantitative, Qualitative and R&D Research Methodology. (Bandung: ALFABETA)
Supriyadi, ANH, Dinanti, TO, Amalia, R., & Kunanti, T. (2024). Factors Related to Nurse Turnover Intention in Hospitals. Journal of Nursing Research, 11(1), 1–8.https://doi.org/10.32660/jpk.v11i1.792
Susiawan, Susiawan and Abdul Muhid. (2015). Transformational Leadership, Job Satisfaction and Organizational Commitment. Surabaya: Persona, Indonesian Psychology Journal.
Tarawan, F., & Ningrum, SDA (2024). Nurse Turnover Intention Related To Job Stress And Job Satisfaction: Literature Review. Media Publication Promotion Health Indonesia, 7(8). https://doi.org/10.56338/mppki.v7i8.5413
Tigau, Felania. (2021). Strategy to Control Employee Turnover (Case Study at Siloam Hospital Manado). (Master's Thesis, Satya Wacana Christian University).
Umiati, Sari & Hamka. (2023). Career Development Strategy to Overcome Turnover Intention (Desire to Move) in Police Personnel (Case Study: Satker Bid Tik Polda Metro Jaya). Journal Of Public Policy and Applied Administration, 5 (1), 1-13.
Wahyuni, W., Purnamawati, D., & Widiastuti, E. (2022). The Relationship between Quality of Work Life, Workload, Job Satisfaction, and Its Impact on Turnover Intention in Nurses. Journal of Nursing, 14(3), 1844–1852. https://doi.org/10.32584/jpi.v14i3.1217
Wang, J., Li, H., & Zhang, Q. (2022). Nurses' Turnover Intention, Hope, And Career Identity: The Mediating Role Of Job Satisfaction. BMC Nursing, 21, Article 123. https://doi.org/10.1186/s12912-022-00821-5
World Health Organization Regional Office for South-East Asia. (2022). Agenda Item 9.8: Strengthening Nursing And Midwifery Workforce In The South-East Asia Region. https://cdn.who.int/media/docs/default- source/searo/rc75/30agenda9-8-written-icn.pdf
World Health Organization. (2025). Health workforce. https://www.who.int/health-topics/health-workforce


























