Effect of the Development of SIM CAR LASTRI on Nurses' Motivation in Hospital Tanjungpinang, Indonesia

The career ladder system has proven to be effective in supporting nurses' professional development. However, its implementation has not been optimal, partly due to nurses' low motivation. Therefore, a strategy to develop an electronically integrated career ladder information management system, SIMCAR LASTRI, is needed to improve career ladder implementation. This study aims to analyze the effect of SIMCAR LASTRI development on nurses' motivation in implementing career ladder in Tanjungpinang. This study used an analytic quantitative method with a pre-post quasi-experiment design without a control group. Application development was conducted through ADDIE (Analyze, Design, Development, Implementation, Evaluation) and RAD (Rapid Application Development) methods. The research subjects were executive nurses (n=76) with total sampling. Bivariate tests were conducted using the Wilcoxon Signed Rank Test. The results showed a significant effect on nurses' motivation before and after using the web-based SIMCAR LASTRI application, with a p value = 0.000 <0.05. The implementation of web-based SIMCAR LASTRI is feasible and has a significant influence on nurses' motivation in implementing career paths. SIMCAR LASTRI application can be implemented in all hospitals.