Assessing the Impact of Income and Expenditure on the Prosperity of Nurses in Private Hospitals in North Jakarta

Background: Nurses are central to effective healthcare delivery, yet their economic welfare is often undervalued, especially in private healthcare institutions. Disparities in income and expenditure can significantly influence nurses’ overall well-being, impacting their physical, psychological, social, spiritual, and financial conditions. Objective: This study aimed to analyze how income and expenditure influence the prosperity of nurses employed in private hospitals in North Jakarta. Methods: A quantitative cross-sectional study was conducted with 348 nurses selected through proportional random sampling. Data were gathered using structured questionnaires, complemented by direct observations and literature review. Prosperity was evaluated across five dimensions: physical, psychological, social, spiritual, and economic. Univariate analyses described frequency distributions, while Chi-square tests with continuity corrections were used to explore associations between financial variables and prosperity outcomes. Results: Most respondents reported positive levels of physical (78.45%), psychological (78.16%), spiritual (83.3%), and economic (70.97%) well-being. However, social prosperity was less prevalent (49.4%). Bivariate analysis showed a statistically significant relationship between income and overall prosperity (p = 0.004), as well as between expenditure levels and prosperity (p = 0.044), indicating that both earnings and spending patterns are influential factors. Conclusion: Nurse prosperity in North Jakarta’s private hospitals remains an under-addressed issue, particularly regarding fair wages and financial protections. Inconsistencies with regional wage regulations persist in some institutions. Policymakers and healthcare administrators should reinforce fair compensation and promote financial planning initiatives to support nurses' holistic well-being and improve workforce retention.