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The Role of Healthcare Worker Motivation in the Relationship between Work Culture, Patient Satisfaction, and Performance at a Primary Healthcare Clinic Ekasari, Anita; Orbaningsih, Dwi; Wijayanti, Tri Cicik; Arifani, Nisa
International Journal of Public Health Excellence (IJPHE) Vol. 5 No. 2 (2026): January-May
Publisher : PT Inovasi Pratama Internasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55299/ijphe.v5i2.1805

Abstract

Healthcare worker performance plays a crucial role in determining the quality of services in primary healthcare clinics. Organizational and service-related factors, such as work culture, patient satisfaction, and healthcare worker motivation, are considered important determinants of performance. However, empirical evidence regarding the mediating role of healthcare worker motivation in primary healthcare settings remains limited. This study aimed to examine the relationship between work culture and patient satisfaction with healthcare worker performance, both directly and indirectly through healthcare worker motivation as a mediating variable, in a primary healthcare clinic. An observational analytic study with a quantitative approach was conducted at a primary inpatient healthcare clinic in Mojokerto Regency, Indonesia, during September–October 2025. The study involved 20 healthcare workers and 50 patients, selected using total sampling. Data were collected through structured questionnaires and analyzed using descriptive statistics and Spearman correlation tests to assess relationships among variables. The results showed that work culture was positively associated with employee motivation (r = 0.476; p = 0.034), while patient satisfaction was positively related to healthcare worker performance (r = 0.446; p = 0.049). Healthcare worker motivation also demonstrated a significant mediating role in the relationship between work culture and healthcare worker performance (r = 0.508; p = 0.022). Improving healthcare worker performance in primary healthcare clinics requires an integrated managerial approach that emphasizes strengthening work culture, enhancing patient satisfaction, and maintaining healthcare worker motivation to support sustainable improvements in service quality.
The Effect of Digitalization and Digital Leadership Style Through Organizational Commitment Mediation on Employee Performance at PT. PLN (Persero) UP3 Situbondo Pakerti, Imbang Satrio; Suswati, Endang; Wijayanti, Tri Cicik
Indonesian Interdisciplinary Journal of Sharia Economics (IIJSE) Vol 9 No 1 (2026): Sharia Economics
Publisher : Universitas KH. Abdul Chalim Mojokerto

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.31538/iijse.v9i1.9623

Abstract

The rapid advancement of digital technology necessitates organizational transformation, compelling state-owned enterprises like PT PLN (Persero) to adopt digital services such as the Yanbung Mobile application. However, its implementation at UP3 Situbondo has yielded inconsistent employee performance outcomes, highlighting a gap in understanding the precise mechanisms at play. This study aims to analyze the effect of digitalization implementation and digital leadership style on employee performance, with organizational commitment as a mediating variable. Using an explanatory quantitative design, data was collected via questionnaires from all 81 Customer Connection Service Officers at PT PLN UP3 Situbondo. The data were analyzed using Structural Equation Modeling with the Partial Least Squares (SEM-PLS) approach. The results indicate that digital leadership style has a significant positive direct effect on employee performance. While digitalization implementation significantly increases organizational commitment, it does not directly improve performance. Furthermore, organizational commitment does not significantly affect performance nor mediate the relationships between the independent variables and performance. These findings underscore the paramount importance of competent digital leadership over mere technological adoption in driving performance during digital transformation.