This research aims to understand and explain the Effect of Internal Service Quality on Employee Performance and Job Satisfaction with the Mediation of Employee Welfare at the Regional General Hospital of Kabupaten Konawe Kepulauan. The approach used in this research is a quantitative approach (positivism). The population in this study consisted of all nurses serving at the Regional General Hospital of Konawe Kepulauan Regency, totaling 50 people. Considering the limited population size, the entire population was used as respondents (census). Data processing and analysis in this research were carried out using the Partial Least Square (PLS) 4.0 software. The results of this study indicate that Internal Service Quality has a positive and significant effect on Job Satisfaction. Internal Service Quality has a positive and significant effect on Employee Welfare. Internal Service Quality has a positive and significant effect on Employee Performance. Employee Welfare has a positive and significant effect on Job Satisfaction. Employee Welfare has a positive and significant effect on Employee Performance. Employee Welfare acts as a partial mediation variable in the relationship between Internal Service Quality and Job Satisfaction. Furthermore, Employee Welfare also acts as a partial mediation variable in the relationship between Internal Service Quality and Employee Performance.
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