Pengaruh Lingkungan Kerja dan Keterlibatan Kerja terhadap Kinerja Perawat Dimediasi oleh Kesejahteraan di RS Purwokerto
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Abstract
Kinerja tenaga kesehatan merupakan factor penting dalam meningkatkan kualitas pelayanan rumah sakit. Penelitian ini bertujuan menganalisis pengaruh lingkungan kerja dan keterlibatan kerja terhadap kinerja perawat dengan kesejahteraan perawat sebagai variabel mediasi pada perawat di RS Wijayakusuma Purwokerto dengan megacu pada pada Job Demands-Resources (JD-R) Theory. Penelitian ini menggunakan pendekatan kuantitatif dengan populasi sampel dari perawat rawat inap sebanyak 122 sebagai responden, menggunakan teknik purposive sampling. Data dikumpulkan munggunakan kuesioner dengan skala likert 5 tingkat. Data dianalisis menggunakan Partikal Least Squares Structural Equation Modeling (PLS-SEM) dengan bantuan aplikasi SmartPLS. Hasil penelitian menunjukkan bahwa lingkungan kerja tidak berpengaruh signifikan terhadap kinerja perawat. Sebaliknya, keterlibatan kerja dan kesejahteraan perawat berpengaruh positif dan signifikan terhadap kinerja perawat. Selain itu, lingkungan kerja dan keterlibatan kerja juga berpengaruh positif terhadap kesejahteraan perawat. Temuan ini menunjukan bahwa peningkatan kesejahteraan perawat merupakan mekanisme penting dalam meningkatkan kinerja, sehingga rumah sakit perlu menciptakan lingkungan kerja yang mendukung serta mendorong keterlibatan kerja untuk meningkatkan kesejahteraan dan kinerja perawat.
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References
Abdulla Awn Alshahrani, Sara, Arwa Abdullaziz Al-Dossari, Hanan Jurays Bashir Alanazi, Asma Mohammed Alanazi, Norah Hassan Asiri, Latifah Marfoua Alanezy, Nouf Sad Marzouq Alotebi, and Amani Ali Assiri. 2024. “Effective Nurse-Patient Communication: Strategies, Barriers, and Impacts on Patient Care and Outcomes.” 7:8.
Abyan, Arlviara Citra, and Setyo Riyanto. 2023. “The Influence of The Work Environment on Employee Performance.” Jurnal Studi Manajemen Organisasi 19(2):57–63. doi:10.14710/jsmo.v19i2.30560.
Aisya Amalia, Muhafidhah Novie. 2023. “Hubungan Antara Keterlibatan Karyawan, Budaya Organisasi Dan Stress Kerja Terhadap Kinerja Karyawan.” 11–23.
Akhmad Darmawan, Abdan Syakuro, Fatmah Bagis. 2021. “Pengaruh Lingkungan Kerja, dan Pengembangan Karir, Terhadap Kinerja Karyawan Muslim Dengan Komitmen Organisasi Sebagai Variabel Intervening pada Sambel Layah Corporation Indonesia.” 7(02):1937–48.
Andriani Pratiwi, Endah, and Sylvia Griselfa Davina. 2023. “The Impact of Workplace Wellbeing on Job Performance with Work Engagement as a Mediating Variable.” Journal of World Science 2(8):1130–36. doi:10.58344/jws.v2i8.388.
Aprilria, Irene Paskah Aprilria, and Retno Kurniasih. 2025. “Pengaruh Ketidakamanan Kerja Terhadap Kinerja Karyawan Yang Dimediasi Oleh Kesejahteraan Subjektif : Peran Modal Psikologis Sebagai Pemoderasi.” DFAME Digital Financial Accounting Management Economics Journal 3(2):47–57. doi:10.61434/dfame.v3i2.269.
Arnold B. Bakker, Erasmus University Rotterdam, The Netherland, & Evangelia Demerouti, Eindhoven University of Technology, The Netherland. 1978. “Multiple Levels in Job Demands–Resources Theory: Implications for Employee Well-Being and Performance.” Nobascholar 4(2):95–105.
Arya Kusuma, Bagus, Ni Rai Artini, and Ni Luh Putu Seriasih. 2024. “Pengaruh Investasi, Lingkungan Kerja Dan Kepastian Pasar Terhadap Kesejahteraan Petani Jahe Merah.” Jurnal Sutasoma 3(1):10–18. doi:10.58878/sutasoma.v3i1.336.
Ashish, Waghe. 2023. “Employee Engagement & Its Impact on Employee Well-Being.” https://www.researchgate.net/publication/370630979_Quantitative_Research-Designs.
Assidiqi, Zidan Naoval, and Radhita Dwi Vata Hapsari. 2024. “Pengaruh Motivasi Kerja, Lingkungan Kerja, Dan Budaya Organisasi Terhadap Kinerja Karyawan.” Jurnal Kewirausahaan Dan Inovasi 3(3):864–71. doi:10.21776/jki.2024.03.3.21.
Badrianto, Yuan, Muhamad Ekhsan, and Cucu Mulyati. 2022. “Pengaruh Gaya Kepemimpinan, Lingkungan Kerja Dan Beban Kerja Terhadap Kinerja Karyawan.” Jesya (Jurnal Ekonomi & Ekonomi Syariah) 5(1):401–10. doi:10.36778/jesya.v5i1.607.
Bakker, Arnold B., Evangelia Demerouti, and Arnold B. Bakker. 2007. “The Job Demands-Resources Model : State of the Art.” doi:10.1108/02683940710733115.
Bakker, Arnold B., Evangelia Demerouti, and Ana Sanz Vergel. 2023. “Job Demands – Resources Theory : Ten Years Later ; Annual Review OfOrganizational Psychology and Organizational Behavior.” 25–53.
Bautista, Tara G., Gretchen Roman, Munziba Khan, Michele Lee, Sumeyra Sahbaz, Lunthita M. Duthely, Alexa Knippenberg, Miracle A. MacIas-Burgos, Alec Davidson, Carolina Scaramutti, Janice Gabrilove, Susan Pusek, Darshan Mehta, and Miriam A. Bredella. 2023. “What Is Well-Being? A Scoping Review of the Conceptual and Operational Definitions of Occupational Well-Being.” Journal of Clinical and Translational Science 7(1). doi:10.1017/cts.2023.648.
Chang, Rong. 2024. “The Impact of Employees’ Health and Well-Being on Job Performance.” Journal of Education, Humanities and Social Sciences 29:372–78. doi:10.54097/9ft7db35.
Darmilisani, Darmilisani, Prihatin Lumbanraja, Yeni Absah, and Parapat Gultom. 2025. “Improving Employee Wellbeing in Plantation Companies: The Role of Job Crafting Capability and Work Engagement.” Edelweiss Applied Science and Technology 9(6):1065–76. doi:10.55214/25768484.v9i6.8029.
Devina Michelle Reyhandita. 2024. “Mewujudkan Wellbeing dan Engagement Karyawan Genenrasi Z Melalui Self Efficacy, Non Physical Work Environment, dan Leader Member Exchange.” 32(3):167–86.
Dumitriu, Simona, Claudiu George Bocean, Anca Antoaneta Vărzaru, Andreea Teodora Al-Floarei, Natalița Maria Sperdea, Florentina Luminița Popescu, and Ionuț Cosmin Băloi. 2025. “The Role of the Workplace Environment in Shaping Employees’ Well-Being.” Sustainability (Switzerland) 17(6). doi:10.3390/su17062613.
Fa’iq, Muhammad Afif Shofwan, Ai Komariah, and Ujang Kunadi. 2025. “Pengaruh Profesionalisme Dan Kinerja Pelayanan Terhadap Kualitas Pelayanan Perawat (Studi Di RS TK IV Atambua).” Dinasti Health and Pharmacy Science 2(3):100–106. doi:10.38035/dhps.v2i3.1835.
Fung, Eric N., Richard G. Cowden, Ying Chen, Dorota Weziak-Bialowolska, Piotr Bialowolski, Matthew T. Lee, Eileen McNeely, and Tyler J. VanderWeele. 2024. “Prospective Associations of Multidimensional Well-Being with Work Distraction and Job Satisfaction: A Two-Wave Study of US Employees.” Frontiers in Psychology 15(January):1–8. doi:10.3389/fpsyg.2024.1326655.
Gallup. 2026. “State of the Global Workplace.” Employee Engagement Insights for Business Leaders Worldwide 1–122. http://www.gallup.com/file/services/176735/State of the Global Workplace Report 2013.pdf%5Cnpapers2://publication/uuid/4F576D34-017E-4BC6-8B6E-E3760C5FCD5E.
Galu, Ade, Mahmud Mahmud, and Fahrul Mauzu. 2025. “Pengaruh Keterlibatan Kerja, Kesesuaian Kerja Dan Kepuasan Kerja Terhadap Kinerja Karyawan.” Advances in Management & Financial Reporting 3(3):909–26. doi:10.60079/amfr.v3i3.620.
Haedar, Christbelloni S. Z., Greis M. Sendow, and Raymond Kawet. 2021. “Employee Engagement Effect, Workload, and Job Satisfaction on Employee Performance At Pt. Pegadaian (Persero) Region V Manado.” Jurnal EMBA 9(3):7–15.
Hair Jr et al. 2021. Partial Least Squares Structural Equation Modeling (PLS-SEM) Using R: A Workbook (p. 197). Springer Nature. Vol. 30.
Hakim, Hakim, and Meinunik Alfiyah. 2021. “Pengaruh Motivasi Dan Lingkungan Kerja Terhadap Kinerja Karyawan Di Dinas Kependudukan Dan Pencatatan Sipil Kabupaten Cilacap.” Jurnal Ecoment Global 6(1):55–64. doi:10.35908/jeg.v6i1.1319.
Halim, Agus, Universitas Muhammadiyah Mamuju, and Universitas Muhammadiyah Mamuju. 2026. “Pengaruh Kesejahteraan Karyawan Terhadap Kinerja Karyawan Dengan Kepuasan Kerja Sebagai Variabel Mediasi Pada Pdam Tirta Manakarra Kabupaten Mamuju.” 03:93–100.
Haq, Muhammad Izzul, and Mohammad Fauzan. 2025. “Pengaruh Keterlibatan Kerja, Work-Life Balance, Dan Kepuasan Kerja Terhadap Kesejahteraan Karyawan PT. Primatexco Indonesia.” Al-Kharaj: Jurnal Ekonomi, Keuangan & Bisnis Syariah 7(3):1245–55. doi:10.47467/alkharaj.v7i3.6318.
Ika Arista Rosanti, and Doni Marlius. 2023. “Pengaruh Sistem Kerja, Kompensasi Dan Kesejahteraan Terhadap Kinerja Tenaga Outsourcing Di Bank BNI Kota Padang.” Jurnal Publikasi Ilmu Manajemen 2(2):152–68. doi:10.55606/jupiman.v2i2.1656.
Jarden, Rebecca J., Richard J. Siegert, Jane Koziol-McLain, Helena Bujalka, and Margaret H. Sandham. 2023. “Wellbeing Measures for Workers: A Systematic Review and Methodological Quality Appraisal.” Frontiers in Public Health 11. doi:10.3389/fpubh.2023.1053179.
Jodie Firjatullah, Christian Wiradendi Wolor, and Marsofiyati Marsofiyati. 2023. “Pengaruh Lingkungan Kerja, Budaya Kerja, Dan Beban Kerja Terhadap Kinerja Karyawan.” Jurnal Manuhara : Pusat Penelitian Ilmu Manajemen Dan Bisnis 2(1):01–10. doi:10.61132/manuhara.v2i1.426.
Lam, Winnie Wing Yee, Karina Nielsen, Christine A. Sprigg, and Ciara M. Kelly. 2022. “The Demands and Resources of Working Informal Caregivers of Older People: A Systematic Review.” Work and Stress 36(1):105–27. doi:10.1080/02678373.2022.2028317.
Lazer, Robert I., and Walter S. Wikstrom. 1977. “Appraising Managerial Performance: Current Practices and Future Directions. New York: The Conference Board.”
Liona, Reno Chandra, and Muhammad Salis Yurniardi. 2020. “The Contribution of Work Engagement and Job Satisfaction to Workers’ Psychological Well-Being.” HUMANITAS: Indonesian Psychological Journal 17(2):94. doi:10.26555/humanitas.v0i0.16251.
LISTIANI, TRIANISAH. 2021. “PENGARUH KOMPETENSI, BEBAN KERJA DAN LINGKUNGAN KERJA TERHADAP KINERJA PERAWAT BAGIAN RAWAT INAP RST WIJAYAKUSUMA PURWOKERTO.”
M. Iqbal. 2022. “Fakor Faktor Yang Mempengaruhi Tenaga Kesehatan.” 16(12):7901–14.
Machmud, Fajar, Agus Rahayu, Lili Adi Wibowo, and Universitas Pendidikan Indonesia. 2022. “Pengaruh Iklim Keterlibatan Organisasi dan Keterlibatan Karyawan Terhadap Kinerja Organisasi Sektor Industri Manufaktur Indonesia.” 12(2).
Mahatani, Caesar, Muhamad Yamin Noch, Mansur Mansur, and Arry Pongtiku. 2025. “Pengaruh Lingkungan Kerja Terhadap Kinerja Pegawai Melalui Motivasi Kerja Sebagai Variabel Mediasi.” Advances in Management & Financial Reporting 3(3):820–30. doi:10.60079/amfr.v3i3.608.
Marisya, Fitria. 2022. “Pengaruh Lingkungan Kerja Terhadap Kinerja Karyawan Pada PT. Al Bilad Tour And Travel, Sumatra Selatan.” MAMEN: Jurnal Manajemen 1(4):553–62. doi:10.55123/mamen.v1i4.1065.
Mișca, Robert-Mario. 2022. “The Impact of a Healthy Work Environment on Employee Performance.” BRAND. Broad Research in Accounting, Negotiation, and Distribution 13(1):16. doi:10.70594/brand/13.1/2.
Mohamad, Fazielah, and Norhasni Zainal Abiddin. 2024. “Enhancing Employee Well-Being and Productivity in Evolving Work Environments.” Academic Journal of Interdisciplinary Studies 13(3):289. doi:10.36941/ajis-2024-0081.
Mokarami, Hamidreza, Sahar Eskandari, Rosanna Cousins, Mahmood Salesi, Reza Kazemi, Mohsen Razeghi, and Alireza Choobineh. 2021. “Development and Validation of a Nurse Station Ergonomics Assessment (NSEA) Tool.” BMC Nursing 20(1):1–12. doi:10.1186/s12912-021-00600-8.
Neha Nanda. 2024. “Research in Engineering Management and Science ( Ijprems ).” 04(10):782–92.
Nurul Ariffaeni Islami, Rensi Suryanti, Riski Eko Ardianto, Ahmad Salabi, and Budi Sulistiyo Nugroho. 2024a. “Pengaruh Kesejahteraan Karyawan, Lingkungan Kerja, Dan Hubungan Interpersonal Terhadap Produktifitas Kerja.” El-Mal: Jurnal Kajian Ekonomi & Bisnis Islam 5(10). doi:10.47467/elmal.v5i10.5447.
Nurul Ariffaeni Islami, Rensi Suryanti, Riski Eko Ardianto, Ahmad Salabi, and Budi Sulistiyo Nugroho. 2024b. “Pengaruh Kesejahteraan Karyawan, Lingkungan Kerja, Dan Hubungan Interpersonal Terhadap Produktifitas Kerja.” El-Mal: Jurnal Kajian Ekonomi & Bisnis Islam 5(10):4323–35. doi:10.47467/elmal.v5i10.5447.
Nusraningrum, Dewi, Aisyah Rahmawati, Walton Wider, Leilei Jiang, and Lester Naces Udang. 2024. “Enhancing Employee Performance through Motivation: The Mediating Roles of Green Work Environments and Engagement in Jakarta’s Logistics Sector.” Frontiers in Sociology 9. doi:10.3389/fsoc.2024.1392229.
portal RS Wijayakusuma Purwokerto. 2026. “Rumah Sakit TK III 04.06.01 Wijayakusuma Purwokerto.” https://www.bing.com/ck/a?!&&p=eba749eece1e1454ef602a293a9262a3acbd380e2a712e66e675989dcad56cc9JmltdHM9MTc3NjcyOTYwMA&ptn=3&ver=2&hsh=4&fclid=092f7ab9-0406-64b2-3961-6c8b0543652a&psq=RS+Wijayakusuma+Purwokerto+merupakan+rumah+sakit+umum+TK+III+kelas+C+yan.
Putri Dini Astrina et al., 2014. 2024. “Pengaruh Keterlibatan Kerja Dan Pelatihan Kerja Terhadap Kinerja Pegawai Pada Dinas Pariwisata Dan Kebudayaan Kabupaten Ogan Komering Ulu.” Jurnal Cakrawala Akademika 1(2):44–60. doi:10.70182/jca.v1i2.1.
Rabuana, Ni Kadek Dwi Ningsih, and Yanuar. 2023. “The Influence of Work Environment and Work Engagement on Employee Performance Mediated by Employee Well-Being.” Munaddhomah 4(3):541–57. doi:10.31538/munaddhomah.v4i3.523.
Rahmadani, Nadya Jasmine, Fakultas Ekonomi, Universitas Brawijaya, Fakultas Ekonomi, and Universitas Brawijaya. 2022. “Pengaruh Employee Engagement dan Employee Satisfaction Terhadap Kinerja Karyawan.” 1(2):183–90.
Ratnasari, Henny, and Agus David Rahmansyah. 2023. “Efforts To Improve Employee Performance Through Compensation Policy and Job Design Effectiveness Mediated By Job Satisfaction At Mandiri Utama Finance Serang Branch.” Journal of Business Studies and Mangement Review 7(1):78–88. doi:10.22437/jbsmr.v7i1.27364.
Redian, Sharleen Aulia, Huriyana Inas Sumaryan, Kriara Latifah Dinar, Sharleen Aulia Redian, Tias Wahyuni, Sri Sundari, and Marisi Pakpahan. 2024. “Analisis Penilaian Kinerja Karyawan Terhadap Motivasi Kerja Pada Perusahaan.” Jurnal Syntax Admiration 5(5):1497–1507. doi:10.46799/jsa.v5i5.1132.
Ritonga, Rudi. 2023. “Sosialisasi Peran Pendidikan Dalam Menjaga Lingkungan Terhadap Kesejahteraan Masyarakat Di Wilayah Tpss Cipayung Kota Depok.” Jurnal Pengabdian Masyarakat Ilmu Keguruan Dan Pendidkan 6(2):91–96.
Roobins, Stephen P., and Timothy A. Judge. 2023. Organizational Behavior.
Ryandahana Parisudha. 2023. “Pengaruh Kesejahteraan Karyawan Terhadap Kinerja Karywan Melalui Mediasi Kreativitas Karyawan Pada Karyawan di Surabaya No Title.”
Safinaz, Intan. 2021. “Hubungan Antara Psychological Well-Being Dengan Work Engagement Pada Guru SMK Intan Safinaz Umi Anugerah Izzati.”
Santoso, Anton Budi, and Shinta Oktafien. 2024. “The Impact of a Conducive Work Environment on Improving Employee Performance.” Manajemen Dan Bisnis 23(1):69. doi:10.24123/mabis.v23i1.722.
Saputri, Febby, and Dorothea Wahyu Ariani. 2025. “Pengaruh Tuntutan Pekerjaan, Sumber Daya Pekerjaan, Dan Keterlibatan Dalam Pekerjaan Terhadap Kesejahteraan Karyawan Di PT. Pelangi Mitra Solusi.” Journal Social Society 5(1):128–40. doi:10.54065/jss.5.1.2025.645.
Saragih, Hosanna Tiofanta. 2024. “Pengaruh Lingkungan Sekolah Terhadap Kesejahteraan Psikologis Siswa.” Circle Archive 1(4):1–12.
Schaufeli, Wilmar B., Arnold B. Bakker, and Marisa Salanova. 2006. “The Measurement of Work Engagement with a Short Questionnaire: A Cross-National Study.” Educational and Psychological Measurement 66(4):701–16. doi:10.1177/0013164405282471.
Septianjani, Andi Arna, Haniarti Haniarti, Makhrajani Majid, Rasidah Wahyuni Sari, and Fitriani Umar. 2024. “Analisis Beban Kerja Terhadap Kinerja Perawat Di Rumah Sakit Dr. Hasri Ainun Habibie Kota Parepare.” Jurnal Ilmiah Manusia Dan Kesehatan 7(3):415–26. doi:10.31850/makes.v7i3.3309.
da Silva, Micherlan Pereira, Flávia Regina Souza Ramos, and Giane Zupellari. 2023. “Health Workers’ Conceptions and Contributions Regarding Healthy Work Environments.” Revista Baiana de Enfermagem 37. doi:10.18471/rbe.v37.49584.
Simarmata, Vidi Posdo A., Randolph Serep Marantuan, and Patar Hutagalung. 2025. “Original Article The Relationship Between Work Environment , Occupational Safety and Health Implementation , and Employee Performance : A Cross- Sectional Study Implications for Practice : Implications for Practice : Introduction Primary Healthcare Servic.” 7(3):762–74.
Siswanti, Dian Novita, Muh Daud, Dwi Yan Nugraha, Muhammad Shafwan Zhalifunnas, and Dibyo Restu Nugraha. 2024. “The Effect of Workplace Well-Being on Task Performance in Employees: The Mediating Role of Work Engagement.” Gadjah Mada Journal of Professional Psychology (GamaJPP) 10(2):98. doi:10.22146/gamajpp.90500.
Susanti, Yulianda, and Syamsi Mawardi. 2024. “Pengaruh Lingkungan Kerja Dan Motivasi Kerja Terhadap Kinerja Karyawan BRI Corporate University Jakarta Selatan.” Jorapi: Journal of Research and Publication Innovation 2(01):323–32. http://jurnal.portalpublikasi.id/index.php/JORAPI/article/view/592.
Syahputri, Rezyana Budi, Rheni Haryanti, Nurul Dwi Andriani, and Agustin Mahardika Hariyadi. 2026. “Determinasi Faktor Individu Terhadap Kelengkapan Pengisian Rekam Medis Oleh Tenaga Kesehatan Pendahuluan.” 13(2):108–17. doi:10.47007/inohim.v13i2.744.
WHO. 2025. World ’ S Nursing World ’ S Nursing.
Widiyanti, Anik. 2026. “Job Involvement Dalam Perspektif Managemen Sumber Daya Mamnusia : StudiI Literatur Kualitatif.” 15:1406–16. doi:10.34127/jrlab.v15i1.2101.
Xioming Zheng, Weuchun Zhu, Haixia Zhao and Chi Zhang. 1998. “Erratum: Employee Well-Being in Organizations: Theoretical Model, Scale Development, and Cross-Cultural Validation.” Journal of Marriage and Family 60(1):5–22. doi:10.1002/job.
Yusril Alqorrib et al., 2023. 2023. “Jurnal Economina.” 2(1):2137–46.
Zhang, Xin, Chen Zhang, Jiayan Gou, and Shih Yu Lee. 2024. “The Influence of Psychosocial Work Environment, Personal Perceived Health and Job Crafting on Nurses’ Well-Being: A Cross-Sectional Survey Study.” BMC Nursing 23(1):1–10. doi:10.1186/s12912-024-02041-5.