The Effect of Competence, Job Satisfaction, and Work Environment on Employee Performance
DOI:
https://doi.org/10.54518/rh.6.1.2026.874Keywords:
Competence, Employee Performance, Islamic Hospital, Job Satisfaction, Work EnvironmentAbstract
Effective healthcare delivery relies heavily on the performance of hospital staff. This study investigates the influence of competence, job satisfaction, and work environment on employee performance, where operational challenges such as competency gaps, incentive disparities, and facility constraints hinder service quality and accreditation compliance. The primary objective is to analyze the individual and simultaneous effects of these factors while identifying the most dominant predictor to inform human resource strategies in healthcare settings. A quantitative explanatory approach was employed, collecting data from 111 permanent employees via a five-point Likert-scale questionnaire. Multiple linear regression analysis was conducted after validating instruments and confirming classical assumptions. Results reveal that all three variables positively and significantly affect performance, with competence exhibiting the strongest influence, followed by work environment and job satisfaction. The model explains 42.2 percent of performance variance. As implication, targeted interventions in training, rewards, and infrastructure are essential to enhance productivity and patient-centered care, offering actionable insights for hospital management and broader health system improvements.
Downloads
References
Abadi, A. F., & Norawati, S. (2022). Relationship between competency, motivation and workload of implementing nurses with nurse performance in the inpatient room at Bangkinang Hospital. INFLUENCE: International Journal of Science Review, 4(2), 1-10.
Abdullah, R., & Nurlinda, A. (2021). Pengaruh beban kerja dan sikap terhadap kelelahan kerja pada perawat di ruang rawat inap rumah sakit islam faisal Makassar. Journal of Muslim Community Health, 2(3), 81-94.
Adisaputra, W. (2023). The influence of organizational culture, competence, and work environment on the performance of teachers at SMP Muhammadiyah 13 Makassar. Indonesian Journal Of Economy Studies, 2(2), 67-77.
Aisyah, S., Natasha, S. F., Nazli, P., Anindya, D. A., Anggraini, D. P., & Habibie, M. (2024). Analysis of supporting factors in performance quality of Medan City tourism services for free daily employees. Economic and Business Horizon, 3(1), 1-12.
Ananta, R., Sullaida, S., Matriadi, F., & Khairawati, K. (2025). The impact of workload, work discipline, and job satisfaction on nurse turnover intention at RSIA Abby Kota Lhokseumawe. Jurnal Intelek Dan Cendikiawan Nusantara, 2(4), 7111-7121.
Anggrainy, F. (2024). Pengaruh budaya organisasi, kepuasan kerja, reward dan punishment terhadap kinerja pegawai di UPT Rumah Sakit Umum Daerah (RSUD) Haji Makassar Provinsi Sulawesi Selatan. Makassar: Institut Ilmu Kesehatan Pelamonia (Doctoral dissertation).
Arfiah, W., Rusmin, M., Syarfaini, S., Nildawati, N., & Alam, S. (2021). An overview of performance measurement using a balanced scorecard method at Faisal Islamic Hospital of Makassar. Homes Journal: Hospital Management Studies Journal, 2(1), 51-64.
Basir, M. K., Gani, A., Basalamah, S., & Mallongi, S. (2023). The influence of Islamic work motivation, leadership style and competence on job satisfaction and employee performancegammara Makassar hotels. Revista de Gestão Social e Ambiental, 17(6), 1-21.
Dayanti, A., & Nurchayati, N. (2023). Exploring the influence of transformational leadership style and motivation on employee performance. Research Horizon, 3(4), 467-476.
Dewa, A. (2023). The influence of work ability, work discipline and work environment on employee performance. Economic and Business Horizon, 2(3), 1-10.
Diamantidis, A. D., & Chatzoglou, P. (2019). Factors affecting employee performance: an empirical approach. International journal of productivity and performance management, 68(1), 171-193.
Dwijayanti, R. A., Prihantini, I., Ariyani, J. E., Nurcahyo, S. A., Ali, A., Widagdo, T. H., ... & Rachmawati, M. (2023). Strategy pattern of competency value management and career development on human research management performance. Research Horizon, 3(6), 680-691.
Fatmala, R., Ahmad, A. C., & Rizal, S. (2024). Strengthening human resources, infrastructure, and services on the performance of Wosu Community Health Center employees, West Bungku District, Morowali Regency. Golden Ratio of Human Resource Management, 4(2), 135-145.
Fawzi, A., Rahman, F., & Rusmawati, A. (2025). The impact of reward satisfaction on nurses’ career development in the inpatient ward of Gambiran Hospital Kediri. Journal Of Nursing Practice, 8(2), 358-371.
Firmanda, G. I., & Wahyuningsih, A. (2025). Creating a healthy workplace in a private hospital: A focus on nursing and job satisfaction. Babali Nursing Research, 6(2), 424-436.
Insyaniar, N., & Razak, A. (2018). Pengaruh reward, insentif, pembagian tugas dan supervisi terhadap kepuasan kerja perawat diruang rawat inap Rumah Sakit Islam Faisal Makassar. Jurnal Ilmiah Kesehatan Diagnosis, 13(5), 531-536.
Latifah, M. (2024). The effect of adaptive leadership on employee performance and organizational sustainability. Economic and Business Horizon, 3(3), 96-101.
Lu, H., Zhao, Y., & While, A. (2019). Job satisfaction among hospital nurses: A literature review. International journal of nursing studies, 94(5), 21-31.
Mahmud, I., Kalsum, U., & Abbas, B. (2023). How work commitment, work discipline, and workload mediate the relationship between organizational culture and employee performance?: Empirical evidence in land office of Southeast Sulawesi province. Economic and Business Horizon, 2(1), 12-23.
Meliasari, R., Widianti, A. T., & Rahayu, H. (2022). Relationship of nurses’ workload with Islamic spiritual nursing care competence in Hemodialysis unit. Faletehan Health Journal, 9(3), 254-261.
Muchlis, N., Amir, H., Cahyani, D. D., Alam, R. I., Landu, N., Mikawati, M., ... & Sinaga, M. R. E. (2022). The cooperative behavior and intention to stay of nursing personnel in healthcare management. Journal of Medicine and Life, 15(10), 13-21.
Nguyen, P. T., Yandi, A., & Mahaputra, M. R. (2020). Factors that influence employee performance: motivation, leadership, environment, culture organization, work achievement, competence and compensation (A study of human resource management literature studies). Dinasti International Journal of Digital Business Management, 1(4), 645-662.
Nugroho, B. S., Maruf, I. R., Bangkara, B. A., Jayanto, I., & Ernawati, K. (2022). Understanding best practices in public health services and leadership in indonesia. Science Midwifery, 10(2), 1141-1148.
Nurhayatin, T., Fauziyyah, D., Hidayati, P., Budiarti, A., & Jamaludin, M. (2023). Enhancing public speaking skills through a collaborative learning approach with performance assessment. Research Horizon, 3(5), 575-584.
Prasetyo, A., Isa, M., & Sutrisna, E. M. (2023). The association of demographic characteristics and top management team heterogeneity on hospital performance. Jurnal Ekonomi Indonesia, 12(3), 261-281.
Rahmitasari, A., Jusuf, E., Wardanengsih, E., Lating, Z., Yusriadi, Y., & Nugraheni, K. S. (2021). The influence of motivation and competence on employee performance through organizational commitment at regional general hospitals in majene regency. In Proceedings of the International Conference on Industrial Engineering and Operations Management (pp. 3189-3195). London: Society International.
Ridwan, M. A. R., Rivai, F., & Saleh, L. M. (2022). Performance measurement using MBNQA (Malqolm Baldridge National Quality Award) criteria at Makassar Islamic Hospital. Journal of Asian Multicultural Research for Medical and Health Science Study, 3(3), 16-24.
Rina, R., & Ahri, R. A. (2019). Pengaruh beban kerja dan konflik interpersonal terhadap kinerja perawat di Rumah Sakit Islam Faisal Makassar tahun 2018. Jurnal Ilmiah Kesehatan Diagnosis, 14(3), 288-93.
Risambessy, A. (2023). The influence of professionalism, work-discipline, and trust on the performance of nurse paramedics. Research Horizon, 3(4), 291-299.
Riskon Efendi, R. I. S. K. O. N. (2023). Pengaruh lingkungan kerja dan kompetensi kerja terhadap kepuasan kerja karyawan pada PG Pradjekan Bondowoso dengan prestasi kerja sebagai variabel intervening. Situbondo: Universitas Abdurachman Saleh Situbondo (Doctoral dissertation).
Robbins, S. P., & Judge, A. T. A. (2019). Organizational behavior. New York City, NY.
Sugiyono. (2020). Metode penelitian kuantitatif, kualitatif, dan R&D (Edisi terbaru). Bandung: Alfabeta.
Sukmawati S, S. (2020). Influence of competence and motivation, on job satisfaction and employee performance at makassar bhayangkara hospital. IOSR Journal of Business and Management (IOSR-JBM), 22(7), 28-34.
Sunarsih, E. S., & Kumala, C. M. (2024). The impact of organizational citizenship behavior on organizational effectiveness. Economic and Business Horizon, 3(3), 114-118.
Sutrisno, E. (2020). Manajemen sumber daya manusia (Edisi revisi). Jakarta: Kencana Prenada Media Group.
Tahir, M. (2023). A study of collective psychological ownership predicted by work environment and mediating role of employee self-efficacy among nursing staff in Oman. Middle East Journal of Management, 10(2), 186-202.
Tamtomo, D., & Murti, B. (2024). Analysis of factors associated with work performance of inpatient nurse in Dr. Wahidin Sudirohusodo Hospital, Makassar, Indonesia. Journal of Health Policy and Management, 9(1), 52-66.
Tandiallo, D., Jannah, M., & Puspitasari, M. (2023). Pengaruh konflik peran ganda (work family conflict) dan beban kerja terhadap kinerja perawat wanita di Rumah Sakit Islam Faisal Kota Makassar. Jurnal Mitrasehat, 13(1), 372-383.
Taylor, M. A. S. (2014). Armstrongs handbook of human resource management practice. Kogan Page Limited.
Tziner, A., Rabenu, E., Radomski, R., & Belkin, A. (2015). Work stress and turnover intentions among hospital physicians: The mediating role of burnout and work satisfaction. Revista de Psicología del Trabajo y de las Organizaciones, 31(3), 207-213.
Wadi’ah, A. S., Rivai, F., Thamrin, Y., Pasinringi, S., Kapalawi, I., & Masyita, M. (2021). Relationship between job satisfaction and turnover intention of nurses at Islamic Hospital Faisal Makassar. Journal Wetenskap Health, 2(1), 43-49.
Wairisal, P. (2023). The influence of organizational culture, leadership, and work stress on employee performance. Research Horizon, 3(3), 249-259.
Wardani, S. I., & Peristiowati, Y. (2020). The effect of motivation, competence and work environment on employee performance in Brawijaya Hospital Lawang Malang. Journal for Research in Public Health, 2(1), 1-8.
Wibowo. (2020). Manajemen kinerja (6th ed.). Bandung: Rajawali Pers.
Downloads
Published
How to Cite
Issue
Section
Categories
License
Copyright (c) 2026 Andy Rahmaini, Dara Nianty, Nurhaeda Zaeni
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
