The Effect of Organizational Culture, Team Collaboration, and Work Motivation on the Performance of Health Workers in Cahaya Bunda Mother and Child Hospital
Abstract
Cahaya Bunda Mother and Child Hospital in Bali is dedicated to improving healthcare standards for mothers and children, focusing on reducing maternal and infant mortality rates. The performance of healthcare workers is a critical factor in achieving optimal patient outcomes, particularly in specialized hospitals such as mother and child hospitals. However, health worker performance is influenced by various factors, including organizational culture, team collaboration, and work motivation. This study aims to analyze the individual and collective effects of these factors on health worker performance. Using a quantitative approach, data were collected through a structured questionnaire distributed to 34 nurses and midwives. SmartPLS 3.2 software was employed for analysis. The findings reveal that work motivation significantly impacts health worker performance, underscoring its critical role in driving effectiveness and commitment to healthcare services. Conversely, organizational culture and team collaboration showed no statistically significant effects on performance, which may be attributed to sample size limitations and contextual factors within the hospital environment. The study highlights that while a supportive culture and collaborative environment are essential, intrinsic motivation remains a key driver of performance outcomes. This research contributes to understanding how motivation directly influences healthcare workers’ productivity, while organizational culture and team collaboration provide a foundation that indirectly supports performance. Future studies should explore the interplay between these factors to develop targeted strategies for optimizing healthcare delivery in specialized settings like mother and child hospitals.
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Aprilla GG. (2020). Influence of Team Work on Employee Performance in Community Health Center of Pancoran Mas Depok West Java in 2019. J-Kesmas: Jurnal Fakultas Kesehatan Masyarakat (The Indonesian Journal of Public Health). Oct 31;7(2):21.
Asrawijaya, P., & Hidayah, N. (2022). How Transformational Leadership and Organizational Culture Affect Health Worker Performance? A Literature Review. Jurnal Aisyah: Jurnal Ilmu Kesehatan, 7(1), 247-258. https://doi.org/10.30604/jika.v7i1.893
Berenson, R. A., & Rice, T. (2015). Beyond measurement and reward: Methods of motivating quality improvement and accountability. Health Services Research, 50(Suppl 2), 2155-2186. https://doi.org/10.1111/1475-6773.12413
Cerasoli, C. P., Nicklin, J. M., & Ford, M. T. (2014). Intrinsic motivation and extrinsic incentives jointly predict performance: A 40-year meta-analysis. Psychological Bulletin, 140(4), 980–1008. https://doi.org/10.1037/a0035661
Deressa, A.T., Zeru, G. (2019). Work motivation and its effects on organizational performance: the case of nurses in Hawassa public and private hospitals: Mixed method study approach. BMC Res Notes 12, 213. https://doi.org/10.1186/s13104-019-4255-7
Hidayah, Nur, and Eva N. Fadila. 2019. "Transformational Leadership Directly and Indirectly Effect on Nurse Performance: Organizational Cultural as Intervening Variables." Asian Social Work Journal, vol. 4, no. 1, 2019.
Hidayat, B. P., & Sembiring, E. C. (2024). The effect of organizational culture, organizational communication mediated by work commitment on employee performance of PT Tata Bara Utama in Central Kalimantan. Journal of Business and Management Review, 5(9), 856-873. https://doi.org/10.47153/jbmr.v5i9.1129
Hoxha G, Simeli I, Theocharis D, Vasileiou A, Tsekouropoulos G. 2024. Sustainable Healthcare Quality and Job Satisfaction through Organizational Culture: Approaches and Outcomes. Sustainability. Apr 25;16(9):3603.
Lackie K, Tomblin Murphy G. (2020). The impact of interprofessional collaboration on productivity: Important considerations in health human resources planning. Journal of Interprofessional Education & Practice. Dec;21:100375.
Lutfiyya MN, Chang LF, McGrath C, Dana C, Lipsky MS (2019) The state of the science of interprofessional collaborative practice: A scoping review of the patient health-related outcomes based literature published between 2010 and 2018. PLoS ONE 14(6): e0218578. https://doi.org/10.1371/journal.pone.0218578
Manojlovich, M., & DeCicco, B. (2007). Healthy work environments, nurse-physician communication, and patients' outcomes. American Journal of Critical Care, 16(6), 536-543. https://doi.org/10.4037/ajcc2007.16.6.536
Mishra, A., Catchpole, K., & McCulloch, P. (2009). The Oxford NOTECHS system: Reliability and validity of a tool for measuring teamwork behaviour in the operating theatre. Quality and Safety in Health Care, 18(2), 104–108. https://doi.org/10.1136/qshc.2007.024760
Muhson, A. (2022). Analisis Statistik dengan SmartPLS: Path Analysis, Confirmatory Factor Analysis, & Structural Equation Modeling. Universitas Negeri Yogyakarta.
Mutmainah, M., Vanchapo, A. R., Lewar, E. S. B., Tusi, J. S., Wang, Y., & Zou, G. (2023). Relationship Between Work Motivation and Health Worker Performance at Kronjo Health Center. Journal of World Future Medicine, Health and Nursing, 1(2), 102–113. https://doi.org/10.55849/health.v1i2.450
Narayana, A. (2017). A critical review of organizational culture on employee performance. American Journal of Engineering and Technology Management, 2(5), 72-76. https://doi.org/10.11648/j.ajetm.20170205.13
Pham, V. K., Vu, T. N. Q., Phan, T. T., & Nguyen, N. A. (2024). The impact of organizational culture on employee performance: A case study at foreign-invested logistics service enterprises approaching sustainability development. Sustainability, 16(15), 6366. https://doi.org/10.3390/su16156366
Priyantini, D., & Ayatulloh, D. (2023). Relationship of work motivation with nurse performance in Installation Room of Islamic Hospital. The Journal of Palembang Nursing Studies, 2(1), 60–66. https://doi.org/10.55048/jpns.v2i1.78
Rahmawati, S. D., Astuti, J. P., Suprapti, S., Sa’adah, N., Astuti, R. Y., Sudargini, Y., & Khasanah, N. E. (2020). Effect of Leadership, Work Environment, Compensation And Motivation Toward Public Health Center Performance. Journal of Industrial Engineering & Management Research, 1(3), 16-31. https://doi.org/10.7777/jiemar.v1i3.54
Rosen, M. A., DiazGranados, D., Dietz, A. S., Benishek, L. E., Thompson, D., Pronovost, P. J., & Weaver, S. J. (2018). Teamwork in healthcare: Key discoveries enabling safer, high-quality care. The American psychologist, 73(4), 433–450. https://doi.org/10.1037/amp0000298
Sauerman, J. ., & Isbahi, M. B. (2023). Worker Reciprocity and the Returns to Training: Evidence from a Field Experiment. Majapahit Journal of Islamic Finance and Management, 3(1), 49–89. https://doi.org/10.31538/mjifm.v3i1.35
Schmutz, J. B., Meier, L. L., & Manser, T. (2019). How effective is teamwork really? The relationship between teamwork and performance in healthcare teams: A systematic review and meta-analysis. BMJ Open, 9(9), Article e028280. https://doi.org/10.1136/bmjopen-2018-028280
Sembiring, I. F. K., Kaban, K., Mutia, M. S., & Girsang, E. (2022). Analysis of factors affecting the performance of nurses in Raden Mattaher Regional General Hospital, Jambi Province. International Journal of Health and Pharmaceutical, 2(3), 484–493. https://doi.org/10.51601/ijhp.v2i3.69
Setiani, S., Siswanto, S., & Robithoh, S. (2023). Revisiting the effect of job satisfaction and organizational culture on employee performance: The mediating role of organizational citizenship behaviour. Shirkah: Journal of Economics and Business, 8(2), 125-142. https://doi.org/10.22515/shirkah.v8i2.532
Shrestha, N. (2020). Detecting multicollinearity in regression analysis. American Journal of Applied Mathematics and Statistics, 8(2), 39–42. https://doi.org/10.12691/ajams-8-2-1
Tadesse Bogale, A., & Debela, K. L. (2024). Organizational culture: a systematic review. Cogent Business & Management, 11(1). https://doi.org/10.1080/23311975.2024.2340129
Tasik, J. A. E. (2023). An Influence of Organizational Culture and Work Environment on The Performance Health Workers Through Motivation as An Intervening Variable. Jurnal Ekonomi, 12(3), 1673–1684. Retrieved from https://ejournal.seaninstitute.or.id/index.php/Ekonomi/article/view/2650
Toha, M., & Rozikin, K. (2020). Implementasi Maqasid Al-Shari’ah Dalam Manajemen Strategis Syariah. JES (Jurnal Ekonomi Syariah), 5(1). https://doi.org/10.30736/jesa.v5i1.75
Vanchapo, Antonius Rino & Wawo, Balbina. (2023). Work Motivation Affects the Performance of Health Workers. Journal of World Future Medicine, Health and Nursing. 1. 23-33. 10.55849/health.v1i1.131.
Wahjoedi, Tri. (2021). The effect of organizational culture on employee performance mediated by job satisfaction and work motivation: Evident from SMEs in Indonesia. Management Science Letters. 2053-2060. 10.5267/j.msl.2021.3.004.
Wahyuhadi, J., Hidayah, N., & Qurratul Aini. (2022). A Model of Performance Evaluation for Healthcare Workers Based on Satisfaction and Remuneration (Financial and Non-Financial). Folia Medica Indonesiana, 58(4), 364–370. https://doi.org/10.20473/fmi.v58i4.38126
Wua, I., Noermijati, & Yuniarinto, A. (2022). The influence of organizational culture on the employee performance mediated by job satisfaction and organizational commitment. Jurnal Aplikasi Manajemen, 20(3), Article 7. https://doi.org/10.21776/ub.jam.2022.020.03.07
Zhou, P., Bundorf, K., Le Chang, J., Huang, J. X., & Xue, D. (2011). Organizational culture and its relationship with hospital performance in public hospitals in China. Health services research, 46(6pt2), 2139–2160. https://doi.org/10.1111/j.1475-6773.2011.01336.x
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