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Abstract

Hospitals require health workers with optimal performance to ensure high quality services, especially nurses who act as the frontline in patient care. Optimal nurse performance can improve patient safety, operational efficiency, and patient satisfaction. Maintaining this level of performance is a major challenge for hospital management. This study aims to analyse the effect of organisational commitment and work-life balance on nurses' job performance at Regional General Hospital X in Jakarta, with job satisfaction as a mediating variable. This study used a quantitative approach with a cross-sectional design, using a structured questionnaire distributed to non-civil servant nurses who have worked for at least one year at the hospital. The study involved a total of 100 respondents, consisting of 30 participants in the preliminary study and 70 in the main study. Data were analysed using Partial Least Squares Structural Equation Modeling (PLS-SEM). The results showed that both organisational commitment and work-life balance have a significant positive influence on job performance, both directly and indirectly through the mediation of job satisfaction. This study provides managerial implications for hospital administrators to effectively maintain and improve nurses' performance.

Keywords

Organizational Commitment Work-Life Balance Job Satisfaction Job Performance Nurses Hospital

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References

  1. Adu-Gyamfi, H. (2022). Effect of work-life balance on job satisfaction and employee commitment among female nurses in some selected hospitals in the Cape Coast Metropolis [Master's thesis, University of Cape Coast]. University of Cape Coast Institutional Repository. http://hdl.handle.net/123456789/10612
  2. Al-Dossary, R. N. (2022). The relationship between nurses' quality of work-life and organizational loyalty and job performance in Saudi Arabian hospitals: A cross-sectional study. Frontiers in Public Health, 10, 918492. https://doi.org/10.3389/fpubh.2022.918492
  3. Al Maqbali, M. A., Al Sinani, M., Al-Lenjawi, B., & Husselin, A. (2023). Increased job burnout and reduced job satisfaction for nurses during the COVID-19 pandemic: Prevalence and associated factors. Frontiers in Psychology, 14, 1044329. https://doi.org/10.3389/fpsyg.2023.1044329
  4. Alshaibani, N. M., Alshammari, F. F., Alzaid, B. A., Alenezi, A. K., & Alshammari, M. M. (2024). Association of job satisfaction, intention to stay, organizational commitment, and general self-efficacy among clinical nurses in Riyadh, Saudi Arabia. Behavioural Sciences, 14(12), 1140. https://doi.org/10.3390/bs14121140
  5. As’ad, A., Brasit, N., Muis, M., & Umar, F. (2024). uNVEILING THE ANTECEDENTS OF SuSTAINABLE PERFORMANCE: INSIGHTS FROM HOSPITALITY INDuSTRY MANAGERS.
  6. As' ad, A., Tiong, P., & Sani, A. (2022). Analisis Implementasi Budaya Organisasi dalam meningkatkan Kinerja Karyawan melalui Motivasi Kerja dan Kepuasan Kerja: Study Empirik Beberapa Café di kota Makassar. Amkop Management Accounting Review (AMAR), 2(1), 51-62.
  7. Badan PPSDM Kesehatan. (2022). Indonesian health human resources data and information. Ministry of Health of the Republic of Indonesia.
  8. Bougiel, R., & Sekaran, U. (2020). Research methods for business: A skill building approach (8th ed.). Wiley & Sons Ltd.
  9. Budiono, A. (2024). Job performance influenced by leadership and training: Job satisfaction and organizational commitment as mediator variables. Folia Oeconomica Stetinensia, 24(2), 20-40. https://doi.org/10.2478/foli-2024-0015
  10. Chan, X. W., Brough, P., Timms, C., & Hawkes, A. (2020). Work-life balance: Definitions, causes, and consequences. In M. A. Wang & M. R. Sinclair (Eds.), Handbook of socioeconomic determinants of occupational health (pp. 1-15). Springer. https://doi.org/10.1007/978-3-030-05031-3_20-1
  11. Choi, Y., & Johansson, G. (2017). Marital status and job-life satisfaction among healthcare workers. Journal of Occupational Health Psychology, 22(2), 123-134.
  12. Creswell, J. W., & Creswell, J. D. (2018). Research design: Qualitative, quantitative, and mixed methods approaches (5th ed.). SAGE Publications.
  13. Cvenkell, N. (2021). Work-life balance and well-being at work: Employees' perspective to promote a psychologically healthy workplace. In S. O. Idowu, N. Capaldi, L. Zu, & A. D. Gupta (Eds.), The Palgrave Handbook of Corporate Social Responsibility (pp. 429-451). Springer. https://doi.org/10.1007/978-3-030-42465-7_19
  14. Regional House of Representatives of DKI Jakarta Province. (2023, October 5). DPRD DKI strives for civil servant and PPPK status for 14 thousand honourary health workers in Jakarta. https://dprd-dkijakartaprov.go.id/dprd-dki-perjuangkan-status-pns-dan-pppk-14-ribu-nakes-honor-di-jakarta/
  15. DKI Jakarta Provincial Health Office. (2023). Performance report of the DKI Jakarta Health Office in 2022.
  16. Elvitasari, R. M., Thoyib, A., & Rofiaty. (2023). Mediating affective organizational commitment and job satisfaction at SMEs family: The effect of transformational leadership style on employee performance. International Journal of Research in Business and Social Science, 12(4), 143-153. https://doi.org/10.20525/ijrbs.v12i4.2624
  17. Faculty of Nursing, University of Indonesia. (2025). https://nursing.ui.ac.id/
  18. Fukuzaki, T., Iwata, N., Ooba, S., Takeda, S., & Inoue, M. (2021). The effect of nurses' work-life balance on work engagement: The adjustment effect of affective commitment. Yonago Acta Medica, 64(3), 269-281. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8380556/
  19. Gage, C. B., Logan, L., Kamholz, J. C., Powell, J. R., van den Bergh, S. L., Kenah, E., & Panchal, A. R. (2025). The Spector Job Satisfaction Survey: Associations of satisfaction with leaving EMS. Prehospital Emergency Care, 1-8. https://doi.org/10.1080/10903127.2025.2482100
  20. Gou, J., Zhang, X., He, Y., He, K., & Xu, J. (2024). Effects of job demands, job resources, personal resources on night-shift alertness of ICU shift nurses: A cross-sectional survey study based on the job demands-resources model. BMC Nursing, 23, Article 648. https://doi.org/10.1186/s12912-024-02313-0
  21. Gül, D., Akkaya, G., & Yildirim, A. (2023). The effect of talent management on the job satisfaction and organizational commitment of nurses. International Nursing Review, 70(3), 329-337. https://doi.org/10.1111/inr.12796
  22. Haider, S., Jabeen, S., & Ahmad, J. (2018). Moderated mediation between work-life balance and employee job performance: The role of psychological well-being and satisfaction with coworkers. Journal of Work and Organizational Psychology, 34(1), 29-37. https://doi.org/10.5093/jwop2018a4
  23. Hair, J. F., Hult, G. T. M., Ringle, C., & Sarstedt, M. (2019). A primer on partial least squares structural equation modelling (PLS-SEM) (2nd ed.). SAGE Publications.
  24. Hair, J. F., Hult, G. T. M., Ringle, C. M., Sarstedt, M., Danks, N. P., & Ray, S. (2021). Partial least squares structural equation modelling (PLS-SEM) using R: A workbook. Springer. https://doi.org/10.1007/978-3-030-80519-7
  25. Hasanah, F. N., Agusnita, A., & Nurdin, N. (2022). Nursing workforce calculation: The impact of nursing staff shortages on health services. Journal of Hospital Management and Administration Science, 10(2), 250-258. https://jurnal.agdosi.com/index.php/JIMAD/article/download/281/250
  26. Henseler, J., Ringle, C. M., & Sarstedt, M. (2015). A new criterion for assessing discriminant validity in variance-based structural equation modelling. Journal of the Academy of Marketing Science, 43(1), 115-135. https://doi.org/10.1007/s11747-014-0403-8
  27. Ibrahim, I., Subroto, E., Handaru, A. W., & Rini, T. S. (2023). The influence of job satisfaction and organizational commitment on nurses' performance through work motivation. Pharmacognosy Journal, 15(2), 319-325. https://doi.org/10.5530/pj.2023.15.45
  28. International Council of Nurses (ICN). (2021). The global nursing shortage and nurse retention. https://www.icn.ch
  29. Judi, I. D., Mohammedamin, P., Zainal, H., & Bin Sawari, S. (2025). The mediating effect of organizational commitment between professional autonomy and nurses' performance in intensive care units. BMC Nursing, 24, Article 127. https://doi.org/10.1186/s12912-024-02551-2
  30. Kaushik, V., & Walsh, C. A. (2019). Pragmatism as a research paradigm and its implications for social work research. Social Sciences, 8(9), 255. https://doi.org/10.3390/socsci8090255
  31. Indonesian Ministry of Health. (2022). Indonesia Health Profile 2021. Jakarta: Indonesian Ministry of Health.
  32. Ministry of Health of the Republic of Indonesia. (2023). Indonesia Health Profile Year 2022. Jakarta: Indonesian Ministry of Health. https://pusdatin.kemkes.go.id
  33. Kock, N., & Hadaya, P. (2018). Minimum sample size estimation in PLS-SEM: The inverse square root and gamma-exponential methods. Information Systems Journal, 28(1), 227-261.
  34. Kumanu. (2020). Work-life balance in the modern workplace. Springer. https://doi.org/10.1007/978-3-031-25984-5_177
  35. Labrague, L. J., & Delos Santos, J. A. A. (2021). Resilience as a mediator in the relationship between stress associated with the COVID-19 pandemic, life satisfaction, and psychological well-being in student nurses: A cross-sectional study. Nurse Education in Practice, 54, 103182. https://doi.org/10.1016/j.nepr.2021.103182
  36. Loan, L. T. M. (2020). The influence of organizational commitment on employees' job performance: The mediating role of job satisfaction. Management Science Letters, 10(14), 3307-3312. https://doi.org/10.5267/j.msl.2020.6.009
  37. Luthfia, S. A., Rahmi, F., & Sembiring, L. S. (2022). Work life balance on the female nurses at the inpatient installation of non surgical internal medicine. International Humanities and Applied Sciences Journal, 5(2), 74-85.
  38. Mao, A., Cheong, P. L., Van, I. K., & Tam, H. L. (2021). "I am called girl, but that doesn't matter"-Perspectives of male nurses regarding gender-related advantages and disadvantages in professional development. BMC Nursing, 20(1), 24. https://doi.org/10.1186/s12912-021-00539-w
  39. Melmon, M. A., & Ting, H. (2020). Sample size determination using G*Power: Practical guidelines for researchers. Communications of the IBIMA, 2020(1), 1-10.
  40. Meyer, J. P., & Maltin, E. R. (2015). Employee commitment and well-being: A critical review, theoretical framework and research agenda. Journal of Vocational Behaviour, 77(2), 323-337. https://doi.org/10.1016/j.jvb.2010.04.007
  41. Mirza, H., Bellalem, F., & Mirza, C. (2023). Ethical considerations in qualitative research: Summary guidelines for novice social science researchers. Social Studies and Research Journal, 11(1), 441-449. https://www.researchgate.net/publication/370838199
  42. Nursalam. (2021). Nursing management: Application in professional nursing practice (6th ed.). Jakarta: Salemba Medika.
  43. Paparisabet, M., Jalalpour, A. H., Farahi, F., Gholami, Z., Shaygani, F., Jalili, N., Beigi, S. R., Marzaleh, M. A., & Ellyaderani, H. D. (2024). Investigating the organizational commitment and its associated factors among the staff of the health sector: A cross-sectional research. BMC Health Services Research, 24, Article 1373. https://doi.org/10.1186/s12913-024-11893-1
  44. Park, E., Kang, H., & Kim, J. (2023). The associations among nurse work engagement, job satisfaction, quality of care, and intention to leave: A cross-sectional study. International Journal of Nursing Studies Advances, 5, 100126. https://doi.org/10.1016/j.ijnsa.2023.100126
  45. Permadi, I. K. O., Diputra, I. K. S., & Sanjiwani, P. A. P. (2022). The effect of work-life balance and workload on job satisfaction to affect nurse performance. Economist: Journal of Economics and Business, 7(2), 884-891.
  46. Riaz, M., Ramzan, M., Ishaq, G., Akram, U., & Karim, Y. (2017). Impact of organizational commitment on employee job performance: Evidence from Pakistan. International Journal of Academic Research in Business and Social Sciences, 7(8), 618-631. https://doi.org/10.6007/IJARBSS/v7-i8/3219
  47. Robbins, S. P., & Judge, T. A. (2019). Organizational behaviour (18th ed.). Pearson.
  48. Sarstedt, M., Ringle, C. M., Cheah, J. H., Ting, H., Moisescu, O. I., & Radomir, L. (2022). Structural model robustness checks in PLS-SEM. Tourism Economics, 28(1), 39-61.
  49. Sari, W. P. (2020). Job satisfaction and job performance in the context of organisational communication. Journal of Muara Ilmu Ekonomi dan Bisnis, 4(1), 29-39. https://journal.untar.ac.id/index.php/jmieb/article/view/7537
  50. Shabir, S., & Gani, A. (2020). Impact of work-life balance on organizational commitment of women health-care workers: Structural modelling approach. International Journal of Organizational Analysis, 28(4), 917-939. https://doi.org/10.1108/IJOA-07-2019-1820
  51. Smeltzer, S. C., Cantrell, M. A., Sharts-Hopko, N. C., Heverly, M. A., Jenkinson, A., & Ntheketha, S. (2016). Psychometric analysis of the Work/Life Balance Self-Assessment Scale. Journal of Nursing Measurement, 24(1), 5-21.
  52. Soniyya, T., & Mulyati, R. (2023). The relationship between meaning of work and organisational commitment in nurses with job satisfaction as a mediator. Journal of Psychogenesis, 11(1). https://www.researchgate.net/publication/377248050
  53. Spector, P. E. (2022). Industrial and organisational psychology: Research and practice (8th ed.). Wiley.
  54. Sugiyono. (2021). Quantitative, qualitative, and R&D research methods (26th ed.). Bandung: Alfabeta.
  55. Susanto, P., Hoque, M. E., Jannat, T., Emelly, B., Zona, M. A., & Islam, M. A. (2022). Work-life balance, job satisfaction, and job performance of SMEs employees: The moderating role of family-supportive supervisor behaviours. Frontiers in Psychology, 13, Article 906876. https://doi.org/10.3389/fpsyg.2022.906876
  56. Telymoori, A., Emamipour, S., & Mohammadzadeh, S. (2023). Relationship between organizational commitment and caring behaviour among nurses in hospitals: A cross-sectional study. BMC Health Services Research, 23, Article 1008. https://doi.org/10.1186/s12913-023-09167-3
  57. Uzdil, N., Yıldız, H., & Akyol, A. (2023). The mediating effect of work-family life balance on the relationship between the sense of coherence and job satisfaction in nurses. Archives of Psychiatric Nursing, 46, 33-39. https://doi.org/10.1016/j.apnu.2023.07.004
  58. Widyastuti, T., & Hidayat, R. (2018). Adaptation of Individual Work Performance Questionnaire (IWPQ) into Bahasa Indonesia. International Journal of Research Studies in Psychology, 7(2), 101-112. https://doi.org/10.5861/ijrsp.2018.3020
  59. Wijaya, P. D. G. K., & Suwandana, I. G. M. (2022). The role of job satisfaction, work-life balance on the job performance of female nurses at local general hospital. European Journal of Business and Management Research, 7(1), 208-212. https://doi.org/10.24018/ejbmr.2022.7.1.1268
  60. World Health Organisation (WHO). (2022). Global strategy on human resources for health: Workforce 2030. https://www.who.int/publications/i/item/9789241511131
  61. Zhao, F., et al. (2023). Interconnected stressors and well-being in healthcare professionals. Applied Research in Quality of Life, 19, 10419. https://doi.org/10.1007/s11482-024-10419-5.