Training and Work Environment on Employee Performance: Mediating Effect of Work Motivation in State-Owned Hospital Holdings

Authors

  • Irawati Winarno Pertamina Bina Medika IHC, Indonesia
  • Asep Saifudin Institut Bisnis dan Komunikasi Swadaya, Indonesia
  • Deni Gustiawan Institut Bisnis dan Komunikasi Swadaya, Indonesia
  • Winaya Puwanti Institut Bisnis dan Komunikasi Swadaya, Indonesia

DOI:

https://doi.org/10.37641/jimkes.v14i3.5282

Keywords:

Employee Performance, Training, Work Environment, Work Motivation

Abstract

The healthcare industry faces increasing challenges in improving service quality, patient safety, and operational efficiency, requiring optimal employee performance. However, issues such as competency gaps, less conducive work environments, and uneven work motivation hinder performance improvement. This study examines the influence of training and work environment on employee performance, with work motivation as a mediating variable. Partial Least Squares Structural Equation Modeling (SEM-PLS) was used as a quantitative explanatory method. Likert-scale questionnaires were used to collect data, and SmartPLS was used for analysis. A total of 222 respondents were chosen by simple random sampling. The results indicate that training and the work environment have significant effects on employee performance. Both training and work environment significantly influence work motivation. Work motivation shows the strongest effect on performance and partially mediates the relationships between training and work environment on performance. The study highlights the critical role of work motivation in enhancing employee performance, supported by effective training and a conducive work environment. These findings provide practical guidance for improving human resource management strategies in healthcare organizations.

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References

Aguinis, H., & Kraiger, K. (2009). Benefits of training and development for individuals and teams, organizations, and society. Annual Review of Psychology, 60(1), 451-474.

Albrecht, S. L., Bakker, A. B., Gruman, J. A., Macey, W. H., & Saks, A. M. (2015). Employee engagement, human resource management practices and competitive advantage: An integrated approach. Journal of Organizational Effectiveness: People and Performance, 2(1), 7-35.

Aman, S., & Surwanti, A. (2025). A bibliometric analysis of motivation, job satisfaction, and employee performance: Trends, challenges, and emerging themes (2016–2025). J. Organ. Technol. Entrep, 3(1), 56-66.

Armstrong, M., & Taylor, S. (2023). Armstrong’s handbook of human resource management practice: A guide to the theory and practice of people management. London: Kogan Page Publishers.

Ayu M, S, A. M. S., Ribhan, R., & Rr Erlina, R. E. (2021). The effect of the work environment on employee performance with motivation as a mediation variables. Journal of Organizational Behavior Research, 15(1), 120–135.

Baharuddin, C., & Panus, P. (2025). Work environment and work motivation on employee performance. Advances in Human Resource Management Research, 3(3), 167-182.

Bakker, A. B., & Demerouti, E. (2017). Job demands–resources theory: Taking stock and looking forward. Journal of Occupational Health Psychology, 22(3), 273–285.

Bakker, A. B., Demerouti, E., & Sanz-Vergel, A. I. (2014). Burnout and work engagement: The JD–R approach. Annual Review of Organizational Psychology and Organizational Behavior, 1(4), 389-411.

Colquitt, J. A., LePine, J. A., & Wesson, M. J. (2019). Organizational behavior: Improving performance and commitment in the workplace (6th ed.). Paris: McGraw-Hill.

Creswell, J. W., & Creswell, J. D. (2017). Research design: Qualitative, quantitative, and mixed methods approaches. London: Sage Publications.

Deci, E. L., & Ryan, R. M. (2000). The “what” and “why” of goal pursuits: Human needs and the self-determination of behavior. Psychological Inquiry, 11(4), 227–268.

Deci, E. L., & Ryan, R. M. (2013). Intrinsic motivation and self-determination in human behavior. Cham: Springer Science & Business Media.

Decuypere, A., & Schaufeli, W. (2021). Exploring the leadership–engagement nexus: A moderated meta-analysis and review of explaining mechanisms. International Journal of Environmental Research and Public Health, 18(16), 85-92.

Edmondson, A. C., & Lei, Z. (2014). Psychological safety: The history, renaissance, and future of an interpersonal construct. Annu. Rev. Organ. Psychol. Organ. Behav., 1(1), 23-43.

Ghozali, I. (2021). Partial least squares: konsep, teknik, dan aplikasi menggunakan program SmartPLS 3.2. 9 untuk penelitian empiris. Semarang: Badan Penerbit Universitas Diponegoro.

Grossman, R., & Salas, E. (2011). The transfer of training: what really matters. International Journal of Training and Development, 15(2), 103-120.

Hair, J. F., Hult, G. T. M., Ringle, C. M., & Sarstedt, M. (2021). A primer on partial least squares structural equation modeling (PLS-SEM) (3rd ed.). London: Sage Publications.

Handayani, A. J., Sugiono, E., & Efendi, S. (2025). Enhancing employee performance through career development, training, and human resource planning: the mediating effect of motivation. Jurnal Ilmiah Manajemen Kesatuan, 13(6), 4361-4374.

Hasibuan, M. S. P. (2019). Manajemen sumber daya manusia. Jakarta: Bumi Aksara.

Herzberg, F. (1966). Work and the nature of man. London: World Publishing Company.

Khan, R. A. G., Khan, F. A., & Khan, M. A. (2011). Impact of training and development on organizational performance. Global Journal of Management and Business Research, 11(7), 63-68.

Luthans, F. (2011). Organizational behavior: An evidence-based approach (12th ed.). Paris: McGraw-Hill.

Luthfiani, I., & Rijanti, T. (2025). The mediating role of motivation on the relationship of job characteristics and job training on employee performance. Indonesian Interdisciplinary Journal of Sharia Economics (IIJSE), 8(3), 15354-15370.

Mangkunegara, A. A. A. P. (2011). Manajemen sumber daya manusia perusahaan. Surabaya: Remaja Rosdakarya.

McClelland, D. C. (1987). Human motivation. Cambridge: Cambridge University Press.

Na-Nan, K., & Sanamthong, E. (2020). Self-efficacy and employee job performance: Mediating effects of perceived workplace support, motivation to transfer and transfer of training. International Journal of Quality & Reliability Management, 37(1), 1-17.

Noe, R. A., & Peacock, M. (2008). Employee training and development. Paris: McGraw-Hill Education.

Prasetyo, I. (2021). What affects employee performance through work motivation?. Journal of Management Economics, 8(5), 12-25.

Rahmanda, H., & Rino, R. (2025). The effect of leadership style and work motivation on employee performance: A systematic literature review. American Journal of Economic and Management Business (AJEMB), 4(5), 357-366.

Riyanto, S., Handiman, U. T., & Prasetya, A. D. (2021). The role of work motivation in mediating training and organizational culture for improving employee performance. Journal of Hunan University Natural Sciences, 48(10), 99-110.

Robbins, S. P., & Judge, T. A. (2017). Organizational behavior (17th ed.). Cambridge: Pearson Education.

Robbins, S. P., & Judge, T. A. (2020). Organizational behavior (18th ed.). Cambridge: Pearson Education.

Ryan, R. M., & Deci, E. L. (2020). Intrinsic and extrinsic motivation from a self-determination theory perspective. Contemporary Educational Psychology, 61(10), 101-120.

Saks, A. M. (2006). Antecedents and consequences of employee engagement. Journal of Managerial Psychology, 21(7), 600–619.

Saks, A. M. (2019). Antecedents and consequences of employee engagement revisited. Journal of Organizational Effectiveness, 6(1), 19–38.

Salas, E., Tannenbaum, S. I., Kraiger, K., & Smith-Jentsch, K. A. (2012). The science of training and development in organizations: What matters in practice. Psychological Science in the Public Interest, 13(2), 74-101.

Sarstedt, M., Ringle, C. M., & Hair, J. F. (2021). Partial least squares structural equation modeling. In Handbook of market research (pp. 587-632). Cham: Springer International Publishing.

Saunders, M. (2009). Research methods for business students. Cambridge: Person Education Limited.

Schaufeli, W. B., & Bakker, A. B. (2004). Job demands, job resources, and their relationship with burnout and engagement: A multi‐sample study. Journal of Organizational Behavior: The International Journal of Industrial, Occupational and Organizational Psychology and Behavior, 25(3), 293-315.

Sedarmayanti, P. (2017). Pengembangan sumber daya manusia. Bandung: PT Refika Aditama.

Siagian, M. P. I., Siregar, Z. M., & Rambe, B. H. (2023). The effect of training on employee performance by mediating organizational commitment and motivation at the labuhanbatu youth and sports culture and tourism service. Indonesian Interdisciplinary Journal of Sharia Economics (IIJSE), 6(1), 254-269.

Sjarifudin, D., Tambunan, E. B. M., Haekal, J., & Saepudin, T. H. (2025). The effect of talent management and work motivation on employee performance: A systematic literature review. Greenation International Journal of Economics and Accounting, 3(1), 49-57.

Van den Broeck, A., Ferris, D. L., Chang, C. H., & Rosen, C. C. (2016). A review of self-determination theory’s basic psychological needs at work. Journal of Management, 42(5), 1195-1229.

Wright, P. M., & McMahan, G. C. (2011). Exploring human capital: putting ‘human’back into strategic human resource management. Human Resource Management Journal, 21(2), 93-104.

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Published

2026-05-31

How to Cite

Winarno, I., Saifudin, A., Gustiawan, D., & Puwanti, W. (2026). Training and Work Environment on Employee Performance: Mediating Effect of Work Motivation in State-Owned Hospital Holdings. Jurnal Ilmiah Manajemen Kesatuan, 14(3), 2583–2594. https://doi.org/10.37641/jimkes.v14i3.5282