Determination of organizational factors on employee attachment to work fatigue as moderation in group nurses of hospital
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Published: May 1, 2025
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Page: 561-568
Abstract
In the healthcare industry, employee engagement plays an important role in improving service quality and reducing the turnover rate of healthcare workers. Nurses who have a high level of attachment to the organization tend to be more productive, committed, and provide better services. However, various organizational factors such as interpersonal relationships, management support, transformational leadership, career development, and work environment can affect employee engagement levels. In addition, burnout is often a challenge in the industry and has the potential to moderate the relationship between organizational factors and employee engagement. This study aims to analyze the influence of organizational factors on the attachment of nurse employees in Group Hospital X with work fatigue as a moderation variable. This study uses a quantitative method with an explanatory approach. Data was collected through a questionnaire given to 222 nurses and analyzed using Moderated Regression Analysis (MRA). The results showed that only the work environment had a significant influence on employee engagement, while interpersonal relationships, management support, transformational leadership, and career development did not show a significant impact. In addition, work burnout has not been shown to moderate the relationship between organizational factors and employee engagement. Interviews with nurses revealed that although work burnout was a major challenge, intrinsic factors such as love of the profession were still the main reason they persisted. These findings provide insight for hospital management in designing more effective policies to improve the welfare of health workers.

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- Adams, J. S. (1965). Inequity in social exchange. In Advances in experimental social psychology (Vol. 2, pp. 267–299). Elsevier.
- Ahda, H. M., & Hidayah, N. (2021). Gaya Kepemimpinan Dalam Meningkatkan Keterikatan dan Kinerja Perawat. Jurnal Kepemimpinan Dan Manajemen Keperawatan, 4(2), 183–198.
- Al Marshoudi, F. B., Jamaluddin, Z., & Al Balushi, F. I. (2023). Transformational leadership mediates the relationship between employee engagement and performance in production media. International Journal of Management, 1(2).
- Alam, P. N., Mita, R. J., Yana, Y., & Sanjaya, V. F. (2020). Pengaruh Kompensasi, Kepuasan Kerja, Dan Beban Kerja Terhadap Loyalitas Karyawan Pada Pt Indomarco Prismatama. Jurnal Ilmu Manajemen Saburai (JIMS), 6(2), 69–76.
- Andriani, R., Ahman, E., & Santoso, B. (2020). Conditional Process Pada Manajemen SDM: Perspektif Polychronicity, Kepuasan Kerja, Engagement Karyawan, Lingkungan Kerja, dan Turnover Intention. Gracias Logis Kreatif.
- Apriadi Rusman, A. R. (2024). Pengaruh kepemimpinan transformasional, iklim organisasi dan motivasi kerja terhadap kinerja perawat rsud anuntaloko parigi. Universitas Hasanuddin.
- Bakker, A. B., & Demerouti, E. (2017). Job demands–resources theory: Taking stock and looking forward. Journal of Occupational Health Psychology, 22(3), 273.
- Baron, R. M., & Kenny, D. A. (1986). The moderator–mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51(6), 1173.
- Chrysoprase, J., & Santoso, T. (2022). Pengaruh Keadilan Organisasional dan Tuntutan Kerja Berlebihan terhadap Keterikatan Kerja Karyawan CV Menang Department Store. Agora, 10(1), 358472.
- Fahrepi, R. (2025). Stres kerja perawat (penyebab dan indikasinya). BuatBuku. com.
- Graban, M. (2018). Lean hospitals: improving quality, patient safety, and employee engagement. Productivity Press.
- Handa, M., & Gulati, A. (2014). Employee engagement. Journal of Management Research, 14(1), 57–67.
- Hastutiningsih, A. T. (2018). Pengaruh beban kerja dan lingkungan kerja terhadap kinerja karyawan dimediasi stres kerja (studi pada PT. MSV Pictures Yogyakarta). Universitas Islam Indonesia.
- Hermawan, I. (2019). Metodologi penelitian pendidikan (kualitatif, kuantitatif dan mixed method). Hidayatul Quran.
- Hilmawan, H., & Yumhi, Y. (2019). Pengaruh Komunikasi Dan Kepemimpinan Transformasional Terhadap Kepuasan Kerja Pegawai Rutan Klas IIB Rangkasbitung. The Asia Pacific Journal Of Management Studies, 6(1).
- Insan, A. N. (2019). Kepemimpinan Transformational (Suatu Kajian Empiris di Perusahaan). Alfabeta Bandung.
- Isminarti, S. (2024). Kepemimpinan Transformasional, Komitmen Profesional, dan Emotional Stability Terhadap Kinerja Karyawan Dengan Kepuasan Kerja Sebagai Pemediasi. Universitas Islam Sultan Agung (Indonesia).
- Iswanto, F., & Agustina, I. (2017). Peran dukungan sosial di tempat kerja terhadap keterikatan kerja karyawan. Mediapsi, 2(2), 38–45.
- Koch, J. L., & Steers, R. M. (1978). Job attachment, satisfaction, and turnover among public sector employees. Journal of Vocational Behavior, 12(1), 119–128.
- Lestari, R., Windarwati, H. D., Setyawan, F. E. B., & Hidayah, R. (2022). Stres, Resiliensi, dan Tata Laksana Masalah Kesehatan Jiwa Tenaga Kerja setelah Pandemi COVID-19. Universitas Brawijaya Press.
- Listiana, E., & Dwiantoro, L. (2018). Kepemimpinan Transformasional Untuk Merubah Perawat Dalam Upaya Meningkatkan Dukungan Suami Dalam Pemberian Asi Eksklusif: Literatur. Fakultas Kedokteran Universitas Diponegoro Semarang, Indonesia, 202.
- Macey, W. H., & Schneider, B. (2008). The meaning of employee engagement. Industrial and Organizational Psychology, 1(1), 3–30.
- Maharani, T. D., & Frianto, A. (2023). Organizational Citizenship Behavior: Peran Kepemimpinan Transformasional dan Keterikatan Kerja. Jurnal Ilmu Manajemen, 406–417.
- Maslach, C., & Leiter, M. P. (2016a). Burnout: A brief history and how to measure it. Understanding the Burnout Experience: Recent Research and Its Implications for Psychiatry, 105–128.
- Maslach, C., & Leiter, M. P. (2016b). Understanding the burnout experience: recent research and its implications for psychiatry. World Psychiatry, 15(2), 103–111.
- Mosadeghrad, A. M. (2014). Factors influencing healthcare service quality. International Journal of Health Policy and Management, 3(2), 77.
- Nurfaizi, I. (2022). Pengaruh Work-Life Balance, Gaya Kepemimpinan Transformasional, dan Stres Kerja Terhadap Kepuasan Kerja Bagi para Karyawan (Studi kasus pada divisi keperawatan Rumah Sakit Ibu Anak ASIH). Fakultas Ekonomi dan Bisnis uin jakarta.
- Perwira, L. T., Aulia, A., & Jocom, C. O. (2021). Are Love of Work, Perceived Organizational Support, and Psychological Well-Being Predictors of Work Engagement? Journal of Educational, Health and Community Psychology, 10(4), 673–685.
- Pongton, P., & Suntrayuth, S. (2019). Communication satisfaction, employee engagement, job satisfaction, and job performance in higher education institutions. Abac Journal, 39(3), 90–110.
- Prahara, S. A., & Putri, O. S. R. (2020). Persepsi lingkungan kerja fisik dengan employee engagement pada karyawan. Psychopolytan: Jurnal Psikologi, 4(1), 11–16.
- Spence Laschinger, H. K., Finegan, J., & Shamian, J. (2002). The impact of workplace empowerment, organizational trust on staff nurses’ work satisfaction and organizational commitment. In Advances in health care management (pp. 59–85). Emerald Group Publishing Limited.
- Stringer, L. (2006). The link between the quality of the supervisor–employee relationship and the level of the employee’s job satisfaction. Public Organization Review, 6, 125–142.
- Timms, C., Brough, P., & Graham, D. (2012). Burnt‐out but engaged: the co‐existence of psychological burnout and engagement. Journal of Educational Administration, 50(3), 327–345.
- Tuhumury, E. (2022). Pengaruh followership style, persepsi dukungan supervisor, dan kepuasan kerja terhadap kesejahteraan psikologis di tempat kerja (Studi pada Operator Angkutan Udara di Indonesia). Universitas Atma Jaya Yogyakarta.
- Wati, R. K., & Aulia, A. (2021). Kesejahteraan psikologis, kualitas kehidupan kerja dan keterikatan kerja pegawai BNPP. Universitas Ahmad Dahlan.
- Wilis, A. P. L., Zamralita, Z., & Budiarto, Y. (2023). Peranan Workplace Well-Being Terhadap Turnover Intention Dengan Work Engagement Sebagai Mediator Pada Karyawan Generasi Milenial. GEMA EKONOMI, 12, 737.