User

Variables at the Community Health Center Have the Ecological Effect on the Performance of Health Workers: A Multilevel Evidence from Klaten, Central Java

Nia Handayani, Didik Gunawan Tamtomo, Bhisma Murti

Abstract

Background:Performance is a work achieve­ment that can be achieved from a job. Em­ployee performance in an organization leads to the ability of employees to complete all tasks that have become their responsibility. Various pro­blems in the workplace can often cause work stress, if it lasts long can cause various disturb­ances. Success in achieving goals is supported by the role of a leader with the lead­ership style used. This study aimed to examine the effects of work stress and leadership style on the performance of public health workers.

Subjects and Method:This was a cross sec­tional study conducted at the Klaten District Health Center, Central Java, from November to December, 2019. A sample of 200 health work­ers was selected by stratified random sampling. The dependent variable was work performance. The independent variables were work stress, leader­ship style, education, tenure, and type of work. The data were collected by questionnaire and analyzed by a multilevel logistic regression run on Stata 13.

Results: Performance of health workers decre­ased with heavy work stress (b= -1.65; 95% CI= -2.58 to -0.72; p= 0.001). Perform­ance of health workers increased with demo­cratic leadership style (b= 1.40; 95% CI= 0.44 to 2.36; p = 0.004), high education level (b= 1.58; 95% CI= 0.65 to 2.52; p= 0.001), tenure ≥6 years (b= 1.72; 95% CI= 0.73 to 2.70; p= 0.001), and type of work without any additions (b= 2.05; 95% CI= 1.07 to 3.03; p<0.001). Community health center had ecological effect on performance of health workers with ICC= 12.74%.

Conclusion: Performance of health workers decreases with heavy work stress. Performance of health workers increases with democratic leader­ship style, high education level, tenure ≥6 years, and type of work without any addi­tions. Commu­nity health center has ecological effect on per­formance of health workers.

Keywords:work performance, work stress, leadership style, community health center

Correspondence: Nia Handayani. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Suta­mi 36A, Surakarta 57126, Central Java. Email: nia­handayani19­@gmail.­com. Mobile: +628213­3055176.

Journal of Health Policy and Management (2020), 5(2): 152-161
https://doi.org/10.26911/thejhpm.2020.05.02.08

Full Text:

PDF

References

Abdulrahamon A, Toyin AS,

Adeola F (2018). Impact of educational, pro­fessio­nal qualification and years

of ex­perience on accountant job perfor­mance. J account finance manag, 4(1):

–44. Retrieved from www.­iiardpub.­org

Ahmed A, Ramzan M (2013). Effects of job stress on

employees job per­formance a study on banking sector of Pakistan. IOSR Journal of Business and Mana­gement, 11(6):

–68. https:­//­doi.org­/­10.9790/487x-1166168

Amir, Tamsah H, Kadir I

(2018). Pe­ngaruh kepemimpinan, kompensasi, dan ke­disiplinan terhadap kinerja

te­na­ga ma­gang di Public health center Mangkoso Ka­bu­­paten Barru (The

influence of leadership, compensation, and discipli­ne on the performance of

apprentices in Mangkoso Health Center in Barru Regency).

J Manag. 1(3): 84–106.

Re­trieved from

https://jour­­­­­nal.­stieam­kop.ac.id/index.php/yume.

Bhui K, Dinos S,

Galant-Miecznikowska M, de Jongh B, Stansfeld S (2016). Percep­tions of work stress causes and effective

interventions in employees working in public, private and non-go­vernmental

organisations: A quali­ta­tive study.­­ B J Psych Bulletin, 40(6): 318–325.

https:­//doi.org/10.1192/pb.­bp.115.­050823.­

Busro, Muhammad (2018). Teori-teori

ma­na­jemen sumber daya manusia (Theo­ries of human resource management). Ja­­kar­ta: Prenadamedia

Fitria NR, Arso SP,

Kusumawati A (2018). Hubungan variabel organisasi dan psi­­kologis dengan

kinerja pegawai public health center bendan kota pekalongan da­­lam era jaminan

kesehatan na­si­o­nal (Relationship between organizational and

psychological variables with the performance of employees of the Peka­longan

city health center in the era of national health insurance). Jurnal Ke­sehatan Masyarakat. 6(5). http://­ejo­urnal3.undip.ac.id/­in­dex­­.­­­­php/jkm

Gharib

MN, Jamil SA, Ahmad M, Ghouse S (2016). The impact of job stress on job

performance: A case study on acade­mic staff at Dhofar University. Int J eco

res, 13 (1): 21-33. https://­www.­re­search­ga­te.net/publication/

Hassan

B, Ogunkoya O (2014). Demo­gra­phic variables and job per­forman­ce: any link?.

J Econ 10 (4): 19-30. http:­//jour­nals.univ-danubius.­ro/­index.­php/oeco­nomica/article/view/2420/2666

Juliani

T (2017). Analysis of incentive, work discipline, and education levels that

influence employee performance. J Appl Manag, 15 (2): 355-361. http:­//­dx.doi.org/10.18202/­jam­230263­3­2­­.­­­15.2.20

Kiram S

(2014). Stres dan manajemen stres pada pegawai public health center (Stress and

stress management in pu­blic

health center employees). Skripsi Fa­kul­tas Ilmu Sosial dan Politik Uni­ver­sitas

Indonesia, Depok.

Li L,

Ai H, Gao L, Zhou H, Liu X, Zhang Z, Sun T, Fan L (2017). Moderating effects of

coping on work stress and job per­formance

for nurses in tertiary hos­pitals: A cross-sectional survey in­ Chi­na. BMC Health Serv Res, 17(1):1–8.

https://doi.org/10.1186/­s12913017­348-3.

Mawaranti

R, Prasetio AP (2018). Dampak stres kerja terhadap kepuasan kerja pa­da pegawai

UPT Public health center Jasi­nga (The impact of job stress on job satisfaction

on Jasinga Public health center staff). Jurnal Riset Bisnis dan Mana­je­men, 13

(1): 37-45. http://ejour­nalfb.­ukdw.ac.id/index.php/jrmb/­ar­ticle­/­vi­ew/302

Miranti

E, Herkulana, Yacoub Y (2016). Pengaruh tingkat pendidikan, masa kerja dan

motivasi kerja terhadap ki­nerja

karyawan (The effect of education level, years of service and work moti­va­tion on

employee performance). Jurnal Pendidikan dan Pembelajaran Khatu­listiwa, 5 (3). http://jurnal.untan.ac.­id/index.php/­pdpb/article/view/14462

Murali

S, Basit A, Hassan Z (2017). Impact of job stress on employee perfor­man­ce. J

account bus manag, 5: 15-33. https:­//doi.org/10.24924/­ijabm/­20­17­­.­­11/­v5.iss2/13.33

Musinguzi

C, Namale L, Rutebemberwa E, Dahal A, Nahirya-Ntege P, Keki­tiinwa A (2018).

The relationship bet­ween lea­dership style and health wor­ker moti­vation, job

satisfaction and team­work in Uganda. J Healthc Lea­dersh,10: 21–32. https://doi.org/10­.­­­­2147/jhl.­s147­885.

Nawoseing’ollan D, Roussel J (2017). Influ­ence of leadership styles on employees’ performance: a

study of Turkana Coun­ty, Kenya. Int j bus soc sci res,

(7): 82–98. Retrieved from www.ijbssnet.­com.

Peraturan Menteri Kesehatan Nomor 75 Tahun 2014

tentang Pusat Kesehatan Masyarakat

Rajan D (2018). Negative impacts of heavy workload: a

comparative study among sanitary workers. Int J Sociol, 2(6). https://doi.org/10.15406/sij.2018.02.­­­00086

Samsuddin H (2018). Kinerja karyawan: tin­jauan dari

gaya kepemimpinan, bu­daya organisasi dan komitmen orga­nisasi (Employee performance: an

overview of leadership styles, organizational culture and organizational

commitment). Sidoarjo: Indomedia Pustaka

Shah SMM, Hamid K, Shaikh UA, Qureshi MA, Pahi MH

(2016). The relation­ship between

leadership styles and job per­formance: the role of work

enga­ge­ment as a mediator : review

article. 02(10): 242–253. https://edu­­pe­­­dia­pub­licati­o­ns.­­­­org/journals

Shivendra

D, Kumar MM (2016). A study of job satisfaction and job stress among physical

education teachers working in government, semi­govern­ment and pri­vate schools. J sports sci fit, 6(1): 89–99. Retrieved from http:­//­­spot.­lib.­auburn.edu/

Wahyudi

(2017). Manajemen konflik dan stres dalam organisasi (Conflict and stress management in organizations).

Bandung: Al­fa­beta/

Widianti

RS, Noor M, Linggi RK (2018). Kinerja pegawai public health center dalam

pelayanan kesehatan di Keca­matan

Sa­ngatta Selatan Kabupaten Kutai Timur (Performance of public health center employees in

health ser­vices in the District of Sangatta Selatan, Kutai Timur District).

eJournal Ilmu Pemerintahan 6(1):

-198. https://­ejournal.ip.­fi­sip-­unmul.-ac.id


Refbacks

  • There are currently no refbacks.