The Effect of Workload and Job Stress on Nurse Performance Through Job Satisfaction as an Intervening Variable (Study at Lindimara Christian Hospital, East Sumba)
DOI:
https://doi.org/10.38035/dijefa.v7i3.7064Keywords:
Workload, Job Stress, Nurse Performance, SEM-PLSAbstract
This study aims to analyze the effect of workload and job stress on nurse performance, with job satisfaction as an intervening variable at Lindimara Christian Hospital, East Sumba. Nurse performance is a crucial factor in the success of healthcare services, but several performance indicators have not yet reached their targets, necessitating an examination of the influencing factors. This study employed a quantitative approach with a survey method. The study population consisted of all 51 permanent nurses at Lindimara Christian Hospital, thus using total sampling as the sampling technique. Data were collected through questionnaires and analyzed using Structural Equation Modeling–Partial Least Square (SEM-PLS) with the help of the SmartPLS 4.0 application. The results showed that workload had a negative and significant effect on nurse performance and job satisfaction. Job stress also had a negative and significant effect on nurse performance and job satisfaction. Meanwhile, job satisfaction had a positive and significant effect on nurse performance. The results of the mediation analysis showed that job satisfaction significantly mediated the effect of workload on nurse performance and the effect of job stress on nurse performance. These findings indicate that increased workload and job stress can decrease nurse performance, both directly and through decreased job satisfaction. Therefore, hospital management needs to pay attention to workload management, job stress management, and job satisfaction enhancement to support nurse performance and the quality of healthcare services.
References
Afserinta, Y., Djazuli, A., & Choiriyah. (2025). The effect of motivation, workload and work stress on employee performance mediated by work satisfaction: The case of RSUD Dr. (HC) Ir. Soekarno Bangka Belitung Island Province. International Journal of Marketing & Human Resource Research, 6(3).
Aisyah, N. (2025). Pengaruh work life balance dan beban kerja terhadap kinerja perawat dengan stres kerja sebagai variabel intervening, 2, 306–312.
Ali, A. M., Zuhdi, U., Fatimah, N., & Nofitasari, D. (2025). Pengaruh beban kerja dan kompensasi terhadap kinerja melalui kepuasan kerja pada karyawan PT Berkah Mulia Mandiri Surabaya. Jurnal Mirai Management, 10(2), 128–133.
Amanda, R., Suherman, E., Hidayaty, D. E., Perjuangan, U. B., & Timur, T. (2022). Pengaruh stres kerja terhadap kinerja karyawan melalui kepuasan kerja pada karyawan Imigrasi Kelas I Non TPI Karawang. JIME, 8(4), 2851–2858.
Asih, G. Y., Widhiastuti, H., & Dewi, R. (2018). Stres kerja. Semarang University Press.
Danendra, A. A. N. B., & Rahyuda, A. G. (2019). The effect of work loads on employee performance with job satisfaction as a mediation variable. Journal of Business Management and Economic Research, 3(8), 40–49.
Diputra, A. A. D. P., & Surya, I. B. K. (2019). Pengaruh stres kerja terhadap kinerja karyawan dimediasi oleh kepuasan kerja karyawan PT Destination Asia Bali. E-Jurnal Manajemen Unud, 8(2), 7986–8015.
Fredriksz, G., Nunumete, L. S., & Sahulata, M. (2025). Pengaruh stres kerja terhadap kepuasan kerja karyawan pada Toko Indomulia Ambon. Journal of Innovative and Creativity, 5, 19478–19488.
Gayatri, K., Dermawan, A., Suyoto, & Utami, R. F. (2025). The effect of workload, work environment and motivation on employee performance with job satisfaction as a mediating variable. International Journal of Business and Applied Economics, 4(4), 1921–1940.
Ghozali, I., & Latan, H. (2015). Partial least squares: Konsep, teknik dan aplikasi menggunakan SmartPLS. Badan Penerbit Universitas Diponegoro.
Hair, J. F., Hult, G. T. M., Ringle, C. M., & Sarstedt, M. (2017). A primer on partial least squares structural equation modeling (PLS-SEM). Sage Publications.
Haris, A., Effendi, F., & Darmayanti, N. (2023). Kepuasan kerja. Deepublish.
Hermawan, E. (2024). Buku monograf beban kerja. CV Eureka Media Aksara.
Herminingsih, A. (2025). The effects of job stress, motivation and work conflict on employee performance. International Journal of Social Service and Research, 5(1), 67–75.
Karim, K. (2022). The effect of work stress on employee performance. Asean International Journal of Business, 1(1), 24–33.
Kobis, Y. S., Fanggidae, R. E., & Timuneno, T. (2023). Effect of workload and job stress on employee performance. Ekuitas: Jurnal Pendidikan Ekonomi, 11(1), 48–56.
Lika, N. P., Wasiyem, W., & Suraya, R. (2025). Pengaruh stres dan beban kerja terhadap kinerja perawat Rumah Sakit Umum Wulan Windy Medan. Journal of Law, Administration, and Social Science, 5(3), 429–439.
Mahbara. (2024). Model struktural dalam SEM-PLS. [Sumber sesuai naskah].
Malau, T. S., & Kasmir, K. (2021). Effect of workload and work discipline on employee performance of PT XX with job satisfaction as intervening variable. Dinasti International Journal of Digital Business Management, 2(5), 909–922.
Manalu, W. A., Lubis, Y., & Syaifuddin. (2022). Effect of workload and work stress on employees performance through job satisfaction as intervening variable in rubber plantation, Serdang II District, PT Perkebunan Nusantara III. Enrichment: Journal of Management, 12(2), 1960–1970.
Marvia, E., Hadi, K., Astuti, F., Ainaul, P., & Putra, A. A. (2025). Hubungan beban kerja dengan kinerja perawat di Zaal Penyakit Dalam, Zaal Anak dan Zaal Bedah Rumah Sakit Umum Daerah Bima. Prima: Jurnal Ilmiah Ilmu Kesehatan, 11(1), 123–129.
Maulana, K., Very, J., & Charli, C. O. (2025). Pengaruh stres kerja dan cyberloafing terhadap kinerja karyawan dengan kepuasan kerja sebagai variabel intervening pada PDAM Payakumbuh. Maeswara: Jurnal Riset Ilmu Manajemen dan Kewirausahaan, 3(1), 193–205.
Muhammad, M., et al. (2020). Outer model dalam SEM-PLS. [Sumber sesuai naskah].
Muslim, D., Ilmi, Z., & Irwansyah. (2024). The effect of workload and work stress on officers’ performance and job satisfaction as intervening variable in Municipal Police Unit, East Borneo Province. Asian Journal of Management Entrepreneurship and Social Science, 4(1).
Pramujo, & Suhana. (2024). The effect of leadership and workload on performance through employees’ job satisfaction. Management Studies and Entrepreneurship Journal, 5(2), 9406–9429.
Putri, N. M. A. A. A., & Heryanda, K. K. (2026). Pengaruh konflik peran kerja keluarga dan stres kerja terhadap kepuasan kerja perawat di Rumah Sakit Umum Daerah Kabupaten Buleleng. Al-Zayn: Jurnal Ilmu Sosial & Hukum, 4(3), 3367–3379.
Ramadan, T. A. R., & Endriastuty, Y. (2025). Pengaruh kepuasan kerja terhadap kinerja karyawan. Indonesian Journal of Management Science, 4(2), 129–136.
Rani, K., & Tripti. (2025). Impact of job stress on employee performance in healthcare: A comprehensive analysis. Journal of the K.R. Cama Oriental Institute, 78.
Rasak, M., Aliddin, L. A., & Sabri. (2025). Pengaruh work life balance dan stres kerja terhadap kinerja perawat pada Rumah Sakit Umum Daerah Kabupaten Konawe Kepulauan. Jurnal HOMANIS: Halu Oleo Manajemen dan Bisnis, 2, 93–306.
Rofina, et al. (2023). Pengaruh beban kerja terhadap kinerja perawat. [Sumber sesuai naskah].
Royanda. (2024). Validitas dan reliabilitas dalam SEM-PLS. [Sumber sesuai naskah].
Sabiila, H., Prabowo, B., Nugroho, R. H., & Kusumasari, I. R. (2025). The influence of workload and training on employee performance through job satisfaction as an intervening variable. DIJEFA: Dinasti International Journal of Economics, Finance & Accounting, 6(3), 1808–1818.
Safitri, E., & Sanusi, A. (2026). Pengaruh beban kerja dan stres kerja terhadap kinerja perawat di Unit Rawat Inap Kelas 1, 2, dan 3 RSUD Manggala, 2, 2474–2483.
Santamoko, R., Yoyo, T., & Silaswara, D. (2025). Pengaruh beban kerja, stres kerja, dan motivasi kerja pada kinerja karyawan dengan kepuasan kerja sebagai pemediasi. ECo-Fin, 7(3), 1356–1371.
Sari, W. N., Agussalim, A., & D. Lubis, D. L. (2025). Pengaruh kepuasan kerja terhadap penilaian kinerja karyawan PT Semen Padang. Jurnal Riset Manajemen, 2(1), 119–126.
Sofyan, A. S., Fahmy, R., & Lukito, H. (2024). Pengaruh job stress dan fatigue terhadap employee performance dengan mediasi job satisfaction. COSTING: Journal of Economic, Business and Accounting, 7(6).
Sugiyono. (2023). Metode penelitian kuantitatif, kualitatif, dan R&D. Alfabeta.
Sulistiyowati, L., Suroso, S., & Anggela, F. P. (2025). Pengaruh lingkungan kerja dan beban kerja terhadap kepuasan kerja karyawan. Journal of Business and Economics Research, 6(2), 468–474.
Weni, N. N., Kawiana, I. G. P., & Astrama, I. M. (2023). The effect of workload and work stress on employee performance with burnout as a mediation variable. Sinomics Journal, 2(2), 397–410.
Wibowo. (2024). SEM-PLS dan SmartPLS 4.0. [Sumber sesuai naskah].
Wijayanti, et al. (2024). Koefisien determinasi dalam SEM-PLS. [Sumber sesuai naskah].
Wisudawati, N., & Pratama, D. A. (2021). The influence of workload and stress on employee performance in PT X Palm Oil Mill. International Journal of Science, Technology & Management, 2065–2071.
Yasa, I. G. R., & Dewi, A. S. K. (2019). Pengaruh stres kerja terhadap kepuasan kerja dengan motivasi kerja sebagai variabel mediasi. E-Jurnal Manajemen Unud, 8(3), 1203–1229.
Yasmin, B. K. Y., & Nurali. (2022). Pengaruh kepuasan kerja dan employee engagement terhadap kinerja karyawan. Jurnal Sumber Daya Manusia, 7(1), 45–56.
Zahro, S., & Abadiyah, R. (2024). Pengaruh stres kerja dan beban kerja terhadap kinerja karyawan dengan kepuasan kerja sebagai variabel intervening pada Puskesmas Wonoayu. Competence: Journal of Management Studies, 18(1).
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Shilvia Rambu Kudu, Suhana
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish their manuscripts in this journal agree to the following conditions:
- The copyright on each article belongs to the author(s).
- The author acknowledges that the Dinasti International Journal of Economics, Finance & Accounting (DIJEFA) has the right to be the first to publish with a Creative Commons Attribution 4.0 International license (Attribution 4.0 International (CC BY 4.0).
- Authors can submit articles separately, arrange for the non-exclusive distribution of manuscripts that have been published in this journal into other versions (e.g., sent to the author's institutional repository, publication into books, etc.), by acknowledging that the manuscript has been published for the first time in the Dinasti International Journal of Economics, Finance & Accounting (DIJEFA).
