Employee Loyalty And Engagement Mediating The Impact Of Transformational Leadership On Employee Performance

  • Ni Luh Eka Dharmawati Universitas Pendidikan Nasional, Indonesia
  • Nyoman Sri Subawa Universitas Pendidikan Nasional, Indonesia
Keywords: Service Quality, Health Center, Minister of Health Regulation No. 30 of 2022

Abstract

This study explores the factors affecting the quality of services at Puskesmas, specifically Puskesmas Kediri II. The quality of healthcare services plays a crucial role in enhancing community satisfaction and the success of national health programs. Based on the Regulation of the Minister of Health No. 30 of 2022, this research analyzes the current condition of service quality and the challenges faced in meeting those standards. The methodology used is a qualitative approach with in-depth interview techniques. The informants include the head of the Puskesmas, doctors, nurses, program coordinators, and patients. Data were analyzed using NVIVO Pro 12. The results indicate that the quality of services at Puskesmas Kediri II is categorized as good, although it faces challenges such as limited human resources and inadequate infrastructure. Recommended strategies include improving waiting area facilities, renovating to enhance patient privacy, and regularly maintaining toilets and sanitation facilities. This study recommends increasing the number of healthcare personnel and improving infrastructure to meet the standards set by Regulation of the Minister of Health No. 30 of 2022.

References

Adeleke, O., Orji, E. J., Adekunle, W. A., Akinbode, A. O., Oluwasanya, A. N., Oduniyi, O. A., Omorovbiye, A., Olabode, A. O., & Ariba, A. J. (2025). Integrating Mental Health Services Into Primary Health Care in Nigeria: A Mixed Method Study Exploring the Roles of Family Physicians in Closing the Glaring Gap. https://doi.org/10.21203/rs.3.rs-5957751/v1

Adiputra. (2021). MetodologAdeleke, O., Orji, E. J., Adekunle, W. A., Akinbode, A. O., Oluwasanya, A. N., Oduniyi, O. A., Omorovbiye, A., Olabode, A. O., & Ariba, A. J. (2025). Integrating Mental Health Services Into Primary Health Care in Nigeria: A Mixed Method Study Exploring the Roles of Family Physicians in Closing the Glaring Gap. https://doi.org/10.21203/rs.3.rs-5957751/v1

Adiputra. (2021). Metodologi Penelitian Kesehatan (watrianthos (ed.); 1st ed.). Yayasan Kita Menulis.

Anfal, A. (2020). Pengaruh Kualitas Pelayanan Dan Citra Rumah Sakit Terhadap Tingkat Kepuasan Pasien Rawat Inap Rumah Sakit Umum Sundari Medan Tahun 2018. Excellent Midwifery Journal, 3(2), 1–19. https://doi.org/10.55541/emj.v3i2.130

Azizah, L. N. (2022). Analysis of the Relationship Between Health Center Service Quality and Elderly Patient Satisfaction at Gondanglegi Health Centre. Transpublika International Research in Exact Sciences, 1(1), 21–28. https://doi.org/10.55047/tires.v1i1.113

Carpenter, J., Spencer, B., Souza, T. M. da, Cho, Y., & Brett, J. (2022). Exploring Lessons From Covid‐19 for the Role of the Voluntary Sector in Integrated Care Systems. Health & Social Care in the Community, 30(6). https://doi.org/10.1111/hsc.14062

Fadiyah, N. A., & Gunawan, E. (2021). Tinjauan Sistem Pelayanan Pendaftaran Pasien BPJS Rawat Jalan Di Puskesmas Banjaran Kota. Jurnal Sosial Dan Sains, 1(8), 951–956. https://doi.org/10.59188/jurnalsosains.v1i8.188

Ghofrani, M., Valizadeh, L., Zamanzadeh, V., Ghahramanian, A., Janati, A., & Taleghani, F. (2022). What Should Be Measured? Nursing Education Institutions Performance: A Qualitative Study. BMJ Open, 12(12), e063114. https://doi.org/10.1136/bmjopen-2022-063114

Gregg, C., Valdez, M., Stollak, I., Martin, S., Story, W. T., & Perry, H. B. (2023). Reducing Inequities in Maternal and Child Health in Rural Guatemala Through the CBIO+ Approach of Curamericas: 7. The Empowering Effect of Care Groups. International Journal for Equity in Health, 21(S2). https://doi.org/10.1186/s12939-022-01759-5

Hidayatullah, D. S. (2023). Pengaruh Kualitas Pelayanan Terhadap Kepuasan Pasien BPJS Rawat Jalan Di Puskesmas Panarukan. 1(2). https://doi.org/10.47134/phms.v1i2.42

Makovec, U. N., Tomsic, T., Kos, M., Ignjatovic, T. S., & Susič, A. P. (2023). Pharmacist-Led Clinical Medication Review Service in Primary Care: The Perspective of General Practitioners. BMC Primary Care, 24(1). https://doi.org/10.1186/s12875-022-01963-w

Mohammed, H., & Qaradaxi, K. A. (2024). Subjective Items to Be Considered in Lipoabdominoplasty Procedures Under Epidural Anesthesia to Increase Their Satisfaction. Diyala Journal of Medicine, 26(1), 43–54. https://doi.org/10.26505/djm.v26i1.1078

Muchtar, M. H., & Mulyanti, D. (2023). Dampak Kualitas Pelayanan Terhadap Kepuasan Pasien Puskesmas: Studi Literature. Diagnosa Jurnal Ilmu Kesehatan Dan Keperawatan, 1(2), 41–48. https://doi.org/10.59581/diagnosa-widyakarya.v1i2.161

Nurdelima, D., Prayasta, P. P., & Gunawan, E. (2021). Hubungan Respon Time Dengan Kepuasan Pasien Di Puskesmas Cipedes. Cerdika Jurnal Ilmiah Indonesia, 1(8), 927–932. https://doi.org/10.36418/cerdika.v1i8.160

Oktiarto, W., komara, E., & Veranita, M. (2024). Pengaruh Sistem Pendaftaran Online Terhadap Kualitas Pelayanan Untuk Meningkatkan Kepuasan Pasien Di Rumah Sakit Kasih Herlina Kota Sorong. Journal of Social and Economics Research, 6(1), 2381–2388. https://doi.org/10.54783/jser.v6i1.440

Pancaharjono, W., Mogsa, D. F., Hasugian, A. R., Siswantoro, H., Syarif, A. K., Harso, A. D., Idaiani, S., & Jovina, T. A. (2020). Faktor-Faktor yang Memengaruhi Jaminan Kualitas Peralatan di Puskesmas. Jurnal Penelitian Dan Pengembangan Pelayanan Kesehatan, 44–52.

Partini, P., & Kusumaningrum, A. E. (2022). The Role Of Health Centers On Occupational Safety Of Health Personnel Due To The Covid-19 Pandemic. UNTAG Law Review, 5(2), 70. https://doi.org/10.56444/ulrev.v5i2.2865

Purwiningsih, D. D., Suryaningsih, I. B., & Wardhani, V. (2023). Pengaruh Healthcare Service Quality Terhadap Kepercayaan (Trust) Melalui Kepuasan Pasien Pada Puskesmas Di Kabupaten Jember. Jurnal Kesehatan Komunitas (Journal of Community Health), 9(3), 532–541. https://doi.org/10.25311/keskom.vol9.iss3.1559

Qirko, S., Prifti, V., Kiçaj, E., Çerçizaj, R., & Rogozea, L. (2024). Satisfaction Levels of Ambulatory Patients With the Quality of Nursing Care: Validation and Application of the Patient Satisfaction With Nursing Care Quality Questionnaire in Albania. Nursing Reports, 15(1), 4. https://doi.org/10.3390/nursrep15010004

Siregar. (2021). Metodologi Penelitian Kesehatan (Rangga (ed.); 1st ed.). yayasan Penerbit Muhammad Zaini.

Ssemugabo, C., Nalinya, S., Halage, A. A., Neebye, R. M., Musoke, D., & Jørs, E. (2020). Doctors Experiences on the Quality of Care for Pesticide Poisoning Patients in Hospitals in Kampala, Uganda: A Qualitative Exploration Using Donabedian’s Model. BMC Health Services Research, 20(1). https://doi.org/10.1186/s12913-020-4891-6

Su’udi, A., Putranto, R., Harna, H., Irawan, A. M. A., & Fatmawati, I. (2022). Analisis Kondisi Geografis Dan Ketersediaan Peralatan Di Puskesmas Terpencil/Sangat Terpencil Di Indonesia. Poltekita Jurnal Ilmu Kesehatan, 16(2), 132–138. https://doi.org/10.33860/jik.v16i2.1246

Tampa’i, D. D. (2024). Hubungan Pelaksanaan Fungsi Manajemen Keperawatan Pengorganisasian Dengan Pelayanan Kesehatan Masyarakat Di Masa Covid-19. Jurnal Keperawatan Tropis Papua, 7(1), 40–45. https://doi.org/10.47539/jktp.v7i1.367

Trisliatanto, D. A. (2020). Metodologi Penelitian Panduan Lengkap Penelitian Dengan Mudah (Giovanni (ed.); 1st ed.).

i Penelitian Kesehatan (watrianthos (ed.); 1st ed.). Yayasan Kita Menulis.

Anfal, A. (2020). Pengaruh Kualitas Pelayanan Dan Citra Rumah Sakit Terhadap Tingkat Kepuasan Pasien Rawat Inap Rumah Sakit Umum Sundari Medan Tahun 2018. Excellent Midwifery Journal, 3(2), 1–19. https://doi.org/10.55541/emj.v3i2.130

Azizah, L. N. (2022). Analysis of the Relationship Between Health Center Service Quality and Elderly Patient Satisfaction at Gondanglegi Health Centre. Transpublika International Research in Exact Sciences, 1(1), 21–28. https://doi.org/10.55047/tires.v1i1.113

Carpenter, J., Spencer, B., Souza, T. M. da, Cho, Y., & Brett, J. (2022). Exploring Lessons From Covid‐19 for the Role of the Voluntary Sector in Integrated Care Systems. Health & Social Care in the Community, 30(6). https://doi.org/10.1111/hsc.14062

Fadiyah, N. A., & Gunawan, E. (2021). Tinjauan Sistem Pelayanan Pendaftaran Pasien BPJS Rawat Jalan Di Puskesmas Banjaran Kota. Jurnal Sosial Dan Sains, 1(8), 951–956. https://doi.org/10.59188/jurnalsosains.v1i8.188

Ghofrani, M., Valizadeh, L., Zamanzadeh, V., Ghahramanian, A., Janati, A., & Taleghani, F. (2022). What Should Be Measured? Nursing Education Institutions Performance: A Qualitative Study. BMJ Open, 12(12), e063114. https://doi.org/10.1136/bmjopen-2022-063114

Gregg, C., Valdez, M., Stollak, I., Martin, S., Story, W. T., & Perry, H. B. (2023). Reducing Inequities in Maternal and Child Health in Rural Guatemala Through the CBIO+ Approach of Curamericas: 7. The Empowering Effect of Care Groups. International Journal for Equity in Health, 21(S2). https://doi.org/10.1186/s12939-022-01759-5

Hidayatullah, D. S. (2023). Pengaruh Kualitas Pelayanan Terhadap Kepuasan Pasien BPJS Rawat Jalan Di Puskesmas Panarukan. 1(2). https://doi.org/10.47134/phms.v1i2.42

Makovec, U. N., Tomsic, T., Kos, M., Ignjatovic, T. S., & Susič, A. P. (2023). Pharmacist-Led Clinical Medication Review Service in Primary Care: The Perspective of General Practitioners. BMC Primary Care, 24(1). https://doi.org/10.1186/s12875-022-01963-w

Mohammed, H., & Qaradaxi, K. A. (2024). Subjective Items to Be Considered in Lipoabdominoplasty Procedures Under Epidural Anesthesia to Increase Their Satisfaction. Diyala Journal of Medicine, 26(1), 43–54. https://doi.org/10.26505/djm.v26i1.1078

Muchtar, M. H., & Mulyanti, D. (2023). Dampak Kualitas Pelayanan Terhadap Kepuasan Pasien Puskesmas: Studi Literature. Diagnosa Jurnal Ilmu Kesehatan Dan Keperawatan, 1(2), 41–48. https://doi.org/10.59581/diagnosa-widyakarya.v1i2.161

Nurdelima, D., Prayasta, P. P., & Gunawan, E. (2021). Hubungan Respon Time Dengan Kepuasan Pasien Di Puskesmas Cipedes. Cerdika Jurnal Ilmiah Indonesia, 1(8), 927–932. https://doi.org/10.36418/cerdika.v1i8.160

Oktiarto, W., komara, E., & Veranita, M. (2024). Pengaruh Sistem Pendaftaran Online Terhadap Kualitas Pelayanan Untuk Meningkatkan Kepuasan Pasien Di Rumah Sakit Kasih Herlina Kota Sorong. Journal of Social and Economics Research, 6(1), 2381–2388. https://doi.org/10.54783/jser.v6i1.440

Pancaharjono, W., Mogsa, D. F., Hasugian, A. R., Siswantoro, H., Syarif, A. K., Harso, A. D., Idaiani, S., & Jovina, T. A. (2020). Faktor-Faktor yang Memengaruhi Jaminan Kualitas Peralatan di Puskesmas. Jurnal Penelitian Dan Pengembangan Pelayanan Kesehatan, 44–52.

Partini, P., & Kusumaningrum, A. E. (2022). The Role Of Health Centers On Occupational Safety Of Health Personnel Due To The Covid-19 Pandemic. UNTAG Law Review, 5(2), 70. https://doi.org/10.56444/ulrev.v5i2.2865

Purwiningsih, D. D., Suryaningsih, I. B., & Wardhani, V. (2023). Pengaruh Healthcare Service Quality Terhadap Kepercayaan (Trust) Melalui Kepuasan Pasien Pada Puskesmas Di Kabupaten Jember. Jurnal Kesehatan Komunitas (Journal of Community Health), 9(3), 532–541. https://doi.org/10.25311/keskom.vol9.iss3.1559

Qirko, S., Prifti, V., Kiçaj, E., Çerçizaj, R., & Rogozea, L. (2024). Satisfaction Levels of Ambulatory Patients With the Quality of Nursing Care: Validation and Application of the Patient Satisfaction With Nursing Care Quality Questionnaire in Albania. Nursing Reports, 15(1), 4. https://doi.org/10.3390/nursrep15010004

Siregar. (2021). Metodologi Penelitian Kesehatan (Rangga (ed.); 1st ed.). yayasan Penerbit Muhammad Zaini.

Ssemugabo, C., Nalinya, S., Halage, A. A., Neebye, R. M., Musoke, D., & Jørs, E. (2020). Doctors Experiences on the Quality of Care for Pesticide Poisoning Patients in Hospitals in Kampala, Uganda: A Qualitative Exploration Using Donabedian’s Model. BMC Health Services Research, 20(1). https://doi.org/10.1186/s12913-020-4891-6

Su’udi, A., Putranto, R., Harna, H., Irawan, A. M. A., & Fatmawati, I. (2022). Analisis Kondisi Geografis Dan Ketersediaan Peralatan Di Puskesmas Terpencil/Sangat Terpencil Di Indonesia. Poltekita Jurnal Ilmu Kesehatan, 16(2), 132–138. https://doi.org/10.33860/jik.v16i2.1246

Tampa’i, D. D. (2024). Hubungan Pelaksanaan Fungsi Manajemen Keperawatan Pengorganisasian Dengan Pelayanan Kesehatan Masyarakat Di Masa Covid-19. Jurnal Keperawatan Tropis Papua, 7(1), 40–45. https://doi.org/10.47539/jktp.v7i1.367

Trisliatanto, D. A. (2020). Metodologi Penelitian Panduan Lengkap Penelitian Dengan Mudah (Giovanni (ed.); 1st ed.).

Published
2025-06-08
How to Cite
Dharmawati, N. L. E., & Subawa, N. S. (2025). Employee Loyalty And Engagement Mediating The Impact Of Transformational Leadership On Employee Performance. Kontigensi : Jurnal Ilmiah Manajemen, 13(1), 234-240. https://doi.org/10.56457/jimk.v13i1.758