The Effect of Work Culture, Work Motivation, and Work Stress on Employee Performance at Royal Prima Hospital Medan
Keywords:
Work Culture, Work Motivation, Work Stress, Employee Performance.Abstract
This study examines the effect of work culture, work motivation, and work stress on employee performance at Royal Prima Hospital Medan. The background of this study is based on the important role of human resources in supporting the quality of hospital services, particularly among non-medical employees who still face various challenges, such as lack of discipline, work delays, and relatively high work pressure. This study employed a quantitative approach, with data collected through questionnaire distribution. The research population consisted of 150 employees, and the sampling technique used was saturated sampling; therefore, the entire population was included as respondents. Data were analyzed using multiple linear regression with the assistance of statistical software. The results show that, partially, work culture has a positive and significant effect on employee performance, with a significance value of 0.034. Work motivation also has a positive and significant effect, with a significance value of 0.005. Meanwhile, work stress has a positive and significant effect, with a significance value of 0.000, and is identified as the most dominant variable. Simultaneously, the three independent variables have a significant effect on employee performance, as indicated by an F-count value of 84.627 and a significance level of 0.000. The coefficient of determination (R²) value of 0.635 indicates that 63.5% of the variation in employee performance can be explained by work culture, work motivation, and work stress, while the remaining percentage is influenced by other factors outside this study. Therefore, it can be concluded that these three variables play an important role in improving employee performance at Royal Prima Hospital Medan.
References
Ajeng, E., Putri, S., & Rengganis, D. R. P. (2024). Mengeksplorasi Work Engagement dan Turnover Intention pada Karyawan Generasi Milenial di Yogyakarta. 2011, 594–607.
Azmy, A., Risza, H., & Adhykusuma, A. (2022). Implications of work motivation, employee discipline, and compensation on employee performance while working from home at a digital marketing company. Jurnal Manajemen Dan Pemasaran Jasa, 15(1), 13–36. https://doi.org/10.25105/jmpj.v15i1.12791
Badru, A. F., Karadas, G., Olugbade, O. A., & Hassanie, S. (2024). Can employees’ trust their supervisor? The role of high-performance work systems and stewardship climate on employee voice. Heliyon, 10(19). https://doi.org/https://doi.org/10.1016/j.heliyon.2024.e37795
Collings, D. G., & Mellahi, K. (2019). Strategic talent management: A review and research agenda. Human Resource Management Review, 19(4).
Darwin, M., Mamondol, M. R., Sormin, S. A., Nurhayati, Y., Tambunan, H., Sylvia, D., Adnyana, I. M. D. M., Prasetiyo, B., Vianitati, P., & Gebang, A. A. (2021). Quantitative approach research method. In e-book. CV Media Sains Indonesia.
Farhan, R. M., & Indriyaningrum, K. (2023). Pengaruh Disiplin Kerja, Motivasi Kerja Dan Lingkungan Kerja Terhadap Kinerja Karyawan. Visionida, 9(1).
Gibran, S. K., & Suryani, I. (2019). Pengaruh work overload dan intimidasi terhadap kinerja karyawan account officer PT bank aceh syariah. Jurnal Manajemen Dan Inovasi, 10(1), 22–35. http://www.jurnal.unsyiah.ac.id/JInoMan/article/view/14380
Hartawan, R., Jusdijachlan, R., & Ridwan, S. (2024). Pengaruh budaya organisasi dan motivasi kerja terhadap kinerja guru di SMK ICB Cinta Teknika Kota Bandung. Jurnal Pendidikan Dan Kebudayaan Nusantara, 2(3), 157–161. https://doi.org/https://doi.org/10.38035/jpkn.v2i3.954
Hasibuan, A. M. (2019). Analisis Peningkatan Kualitas Pelayanan Bengkel Motor dengan Pendekatan Metode Servqual dan Importance Performance Analysis (IPA) (Studi Kasus pada Bengkel Dwijaya Motor Jl. Kaliurang KM 14.5 Yogyakarta). 1–85.
Iskamto, D. (2023). Organizational Culture and Its Impact on Employee Performance. International Journal of Management and Digital Business, 2(1). https://doi.org/10.54099/ijmdb.v2i1.584
Jatmika, D., & Andarwati, M. (2018). The Effect of Motivation on Employee Performance Through Employee Satisfaction of The Tax Office in Surakarta. International Journal of Economics, Business and Accounting Research (IJEBAR), 2(01), 34–38. https://doi.org/10.29040/ijebar.v2i01.230
Kartawijaya, F., Sabil, S., Lestiningsih, A. S., & Widodo, D. P. (2021). Pengaruh Lingkungan Kerja Dan Reward Terhadap Kinerja Karyawan. Jurnal Ekobistek, 8(1), 1–8. https://doi.org/10.35134/ekobistek.v8i1.25
Mawardi, S. (2025). Peran Kepemimpinan dan Kompensasi dalam Meningkatkan Kepuasan Kerja Dosen : Analisis Kausalitas. 8(1), 271–278.
Novriansya, D., Idayati, I., Riance, A., & Suwarno. (2022). Pengaruh Motivasi Kerja terhadap Kinerja Pegawai Sekretariat DPRD Kabupaten Musi Rawas Utara. Jebmak, 1(1), 85–100.
Nugroho, M., Cahyono, B., & Hasa Gunawan, R. (2022). Model of Green Human Resources Behavior Based on Green Behavior Training, Green Competence, and Affective Commitment on Green Value. Global Review of Islamic Economics and Business, 10(1), 97–107. https://doi.org/10.14421/grieb.2022.101-09
Pattanayak, B. (2025). Human Resource Management. PHI.
Pranitasari, D. (2022). The Mediating Effect of Work Engagement on competence, work environment and job satisfaction. Jurnal Manajemen, 13(3). https://doi.org/10.32832/jm-uika.v13i3.7346
Price, J. (2023). Work-Life Balance : the Role and Efforts of Companies. 02(01), 71–79.
Rasool, S. F., Wang, M., Tang, M., Saeed, A., & Iqbal, J. (2021). How Toxic Workplace Environment Effects the Employee Engagement: The Mediating Role of Organizational Support, co worker support and Employee Wellbeing. Int. J. Environ. Res. Public Health, 18(5). https://doi.org/https://doi.org/10.3390/ijerph18052294
Renaldi, L. (2023). Innovation in the Reward System to Improve Employee Performance in the Digital Era at the Toboali Branch of the Hanna Baking and Plastic Materials Store. Indonesian Journal of Accounting and …, 2(2), 163–180. https://journal.formosapublisher.org/index.php/crypto/article/view/7270
Rojak, J. A., Sanaji, S., & Witjaksono, A. D. (2024). The Influence of Transformational Leadership and Organizational Culture on Employee Performance. Edukasia: Jurnal Pendidikan Dan Pembelajaran, 5(1). https://doi.org/10.62775/edukasia.v5i1.926
Saleem, F., Malik, M. I., Asif, I., & Qasim, A. (2022). Workplace Incivility and Employee Performance: Does Trust in Supervisors Matter? (A Dual Theory Perspective). Behavioral Sciences, 12(12), 1–15. https://doi.org/10.3390/bs12120513
Setrojoyo, S. M., Rony, Z. T., Sutrisno, S., Naim, S., Manap, A., & Sakti, B. P. (2024). The Effect of Intrinsic Motivation, Organizational Culture on Employee Performance with Organizational Commitment as an Intervening Variable. International Journal of Professional Business Review:, 7(8).
Sinambela, L. P. (2021). Manajemen sumber daya manusia: Membangun tim kerja yang solid untuk meningkatkan kinerja. Bumi Aksara.
Sugiyono. (2019). Metode Penelitian Kuantitatif, Kualitatif dan R&D. Alfabeta.
Tuju, G. oktavia, Kojo, C., & Taroreh, R. (2023). Pengaruh Job Insecurity, Job Stress, Dan Iklim Organisasi Terhadap Turnover Intention Karyawan Pada Pt Hasjrat Abadi Manado. Jurnal EMBA : Jurnal Riset Ekonomi, Manajemen, Bisnis Dan Akuntansi, 11(3), 475–484. https://doi.org/10.35794/emba.v11i3.49836
Wahyudi, M., Hakim, L., & Hasibuan, I. A. (2026). Analysis of the Influence of Work Culture on Employee Performance at the Regent’s Office in the General Section of the Regional Secretariat of Langkat Regency. Journal of Finance and Business Digital (JFBD), 5(1).
Yolanda, E., Simanjuntak, N., Suswatiningsih, T. E., & Trimerani, R. (2023). Analisis Turnover Tenaga Pemanen Di Perkebunan Kelapa Sawit PT . Bumitama Gunajaya Agro , Region Pundu , Kalimantan Tengah. Agroforetech, 1, 406–419.










