Abstract
Background - Hospitals as a health service organization in order to "survive" must have a good service management system so that the impact on employee performance can meet the demands of the community's needs. Objectives - This study aims to determine the extent of job satisfaction and employee performance at Semen Gresik Hospital which is influenced by organizational culture and work motivation.Design / Methodology / Approach - The object of this study is Semen Gresik Hospital. Sample in this study used a purposive sampling method with the provisions of respondents who worked more than 5 years while through the formula Slovin determined the number of research samples of 219 respondents. Statistical tests use path analysis.Results and Discussion - Based on the results of the analysis prove that organizational culture and motivation directly and indirectly influence employee performance and job satisfaction, the findings of organizational culture have a smaller coefficient on employee performance and job satisfaction compared to work motivation and based on analysis testing The path of organizational culture has a total value smaller than work motivation. So the results of the study concluded that organizational culture and motivation can increase job satisfaction and employee performance.Conclusion - All hypotheses this study are proven and can be accepted. Organizational Culture, work motivation has direct and indirect effects on employee performance and job satisfaction.Research Implications - It is hoped that the results of this study can contribute to knowledge and hospital management to pay attention to organizational culture and work motivation to improve employee performance and employee satisfaction at work.
 
Highlights
Research Implications - It is hoped that the results of this study can contribute to knowledge and hospital management to pay attention to organizational culture and work motivation to improve employee performance and employee satisfaction at work
Based on the results of the analysis prove that organizational culture and motivation directly and indirectly influence employee performance and job satisfaction, the findings of organizational culture have a smaller coefficient on employee performance and job satisfaction compared to work motivation and based on analysis testing The path of organizational culture has a total value smaller than work motivation
The results of the study concluded that organizational culture and motivation can increase job satisfaction and employee performance
Summary
Berlakunya Revolusi Industri 4.0 mendasar yakni tingkat produktifitas memberikan dampak yang cukup signifikan kinerja yang masih rendah di bandingkan terhadap operasional jasa Rumah sakit di negara lain, yang lebih unggul disegala daerah Gresik. Adapun permasalahan tersebut diantaranya ialah motivasi kerja karyawan yang masih rendah, keseragaman budaya organisasi yang telah dijalankan yakni SPIRIT (Safety, Profesional, Integrity, Reliable, Innovative dan Teamwork) dalam penerapannya masih belum berjalan maksimal sehingga berdampak terhadap kinerja Rumah Sakit Semen Gresik secara keseluruhan. Budaya organisasi dan motivasi kerja yang signifikan sejak tahun 2015 berangsurditerapkan belum memberikan dampak angsur turun hingga tahun 2019 tidak bisa yang baik terhadap kinerja maupun mencapai 100 %. Berdasarkan data diatas kepuasan kerja sehingga tujuan organisasi memberikan gambaran bahwa ketiga factor belum terpenuhi, budaya organisasi dan yang mendukung kinerja organisasi motivasi kerja memiliki keterkaitan yang memberikan sinyal yang serius untuk erat terhadap kepuasan serta dampaknya dilakukan upaya perbaikan secara terhadap kinerja (Waluyo, 2015)
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