Job Satisfaction as a Mediator of Organizational Culture and Work Competence Effects on Nurses' Performance

Abstract

This study examined whether job satisfaction transmitted the effects of organizational culture and work competence to nurses' performance at a private hospital in Bogor Regency, Indonesia. A cross-sectional explanatory survey involved 170 professional nurses selected from a population of 295 through purposive and accidental sampling with proportional allocation across nursing categories. Data were collected using structured questionnaires and analyzed with partial least squares structural equation modeling in SmartPLS 4. Organizational culture and work competence positively affected job satisfaction. Work competence and job satisfaction positively affected nurses' performance, whereas organizational culture had no significant direct effect. Job satisfaction fully mediated the organizational culture-performance relationship and complementarily partially mediated the competence-performance relationship. The model explained 72.4% of job satisfaction and 90.2% of nurses' performance. These findings indicate that organizational culture improves performance when it is translated into a satisfying work experience, while professional competence remains the strongest direct performance driver. Hospital managers should therefore integrate competency development, consistent recognition, and cross-shift coordination rather than relying on cultural values alone.