Article
Peran Otonomi memediasi Pengaruh Penghargaan terhadap Kuantitas Kerja Tenaga Kesehatan di RSUD Konawe Provinsi Sulawesi Tenggara, Indonesia
Jurnal Kendari Kesehatan Masyarakat, Vol. 5 No. 2 (2026), hlm. 303–310
Abstrak
Increasing the work quantity of health workers is a major challenge for regional hospitals, especially hospitals with the status of Regional Public Service Agency (BLUD) which are required to be adaptive to the increase in service load. Awards have long been seen as an important instrument in human resource management, but their effect on the quantity of work is often indirect and requires certain psychological mechanisms, such as work autonomy. This study aims to analyze the role of autonomy in mediating the influence of awards on the quantity of work of health workers at Konawe Hospital, Southeast Sulawesi Province, Indonesia. This study used a quantitative design with a cross-sectional approach. Data was collected through a survey of 170 health workers who were selected using the proportionate stratified random sampling technique. Data analysis was carried out using Partial Least Square–Structural Equation Modeling (PLS-SEM) version 4.0 to test the direct and indirect relationships between variables. The results of the analysis showed that autonomy had a positive and significant effect on the quantity of work (β = 0.704; t = 14.501; p = 0.000). The award was also shown to have a positive and significant effect on autonomy (β = 0.665; t = 12.706; p = 0.000). Furthermore, autonomy significantly mediated the effect of reward on the quantity of work with an indirect influence coefficient of 0.468 (t = 7.400; p = 0.000). These findings suggest that increased rewards will increase the work autonomy of health workers, which further encourages an increase in the quantity of work. Conclusion: Autonomy plays a key role as a key mechanism in bridging the influence of rewards on the quantity of work of health workers. The practical implications of this study emphasize the importance of integrating the reward system with the granting of authority and work decision-making space to increase the productivity of health workers in a sustainable manner in regional hospitals.