DETERMINASI SOSIAL LINGKUNGAN KERJA DAN EPIDEMIOLOGI MANAJERIAL: TINJAUAN LITERATUR DAMPAK KOMUNIKASI INTERNAL DAN PARTISIPASI TERHADAP KEPUASAN KERJA PERAWAT MELALUI MEDIASI MOTIVASI KERJA DI RSUD PROVINSI NTB
Keywords
Internal Communication, Participation, Work Motivation, Job Satisfaction, Managerial Epidemiology, RSUD Provinsi NTBAbstract
Background: Nurse job satisfaction is a crucial indicator of healthcare service effectiveness at RSUD Provinsi NTB. However, managerial dysfunction often acts as a systemic barrier that diminishes medical staff performance. Objective: This study aims to analyze the social determinants of the work environment through the impact of internal communication and participation on nurse job satisfaction, with work motivation as a mediating variable within a managerial epidemiology framework. Method: This study employs a Systematic Literature Review (SLR) method. Literature searches were conducted via Scopus and Google Scholar databases spanning 2016-2026. Selected articles were analyzed using qualitative synthesis techniques to identify relationship patterns between variables. Results: Findings indicate that transparent internal communication and active participation in decision-making significantly enhance job satisfaction. Work motivation is proven to be a key mediator that strengthens the positive influence of the social environment on nurses' psychological well-being. From a managerial epidemiology perspective, communication failure is identified as a “risk determinant” that can trigger a collective decline in service quality. Conclusion: The integration of effective communication and broad participatory spaces is essential for RSUD Provinsi NTB management to create a healthy and motivating work environment
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