Unveiling performance patterns: Analysis of employees' performance in public health centers in East Lombok District


Budiman Budiman
Menap Menap
Karjono Karjono
Saimi Saimi


Employee performance is closely tied to the support of the environment in striving for work achievements, thus the individual capabilities of human resources (HR) employees are crucial in achieving such success. The aim of this research is to analyze the performance of healthcare center (puskesmas) employees in East Lombok Regency. This research method utilizes a qualitative approach. The study was conducted from June to December 2023 in 5 representative healthcare centers namely Labuhan Haji, Krongkong, Kotaraja, Karang Baru, and Dasan Lekong. The research informants consisted of 5 individuals, with 3 as primary informants and 2 as supporting informants. Data was collected through group discussion forums. The results of this research indicate that employee performance in East Lombok is not satisfactory, as evidenced by patient complaints. Based on these findings, it is recommended that healthcare center employees should be open in all aspects to their environment, not only related to performance but also in communication, so that the relationship between employees and their environment can be well established.


How to Cite
Budiman, B., Menap, M., Karjono, K. and Saimi, S. (2024) “Unveiling performance patterns: Analysis of employees’ performance in public health centers in East Lombok District”, Science Midwifery, 12(1), pp. 79-87. doi: 10.35335/midwifery.v12i1.1424.


Al Yahyaei, A., Hewison, A., Efstathiou, N., & Carrick-Sen, D. (2022). Nurses’ intention to stay in the work environment in acute healthcare: a systematic review. Journal of Research in Nursing, 27(4), 374–397. https://doi.org/10.1177/17449871221080731
Almutary, H., & Almashi, A. (2024). Preoperative Patient Education: Perceptions and Actual Practice among Nurses Working in Surgical Units. SAGE Open Nursing, 10. https://doi.org/10.1177/23779608231226090
Creswell, J. W. (2013). Qualitative inquiry and research design. SAGE Publication.
Galletta, M., Piazza, M. F., Meloni, S. L., Chessa, E., Piras, I., Arnetz, J. E., & D’Aloja, E. (2022). Patient Involvement in Shared Decision-Making: Do Patients Rate Physicians and Nurses Differently? International Journal of Environmental Research and Public Health, 19(21), 14229. https://doi.org/10.3390/ijerph192114229
Garfin, D. R., Silver, R. C., & Holman, E. A. (2020). The novel coronavirus (COVID-2019) outbreak: Amplification of public health consequences by media exposure. Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association, 39(5), 355–357. https://doi.org/10.1037/hea0000875
Guastaferro, K., Sheldrick, R. C., Nunez-Pepen, R., Ortiz, M., Much-Hichos, M., Trieu, D., Broder-Fingert, S., & Feinberg, E. (2023). Commentary: How Lay Health Workers in a Federally Qualified Community Health Center Filled a Critical Void in a Public Health Crisis. Family & Community Health, 46(4), 259–262. https://doi.org/10.1097/FCH.0000000000000379
Hakimi, H., Mousazadeh, N., Sharif-Nia, H., Nazari, R., & Dehghani, M. (2023). The predictive factors of moral courage among hospital nurses. Philosophy, Ethics, and Humanities in Medicine, 18(1), 13. https://doi.org/10.1186/s13010-023-00141-9
Hwang, J., & Shin, S. (2023). The influence of Critical Reflection Competency, Nursing Work Environment and Job Crafting on Person-Centered Care in Tertiary Hospital Nurses: A Cross-sectional Study. Korean Journal of Adult Nursing, 35(3), 245. https://doi.org/10.7475/kjan.2023.35.3.245
Ibrahim, M. U., Maidin, A., Irwandy, I., Sidin, I., Rivai, F., & Shaleh, K. (2023). The Influence of Job Satisfaction and Organizational Commitment on Nurse Performance with Work Motivation as a Mediating Factor at I Lagaligo East Luwu Hospital In 2022. Pharmacognosy Journal, 15(2), 319–324. https://doi.org/10.5530/pj.2023.15.47
İspir Demir, Ö., Yıldırım, A., Sönmez, B., & Duygulu, S. (2023). Relationship between Structural Empowerment and Nurse and Patient-Reported Outcomes: The Mediating Role of Control over Nursing Practices. Western Journal of Nursing Research, 45(7), 634–645. https://doi.org/10.1177/01939459231169146
Iwanowicz-Palus, G., Mróz, M., Kowalczuk, K., Szlendak, B., Bień, A., & Cybulski, M. (2022). Nurses Coping with Stressful Situations—A Cross-Sectional Study. International Journal of Environmental Research and Public Health, 19(17), 10924. https://doi.org/10.3390/ijerph191710924
Kim, H.-G., Jang, S.-N., Chin, Y. R., Hur, J., & Lee, R.-S. (2022). Contract Employment Experiences of Visiting Nurses at Public Health Centers in the Metropolitan Area: Focused on Employment Type and Treatment. Journal of Korean Academy of Community Health Nursing, 33(2), 175. https://doi.org/10.12799/jkachn.2022.33.2.175
Kim, M., Oh, Y., Lee, J. Y., & Lee, E. (2023). Job satisfaction and moral distress of nurses working as physician assistants: focusing on moderating role of moral distress in effects of professional identity and work environment on job satisfaction. BMC Nursing, 22(1), 267. https://doi.org/10.1186/s12912-023-01427-1
Kim, Y. H., Shin, S. Il, Kim, H.-K., Jun, M., & Wreen, M. (2023). Advanced Practice Nurses’ Organization Commitment: Impact of Job Environment, Job Satisfaction, and Person-Organization Fit. Asian Nursing Research, 17(2), 91–101. https://doi.org/10.1016/j.anr.2023.03.002
Kohnen, D., De Witte, H., Schaufeli, W. B., Dello, S., Bruyneel, L., & Sermeus, W. (2023). What makes nurses flourish at work? How the perceived clinical work environment relates to nurse motivation and well-being: A cross-sectional study. International Journal of Nursing Studies, 148, 104567. https://doi.org/10.1016/j.ijnurstu.2023.104567
Nuriyanto, A., Rahayuwati, L., & Lukman, M. (2020). Relationship between Nurse Competence and the Performance Achievement of Public Health Nursing Program at Community Health Center. Asian Community Health Nursing Research, 53. https://doi.org/10.29253/achnr.2020.25338
Panaso, C. (2024). Working experience of nurse anesthetists with beneficence for patients. Nursing Ethics. https://doi.org/10.1177/09697330231197706
Pérez‐Rugosa, V., de Lorena‐Quintal, P., Domínguez‐Valdés, E., Rodríguez‐Rodríguez, A., Núñez‐Castro, I., Suárez‐Fernández, Y., & Sarabia‐Cobo, C. (2024). Exploring older people’s experiences of the interpersonal care relationship between nurses and patients during hospitalization in the pandemic period: A qualitative study. Journal of Advanced Nursing. https://doi.org/10.1111/jan.16050
Ruffin, A., Shirey, M. R., Dick, T., Fazeli, P. L., & Patrician, P. A. (2023). Understanding the Impact of Span of Control on Nurse Managers and Hospital Outcomes. Journal of Healthcare Management, 68(3), 158–173. https://doi.org/10.1097/JHM-D-22-00191
Sabetsarvestani, R., & Geçkil, E. (2024). A meta‐synthesis of the experience of paediatric nurses in communication with children. Journal of Advanced Nursing. https://doi.org/10.1111/jan.16072
Sebaeng, J. M., Coetzee-Prinsloo, I. M., & Heyns, T. (2023). Do professional nurses practice what they preach? A qualitative study on professional socialisation of student nurses in the clinical learning environment. Heliyon, 9(8), e18611. https://doi.org/10.1016/j.heliyon.2023.e18611
Stewart, C., Berta, W. B., Laporte, A., Deber, R., & Baumann, A. (2023). Nurses’ work, work psychology, and the evolution & devolution of care provision in nursing homes: A scoping review. International Journal of Nursing Studies Advances, 5, 100133. https://doi.org/10.1016/j.ijnsa.2023.100133
Sulaimiah, S., Husnaini, W., & Wardani, L. (2023). The Effect of Self-Efficacy, Employee Engagement, Perceived Organization Support on Nurse Performance at Health Center in Aikmel District of East Lombok, Indonesia. Path of Science, 9(10), 2001–2004. https://doi.org/10.22178/pos.97-9
Syamsuriansyah, S., & Qudsi, J. (2021). The Influence of Religiosity and Local Philosophy on Nurse Performance: A Case Study of Government Hospital. https://doi.org/10.2991/assehr.k.210525.079
Twineamatsiko, A., Mugenyi, N., Kuteesa, Y. N., & Livingstone, E. D. (2023). Factors associated with retention of health workers in remote public health centers in Northern Uganda: a cross-sectional study. Human Resources for Health, 21(1), 83. https://doi.org/10.1186/s12960-023-00870-0
Wei, H., Horsley, L., Cao, Y., Haddad, L. M., Hall, K. C., Robinson, R., Powers, M., & Anderson, D. G. (2023). The associations among nurse work engagement, job satisfaction, quality of care, and intent to leave: A national survey in the United States. International Journal of Nursing Sciences, 10(4), 476–484. https://doi.org/10.1016/j.ijnss.2023.09.010
White, B. M., Walsh, E., & Willgerodt, M. (2023). The Resilience of Pediatric Nurses in Context: A Mixed Methods Study. Western Journal of Nursing Research, 45(12), 1085–1093. https://doi.org/10.1177/01939459231204693
Zraychikova, E., Gehri, B., Zúñiga, F., Bachnick, S., & Simon, M. (2023). The Interaction Between Leadership, the Patient-to-Nurse Ratio and Nurses’ Work-Life Balance in the Psychiatric Inpatient Setting in Switzerland: A Secondary Data Analysis of Cross-Sectional Data. Administration and Policy in Mental Health and Mental Health Services Research, 50(2), 317–326. https://doi.org/10.1007/s10488-022-01239-6