The Relationship Between Work Environment, Occupational Safety and Health Implementation, and Employee Performance: A Cross-Sectional Study

Authors

  • Vidi Posdo A. Simarmata Faculty of Medicine, Universitas Kristen Indonesia, Jakarta, Indonesia
  • Randolph Serep Marantuan Regional General Hospital, Dr. Chasbullah Abdulmadjid, Bekasi, West Java. Indonesia
  • Patar Hutagalung Ministry of Manpower of the Republic of Indonesia, Jakarta, Indonesia

DOI:

https://doi.org/10.55018/janh.v7i3.462

Keywords:

Work Environment, Occupational Safety and Health, Employee Performance, Health Centers

Abstract

Background: A safe and comfortable work environment, along with effective OHS implementation, is essential for maintaining healthcare personnel productivity and performance; however, studies on the combined effect of both on employee performance in community health centers remain limited. At the same time, inadequate facilities, inconsistent procedural compliance, and minimal OHS socialization continue to hinder optimal service delivery. This study aims to analyze the relationship between the work environment and OHS implementation on employee performance at the East Bogor Community Health Center.

Methods: A quantitative, correlational analytical design was employed, involving all 51 employees of the East Bogor Community Health Center as the total population sample. Data were collected through a structured and validated questionnaire, which was tested for reliability using Cronbach’s alpha (α > 0.80). The questionnaire measured three primary variables: work environment, OHS implementation, and employee performance. Data were analyzed using Pearson correlation and multiple linear regression at a 95% confidence level, following the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines..

Results: The findings revealed a positive and statistically significant relationship between the work environment and employee performance (p = 0.012; r = 0.412, indicating a moderate correlation), as well as between OHS implementation and employee performance (p = 0.008; r = 0.436, also moderate). Together, both variables explained 38% of the variance in employee performance (R² = 0.38), suggesting that improvements in environmental and safety management factors can meaningfully enhance staff outcomes.

Conclusion: A conducive work environment and sound OHS implementation jointly contribute to improved employee performance at the East Bogor Community Health Center. Management is recommended to strengthen OHS policies, improve work facilities, and enhance safety training to support optimal performance among healthcare workers.

Downloads

Download data is not yet available.

Author Biography

Vidi Posdo A. Simarmata, Faculty of Medicine, Universitas Kristen Indonesia, Jakarta, Indonesia

Faculty of Medicine, Universitas Kristen Indonesia, Jakarta, Indonesia

References

Abustam, & Ullah, T. (2025). Determinants of Basic Immunization Coverage: The Role of Family Knowledge and Support in Central Sulawesi, Indonesia. International Journal of Health Concord, 1(1), 9–17. https://doi.org/https://ihc.candle.or.id/index.php/ihc/article/view/6

Aditya, N., Guntur, A., Ulfa, M., & Soebagijono. (2023). Pemahaman Caregiver Dalam Mengakses Layanan Kesehatan Di Komunitas Pada Orang Dengan Skizofrenia Yang Mengalami Risiko Perilaku Kekerasan . Jurnal Abdi Kesehatan Dan Kedokteran, 2(1 SE-Articles), 64–73. https://doi.org/10.55018/jakk.v2i1.18

Agustina, R., Dartanto, T., Sitompul, R., Susiloretni, K. A., Achadi, E. L., Taher, A., Wirawan, F., Sungkar, S., Sudarmono, P., & Shankar, A. H. (2019). Universal health coverage in Indonesia: concept, progress, and challenges. The Lancet, 393(10166), 75–102.

AHA. (2025). Improvement in Safety Culture Linked to Better Patient and Staff Outcomes.

Amalia, A. R., Azra, F. E. A., & Suhendra, S. (2023). Impact of Occupational Safety and Health (K3) and compensation on employee performance: The role of organizational commitment. Jurnal Manajemen Strategi Dan Aplikasi Bisnis, 6(2), 399–408.

Budiono, A., Yuspin, W., Nugroho, W., Santoso, H., Mairo, N., Khoirun, Q., Ngestiningrum, A. H., Wahid, A., Al-Fatih, S., & Sidiq, Y. (2024). Strengthening National Health Insurance With Ideal Regulations on the Distribution of Foods Containing Sugar, Salt, and Fat to Prevent Obesity and Non-communicable Diseases in Children. Malaysian Journal of Medicine & Health Sciences, 20.

Delianto, & Kumar, K. S. (2025). Accuracy of Triage and Its Association with Family Satisfaction in the Emergency Department of a General Hospital: A Cross-Sectional Study. International Journal of Health Concord, 1(1), 18–25. https://ihc.candle.or.id/index.php/ihc/article/view/8

Dini, G., Rahmani, A., Montecucco, A., Vitturi, B. K., Zacconi, S., Manca, A., Blasi, C., Linares, R., Morganti, M., & Bragazzi, N. L. (2025). Occupational Injuries and Their Determinants Among Healthcare Workers in Western Countries: A Scoping Review. La Medicina Del Lavoro, 116(1), 16664.

Fidyawati, Oqui, M., & Pinto, J. (2025). How Knowledge Influences Antibiotic Adherence Among Outpatients: A Cross-Sectional Study at Indonesian Primary Health Centers. International Journal of Health Concord, 1(1), 26–32. https://doi.org/https://ihc.candle.or.id/index.php/ihc/article/view/9

Firdausi, F. A. (2023). Pengaruh Kesehatan dan Keselamatan Kerja (K3) dan lingkungan kerja terhadap kinerja karyawan dengan kepuasan kerja sebagai variabel mediasi: Studi kasus PTPN XII Kebun Kalisanen Jember Tahun 2022-2023. Universitas Islam Negeri Maulana Malik Ibrahim.

Hartati, S., Kamesworo, & Elviani, Y. (2025). Effectiveness of Acupressure Therapy in Reducing Blood Pressure Among Older Adults with Hypertension. International Journal of Health Concord, 1(1), 33–40. https://doi.org/https://ihc.candle.or.id/index.php/ihc/article/view/10

Kiiru, D. K. (2022). Work Environment and Performance of Employees in Public Health Sector in Nairobi County, Kenya. Kenyatta University.

Nurmalia, D., Ulliya, S., Sulisno, M., Ardhani, M. H., & Amilia, R. (2022). Occupational Accidents Among Healthcare Workers in Central Java. Kemas, 18(1), 139–146. https://doi.org/10.15294/kemas.v18i1.33053

OECD, & Organization, W. H. (2024). Health at a Glance: Asia/Pacific 2024. In Health at a Glance: Asia/Pacific. OECD Publishing.

Pramestuti, D., & Perkasa, D. (2020, October). The Effect of Work Stress, Work Environment, and Occupational Health and Safety on Employee Productivity.

Pratiwi, I. G. D., Permatasari, D., Huzaimah, N., Fatoni, A. F., & Rahmawati, S. (2025). Effectiveness of Purpose-Oriented Counseling on Postpartum Contraceptive Decision-Making Among Women. International Journal of Health Concord, 1(1), 1–8. https://doi.org/https://ihc.candle.or.id/index.php/ihc/article/view/3

Profil Kesehatan Indonesia 2024. (2025).

Razi, F. (2024). Hubungan Kerjasama Tim Dengan Missed Nursing Care Di Ruang Rawat Inap: Teamwork Relationship with Missed Nursing Care in the Inpatient Room. Jurnal Abdi Kesehatan Dan Kedokteran, 3(1 SE-Articles), 14–24. https://doi.org/10.55018/jakk.v3i1.45

Saumillaili, D. R., & Handayani, N. (2021). Analisis Komparatif Kinerja Puskesmas Pangarengan dan Puskesmas Kedungdung dengan Menggunakan Metode Balanced Scorecard. Jurnal Ilmu Dan Riset Akuntansi (JIRA), 10(4).

Sennang, P. R., & Ikbal, M. (2025). PENGARUH LINGKUNGAN KERJA FISIK TERHADAP KEPUASAN KERJA PEGAWAI PADA PUSKESMAS RAPPANG KECAMATAN PANCA RIJANG. JANE (Jurnal Administrasi Negara), 17(1), 133–144.

Tawiah, P. A., Baffour-Awuah, A., Appiah-Brempong, E., & Afriyie-Gyawu, E. (2022). Identifying occupational health hazards among healthcare providers and ancillary staff in Ghana: a scoping review protocol. BMJ Open, 12(1), e058048.

Ummah, M. S. (2019). No 主観的健康感を中心とした在宅高齢者における 健康関連指標に関する共分散構造分析Title. Sustainability (Switzerland), 11(1), 1–14.

Downloads

Published

2025-11-21

How to Cite

Simarmata, V. P. A. ., Marantuan, R. S. ., & Hutagalung, P. (2025). The Relationship Between Work Environment, Occupational Safety and Health Implementation, and Employee Performance: A Cross-Sectional Study. Journal of Applied Nursing and Health, 7(3), 762–774. https://doi.org/10.55018/janh.v7i3.462