The Effect of Training, Workload, and Task Complexity on Productivity Through Incentives in Medical Support Services At Rsud Dr. Soetrasno Rembang


Unsafe work behavior causes 85% of workplace accidents. Improving employee skills through training is expected to reduce worker error rates. Despite the hospital’s provision of beds for inpatient treatment with the expectation of generating financial income from patients, the Bed Occupancy Ratio (BOR) standard has not been met. This study aims to analyze the direct and indirect influence of training, workload, and task complexity on productivity through incentives in medical support services at RSUD dr. R. Soetrasno Rembang. This study employs an explanatory research approach. The total population comprises 145 employees in the medical support service of the hospital. The sampling method was purposive sampling, and the sample size of 105 employees was determined using the Issac Michael formula. Data were analyzed using SEM. The results of this study revealed a P-value of <0.05, meaning that it had a positive and significant effect of training, workload, and task complexity on productivity through incentives. The training variable on work productivity showed a direct influence of 0.228 and an indirect influence of 0.133. Other results between workload on productivity showed a direct effect of 0.217 and an indirect influence of 0.138. The test results also indicated a direct influence of task complexity on productivity (0.171) and indirect influence of 0.070. In conclusion, this study suggests that training significantly influences productivity in medical support service at RSUD dr. R. Soetrasno Rembang, with a coefficient of 0.228 compared to other variables.

Keywords: training, workload, task complexity, incentives, productivity

[1] Amin M, Sari SP, Rachman A. Factors Affecting the Work Discipline of Medical and Non-Medical Support Employees. J Asclepius Health Center. 2019;1(1):35–44.

[2] Dalimunthe MB, Situmorang A, Hanum R. Analysis of the Effect of Discipline and Training on Nurse Work Productivity at Delia General Hospital, Langkat. J Manaj and Adm Hospital Indones. 2020;4(1):13–24.

[3] Prahardi R, Widikusumo A. The Importance of Education and Training for Radiation Workers. Semin Si-INTAN; 2021. pp. 2797–7870.

[4] Y.S.A GK. Haryani S. The Effect of Workload, Work Stress, and Motivation on Employee Performance of RS Ludira Husada Tama Yogyakarta. Business Review. 2018;19(1):29–42.

[5] Fathoni MI. The Effect of Workload on the Work Productivity of Non-Health Workers in the Technical Implementation Unit of Yogyakarta City Pratama Hospital in 2020. Optim J Ekon and Actual Business. 2020;18(1):74–100.

[6] Wewengkang DA, Kojo C, Uhing Y. Employee Performance in the Middle of the COVID-19 Pandemic at UPTD Manembo-Nembo Hospital Type-C Bitung. J EMBA. 2021;9(3):242–51.

[7] Hadi S, Sastrawan S, Zuhro R. Analysis of Knowledge Level, Attitude, Motivation and Task Complexity with Standard Vigilance in Hospital. J Social Science and Educator. 2021;5(4):855–62.

[8] Suprayogi Y, Ningsih KW. Factors affecting the work productivity of nurses. J Endur Review Ilm Probl Health. 2021;6(2):410–8.

[9] Rahmadiliyani N, Nugroho RD, Estiyana E. Analysis of Indicators (BOR, AVLOS, TOI and BTO) in Children’s Space in Health Service Improvement. J Health Indones. 2020;X(2):91–9.

[10] Yuriski N, Ismainar H, Abidin AR, Hamid A, Arwilis. Factors related to nurse work productivity in the inpatient room of Pekanbaru Medical Center Hospital in 2022 Factors related to nurse work productivity in the inpatient room, Pekanbaru Medical Center in 2022. 2022; 1(2).

[11] Moniung K, Kimbal M, Pangemanan F. Quality of Children’s Poly Public Services at Noongan Regional General Hospital, Minahasa Regency, North Sulawesi Province. J Exek. 2020;2(5):1–10.

[12] Wahyuningsih S. The Effect of Training in Increasing Employee Work Productivity. J West. 2019;60(April):1–16.

[13] Wachid MN. The Effect of Training and Development on Employee Work Productivity at Graha Husada Hospital. J Ekon Mhs. 2020;1(1).

[14] Nasir, Abd, Abdul Muhith and MEI. Textbook: Health Research Methodology. Yogyakarta: Nuha Medika; 2018.

[15] Yurasti, Sari RW, Yulihardi, Syahputra B. The Effect of Training and Discipline on the Work Productivity of Civil Servant Nurses at Lubuk Sikaping Regional General Hospital. J Ilm Edunomika. 2022;06(01):1–10.

[16] Triyadin A, Yusuf M. Pengaruh beban kerja terhadap produktifitas kerja pegawai pada ulp rayon woha The effect of workload on employee productivity at Ulp Rayon Woha. Ekon Forum. 2021; 23(1):102–7.

[17] Pradana GB, Wirawati NG. The Effect of Training and Task Complexity on the Effectiveness of Using SIA Private Hospitals in Denpasar City. EJournal of Accounting Univ Udayana [Internet]. 2018; 3(1):10–27. Available from:

[18] Surtikanti SI. The Effect of Task Complexity and Professional Skepticism on Audit Judgment (Case Study at a Public Accounting Firm (KAP) in Bandung City registered with BPK RI). Univ Komput Indones. 2021;66(04):37–9.

[19] Silalahi A, Kurniawan A. Acceleration of Incentive Payment for Health Workers Handling Covid-19. J Anal Wisdom. 2021;5(2):187–94.

[20] Setiawan H. The Relationship of Providing Incentives to Improve Employee Performance. Medan Area University; 2018.

[21] Astari ER. Factors affecting work productivity at the place of outpatient admission. J Stikes Panakkukang. 2020;1(1):6–21.

[22] Junaidi. AMOS and Structural Equalition Model (SEM) applications. Makassar: UPT Unhas Press; 2021.

[23] Ferdinand A. Management Research Methods, Research guidelines for Writing Thesis, Thesis, and Dissertation Management Science. Semarang: UNDIP Publishing Agency; 2016.

[24] Setiono D. The Effect of Job Training on Improving Employee Performance by Providing Incentives as a Mediation Variable at PT Perkebunan Nusantara VII (Persero) Lampung in an Islamic Economic Perspective. UIN Raden Intan Lampung. Lampung: Thesis; 2022.

[25] Siagian SK, Sudjiman LS. The Effect of Training and Motivation on Employee Work Productivity. J Ekon. 2021;14(1):31–45.

[26] Hanafiah J. The effect of training and work experience on employee performance at the Bandung maternity hospital. J Ilm MEA. 2020;4(1):333–49.

[27] Heriyani E, Daud I. The Effect of Workload Mediation on Incentives and Performance in Midwives at Kubu Raya Health Center. UNTAN. 2022;(36):439–52.

[28] Hendrayani. The effect of workload on employee work productivity. J Econ Bus. 2021;12(4):520–31.

[29] Noviana C, Indriastuti A, Purwanto AM. The Effect of Financial Incentives and Task Complexity on Performance: An Experimental Study. Accountancy (Lond). 2020;12(2):313–26.

[30] Sedarmayanti NN, Hamdani RK, Herawati A, Kamariyah S. The Effect of Human Capital and Incentives on Employee Performance at Regional General Hospital dr. Slamet, Garut Regency. J Ilm Adm Business and Inov. 2020;4(1):1–16.

[31] Muna Putri N, Frianto A. The Effect of Job Training and Workload on Employee Work Productivity at XYZ Jombang Mother and Child Hospital. BIMA J Bus Innov Manag. 2021;4(1):25–38.

[32] Sanjani DR, Putri DF, Putra H. The relationship between workload and work productivity of STIKES Griya Husada Sumbawa employees. A. Health and Science. 2021;4(2):43–55.

[33] Suliantoro. The effect of workload on work productivity in the Technical Implementation Unit of Pratama Hospital Yogyakarta City. JBMA. 2021;VIII(1):79–88.

[34] Mustikayani NL, Dwirandra AA. Tri Hita Karana Culture as Moderating Task Complexity and Time Pressure on Auditor Performance. E-Journal of Akunt Univ Udayana. 2018;16(2):1544–73.