The Effect of Organizational Support and Organizational Citizenship Behavior on Employee Engagement With Job Satisfaction as a Mediation Variable at Bali Royal Hospital (BROS)

Authors

  • Ida Ayu Diana Dewi Oka Warmadewa University, Indonesia
  • Ida Bagus Udayana Putra Warmadewa University, Indonesia
  • Ni Wayan Sitiari Warmadewa University, Indonesia

DOI:

https://doi.org/10.38142/ijesss.v7i1.1872

Keywords:

Organizational Support, Organizational Citizenship Behavior, Job Satisfaction, Employee Engagement

Abstract

Along with the development of the healthcare world and increasing demands for quality of service, hospitals need strategies to increase employee engagement for optimal service. Bali Royal Hospital (BROS) Denpasar as one of the hospitals in Bali faces the need to understand the factors that affect employee engagement. This study aims to analyze the influence of organizational support and organizational citizenship behavior on employee engagement with job satisfaction as a mediating variable in employees of Bali Royal Hospital (BROS) Denpasar. The population of this study is all employees of Bali Royal Hospital (BROS) Denpasar as many as 795 people. The sample was determined using the Slovin formula with the purposive sampling technique so that 89 respondents were obtained. Data was collected through questionnaires, and the analysis technique used was Structural Equation Modeling – Partial Least Square (SEM-PLS) to test the research hypothesis. The results of the study show that organizational support and organizational citizenship behavior have a positive and significant effect on employee engagement and job satisfaction. Job satisfaction has a positive and significant effect on employee engagement and is able to mediate the influence of organizational support and organizational citizenship behavior on employee engagement. By practical implication, the management of Bali Royal Hospital (BROS) needs to increase organizational support and encourage positive organizational behavior to strengthen employee job satisfaction, which will ultimately increase employee engagement in providing quality service.

Downloads

Download data is not yet available.

References

Adawiyah, A. A., & Jayanagara, O. (2025). The Effect of Motivation and Work Environment on Employee Performance Mediated by Job Satisfaction in Employees of Sukajadi Banyuasin Regional General Hospital. Eduvest – Journal of Universal Studies, 5(2), 2400–2216.

Adnan, M., Nawaz, A., & Shah, S. M. J. (2021). Organizational citizenship behavior as a consequence of work–life balance: The mediating role of burnout and moderating role of employee engagement. Sustainable Business and Society in Emerging Economies, 3(4), 683–695.

Ahmed, M., Khalid, S., & Hussain, S. (2022). The impact of perceived organizational support on employee engagement: The mediating role of job satisfaction. Journal of Management Development, 41(7), 437–452.

Akhrina, D., & Febriani, N. (2020). Human resource management in hospitals: Challenges and strategies. Journal of Health Management, 8(2), 101–110.

Alkahtani, A. (2025). Investigating the impact of Organizational Citizenship Behavior on supply chain performance and corporate sustainability: An empirical study. Cogent Business & Management, 12(1), 2460621.

Ansong, A., Owusu, S. A., Ansong, L. O., & Andoh, R. P. K. (2024). Leader humility and organisational citizenship behaviour: The mediating roles of job satisfaction and employee engagement. Cogent Business and Management, 11(1), 2358166.

Aodton, P., Wareewanich, T., & Chankoson, T. (2021). The mediation of work engagement between job satisfaction and organizational citizenship behavior: A study of healthcare sector. International Journal of Entrepreneurship, 25(4), 1–11.

Ariyanti, D., & Pramudiana, I. (2020). The effect of perceived organizational support on employee engagement in employees of manufacturing companies. Journal of Management and Business, 7(2), 112–124.

Aulia, A., Husain, A. F., Zahrotunnisa', M., Charismatica, M., & Bakhtiar, R. (2025). The role of organizational culture on job satisfaction mediated by perceived organizational support in hospital employees. Journal of Psychology, 24(1), 67–86.

Aungsuroch, Y., Gunawan, J., Juanamasta, I. G., & Montayre, J. (2024). Updating factors influencing nurse work engagement in the hospital settings: A systematic review. Journal of Healthcare Leadership, 16, 157–176

Aziza, E. N., Supriyati, & Junaidi. (2024). Organizational Citizenship Behavior (OCB) Reviewed from the Big Five Personality Dimensions and Perceptions of Transformational Leadership Style in Employees of PT. Astra International Tbk – Isuzu Sales Operations Lampung Branch. Journal of Social and Economics Research, 6(1), 1213-1227.

Blau, P. M. (1964). Exchange and power in social life. New York: Wiley.

Bogaert, V. P., Timmermans, O., & Vander Elst, E. (2023). Job satisfaction and work engagement among nurses: The mediating role of burnout. Journal of Nursing Management, 31(4), 857–866.

Canboy, B., Caspi, A., Tan, H., & Novotny, A. (2023). Perceived organizational support, work meaningfulness, and work engagement: The mediating role of stress. European Management Journal, 41(3), 421–433.

Chatzopoulou, M., Vlachvei, A., & Monovasilis, T. (2022). Human resource practices and perceived organizational support: Evidence from European companies. Sustainability, 14(7), 4079.

Dewi, I. G. A. A., Putra, I. G. M., & Wibawa, I. M. A. (2023). Work engagement in health workers: The role of passion, dedication, and absorption. Udayana Journal of Psychology, 10(1), 55–67.

Diana, R., & Frianto, A. (2021). The effect of perceived organizational support on employee engagement in service companies. Journal of Industrial and Organizational Psychology, 10(2), 88–96.

Elfandari, D., Rahmawati, R., & Salma, A. (2024). Organizational citizenship behavior on the performance of employees of Labuang Baji Hospital Makassar. Journal of Public Administration, 14(2), 145–156.

Engidaw, A. E. (2021). The effect of employee engagement on organizational performance. Journal of Business and Management Research, 13(1), 22–34.

Eviana, N. (2024). The role of employee satisfaction in mediating the effect of perceived organizational support on employee engagement. Journal of Business Management, 15(1), 23–34.

Fajar, R., Handayani, N., & Syafitri, D. (2024). The effect of quality of work life and employee engagement on organizational citizenship behavior in nurses at dr. Suhatman Dumai Hospital. Journal of Management and Business, 11(1), 55–66.

Gupta, V., & Sharma, V. (2021). The relationship between perceived organizational support and job satisfaction: A study of service sector employees in India. Journal of Management Research, 21(2), 85–98.

Hamzah, N., Yusuf, H., & Karim, S. (2023). The effect of job satisfaction on the organizational citizenship behavior of nurses at dr. Hasri Ainun Habibie Hospital, Gorontalo. Journal of Management Science, 9(2), 122–132.

Harwanto, T., Arso, S. P., & Sulisno, M. (2020). The manager strategy on developing human resources of nursing in the hospital. Journal of Aisyah: Journal of Health Sciences, 5(2), 97–100.

Harwanto, T., Arso, S. P., & Sulisno, M. (2020). The manager strategy on developing human resources of nursing in the hospital. Aisyah Journal: Journal of Health Sciences, 5(2),

Hermawan, H., Thamrin, H., & Susilo, P. (2020). Organizational citizenship behavior and performance: the role of employee engagement. Journal of Asian Finance, Economics and Business, 7(12), 1089–1097.

Herrysono, D., & Franksiska, A. (2022). Organizational citizenship behavior and employee engagement: A study on service industry employees. Journal of Business and Management, 12(1), 33–44.

Hilfina, H., & Putra, M. S. (2023). The effect of perceived organizational support and organizational empowerment on employee well-being and employee engagement. E-Journal of Economics and Business, Udayana University, 12(5), 943–956.

Imran, M. Y., Elahi, N. S., Abid, G., Ashfaq, F., & Ilyas, S. (2020). Impact of perceived organizational support on work engagement: Mediating mechanism of thriving and flourishing. Cogent Business & Management, 7(1), 1783066.

Irwandy, F., & Rahmawati, S. (2022). The Effect of Work Environment and Work Motivation on Hospital Employee Performance during the Covid-19 Pandemic. The Management Journal of Binaniaga, 7(2), 79–92.

Islam, T., Khan, M. M., Ahmed, I., & Mahmood, K. (2021). Promoting in-role and extra-role green behavior through ethical leadership: The mediating role of green HRM and moderating role of individual green values. International Journal of Manpower, 42(7), 1102–1125.

Jankelová, N., Joniaková, Z., & Blštáková, J. (2021). Perceived organizational support and work engagement among healthcare managers: The mediating role of affective commitment. Healthcare, 9(10), 1339.

Karakose, T., Polat, H., & Papadakis, S. (2023). Examining the relationships between organizational citizenship behavior, job satisfaction, and intention to leave. Behavioral Sciences, 13(2), 123.

Kelesoglu, O., Fontaine, R. A. H., & Sharoffddin, A. (2024). Exploring personal resources and its relationship with work engagement: A systematic review. Journal of Business Management and Accounting, 14(2), 237–275.

Kocór, M., & Skuza, A. (2023). Need satisfaction and organizational citizenship behaviour towards the organization: A process-oriented approach. Current Psychology, 42, 16709–16722.

Kow, E., & Jayanagara, O. (2024). The influence of organizational culture and support on the commitment, satisfaction, and performance of health workers at Soe Hospital. Journal of Economics, Business and Accounting (COSTING), 8(1).

Kurniawan, A., & Harsono, M. (2021). The effect of perceived organizational support on employee engagement with job satisfaction as a mediator. Journal of Business and Economics, 28(1), 32–45.

Lee, S. E., Kim, H., & Park, Y. (2023). Perceived organizational support and employee engagement: The role of supervisor support. International Journal of Environmental Research and Public Health, 20(5), 4182.

Lestari, D., & Mayasari, R. (2021). The effect of job satisfaction on employee engagement in manufacturing industry. Indonesian Journal of Management, 21(2), 145–158.

Li, J., & Cao, H. (2020). Organizational citizenship behavior and employee engagement: A meta-analytic review. Journal of Applied Psychology, 105(12), 1434–1456.

Maan, A. T., Abid, G., Butt, T. H., Ashfaq, F., & Ahmed, S. (2020). Perceived organizational support and job satisfaction: A moderated mediation model of proactive personality and psychological empowerment. Future Business Journal, 6(1), 21.

Malik, F., Rukh, D. L., Ashraf, M., Ali, D. A., Ali, D. N., & Mateen, A. (2024). Organizational citizenship behavior and employees' engagement: Mediating role of psychological capital and organizational commitment. Migration Letters, 21(S7), 1589–1597.

Maslach, C., & Leiter, M. P. (2021). Burnout and engagement in the workplace: New perspectives on organizational support. Annual Review of Organizational Psychology and Organizational Behavior, 8, 389–411.

Mazzetti, G., Vignoli, M., & Schaufeli, W. B. (2023). Work engagement: A meta-analysis using the Job Demands–Resources model. Journal of Vocational Behavior, 141, 103826.

Nanjundeswaraswamy, T. S., & Swamy, D. R. (2022). Integrating workplace spirituality and organizational citizenship behaviour: A systematic literature review. Journal of Marketing and Social Research, 8(2), 45–60.

Nelson, J. (2021). Employee engagement and organizational support: A longitudinal perspective. Journal of Organizational Effectiveness, 8(2), 175–191.

Nurhayati, N., & Lestari, D. (2022). The Influence of Organizational Citizenship Behavior on Job Satisfaction of Banking Employees in Indonesia. Journal of Economics and Management, 10(2), 112–125.

Odai, R., Mensah, J., & Boateng, P. (2021). Perceived organizational support and employee commitment: The mediating role of trust. International Journal of Human Resource Studies, 11(3), 144–159.

Parent-Lamarche, A., Tremblay, D.-G., & Biron, C. (2022). A systematic literature review to explore the antecedents of employee engagement among remote workers. Journal of Work-Applied Management, 14(2), 193–214

Park, S., & Kim, H. (2024). Job satisfaction, employee engagement, and turnover intention in the service industry: Evidence from South Korea. Sustainability, 16(3), 1122.

Pinangkaan, F., Kalalo, M., & Pusung, R. (2020). The effect of organizational citizenship behavior on employee engagement. EMBA Journal, 8(4), 373–382.

Prasad, K., Vaidya, R., & Kumar, V. (2024). Organizational citizenship behavior and work engagement: Evidence from emerging markets. Journal of Asian Business Studies, 18(1), 66–84.

Prihartini, Y., Wibowo, H., & Nugroho, A. (2024). The Influence of Organizational Citizenship Behavior and Employee Engagement on Employee Performance at Cideres Hospital, Majalengka Regency. Journal of Economics, Business, and Accounting, 21(3), 201–212.

Priyanto, T., & Arifin, Z. (2024). The effect of employee engagement, job satisfaction, and organizational commitment on organizational citizenship behavior in nurses at Kartini Jepara Hospital. Journal of Management and Entrepreneurship, 12(2), 77–89.

Putra, I. G. A. D., & Wulandari, N. L. (2023). The influence of perceived organizational support on job satisfaction and employee performance in private hospitals in Bali. Indonesian Journal of Management, 23(1), 45–60.

Putra, I. M. A., & Santosa, I. B. (2023). The role of job satisfaction in mediating the influence of organizational citizenship behavior on employee engagement. International Journal of Social Management and Business, 4(2), 112–120.

Putri, A. D., & Rahmawati, N. (2024). Job satisfaction and its impact on employee engagement in the tourism sector in Bali. Journal of Human Resource Development, 12(1), 55–67.

Putri, S. Y., Gumilar, D., & Mubarok, D. A. (2024). The Influence of Workload, Compensation and Work Motivation on Job Satisfaction at Al-Islam Hospital Bandung. Dinaste International Journal of Management Science, 5(3), 589–597.

Raflialdi, B. Y., Purnomo, R., Daryono, D., & Verliani, N. P. (2025). The effect of perceived organizational support on employee performance with employee engagement as a mediator (Study at PT. Indonesian Railway Daop 5 Purwokerto). Proceedings of International Conference Sustainable Competitive Advantage, 5(2024), 1–10.

Rajendran, D., & Doraisamy, A. (2022). Employee engagement and performance outcomes: Evidence from the healthcare sector. Journal of Health Management, 24(4), 512–527.

Ramadhani, A. M., & Suratmi, S. (2023). Relationship Between Employee Engagement and Job Satisfaction of Nurses at Muhammadiyah Babat Lamongan Hospital. Journal of Vocational Nursing, 4(2).

Rozan, A., & Yuniasanti, R. (2022). The relationship between perceived organizational support and employee engagement in employees. Psychoscience: Journal of Psychological Research and Thought, 19(1).

Sahrah, L. (2023). The relationship between perceived organizational support and organizational citizenship behavior in nurses at X Yogyakarta Hospital. Journal of Psychology and Organization, 14(1), 11–20.

Sari, D. M., & Hidayat, R. (2022). The effect of perception of organizational support on the job satisfaction of banking employees in Indonesia. Journal of Economics and Management, 10(2), 112–125.

Sari, R. N., Wijaya, H., & Lestari, A. (2022). Perceived organizational support and its impact on employee engagement in banking employees in Indonesia. Indonesian Journal of Management Research, 14(3), 233–245.

Siregar, A. N. N., Wardhani, D. P., & Amallia, F. (2022). Quality of work of life, job satisfaction and social support for employee engagement of private university lecturers in Surakarta. Benefit: Journal of Management and Business, 7(1), 41–52.

Sulaimiah, S., Husnaini, W., & Wardani, L. (2024). 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.

Suma, N., & Sapra, J. (2025). Unearthing the impact of organizational citizenship behaviour on employee engagement and job satisfaction: A study of IT sector in Bangalore. International Journal of Sociology and Social Policy. Advance online publication.

Sutarya, D. S., Suryani, D., Akbar, M. F., & Prasetyaningtyas, S. W. (2023). The Effect of Work Environment, Condition and Job Satisfaction on Employees, Engagement and Organizational Citizenship Behavior on Non-Medical Workers. Eduvest – Journal of Universal Studies, 3(5).

Wang, J. (2023). Strengths-based leadership and employee work engagement: The mediating role of perceived organizational support. Journal of Business Research, 158, 113728.

Widodo, S., & Santoso, H. (2021). The effect of organizational citizenship behavior on job satisfaction and employee performance. Indonesian Journal of Management and Business, 7(1), 45–56.

Yildiz, B. (2023). A systematic review and meta-analytic synthesis of the antecedents, correlates, and consequences of organizational citizenship behavior. Frontiers in Psychology, 14, 1102056.

Downloads

Published

2026-01-31

Most read articles by the same author(s)

1 2 > >>