The Effect of Service Leadership and Coworker Support on Employee Retention at Ulunoyo Community Health Center South Nias Regency
##plugins.themes.bootstrap3.article.main##
Abstract
This study investigates the influence of service leadership and coworker support on employee retention at Ulunoyo Community Health Center, South Nias Regency. High employee turnover in the past three years has disrupted health service continuity and effectiveness. Service-oriented leadership and coworker support are assumed to be significant factors influencing retention in public health institutions. A quantitative approach was employed using a saturated sampling technique involving all 44 employees of Puskesmas Ulunoyo. Data were collected through questionnaires measured by a Likert scale, which had been tested for validity and reliability. Analysis was conducted using classical assumption tests and multiple linear regression with SPSS software. The findings reveal that service leadership positively and significantly affects employee retention, coworker support positively and significantly influences retention, and both variables simultaneously contribute significantly to employee retention. These results suggest that effective human resource management through service leadership and supportive coworker relationships enhances employee loyalty and reduces turnover intention. The study highlights the importance of strengthening service-based leadership practices and fostering coworker support to improve organizational sustainability. For healthcare institutions, this research provides valuable insights into designing strategies that not only enhance retention but also improve overall service quality for the community.
##plugins.themes.bootstrap3.article.details##
How to Cite
Buulolo, S., Waruwu, E., Gulo, H., Buulolo, N. A., & Halawa, F. (2025). The Effect of Service Leadership and Coworker Support on Employee Retention at Ulunoyo Community Health Center South Nias Regency. ProBisnis : Jurnal Manajemen, 16(5), 1223–1229. Retrieved from https://ejournal.joninstitute.org/index.php/ProBisnis/article/view/1144
References
Aprelyani, S. (2025). Determinasi Kepuasan Kerja: Motivasi Kerja, dan Lingkungan Kerja (Literature Review Manajemen Sumber Daya Manusia). Dinasti Health and Pharmacy Science, 2(1), 25–30. https://doi.org/10.38035/dhps.v2i1.1798
Arsawan, I. W. E., Kariati, N. M., Shchokina, Y., Prayustika, P. A., Rustiarini, N. W., & Koval, V. (2022). INVIGORATING-EMPLOYEES-INNOVATIVE-WORK-BEHAVIOR-EXPLORING-THE-SEQUENTIAL-MEDIATING-ROLE-OF-ORGANIZATIONAL-COMMITMENT-AND-KNOWLEDGE-SHARING_2022_Vilnius-Gediminas-Technical-University.pdf. 23(1), 117–130.
Budaya, K., Pengembangan, D., & Daya, S. (2024). Program Magister Manajemen Administrasi Rumah Sakit, ARS University. Jurnal Jagaddhita: Pendidikan, Humaniora, Linguistik Dan Sosial, 22–28.
Carro-Suárez, J., Sarmiento-Paredes, S., & Rosano-Ortega, G. (2017). Organizational culture and its influence in business sustainability. The importance of culture in corporate sustainability | La cultura organizacional y su influencia en la sustentabilidad empresarial. La importancia de la cultura en la sustentabilidad em. Estudios Gerenciales, 33(145), 352–365.
Dias, A. L., Pascoal, B., Pereira, L., & Costa, R. (2022). Transformational Leadership Contributions for Employee Autonomy. International Journal of Service Science, Management, Engineering, and Technology, 13(1), 1–21. https://doi.org/10.4018/IJSSMET.297492
Doeleman, H. J., van Dun, D. H., & Wilderom, C. P. M. (2022). Leading open strategizing practices for effective strategy implementation. Journal of Strategy and Management, 15(1), 54–75. https://doi.org/10.1108/JSMA-09-2020-0253
Eneis, J. R., Lucia, A. F. S., & Alberto, H. T. Y. (2022). Competitiveness and productivity of the Colombian economy by means of competitive routes and clusters. WSEAS Transactions on Business and Economics, 19, 1584–1599. https://doi.org/10.37394/23207.2022.19.143
Garad, A., Haryono, S., Yaya, R., Pratolo, S., & Rahmawati, A. (2022). The Relationship Between Transformational Leadership, Improving Employee’s Performance and the Raising Efficiency of Organizations. Management and Production Engineering Review, 13(2), 15–30. https://doi.org/10.24425/mper.2022.142052
Halawa, F., Anggraini, E. N., Yulianti, P., Airlangga, U., & Timur, J. (2023). THE ANTECEDENTS AND CONSEQUENCES OF WORK ENGAGEMENT ON TEACHER: A SYSTEMATIC LITERATURE REVIEW. Maker: Jurnal Manajemen, 9(1), 27–38.
Halawa, F., Sridadi, A. R., Hardiana, Y., Sundari, A., Zain, I. A. S., & Ramadhan, M. N. (2023). The Importance of Innovative Work Behavior in Era Industrial Revolution 4.0. Jurnal Maksipreneur: Manajemen, Koperasi, Dan Entrepreneurship, 13(1), 38. https://doi.org/10.30588/jmp.v13i1.1493
Hermawanto, A. R., Ahman, E., & Supriadi, Y. N. (2022). Mediation Effects of Organizational Commitment between Organization Citizenship Behavior, Transformational Leadership, and Quality of Work Life. Quality - Access to Success, 23(189), 107–117. https://doi.org/10.47750/QAS/23.189.13
Kumar, A., Kapoor, S., & Kumar Gupta, S. (2022). Do the qualities of transformational leadership influence employees’ job engagement? A survey of the Indian power sector. Problems and Perspectives in Management, 20(4), 614–625. https://doi.org/10.21511/ppm.20(4).2022.46
Kuo, C. C., Ni, Y. L., Wu, C. H., Duh, R. R., Chen, M. Y., & Chang, C. (2022). When can felt accountability promote innovative work behavior? The role of transformational leadership. Personnel Review, 51(7), 1807–1822. https://doi.org/10.1108/PR-03-2021-0174
Maulidiah, E. P., Budiantono, B., History, A., & Satisfaction, C. (2023). Jurnal economina. Jurnal Economina, 2(1), 2137–2146.
Ndruru, Y., Halawa, F., Laia, A., & Laia, H. (2025). Pengaruh Gaya Kepemimpinan Transformasional Terhadap Kinerja Karyawan. KETIK : Jurnal Informatika Publisher : Faatuatua Media Karya, 02(06), 8–14.
Pamungkas, I. B., & Praditya, A. (2024). Tinjauan Pustaka: Dampak Teknologi Informasi Dan Komunikasi (Tik) Pada Praktik Manajemen Sumber Daya Manusia Di Era Digital. SCIENTIFIC JOURNAL OF REFLECTION : Economic, Accounting, Management and Business, 7(3), 610–624. https://doi.org/10.37481/sjr.v7i3.904
Pant, N., Aasuri, N., Shaikh, M. A., & Access, O. (2024). Cardiovascular Health in Young Adults. Archives of Medical Reports, 1(1), 14–20.
Prabhu, H. M., & Srivastava, A. K. (2023). CEO Transformational Leadership, Supply Chain Agility and Firm Performance: A TISM Modeling among SMEs. Global Journal of Flexible Systems Management, 24(1), 51–65. https://doi.org/10.1007/s40171-022-00323-y
Rohman, F., Noermijati, N., Mugiono, M., & Soelton, M. (2023). The role of quality assurance in improving the distribution of organizational performance. Uncertain Supply Chain Management, 11(1), 237–248. https://doi.org/10.5267/j.uscm.2022.10.003
Salman, S. M., Hamed, S. A., & Faisal, M. Z. (2023). LEADERSHIP AND INTERNAL COMMUNICATION STRATEGIES IN PUBLIC ORGANIZATIONS : ANALYTICAL RESEARCH Article history : Keywords : Internal Communication ; Public Organizations ; Charismatic Leadership ; Transformational Leadership ; Salman , S . M ., Hamed , S. International Journal Of Profesional Business Review, 8(4), 1–14.
Saputra, F., Ali, H., & Hadita, H. (2025). Determinasi Produktivitas Karyawan: Analisis Work Life Balance, Fasilitas Kerja dan Motivasi Kerja (Literature Review Manajemen Sumber Daya Manusia). Jurnal Komunikasi Dan Ilmu Sosial, 2(4), 159–169. https://doi.org/10.38035/jkis.v2i4.1520
Sciences, M. (2022). Leadership styles and effectiveness in the workplace: A perspective of the millennial generation | Easton | South African Journal of Economic and Management Sciences. 1–10. https://sajems.org/index.php/sajems/article/view/4541/2597
Setyaningrum, R. P., & Muafi, M. (2023). Managing job burnout from workplace telepressure: A three way interaction. SA Journal of Human Resource Management, 21, 1–9. https://doi.org/10.4102/sajhrm.v21i0.2151
Siagian, F. H., Setyadi, D., Hendri, M. I., & Fitrio, T. (2022). The Role of Organizational Military Behavior in Mediating the Effect of Transformational Leadership, Job Satisfaction and Organizational Culture on the Performance of Military Personnel of KODAM XXX. Quality - Access to Success, 23(191), 1–9. https://doi.org/10.47750/QAS/23.191.01
Suhartono, S., Sulastiningsih, S., Chasanah, U., Widiastuti, N., & Purwanto, W. (2023). the Relationship of Leadership, Discipline, Satisfaction, and Performance: a Case Study of Steel Manufacture in Indonesia. International Journal of Professional Business Review, 8(2), 1–12. https://doi.org/10.26668/businessreview/2023.v8i2.1146
Sulaiman, T., Hadna, A. H., Darwin, M., & Kutanegara, P. M. (2023). The Transformational Leadership, Public Service Motivation And Perfomance Of Handling The Covid-19 Pandemic : The Army Soldiers In Implementing Military Operations. Quality - Access to Success, 24(193), 176–181. https://doi.org/10.47750/QAS/24.193.19
Vermeulen, M., Kreijns, K., & Evers, A. T. (2022). Transformational leadership, leader–member exchange and school learning climate: Impact on teachers’ innovative behaviour in the Netherlands. Educational Management Administration and Leadership, 50(3), 491–510. https://doi.org/10.1177/1741143220932582
Visser, S. W. J., & Scheepers, C. B. (2022). Organisational justice mechanisms’ mediating leadership style, cognition- and affect-based trust during COVID-19 in South Africa. European Business Review, 34(6), 776–797. https://doi.org/10.1108/EBR-11-2021-0243
Arsawan, I. W. E., Kariati, N. M., Shchokina, Y., Prayustika, P. A., Rustiarini, N. W., & Koval, V. (2022). INVIGORATING-EMPLOYEES-INNOVATIVE-WORK-BEHAVIOR-EXPLORING-THE-SEQUENTIAL-MEDIATING-ROLE-OF-ORGANIZATIONAL-COMMITMENT-AND-KNOWLEDGE-SHARING_2022_Vilnius-Gediminas-Technical-University.pdf. 23(1), 117–130.
Budaya, K., Pengembangan, D., & Daya, S. (2024). Program Magister Manajemen Administrasi Rumah Sakit, ARS University. Jurnal Jagaddhita: Pendidikan, Humaniora, Linguistik Dan Sosial, 22–28.
Carro-Suárez, J., Sarmiento-Paredes, S., & Rosano-Ortega, G. (2017). Organizational culture and its influence in business sustainability. The importance of culture in corporate sustainability | La cultura organizacional y su influencia en la sustentabilidad empresarial. La importancia de la cultura en la sustentabilidad em. Estudios Gerenciales, 33(145), 352–365.
Dias, A. L., Pascoal, B., Pereira, L., & Costa, R. (2022). Transformational Leadership Contributions for Employee Autonomy. International Journal of Service Science, Management, Engineering, and Technology, 13(1), 1–21. https://doi.org/10.4018/IJSSMET.297492
Doeleman, H. J., van Dun, D. H., & Wilderom, C. P. M. (2022). Leading open strategizing practices for effective strategy implementation. Journal of Strategy and Management, 15(1), 54–75. https://doi.org/10.1108/JSMA-09-2020-0253
Eneis, J. R., Lucia, A. F. S., & Alberto, H. T. Y. (2022). Competitiveness and productivity of the Colombian economy by means of competitive routes and clusters. WSEAS Transactions on Business and Economics, 19, 1584–1599. https://doi.org/10.37394/23207.2022.19.143
Garad, A., Haryono, S., Yaya, R., Pratolo, S., & Rahmawati, A. (2022). The Relationship Between Transformational Leadership, Improving Employee’s Performance and the Raising Efficiency of Organizations. Management and Production Engineering Review, 13(2), 15–30. https://doi.org/10.24425/mper.2022.142052
Halawa, F., Anggraini, E. N., Yulianti, P., Airlangga, U., & Timur, J. (2023). THE ANTECEDENTS AND CONSEQUENCES OF WORK ENGAGEMENT ON TEACHER: A SYSTEMATIC LITERATURE REVIEW. Maker: Jurnal Manajemen, 9(1), 27–38.
Halawa, F., Sridadi, A. R., Hardiana, Y., Sundari, A., Zain, I. A. S., & Ramadhan, M. N. (2023). The Importance of Innovative Work Behavior in Era Industrial Revolution 4.0. Jurnal Maksipreneur: Manajemen, Koperasi, Dan Entrepreneurship, 13(1), 38. https://doi.org/10.30588/jmp.v13i1.1493
Hermawanto, A. R., Ahman, E., & Supriadi, Y. N. (2022). Mediation Effects of Organizational Commitment between Organization Citizenship Behavior, Transformational Leadership, and Quality of Work Life. Quality - Access to Success, 23(189), 107–117. https://doi.org/10.47750/QAS/23.189.13
Kumar, A., Kapoor, S., & Kumar Gupta, S. (2022). Do the qualities of transformational leadership influence employees’ job engagement? A survey of the Indian power sector. Problems and Perspectives in Management, 20(4), 614–625. https://doi.org/10.21511/ppm.20(4).2022.46
Kuo, C. C., Ni, Y. L., Wu, C. H., Duh, R. R., Chen, M. Y., & Chang, C. (2022). When can felt accountability promote innovative work behavior? The role of transformational leadership. Personnel Review, 51(7), 1807–1822. https://doi.org/10.1108/PR-03-2021-0174
Maulidiah, E. P., Budiantono, B., History, A., & Satisfaction, C. (2023). Jurnal economina. Jurnal Economina, 2(1), 2137–2146.
Ndruru, Y., Halawa, F., Laia, A., & Laia, H. (2025). Pengaruh Gaya Kepemimpinan Transformasional Terhadap Kinerja Karyawan. KETIK : Jurnal Informatika Publisher : Faatuatua Media Karya, 02(06), 8–14.
Pamungkas, I. B., & Praditya, A. (2024). Tinjauan Pustaka: Dampak Teknologi Informasi Dan Komunikasi (Tik) Pada Praktik Manajemen Sumber Daya Manusia Di Era Digital. SCIENTIFIC JOURNAL OF REFLECTION : Economic, Accounting, Management and Business, 7(3), 610–624. https://doi.org/10.37481/sjr.v7i3.904
Pant, N., Aasuri, N., Shaikh, M. A., & Access, O. (2024). Cardiovascular Health in Young Adults. Archives of Medical Reports, 1(1), 14–20.
Prabhu, H. M., & Srivastava, A. K. (2023). CEO Transformational Leadership, Supply Chain Agility and Firm Performance: A TISM Modeling among SMEs. Global Journal of Flexible Systems Management, 24(1), 51–65. https://doi.org/10.1007/s40171-022-00323-y
Rohman, F., Noermijati, N., Mugiono, M., & Soelton, M. (2023). The role of quality assurance in improving the distribution of organizational performance. Uncertain Supply Chain Management, 11(1), 237–248. https://doi.org/10.5267/j.uscm.2022.10.003
Salman, S. M., Hamed, S. A., & Faisal, M. Z. (2023). LEADERSHIP AND INTERNAL COMMUNICATION STRATEGIES IN PUBLIC ORGANIZATIONS : ANALYTICAL RESEARCH Article history : Keywords : Internal Communication ; Public Organizations ; Charismatic Leadership ; Transformational Leadership ; Salman , S . M ., Hamed , S. International Journal Of Profesional Business Review, 8(4), 1–14.
Saputra, F., Ali, H., & Hadita, H. (2025). Determinasi Produktivitas Karyawan: Analisis Work Life Balance, Fasilitas Kerja dan Motivasi Kerja (Literature Review Manajemen Sumber Daya Manusia). Jurnal Komunikasi Dan Ilmu Sosial, 2(4), 159–169. https://doi.org/10.38035/jkis.v2i4.1520
Sciences, M. (2022). Leadership styles and effectiveness in the workplace: A perspective of the millennial generation | Easton | South African Journal of Economic and Management Sciences. 1–10. https://sajems.org/index.php/sajems/article/view/4541/2597
Setyaningrum, R. P., & Muafi, M. (2023). Managing job burnout from workplace telepressure: A three way interaction. SA Journal of Human Resource Management, 21, 1–9. https://doi.org/10.4102/sajhrm.v21i0.2151
Siagian, F. H., Setyadi, D., Hendri, M. I., & Fitrio, T. (2022). The Role of Organizational Military Behavior in Mediating the Effect of Transformational Leadership, Job Satisfaction and Organizational Culture on the Performance of Military Personnel of KODAM XXX. Quality - Access to Success, 23(191), 1–9. https://doi.org/10.47750/QAS/23.191.01
Suhartono, S., Sulastiningsih, S., Chasanah, U., Widiastuti, N., & Purwanto, W. (2023). the Relationship of Leadership, Discipline, Satisfaction, and Performance: a Case Study of Steel Manufacture in Indonesia. International Journal of Professional Business Review, 8(2), 1–12. https://doi.org/10.26668/businessreview/2023.v8i2.1146
Sulaiman, T., Hadna, A. H., Darwin, M., & Kutanegara, P. M. (2023). The Transformational Leadership, Public Service Motivation And Perfomance Of Handling The Covid-19 Pandemic : The Army Soldiers In Implementing Military Operations. Quality - Access to Success, 24(193), 176–181. https://doi.org/10.47750/QAS/24.193.19
Vermeulen, M., Kreijns, K., & Evers, A. T. (2022). Transformational leadership, leader–member exchange and school learning climate: Impact on teachers’ innovative behaviour in the Netherlands. Educational Management Administration and Leadership, 50(3), 491–510. https://doi.org/10.1177/1741143220932582
Visser, S. W. J., & Scheepers, C. B. (2022). Organisational justice mechanisms’ mediating leadership style, cognition- and affect-based trust during COVID-19 in South Africa. European Business Review, 34(6), 776–797. https://doi.org/10.1108/EBR-11-2021-0243