Analysis of Education, Work Environment, and Job Satisfaction Influencing Paramedic Behavior in Indonesian Hospitals
Keywords:
Leadership-Style, Work-Motivation, Paramedic, Hospital-PerformanceAbstract
This research investigates the impact of education, work environment, and job satisfaction on the behavior of paramedics in Indonesian hospitals. A quantitative approach was employed, utilizing survey data collected from paramedics across Indonesia. The study aims to identify key factors influencing paramedic behavior, offering valuable insights for hospital management to enhance healthcare service quality. Multiple regression analysis was used to test the hypotheses. The results indicated that education (β = 0.25, p < 0.05), work environment (β = 0.32, p < 0.05), and job satisfaction (β = 0.40, p < 0.05) significantly and positively influence paramedic behavior. Additionally, education positively impacts both the work environment (β = 0.35, p < 0.05) and job satisfaction (β = 0.42, p < 0.05). These findings underscore the importance of continuous professional development, a conducive work environment, and high job satisfaction in promoting positive paramedic behavior and improving patient care in Indonesian hospitals.
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Abdul Hamed, S., Mohd Hussain, M. R., Md Jani, H. H., Shah Sabri, S. S., & Rusli, N. (2025). The impact of office innovation in the physical workplace on employee and organizational outcomes. Semarak Advanced Research in Organizational Behaviour, 4(1), 1–12. https://doi.org/10.37934/sarob.4.1.112a
Ahsan, M. J. (2025). Cultivating a culture of learning: The role of leadership in fostering lifelong development. The Learning Organization, 32(2), 282–306. https://doi.org/10.1108/TLO-03-2024-0099
Alanazy, A., Alsahli, F. K., Alhassan, Z. E., Alabdrabulridha, Z. H., Aljomaan, M. K., & Alruwaili, A. (2025). Assessing paramedics’ competence and training in end-of-life care: A cross-sectional study in Saudi Arabia. Clinics and Practice, 15(3), 46. https://doi.org/10.3390/clinpract15030046
Al-Gburi, H. A. I., Rashed, M., & Zghair, N. G. (2024). Impact of supportive leadership on work stress: An empirical research in the Ministry of Iraqi Interior / Human Resources Management. Journal of Economics and Administrative Sciences, 30(143), 148–163. https://doi.org/10.33095/d9zxhe69
Asiri, F. Y. I., Tennant, M., & Kruger, E. (2024). Bridging the gap: Dental students’ attitudes toward persons with disabilities (PWDs). Healthcare, 12(14), 1386. https://doi.org/10.3390/healthcare12141386
Bördlein, C., & Kade, L. (2025). Behavior-based safety with paramedics. Journal of Organizational Behavior Management, 1–17. https://doi.org/10.1080/01608061.2025.2454294
Cipta, D. A., Andoko, D., Theja, A., Utama, A. V. E., Hendrik, H., William, D. G., Reina, N., Handoko, M. T., & Lumbuun, N. (2024). Culturally sensitive patient-centered healthcare: A focus on health behavior modification in low and middle-income nations—Insights from Indonesia. Frontiers in Medicine, 11, 1353037. https://doi.org/10.3389/fmed.2024.1353037
Drożdżowicz, A. (2025). Conversational pressures at work: Professional roles and communication in mental healthcare settings. Synthese, 205(3), 100. https://doi.org/10.1007/s11229-024-04839-x
Edosomwan, H. S., Nwanzu, C. L., & Omreore, O. E. (2024). Relationship between supportive supervision and caring behavior among healthcare workers: The mediating role of job satisfaction. International Journal of Occupational Safety and Health, 14(4), 475–484. https://doi.org/10.3126/ijosh.v14i4.54070
Falade, I., Gyampoh, G., Akpamgbo, E., Chika, O., Obodo, O., Okobi, O., Aguguo, J., & Chukwu, V. (2024). A comprehensive review of effective patient safety and quality improvement programs in healthcare facilities. Medical Research Archives. https://doi.org/10.18103/mra.v12i7.5649
Galiotti, V. D. N., Moura, A. A. de, Cunha, I. C. K. O., Gasparino, R. C., & Balsanelli, A. P. (2024). Nurses’ leadership coaching and its relationship with the professional practice environment in nursing. Texto & Contexto - Enfermagem, 33. https://doi.org/10.1590/1980-265x-tce-2024-0017en
Gill, S. K., & Kennedy-Metz, L. R. (2025). A systematic review of occupational stress and burnout in EMT and paramedic populations and associated consequences. International Journal for Quality in Health Care. https://doi.org/10.1093/intqhc/mzaf033
Gündüz Çekmecelioğlu, H., Balkaş, J., Altaş, S. S., & Sevimli Güler, D. (2025). The effect of health professionals’ perceptions of organizational impediments on emotional labor and job satisfaction. Frontiers in Psychology, 16, 1537830. https://doi.org/10.3389/fpsyg.2025.1537830
Haryanto, E., Wibisono, C., Catrayasa, I. W., Ngaliman, N., & Indrawan, M. G. (2023). Effect of education, training, and promotion on employee performance through job satisfaction in the inspectorate of Tanjungpinang City and Bintan District. Journal of Multidisciplinary Academic and Practice Studies, 1(3), 261–278. https://doi.org/10.35912/jomaps.v1i3.1772
Hudays, A., Gary, F., Voss, J. G., Arishi, A., Alfar, Z. A., Algodimi, A. M., & Fitzpatrick, J. J. (2024). Factors influencing job satisfaction among mental health nurses: A systematic review. Healthcare, 12(20), 2040. https://doi.org/10.3390/healthcare12202040
Izzadi, F. F., & Abidin, M. I. (2024). Ensuring health rights for Indonesian citizens overseas. Brazilian Journal of Development, 10(12), e75558. https://doi.org/10.34117/bjdv10n12-015
Johnston, T., Armour, R., Muinoi, G., Helmer, J., & Bilton, N. (2023). Characteristics and paramedic management of patients enrolled in a novel assess, see, treat and refer palliative care clinical pathway: A retrospective descriptive cohort study. Paramedicine, 20(6), 198–205. https://doi.org/10.1177/27536386231178965
Kagan, I., Hendel, T., & Savitsky, B. (2021). Personal initiative and work environment as predictors of job satisfaction among nurses: Cross-sectional study. BMC Nursing, 20(1), 87. https://doi.org/10.1186/s12912-021-00615-1
Kassab, S. E., Rathan, R., Schmidt, H. G., & Hamdy, H. (2024). Influence of the university campus environment on sociocultural engagement and satisfaction of health professions education students: Role of the sense of belonging. BMC Medical Education, 24(1), 1512. https://doi.org/10.1186/s12909-024-06534-4
Munce, S., Simpson, R., Lee, J., Toulany, A., Dimitropoulos, G., Nelson, M., Penner, M., Bayley, M., Seto, E., & Kokorelias, K. (2025). Developing a conceptual model of compassion in healthcare transitions. International Journal of Integrated Care, 25, 606. https://doi.org/10.5334/ijic.9461
Patel, H., Perry, S., Badu, E., Mwangi, F., Onifade, O., Mazurskyy, A., ... Malau-Aduli, B. S. (2025). A scoping review of interprofessional education in healthcare: Evaluating competency development, educational outcomes and challenges. BMC Medical Education, 25(1), 409. https://doi.org/10.1186/s12909-025-06969-3
Pereira, L. K. M., Adailton da Silva, J., Valentim, R. A. de M., Lima, T. G. F. M. S., Junior, N. F. de M., Caitano, A. R., & Rosendo, T. S. (2025). Impacts of continuing education on primary health care professionals—A scoping review protocol. PLOS ONE, 20(1), e0312963. https://doi.org/10.1371/journal.pone.0312963
Piven, D. V., & Kitsul, I. S. (2025). On the need to develop “formal education” as the main direction of continuous medical education: Improving professional standards and advanced training programs. Manager Zdravookhranenia, 4–13. https://doi.org/10.21045/1811-0185-2025-2-4-13
Prasad, B. V., & Y, A. (2024). How poor dynamics negatively affect employee performance. International Journal of Advanced Research in Education and Technology, 11(06). https://doi.org/10.15680/IJARETY.2024.1106093
Purse, J., Davis, K., & Patel, H. (2025). Transforming paramedic training with virtual reality. Health Education in Practice: Journal of Research for Professional Learning, 8(1). https://doi.org/10.33966/hepj.8.1.19736
Robinson, S., Williams, J., & Broughton, W. (2024). Relational factors that influence paramedic decision-making with families of acutely unwell children: A qualitative case-study. Prize Winners, A3.1–A3. https://doi.org/10.1136/emermed-2024-999.4
Shrestha, P., Chhetri, G. R., & Khadka, K. (2025). Effect of reward satisfaction on job performance: Employee perspectives. Jana Adarsha Research Journal, 2(1), 1–8. https://doi.org/10.3126/jarj.v2i1.75607
Siwinski, L., & Blankenship, P. A. (2024). Dissociating first responder trauma: Examining patterns of self-reported trauma exposures in single-role firefighters and paramedics. Psychology, 15(06), 984–998. https://doi.org/10.4236/psych.2024.156059
Sjarifudin, D., Widyastuti, T., Renwarin, J. M., & Suroso, S. (2024). The influence of work environment, work culture and job satisfaction on employee loyalty. Dinasti International Journal of Economics, Finance & Accounting, 5(3), 2033–2042. https://doi.org/10.38035/dijefa.v5i3.3289
Suriadi, S., Jasiyah, R., Farawowan, F. F., & Salma, N. (2024). The role of employee training, job satisfaction, and career advancement in enhancing performance in higher education institutions. International Education Trend Issues, 2(2), 352–364. https://doi.org/10.56442/ieti.v2i2.892
Theodore, R. (2023). Science of life saving through paramedical care: A comprehensive review. International Journal of Medical and Allied Health Sciences, 3(02), 33–38. https://doi.org/10.54618/IJMAHS.2023323
