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Abstract

Purpose: Behavioral competencies have been recognized as key to organizational success in achieving their goals. Understanding how to improve them can help identify factors that determine the achievement of strategic plans. However, research on training mechanisms that contribute to the performance of healthcare employees is still limited. Using the Human Capital Theory framework, this study aims to examine the influence of training on behavioral competencies and its effects on employee performance.


Research Method: This study employed a quantitative approach, using primary data collected through questionnaires distributed to 85 employees at Dr. Ario Wirawan Lung Hospital. The data were analyzed using Partial Least Squares Structural Equation Modeling.


Results and Discussion: The results revealed that training positively influenced behavioral competencies but had no significant effect on employee performance. Further findings indicate that behavioral competencies positively impact employee performance in healthcare.


Implications: The study's findings encourage hospital management to improve employees' core competencies and behaviors through various training programs.


Originality: This study provides empirical evidence about the role of training, behavioral competencies, and employee performance in enhancing healthcare performance.

Keywords

training behavioral competency employee performance healthcare

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How to Cite
Lestari, L. (2026). The Effect of Training on Employee Performance in Healthcare: Does Behavioral Competence Matter?. Advances in Healthcare Research, 4(2), 341–358. https://doi.org/10.60079/ahr.v4i2.930
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References

  1. Aguinis, H., & Kraiger, K. (2009). Benefits of Training and Development for Individuals and Teams, Organizations, and Society. Annual Review of Psychology, 60(1), 451–474. https://doi.org/10.1146/annurev.psych.60.110707.163505
  2. Albino, G. (2018). Technical and Behavioral Competencies on Performance Evaluation: Petrek Leaders’ Perspectives. SAGE Open, 8(2). https://doi.org/10.1177/2158244018780972
  3. Andrianto, R. (2026). Investasi Rumah Sakit Melonjak di Akhir 2025, Nilainya Rp 8,2 T. CNBC Indonesia. https://www.cnbcindonesia.com/news/20260115160325-4-702740/investasi-rumah-sakit-melonjak-di-akhir-2025-nilainya-rp-82-t
  4. Arthur, W., Bennett, W., Edens, P. S., & Bell, S. T. (2003). Effectiveness of training in organizations: A meta-analysis of design and evaluation features. Journal of Applied Psychology, 88(2), 234–245. https://doi.org/10.1037/0021-9010.88.2.234
  5. Aziz, H. M., Othman, B. J., Gardi, B., Ahmed, S. A., Sabir, B. Y., Ismael, N. B., Hamza, P. A., Sorguli, S., Ali, B. J., & Anwar, G. (2021). Employee Commitment: The Relationship between Employee Commitment and Job Satisfaction. Journal of Humanities and Education Development, 3(3), 54–66. https://doi.org/10.22161/jhed.3.3.6
  6. Becker, G. S. (1964). Human capital: a theoretical and empirical analysis, with special reference to education. University of Chicago Press, Chicago.
  7. Bisnis.com, -. (2021). Investor Asing Bisa Miliki Saham Rumah Sakit hingga 70 Persen. https://ekonomi.bisnis.com/read/20211213/12/1477184/investor-asing-bisa-miliki-saham-rumah-sakit-hingga-70-persen
  8. Bonesso, S., Gerli, F., Zampieri, R., & Boyatzis, R. E. (2020). Updating the Debate on Behavioral Competency Development: State of the Art and Future Challenges. Frontiers in Psychology, 11(June). https://doi.org/10.3389/fpsyg.2020.01267
  9. Breton, T. R. (2014). A Human Capital Theory of Growth: New Evidence for an Old Idea. In SSRN Electronic Journal. Elsevier BV. https://doi.org/10.2139/ssrn.2456903
  10. Brodhead, M. T., Quigley, S. P., & Wilczynski, S. M. (2018). A Call for Discussion About Scope of Competence in Behavior Analysis. Behavior Analysis in Practice, 11(4), 424–435. https://doi.org/10.1007/s40617-018-00303-8
  11. Darmanto, S., & Supriyadi, Y. (2022). Development of employee performance model based on transactional leadership, competency, and job satisfaction. Jurnal Aplikasi Manajemen, 20(2), 427–437. https://doi.org/10.21776/ub.jam.2022.020.02.18
  12. Dutta, S. (2024). Human Resource: Futuristic Role of HR Professional Enhancing Technical Skills. Interantional Journal of Scientific Research in Engineering and Management, 08(05), 1–5. https://doi.org/10.55041/IJSREM33378
  13. Elnaga, A., & Imran, A. (2013). The effect of training on employee performanElnaga. European Journal of Business and Management, 5(4), 137–147.
  14. Fatmasari Wijayanti, & Retno Titi Sari. (2023). The Influence of Competency on Employee Performance:(A Literature Review). International Journal of Accounting, Management, Economics and Social Sciences (IJAMESC), 1(6), 920–931. https://doi.org/10.61990/ijamesc.v1i6.118
  15. Februari, B., Damanik, Z. G., Hardi, S. C., & Zainarti, Z. (2024). Pengaruh Pelatihan Soft Skill, Pelatihan Hard Skill, dan Tingkat Pendidikan Terhadap Kualitas Sumber Daya Manusia di UMKM Tomimase UIN Sumatera Utara. JURNAL ILMIAH EKONOMI DAN MANAJEMEN, 2(6), 823–839. https://doi.org/10.61722/jiem.v2i6.1706
  16. Fornell, C., & Larcker, D. F. (1981). Evaluating Structural Equation Models with Unobservable Variables and Measurement Error. Journal of Marketing Research, 18(1), 39–50. https://doi.org/10.1177/002224378101800104
  17. Ghozali, I. (2023). Aplikasi analisis multivariete dengan program IBM SPSS 26. Badan penerbit universitas Diponegoro.
  18. Gogia, E. H., Shao, Z., & Akhter, A. R. (2024). Unlocking Success: Exploring the Impact of Human Resource Competence on Job Performance in Pakistan’s Engineering Sector. Engineering, Technology & Applied Science Research, 14(3), 14754–14759. https://doi.org/10.48084/etasr.7363
  19. Hair, J. F., Risher, J. J., Sarstedt, M., & Ringle, C. M. (2019). When to use and how to report the results of PLS-SEM. European Business Review, 31(1), 2–24. https://doi.org/10.1108/EBR-11-2018-0203
  20. Hair, J., Hult, G. T. M., Ringle, C., & Sarstedt, M. (2022). A Primer on Partial Least Squares Structural Equation Modeling (PLS-SEM). Sage Publications, Inc.
  21. Hämäläinen, R., Nissinen, K., Mannonen, J., Lämsä, J., Leino, K., & Taajamo, M. (2021). Understanding teaching professionals’ digital competence: What do PIAAC and TALIS reveal about technology-related skills, attitudes, and knowledge? Computers in Human Behavior, 117, 106672. https://doi.org/10.1016/j.chb.2020.106672
  22. Hamzah, H. A., Marcinko, A. J., Stephens, B., & Weick, M. (2024). Making soft skills ‘stick’: a systematic scoping review and integrated training transfer framework grounded in behavioural science. European Journal of Work and Organizational Psychology, 34(2), 237–250. https://doi.org/10.1080/1359432x.2024.2376909
  23. Hastuti, N. T. L. P., Wahyuningsih, S. H., & Handayani, S. D. (2023). A bibliometric analysis of competency and job satisfaction research. Multidisciplinary Reviews, 7(1), 2024014. https://doi.org/10.31893/multirev.2024014
  24. Henseler, J., Ringle, C. M., & Sarstedt, M. (2015). A new criterion for assessing discriminant validity in variance-based structural equation modeling. Journal of the Academy of Marketing Science, 43(1), 115–135. https://doi.org/10.1007/s11747-014-0403-8
  25. Hermawan, B., & Harsono, R. D. M. (2025). The Role of Training and Competence in Enhancing Job Satisfaction and Employee Performance: A Literature Review. Jurnal E-Bis, 9(2), 818–826. https://doi.org/10.37339/e-bis.v9i2.2545
  26. Hoholeva, E., Lysenko, E., Ovsyannikova, D., Firyukova, A., & Yumatova, A. (2023). Soft skills of an HR manager: Request in the labor market and formation in an educational environment. Management of the Personnel and Intellectual Resources in Russia, 12(3), 91–97. https://doi.org/10.12737/2305-7807-2023-12-3-91-97
  27. Ibojo, B. O., & Akinade, M. E. (2024). Human Resource Development and Employees Performance: A Theoretical Review. IIARD International Journal of Economics and Business Management, 9(9), 110–121. https://doi.org/10.56201/ijebm.v9.no9.2023.pg110.121
  28. Idris, B., Saridakis, G., & Johnstone, S. (2020). Training and performance in SMEs: Empirical evidence from large-scale data from the UK. Journal of Small Business Management, 61(2), 769–801. https://doi.org/10.1080/00472778.2020.1816431
  29. Izzah, N., & Firdaus, V. (2022). Kompetensi, pelatihan, dan kepuasan kerja dan pengaruhnya terhadap kinerja karyawan. Jurnal Ekonomi, Bisnis dan Pendidikan (JEBP), 2(9), 805–815. https://doi.org/https://journal3.um.ac.id/index.php/fe/article/view/4991/2971
  30. J. van Zolingen, S., Streumer, J. N., De Jong, R., & R. van der Klink, M. (2000). Implementing on‐the‐job training: critical success factors. International Journal of Training and Development, 4(3), 208–216. https://doi.org/10.1111/1468-2419.00108
  31. Janani, S., & Pougajendy, S. (2024). Resilience and Emotional Intelligence: A Dynamic for HR Professionals in Workplace with Reference to Supreme Industries Ltd. International Journal For Multidisciplinary Research, 6(6), 1–8. https://doi.org/10.36948/ijfmr.2024.v06i06.33442
  32. Karneli, O., Handayati, R., & Rijal, S. (2024). Enhancement of Soft Skills Competence in Human Resources as a Key Success Factor in the Digital Business Era. Journal of Contemporary Administration and Management (ADMAN), 2(1), 319–324. https://doi.org/10.61100/adman.v2i1.126
  33. Kemenkes, K. K. D. J. K. L. (2026). Hasil Perhitungan IKT 11 Rumah Sakit BLU Kementerian Kesehatan bulan Februari 2026.
  34. Keskintürk, T., & Er, Ş. (2007). A genetic algorithm approach to determine stratum boundaries and sample sizes of each stratum in stratified sampling. Computational Statistics & Data Analysis, 52(1), 53–67. https://doi.org/10.1016/j.csda.2007.03.026
  35. Kim, M., Park, O., & Kim, H. (2025). Unraveling the complexities of human resource performance attribution: impacts on employee outcomes and the moderating role of career growth opportunities. Employee Relations, 48(1), 135–149. https://doi.org/10.1108/ER-01-2025-0011
  36. Kock, N., & Dow, K. E. (2025). Statistical Significance and Effect Size Tests in SEM: Common Method Bias and Strong Theorizing. In C. Akroyd (Ed.), Advances in Management Accounting (Vol. 37, p. 0). Emerald Publishing Limited. https://doi.org/10.1108/S1474-787120250000037005
  37. Kowal, B., Włodarz, D., Brzychczy, E., & Klepka, A. (2022). Analysis of Employees’ Competencies in the Context of Industry 4.0. Energies, 15(19), 7142. https://doi.org/10.3390/en15197142
  38. Lubis, F. R. A., Syaifuddin, undefined, & Lubis, Y. (2022). Human Resources Performance Improvement Through Training During the Covid-19 Pandemic. International Journal of Science and Society, 4(1), 196–204. https://doi.org/10.54783/ijsoc.v4i1.429
  39. Mehmood, R., & Atiq, M. (2024). Impact of Employees Participation, Recognition and Trainings on Job Performance: A Case of a Healthcare Organization in Saudi Arabia. Pakistan Journal of Humanities and Social Sciences, 12(2), 1885–1897. https://doi.org/10.52131/pjhss.2024.v12i2.2329
  40. Mincer, J. (1958). Investment in Human Capital and Personal Income Distribution. Journal of Political Economy, 66(4), 281–302. https://doi.org/10.1086/258055
  41. Nicolás-Agustín, Á., Jiménez-Jiménez, D., Maeso Fernandez, F., & Di Prima, C. (2024). ICT training, digital transformation and company performance: an empirical study. European Journal of Innovation Management, 28(4), 1687–1708. https://doi.org/10.1108/EJIM-11-2022-0622
  42. Oktavia, M. P., Febrian, W. D., & Yuliana, L. (2025). Implementation of Off The Job and On The Job Training in Human Resource Planning and Development. Multidisipliner Knowledge, 3(1 Januari), 116–124. https://e-journal.stai-almaliki.ac.id
  43. Osorio‐Londoño, A. A., Naranjo‐Valencia, J. C., & Calderón‐Hernandez, G. (2024). Linking training with competitive strategy: the mediating role of human capital. International Journal of Training and Development, 29(1), 74–93. https://doi.org/10.1111/ijtd.12343
  44. Parman, M. R., Biasane, A. N., Tiwow, C., Paramita, G., Musqori, N., & Resource, D. H. (2026). Manajemen Sumber Daya Manusia : Tinjauan Literatur terhadap. Fokus Jurnal Manajemen Dan Bisnis, 8(1), 1–12. https://jurnal.uic.ac.id/fokus/article/view/447
  45. Pastore, F., & Pompili, M. (2020). Assessing the Impact of Off-the-Job and On-the-Job Training on Employment Outcomes: A Counterfactual Evaluation of the PIPOL Program. Evaluation Review, 44(2–3), 145–184. https://doi.org/10.1177/0193841X20966112
  46. Patten, M. L., & Newhart, M. (2017). Stratified Random Sampling. In Understanding Research Methods (pp. 95–97). Routledge. https://doi.org/10.4324/9781315213033-31
  47. Podsakoff, P. M., MacKenzie, S. B., Lee, J.-Y., & Podsakoff, N. P. (2003). Common method biases in behavioral research: A critical review of the literature and recommended remedies. Journal of Applied Psychology, 88(5), 879–903. https://doi.org/10.1037/0021-9010.88.5.879
  48. Podsakoff, P. M., MacKenzie, S. B., & Podsakoff, N. P. (2012). Sources of Method Bias in Social Science Research and Recommendations on How to Control It. Annual Review of Psychology, 63(1), 539–569. https://doi.org/10.1146/annurev-psych-120710-100452
  49. Pramono, A. C., & Prahiawan, W. (2021). Effect Of Training On Employee Performance With Competence And Commitment As Intervening. APTISI Transactions on Management (ATM), 6(2), 142–150. https://doi.org/10.33050/atm.v6i2.1742
  50. Risfayanti Rustam, undefined, Moh Aris Pasigai, undefined, & Zalkha Soraya, undefined. (2024). The Influence of Hard Skills and Career Development on Employee Performance Achievement at the Makassar City Transportation Service. International Journal of Economic Research and Financial Accounting (IJERFA), 2(3). https://doi.org/10.55227/ijerfa.v2i3.80
  51. Salas, E., DiazGranados, D., Klein, C., Burke, C. S., Stagl, K. C., Goodwin, G. F., & Halpin, S. M. (2008). Does Team Training Improve Team Performance? A Meta-Analysis. Human Factors: The Journal of the Human Factors and Ergonomics Society, 50(6), 903–933. https://doi.org/10.1518/001872008x375009
  52. Salman, M., Ganie, S. A., & Saleem, I. (2020a). Employee Competencies as Predictors of Organizational Performance: A Study of Public and Private Sector Banks. Management and Labour Studies, 45(4), 416–432. https://doi.org/10.1177/0258042X20939014
  53. Salman, M., Ganie, S. A., & Saleem, I. (2020b). The concept of competence: a thematic review and discussion. European Journal of Training and Development, 44(6/7), 717–742. https://doi.org/10.1108/EJTD-10-2019-0171
  54. Schultz, T. W. (1961). Investment in human capital. The American Economic Review, 51(1), 1–17.
  55. Sendawula, K., Nakyejwe Kimuli, S., Bananuka, J., & Najjemba Muganga, G. (2018). Training, employee engagement and employee performance: Evidence from Uganda’s health sector. Cogent Business & Management, 5(1), 1470891. https://doi.org/10.1080/23311975.2018.1470891
  56. Sjarifudin, D., Tambunan, E. B. M., Haekal, J., & Saepudin, T. H. (2025). The Effect of Talent Management and Work Motivation on Employee Performance: A Systematic Literature Review. Greenation International Journal of Economics and Accounting, 3(1), 49–57. https://doi.org/10.38035/gijea.v3i1.349
  57. Suronoto, M. D., Mendo, A. Y., & Biki, S. B. (2026). The Role of Training Needs Assessment and Off-the-Job Training Methods on the Performance of Employees at the Investment and One-Stop Integrated Services Office of Gorontalo Province. Jurnal Manajemen Bisnis, 13(1), 273–287. https://doi.org/10.33096/jmb.v13i1.1171
  58. Tamayo-Verleene, K., Giangreco, A., Maes, J., & Della Torre, E. (2024). Unpacking the Black Box of the Training-Performance Relationship: Evidence from Philippine Call Centers. M@n@gement. https://doi.org/10.37725/mgmt.2024.7799
  59. Tamsah, H., Ilyas, G. B., Nurung, J., Jusuf, E., & Rahmi, S. (2023). Soft skill competency and employees’ capacity as the intervening factors between training effectiveness and health workers’ performance. Cogent Business & Management, 10(1). https://doi.org/10.1080/23311975.2023.2199493
  60. Teixeira, P. N. (2014). Gary Becker’s early work on human capital – collaborations and distinctiveness. IZA Journal of Labor Economics, 3(1). https://doi.org/10.1186/s40172-014-0012-2
  61. Treviño-Elizondo, B. L., & García-Reyes, H. (2023). An Employee Competency Development Maturity Model for Industry 4.0 Adoption. Sustainability, 15(14), 11371. https://doi.org/10.3390/su151411371
  62. Untari, U. D., Qomariah, N., Undefined, U., & Putu Martini, N. N. (2024). Efforts to Improve Hospital Employee Performance through Human Resource and Competency Development. Journal of Economics, Finance And Management Studies, 7(7). https://doi.org/10.47191/jefms/v7-i7-54
  63. Vong, K. C., Udomvitid, K., Ueki, Y., Intalar, N., Pongsathornwiwat, A., Pannakkong, W., Komolavanij, S., & Jeenanunta, C. (2025). Strategic Human Resource Development for Industry 4.0 Readiness: A Sustainable Transformation Framework for Emerging Economies. In Sustainability (Vol. 17, Issue 15, p. 6988). https://doi.org/10.3390/su17156988
  64. Wang, J.-M., Liao, P.-C., & Yu, G.-B. (2021). The Mediating Role of Job Competence between Safety Participation and Behavioral Compliance. International Journal of Environmental Research and Public Health, 18(11), 5783. https://doi.org/10.3390/ijerph18115783
  65. Widianingsih, T., Santoso, D., & Saddewisasi, W. (2023). Pengaruh pelatihan, budaya organisasi dan kompetensi kerja terhadap kinerja karyawan. Sustainable Business Journal, 2(1), 76–88. https://doi.org/10.26623/sbj.v2i1.7013
  66. Yang, Q., & Tang, Y. (2023). Big Data-based Human Resource Performance Evaluation Model Using Bayesian Network of Deep Learning. Applied Artificial Intelligence, 37(1). https://doi.org/10.1080/08839514.2023.2198897
  67. Yimam, M. H. (2022). Impact of training on employees performance: A case study of Bahir Dar university, Ethiopia. Cogent Education, 9(1), 2107301. https://doi.org/10.1080/2331186X.2022.2107301