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This study aims to examine the effect of transformational leadership style, work motivation, job satisfaction as mediators on employee performance. Saturated samples carried out on the employee population of the central surgical installation of RSUD dr. Saiful Anwar Malang. Analysis using Path Analysis with Partial Least S quare (PLS). The results of the research analysis indicate the direct effect of transformational leadership style on employee performance is not significant, the direct influence of transformational leadership style on job satisfaction is significantly positive, the direct effect of work motivation on employee performance is significant. The direct effect of work motivation on job satisfaction is significant, the direct effect of job satisfaction on employee performance is significant. For the indirect effe ct of transformational leadership style on employee performance through job satisfaction meditations is significant, the indirect effect between work motivation on employee performance through mediating job satisfaction is significant.
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