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Motivation is the driving force for a person or individual to carry out activities toward obtaining the desired thing, both positively and negatively. With this motivation, an effort is made to encourage employees to be more active at work to achieve maximum service to the community. Performance is how employees show their work performance through concrete actions. Employee performance is influenced by internal and external factors. Internal factors include work motivation, personality, attitudes, and behavior. While external factors include superior leadership style, employee relations, and the work environment, The purpose of this study aimed to examine the relationship between work motivation and the performance of administrative employees at Tugu Koja Hospital. The method in this study used a quantitative method with a descriptive approach, and the test used was Spearman's rho. This res earch was conducted at Tugu Koja General Hospital in the administrative section with a total of 37 respondents. The results obtained after the Spearman rho test were 0.861, with a significant value of 0.000. Based on the test results, it was concluded that there is a strong relationship between the performance of health administration employees and it can be concluded that there is a significant relationship between work motivation and employee performance at Tugu Koja Hospital.

Leadership is the ability to influence the behavior of a group towards achieving goals. The main focus of this research is the behavioral approach of leadership in the context of management. This approach emphasizes the behavior and actions of leaders as the main factors in influencing individual and group performance in organizations. The purpose of this study is to analyze various theories and research related to the behavioral leadership approach, the concept of leadership behavior approach, leadership style based on the behavioral approach, various behavioral approach theories, such as the Michigan study, the Ohio study, and the Managerial Grid/Leadership grid, as well as various case studies from previous studies. The method used is a literature review study method, such as from books, journals, and several previous studies. The results of this study emphasize the importance of an effective leadership behavior approach in achieving organizational goals. Leader behavior has a significant influence on employee motivation, performance, and satisfaction. Therefore, it is important for organizations to understand and implement effective leadership principles and styles to create a productive and motivating work environment.

Loyalty is someone's allegiance that indicates dedication to something, it can be a person or a group of people, ideals, tasks or goals that are given constantly. This study aims to determine whether leadership style, motivation and work environment have a partial and simultaneous influence on employee loyalty in the Department of Industry and Trade, and also among the three variables, which variable has the most dominant effect on the dependent variable. This type of research is quantitative research. This study uses secondary data, namely data on the number of employees for the last 5 years from the 2017-2021 period. The results of the analysis through the T test show that leadership style has no significant effect on employee loyalty, motivation has a significant effect on employee loyalty and work environment has a significant effect on employee loyalty. While the results of the analysis through the F test show that leadership style, motivation and work environment affect employee loyalty in the Department of Industry and Trade of North Sumatra Province.