Abstract: Nurses are assets for hospitals, because the largest human resources in health care in hospitals are occupied by nurses, the proportion of nurses among other human resources employed in health care facilities, of the six health workers the number of nurses is the largest reaching 49 % and nurses in hospital use 58.26% (Ministry of Health RI, 2016). So that the nurse's performance must be considered, the factors that influence performance are leadership style, motivation and job satisfaction. This study aims to determine the effect of transformational leadership style and motivation on job satisfaction and nurse performance. Samples of 172 respondents, the research method used is a quantitative method and this research analysis technique used is Structural Equation Model (SEM) which is operated through the lisrel program. The results of the study prove that transformational leadership and motivation have a significant positive effect on job satisfaction and performance, but job satisfaction has a negative effect on the performance of nurses in the hospital. It was concluded that the increasing transformational leadership style and motivation will increase job satisfaction and nurse performance, but the rise and fall of nurse performance is not affected by job satisfaction.

Keywords: Transformational leadership style, motivation, job satisfaction, nurse performance.

| DOI: 10.17148/IARJSET.2020.71214