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importance of nurses- cognitive and emotional engagement in developing hospital quality culture Aryo Dewanto*, Senia Surya Febrina, Viera Wardhani Postgraduate Program in Hospital Management, Faculty of Medicine, Universitas Brawijaya, Malang, Indonesia. *aryo.fk@ub.ac.id ABSTRACT Nurse engagement has an important role when a hospital attempts to develop a continuous quality improvement culture. However, to be more effective hospital managers should be able to pitch in the most crucial part among engagement-s component. Thus, this research aims to identify which component of the nurses engagement that plays a significant role in developing quality culture. This study involved 643 nurses from 15 hospitals in Malang Raya Indonesia. The data were gathered using a close-ended questionnaire before they were analysed using descriptive statistics and multiple linear regression. The result showed that most nurses only reach at an average level, while not more than fifteen per cent of nurses in those hospitals have a high level of employee engagement. At the same time, most nurses perceive that their hospital has already well developed the quality culture. Further, the findings indicate that two of three employee engagement components, which are cognitive and emotional engagement have a significant influence on the development of quality culture. In contrary, physical engagement does not have such influence. To encourage the development of quality culture, hospital managers should emphasize their efforts on building supportive conditions that foster the nurses cognitive and emotional engagement. For example, hospital managers should minimize distracting-activities during working hours and expose the meaningfulness of nurses- job. At the same time, they should keep on maintaining the nurse-s physical engagement.