Korea Journal of Hospital Management (한국병원경영학회지)

Korean Society of Hospital Management (한국병원경영학회)
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Determinants of Change-Oriented Organizational Citizenship Behavior of Hospital Employees : Estimating the Mediating Effects of Job Satisfaction and Organizational Commitment

병원근로자의 변화지향 조직시민행동 결정요인 : 직무만족, 조직몰입의 매개효과 검증

  • Kim, Dong-Hwi (Dept. of Dental Hygiene, Hallym polytechnic university) ;
  • Seo, Young-Joon (Dept. of Health Administration, Yonsei University)
  • 김동휘 (한림성심대학교 치위생과) ;
  • 서영준 (연세대학교 보건행정학과)
  • Received : 2020.02.18
  • Accepted : 2020.03.11
  • Published : 2020.03.30
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Abstract

Purposes: This study aims to investigate the determinants of change-oriented organizational citizenship behavior(CO-OCB) of hospital employees and test the mediating effect of the job satisfaction and organizational commitment on the CO-OCB. Methods: Data were collected from the self-administered questionnaire survey for hospital employees of ten hospitals located in five regions, including Seoul. Out of 1,100 questionnaires which were distributed through the administrative routes, a total of 617 copies were returned(response rate 56.1%) and analyzed by frequency analysis, t-tests, correlation analysis, multiple regression, and path analysis using SPSS 21.0 and AMOS 21.0. Findings: The study results revealed that the explanatory power(56.4%) of the model was most significantly increased by the variables of psychological attributes(R2-change 33,5%). Also, the variables of self-efficacy, followed by hope, the organizational climate for innovation, the psychological safety climate, team-member exchange, and leader-member exchange were found to have positive total effects on CO-OCB, through the mediating variables of job satisfaction and organizational commitment. Practical Implications: The study results imply that, in order to improve the CO-OCB of hospital employees, the administrators have to take the integrated approach considering the various domains of factors including the psychological attributes, job characteristics, interpersonal relations, and organizational climate simultaneously.

Keywords

References

  1. Choi H, Lee C. Effects of Leader-Member Exchange(LMX) on Service-oriented Organizational Citizenship Behavior and Organizational Effectiveness: Focusing on Hospital Organization. korean policy sciences review 2017;21(4):71-93. https://doi.org/10.31553/kpsr.2017.12.21.4.71
  2. Choi S, Hong T. A Study on the Relationship between Organizational Culture, Job Characteristics and Organization Citizenship Behavior in hospitals. JHRMR 2006;13(4):191-208.
  3. Kang W, Han I, Park M. Factors Affecting Change Oriented Organizational Citizenship Behavior in Public Corporations : Multi Level Perspective. KJHRD 2017;20(2):161-182. https://doi.org/10.24991/KJHRD.2017.06.20.2.161
  4. Yoon Y, Lee K. Predictors of Organizational Citizenship Behavior and the Influence of Organizational Citizenship Behavior on Performance. Korean Journal of Public Administration 2009;47(1):209-232.
  5. Ghitulescu B. Making change happen: The impact of work context on adaptive and proactive behaviors. The Journal of Applied Behavioral Science 2013;49(2):206-245. https://doi.org/10.1177/0021886312469254
  6. Crant J. Proactive behavior in organizations. Journal of Management 2000;26(3):435-462. https://doi.org/10.1177/014920630002600304
  7. Choi J. Change-oriented organizational citizenship behavior: Effects of work environment characteristics and intervening psychological processes. Journal of Organizational Behavior 2007;28:467-484. https://doi.org/10.1002/job.433
  8. Bang H. The Relationship among Psychological Safety Climate, Team Performance, and Commitment to Team : Mediating Role of Team Reflexivity. DJB 2014;27(8):1269-1284.
  9. Bettencourt L. Change-oriented organizational citizenship behaviors: The direct and moderating influence of goal orientation. Journal of Retailing 2004;80:165-180. https://doi.org/10.1016/j.jretai.2003.12.001
  10. Marinova, S, Peng C, Lorinkova N, Van Dyne L, Chiaburu D. Change-oriented behavior: A meta-analysis of individual and job design predictors. Journal of Vocational Behavior 2015;88(1):104-120. https://doi.org/10.1016/j.jvb.2015.02.006
  11. Morrison E, Phelps, C. Taking charge at work: Extra-role efforts to initiate workplace change. Academy of Management Journal 1999;42: 403-419. https://doi.org/10.2307/257011
  12. Chiaburu D, Lorinkova N, Van Dyne L. Employees' social context and change-oriented citizenship: A meta analysis of leader, coworker, and organizational influences. Group & Organization Management 2013;38(3): 291-333. https://doi.org/10.1177/1059601113476736
  13. Marinova S, Peng C, Lorinkova N, Van Dyne L, Chiaburu D. Change-oriented behavior: A meta-analysis of individual and job design predictors. Journal of Vocational Behavior 2015;88(1):104-120. https://doi.org/10.1016/j.jvb.2015.02.006
  14. Kim J, Park J, Baek S. Leader-member Exchange (LMX) on Employees' Taking Charge Behavior and Voice Behavior: Focusing on the Mediating Role of Psychological safety. Korean Management Review 2013:42(3): 613-643.
  15. Jo Y, Choi Y. Social Exchange Relationship in Organizations and Change-Oriented Behavior: The Mediating Role of Psychological Capital. KJM 2016;24(1):147-174.
  16. Yoo D, Shin Y. The Mediating Role of Person-Job Fit in the Relationship between Job Autonomy and Proactive Behavior. Kores Academy of Organization and Management 2014;38(3): 121-149.
  17. Lee D. The Influence of the Survivors' Emotional Responses toward Workforce Downsizing on Organizational Commitment and Taking Charge Behavior. JHRMR 2006;13(1):145-165.
  18. Chatman J. Improving interactional organizational research: A model of person-organization fit. Academy of Management Journal 1989;14:333-349.
  19. Van Dyne L, Graham J, Dienesch R. Organizational citizenship behavior: Construct redefinition, measurement and validation. Academy of Management Journal 1994;37:765-802. https://doi.org/10.5465/256600
  20. Lee Y, Choi S. A Study on the Relationship between Organizational Culture, Organizational Commitment and Organization Citizenship Behavior in hospitals. KJHM 2002;7(2):1-23.
  21. Podsakoff P, MacKenzie S, Moorman R, Fetter R. Transformational leader behavior and their effects on follower's trust in leader, Satisfaction and organizational citizenship behavior. Leadership Quarterly 1990;1:107-142. https://doi.org/10.1016/1048-9843(90)90009-7
  22. Bolon D. Organizational citizenship behavior among hospital employees: A multidimensional analysis involving job satisfaction and organizational commitment. Hospital & Health Services Administration 1997;42:221-241.
  23. Van Dyne L, Kamdar D, Joireman J. In-role perceptions buffer the negative impact of low LMX on helping and enhance the positive impact of high LMX on voice. Journal of Applied Psychology 2008;93(6):1195-1207. https://doi.org/10.1037/0021-9010.93.6.1195
  24. MacKenzie S, Podsakoff P, Ahearne M. Some possible antecedents and consequences of in-role and extra-role salesperson performance. Journal of Marketing 1998;62:87-98. https://doi.org/10.1177/002224299806200306
  25. Kim J, Lee J, Back Y. Organizational Exchange Relationship, Organizational Commitment and Innovative Work Behavior. JBR 2007;22(4):117-150.
  26. Luthans F, Avolio B, Avey J, Norman S. Positive psychological capital: Measurement and relationship with performance and satisfaction. Personnel Psychology 2007;60(3):541-572. https://doi.org/10.1111/j.1744-6570.2007.00083.x
  27. Lim T. Validation of the Korean Version of Positive Psychological Capital(K-PPC). JCD 2014;16(3):157-166.
  28. Seo Y. Organizational Commitment of Hospital Employees: Testing a Causal Model in Korean Hospitals. Health Policy and Management 1995;5(2):173-201.
  29. Price J, Mueller C. A causal model of turnover for nurses. Academy of Management Journal 1982;34;543-565.
  30. Graen G, Novak M, Sommerkamp P. The effects of leader-member exchange and job design on productivity and satisfaction: Testing a dual attachment model. Organizational Behavior and Human Performance 1982;30:109-131. https://doi.org/10.1016/0030-5073(82)90236-7
  31. Seers, Petty, M, Cashman J. Team-member exchange under team and traditional management. Group and Organizational Management 1995:20:18-38. https://doi.org/10.1177/1059601195201003
  32. Amabile T. Motivating creativity in organizations : On doing what you love and loving what you do. California Management Review 1997;40(1):39-58. https://doi.org/10.2307/41165921
  33. Edmondson A. Psychological safety and learning behavior in work teams. Administrative Science Quarterly 1999;44:350-383. https://doi.org/10.2307/2666999
  34. Pedhazur E, Kerlinger F. Multiple regression in behavioral research. 2nd ed. New York; Holt, Rinehart & Winston Inc.;1982.
  35. Bandura A. Self-efficacy mechanism in human agency. American Psychologist 1982;37(2):122-147. https://doi.org/10.1037/0003-066X.37.2.122
  36. Kevill A, Trehan K. Easterby-Smith, M. Perceiving 'capability' within dynamic capabilities: The role of owner-manager self-efficacy. International Small Business Journal: Researching entrepreneurship. Dec2017;35(8):883-902 https://doi.org/10.1177/0266242616688523
  37. Rego A, Sousa F, Marques C, Cunha MP. Hope and positive affect mediating the authentic leadership and creativity relationship. Journal of Business Research 2014;67:200-210. https://doi.org/10.1016/j.jbusres.2012.10.003
  38. Kang S, Seo Y. Determinants of Organizational Creativity at Nursing Care Units of University Hospitals in Korea. Korean Journal of Hostpital Management 2004;9(4):1-20.
  39. Choi SH, Hong TH, Cho DY. A Study on the Relationship between Organizational Culture, Job Characteristics and Organization Citizenship Behavior in hospitals. JHRMR 2006;13(4):191-208.
  40. Scott S, Bruce R. Determinants of innovative behavior: A path model of individual innovation in the workplace. Academy of Management Journal 1994;37:580-607. https://doi.org/10.2307/256701
  41. Jermias, J. Cognitive dissonance and resistance to change: the influence of commitment confirmation and feedback on judgement usefulness of accounting system. Accounting, Organizations and Society 2001;26(2):141-160. https://doi.org/10.1016/S0361-3682(00)00008-8
  42. Yoon S, Han T, The Effects of Learning Factor, Individual & Team Network, and Team Adaptive Performance on Innovative Behavior. The Korean Journal of Industrial and Organizational Psychology 2012;25(4):701-726. https://doi.org/10.24230/kjiop.v25i4.701-726
  43. Judge T, Bono J, Locke E. Personality and job satisfaction: The mediating role of job characteristics. Journal of Applied Psychology 2000;85: 237-249. https://doi.org/10.1037/0021-9010.85.2.237