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http://dx.doi.org/10.4332/KJHPA.2008.18.2.039

A Study on Organizational Loyalty of Hospital Employees; Focusing on Overall Members at a University Medical Center in Seoul Metropolitan Area  

Kim, Yang-Kyun (Dept. of Health Services Management, College of Business Administration, Kyung Hee University)
Cho, Chul-Ho (Dept. of Hospital Management, Daegu Haany University)
Publication Information
Health Policy and Management / v.18, no.2, 2008 , pp. 39-66 More about this Journal
Abstract
This study examines organizational qualities such as vision, mission, teamwork, fairness, and empowerment and their effects on organizational members. As a result of analysis, these qualities are identified to affect member satisfaction, but not to affect job involvement. Member satisfaction affects job satisfaction, and this relationship retains indirect influence through an increase in member satisfaction. Further, improved member satisfaction and job involvement are found to affect organizational commitment. These results are derived from complete enumeration on members of an organization where particular traits such as member position, job classification, and the privity of contract are intermixed. In case where research is conducted on the aforementioned traits separately, different results would be anticipated depending on each trait. The implications of this study are as follows. First, clear-cut organizational vision and mission established by the top management of an organization prevent confusion amongst its members, and thus have the highest level of effect on member satisfaction. Second, teamwork in reference to the. relationship amongst team members of a work group and goal awareness improves member satisfaction. Third, autonomy for job performance and related empowerment improve member satisfaction. Last, fairness in wages and promotion affects member satisfaction. Therefore, internal qualities of an organization perceived by its members have a higher degree of influence over external qualities including compensation and promotion on the members. In addition, these internal qualities indirectly affect job involvement through an increase in member satisfaction, and, in turn, member satisfaction and job involvement affect organizational commitment of the members. In case of member satisfaction, not only does it affect organizational commitment of the members of an organization directly, but also affects organizational commitment indirectly through job involvement. This study is conducted with only one hospital in consideration, and thus its findings may not be generalized for every medical organization. However, this study retains distinct attributes of complete. enumeration, and the precedence of each variable is closely investigated.
Keywords
Organizational commitment; Employee satisfaction; Job involvement; Vision and Policy; Teamwork; Fairness; Empowerment;
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Times Cited By KSCI : 2  (Citation Analysis)
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1 Bass B. From Transactional to Transformational Leadership: Learning to share the vision. Organizational Dynamics 1990; 18(3): 19-31   DOI   ScienceOn
2 Bentler, P. M. The Interdependence of Theory, Methodology and Empirical Data: Causal Modeling as an Approach to Construct Validation. In James C. Anderson and David W. Gerbing, Psychological Bulletin(1988) 1978; 103(3): 411-423   DOI
3 Larwood L, Krieger MP and Cecilia MF. Organizational Vision: An Investigation of the vision construct-in-use of AACSB Business School Deans. Group & Organization Management 1993; 38(2): 214-36
4 Keller RT. Transformational Leadership and the performance of research and development project groups. Journal of management 1992; 18(3): 89-501
5 Kirkpatrick SA, Locke EA. Direct and indirect effects of three core charismatic leadership components on performance and attitudes. Journal of applied Psychology 1996; 81(1):36-51   DOI
6 Bhuian SN, Al-Shammari ES, Jefri OA. Organizational Commitment, Job Satisfaction and Job Characteristics: an Empirical Study of Expatriates in Saudi Arabia. International Journal of Commerce & Management 1996; 6(3): 57   DOI
7 강병서, 조철호. SPSS와 AMOS활용 연구조사방법론. 무역경영사 2005
8 강병서. 인과분석을 위한 연구 방법론. 무역경영사 2002
9 강병서. 신경영론. 무역경영사. 서울 2004
10 김양균, 최문실, 정기택, 김영훈. 치과위생사의 임파워먼트와 직무몰입, 조직몰입과의 관계에 관한 연구. 병원경영학회지. 2003; 8(4): 76-110
11 김성구. 경영혁신 임파워먼트. 고려원 1995
12 박원우. 임파워먼트: 개념정립 및 실천방법 모색. 1997; 26(1): 115-38
13 배성현. 직무특성요인과 직무몰입 및 조직몰입과의 관계. 산경연구. 영남대학교 산업연구소 2001; 9: 101-127
14 박재산. 병원 행정인력이 인지하는 조직.직무특성, 임파워먼트, 직무만족 및 조직몰입간의 관련성. 보건행정학회지, 2004; 14(1): 65-88
15 석기현. 항공사 중간관리자의 리더십이 종업원의 심리적 임파워먼트, 직무만족, 그리고 조직몰입에 미치는 영향. 호텔관광연구. 2003; 5(3): 118-138
16 양길모. 간호사의 임파워먼트, 업무관련 개인적 특성, 업무성과관계. 간호행정학회지. 1995;5(1): 39-61
17 Kanungo RN. Measurement of Job and Work Involvement. Journal of Applied Psychology 1982; 67: 341-9   DOI
18 Churchill, G. A. A Paradigm for Developing Better Measures of Marketing Construct. Journal of Marketing Research 1979; 16(February): 64-73   DOI   ScienceOn
19 Dent EB. The messy history of OB&D: How three strands came to be seen as one rope. Management Decision 2002; 40(3): 266-280   DOI   ScienceOn
20 Hinkin TR, Tracey JB. Transformational Leadership in the hospitality industry. Hospitality Research Journal 1994; 18(1): 49-63   DOI
21 Kuokkanen L, Leino-kilpi H, Katajisto J. Nurse Empowerment, Job-related Satisfaction, and Organizational Commitment. J Nurse Care Qual 2003; 18(3): 184-92   DOI   ScienceOn
22 Lam T, Zhang HQ. Job satisfaction and organizational commitment in the Hong Kong fast food industry. International Journal of Contemporary Hospitality Management 2003; 15(4): 214-20   DOI   ScienceOn
23 Mowday RT, Steers RM. The Measurement of Organizational Commitment. Journal of Vocational Behavior 1979; 14: 224-47   DOI
24 Niehoff BP, Moorman RH, Blakely G, Fuller J. The Influence of Empowerment and job Enrichment on Employee Loyalty in an Downsizing Environment. Group & Organization management 2001; 26(1): 93-113   DOI
25 Oliver, Richard L. A Cognitive Model of Antecedents and Consequences of Satisfaction Decisions. Journal of Marketing Research. 1980; 17(Nov.): 460-469   DOI   ScienceOn
26 Valadez JR, Anthony JS. Job satisfaction and commitment of two-year college part-time faculty. Community College Journal of Research and Practice 2001; 25: 97-108   DOI
27 Brooke PP, Russell DW, Price JL. Discriminant validation of measures of job satisfaction, job involvement and organizational commitment. Journal of Applied Psychology 1988; 73: 139-45   DOI
28 Bennis W, Nanus B. Leaders: The Strategies for taking Charge. Harper & Row, New York, NY 1985
29 Bennis W. On Becoming a Leader. Addison-Wesley, Reading. MA 1989
30 Blau P. 1964. Exchange and power in social life. New York: John Wiley
31 이지우, 김종우, 김일천. 심리적 임파워먼트와 조직지원이 종합병원 직원들의 혁신적 업무행동에 미치는 영향. 보건행정학회지. 2003; 13(1): 46-68
32 Baldridge National Quality Program. In; Criteria for Performance Excellence. Department of Commerce. National Institute of Standards and Technology, Technology Administration. Gaitherberg, MD, USA 2005
33 Bass BM. Leadership and performance beyond expectations. New York. Free Press 1985
34 Baker, Thomas L. and Taylor, Steven A. An Assessment of the relationship between Service Quality and Customer Satisfaction in the Formation of Consumers Purchase Intentions. Journal of Retailing. 1994; 70(2): 163-178   DOI   ScienceOn
35 조희숙. 이선희, 조우현, 전기홍, 문옥륜. 종합병원에서 조직문화와 조직유효성과의 관계. 예방의학회지. 1999; 32(3): 374-382
36 Eisenberger R, Fasolo P, Davis-LaMastro V. Perceived organizational support and employee diligence, commitment and innovation. Journal of Applied Psychology 1990; 75:51-9   DOI
37 Bass BM, Avolio B.J. Transformational Leadership; A response to critiques. in Chemers MM and Ayman R(eds), Leadership theory and research: Perspectives and Directions, Academic Press, San Diego, CA 1993
38 Larwood L, Falbe CM, Krieger MP and Miesing P. Structure and Meaning of Organizational Vision. Academy of Management Journal 1995; 38(3): 740-69   DOI   ScienceOn
39 Wayne SJ, Shore LM, Liden RC. Perceived organizational support and leader-member exchange perspective. Academy of Management Journal 1997; 40: 82-111   DOI   ScienceOn
40 Shore LM, Wayne SJ. Commitment and employee behavior: Comparison of affective and continuance commitment with perceived organizational support. Journal of Applied Psychology 1993; 78: 774-80   DOI   ScienceOn
41 Wu V, Short PM. The relationship of empowerment to teacher job commitment and job satisfaction. Journal of Instructional Psychology 1996; 23: 85-89
42 Howell JM, Frost PJ. A laboratory study of charismatic leadership. Organizational Behavior and Human Decision Processes 1989; 43(2): 243-69   DOI
43 정우철. 조직문화유형에 따른 종업원의 QWL과 조직유효성에 대한 실증연구. 상지대학교 경영대학원 석사학위논문 1995
44 Mathieu, J. E. A cross-level nonrecursive model of the antecedents of organizational commitment. Psychological Bulletin, 1991; 108: 171-194
45 Testa MR. Satisfaction with Organizational Vision, Job Satisfaction and Service Efforts: an Empirical Investigation. Leadership & Organization Development Journal 1999; 20 (3): 154-161   DOI   ScienceOn
46 Koberg CS, Boss RW, Senjen JC, Goodman EA. Antecedents and outcomes of empowerment: Empirical evidence from the health care industry. Group & Organization Management 1999; 24: 71-91   DOI
47 Kouzes JM, Posner BZ. The Leadership Challenge, Jossey-Bass. San Francisco, CA 1987
48 Kouzes JM, Posner BZ. The leadership challenge: How to get extraordinary things done in organizations. Jossey-Bass. San Francisco, CA 1988
49 Lahiry S. Building commitment through organizational culture 1994. April: 50-2
50 Cronin, J. J and Taylor, S. A. A Measuring Service Quality: A Reexamination and Extension. Journal of Marketing 1992; 56(3): 56-68
51 Fulford MD, Enz CA. The impact of empowerment on service employees. Journal of Managerial Issues 1995; 7: 161-175
52 Grant P. Physician Job Satisfaction in New Zealand versus the United Kingdom. Journal of the New Zealand Medical Association 117(1204) 2004
53 Jun M, Cai S, Shin H. TQM Practice in Maquiladora : Antecedents of Employee Satisfaction and Loyalty. Journal of Operations Management 2006; 24: 791-812   DOI   ScienceOn
54 Kantor RM. The change masters. New York: Simon & Schuster 1983
55 Hollander EP, Offerman LR. Power and leadership in organizations: Relationships in transition. American Psychologist 1990; 45: 179-89   DOI
56 Homburg C, Stock R. Der kundenorientierte mitarbeiter. Wiesbaden: Gabler 2000
57 Joreskog, Karl G. and D ag Sorbom. Lisrel 8 User's Reference Guide. Scientific Software International 1993
58 Olson DS, Lawson KA. Relationship between Hospitals Pharmacists' Job Satisfaction and Involvement in Clinical Activities. Am J Health-Syst Pharm 1996; 53: 284-4
59 Pearson CA, Chong J. Contributions of Job Content and Social Information on Organizational Commitment and Job Satisfaction: an Exploration in a Malaysian Nursing Context. Journal of Occupational and Organizational Psychology 1997; 70: 357-74   DOI   ScienceOn
60 Peregoy R. Consistency of purpose and vision. Journal for quality and participation 1994; 17(7): 46-50
61 Schappe SP. The Influence of Job Satisfaction, Organizational Commitment, and Fairness Perceptions on Organizational Citizenship Behavior. The Journal of Psychology 1998; 132(3): 277-90   DOI   ScienceOn
62 Herzberg F. Mausner B., Snyderman B. The Motivation to Work. New York, Wiley International Edition. 1959
63 Timmreck TC. Managing motivation and developing job satisfaction in the health care work environment. THe Health Care Manager 2001; 20(1): 42-58   DOI
64 Verdenberg, R. J., Scarpello, V. Multitrait-Multimethod validation of the satisfaction with my supervisor scale. Educational and Psychological Measurement 1991; 52: 203-21   DOI
65 Campbell DT, Fiske DW. Convergent and discriminant validation by the multitrait-multime 쇙 matrix. Psychological Bulletin 1959; 56:81-105   DOI   ScienceOn
66 Cohen A. The Relationship between Commitment Forms and Work Outcomes: A Comparison of Three Models. Human Relations 2000; 53(3): 387-417   DOI
67 Collins JC, Porras JI. Organizational Vision and Visionary Organizations. California Management Review 1991; 34(1): 30-52   DOI   ScienceOn
68 Deal T, Kennedy A. A corporate culture. Addison Wesley, Reading, MA 1982
69 Dossett, DL, Suszko, M. Re-examining the causal direction between job satisfaction and organizational commitment. paper presented at the annual meeting of the Society for Industrial and Organizational Psychology. Miami, FL. 1990
70 Cook J, Wall T. New work attitude measures of trust, organizational commitment and personal need non-fulfillment. Journal of Occupational Psychology. 1980; 53: 39-52   DOI
71 박미현, 조우현, 서영준, 이선희. 종합병원 질향상 사업 담당자의 직무만족과 조직몰입에 관한 연구. 한국의료QA 학회지. 1998; 5(2): 278-294
72 이지우. 직무특성과 종업원태도 사이의 관계에 대한 직무몰입의 매개역할. 인사조직연구. 1997;5(1): 87-122
73 Cramer D. Job satisfaction and organizational continuance commitment a two-wave panel study. Journal of Organizational Behavior 1996; 17: 389-400   DOI   ScienceOn
74 Lee C. The vision thing. Training. 1993; 30(2): 25-34
75 Haas HG. The Leader within. Harper Business. New York, NY 1992
76 Hair JF, Anderson RE, Tatham RL, Black WC. Multivariate Data Analysis with Reading, Prentice Hall 1995
77 Harrison R. Understanding your organization's character. harvard Business Review 1972; May/June: 22-32
78 Locke EA. The nature and causes of job satisfaction. Handbook of industrial and organizational Sxychology, Chicago: Rand McNally 1976
79 Lowe G, Schellenberg G, Shannon H. Correlations of employees' perceptions of a healthy work environment. American Journal of Health Promotion 2003; 17(6): 390-399   DOI   ScienceOn
80 Lok P, Crawford J. The Relationship between commitment and Organizational Culture, Subculture, Leadership Style and Job Satisfaction in Organizational Change and Development. Leadership & Organization Development Journal 1999; 20(7): 365-73   DOI   ScienceOn
81 Mueller C, McClosky J. Nurses' job satisfaction- a proposed measure. Nursing Research 1990; 39(2): 113-7
82 Nannally JC. Psychometric Theory, New York: McGraw-Hill 1967
83 Niehoff BP, Enz CA, Grover RA. The impact of top-management actions on employee attitudes and perceptions. Group and Organization Studies 1990; 15: 37-352
84 Morrow PC. The theory and measurement of work commitment. Greenwich, CT; JAI Press 1993
85 Martensen A, Gronholdt L. Using Employee Satisfaction Measurement to Improve People Management: an Adaptation of Kano's Quality types. Total Quality Management 2001; 12(7): 949-57   DOI
86 Matzler K, Renzl B. The Relationship between Interpersonal Trust, Employee Satisfaction, and Employee Loyalty. Total Quality Management 2006; 17(10): 1261-71   DOI   ScienceOn