Impact of Structural Employee Empowerment on Hospital Ratings: Mediating Role of Social Climate and First-Line Managers’ Resilience
Nadežda Jankelová, Zuzana Joniaková, Zuzana Skorková, Hana Gažová Adamkovpartment of Management, Faculty of Business Management, University of Economics in Bratislava, Bratislava, SlovakiaCorrespondence: Zuzana Skorková, University of Economics in Bratislava, Depar...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2024-04-01
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| Series: | Risk Management and Healthcare Policy |
| Subjects: | |
| Online Access: | https://www.dovepress.com/impact-of-structural-employee-empowerment-on-hospital-ratings-mediatin-peer-reviewed-fulltext-article-RMHP |
| _version_ | 1827287551380029440 |
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| author | Jankelová N Joniaková Z Skorková Z Gažová Adamková H |
| author_facet | Jankelová N Joniaková Z Skorková Z Gažová Adamková H |
| author_sort | Jankelová N |
| collection | DOAJ |
| description | Nadežda Jankelová, Zuzana Joniaková, Zuzana Skorková, Hana Gažová Adamkovpartment of Management, Faculty of Business Management, University of Economics in Bratislava, Bratislava, SlovakiaCorrespondence: Zuzana Skorková, University of Economics in Bratislava, Department of Management, Faculty of Business Management, Dolnozemská cesta 1, Bratislava, 852 35, Slovakia, Tel + 421 2 67 29 56 08, Email zuzana.skorkova@euba.skObjective: The purpose of this article is to investigate the relationship between the structural empowerment of first-line health managers and health facility performance, examining the mediating roles of resilience and social climate in shaping the ratings of Slovak hospitals. Additionally, we aim to investigate the deeper mechanisms of this relationship, particularly the impact of resilience and the social climate, which can positively influence it.Materials and Methods: The data collection was conducted through a questionnaire survey in February 2022. Respondents included 540 healthcare managers at the first level of management from 44 Slovak hospitals, all of which were part of the evaluation by the Institute for Economic and Social Reforms (INEKO). The analysis involved the use of the PLS-SEM method to examine the relationships between variables and assess direct and indirect effects, utilizing SmartPLS 3.3 software.Results: The findings reveal a positive association between the structural empowerment of first-level managers and the ranking of health facilities. The hypotheses regarding the mediation of both variables - First-Level Managers’ (FLMs) resilience and social climate - are supported, whether considered separately or jointly. In the case of joint mediation, a significant portion of the indirect effect is conveyed through FLMs’ resilience, suggesting a potential avenue of support from hospital management to enhance health facility ratings.Conclusion: Structural empowerment of first-line managers establishes the conditions for improving the ratings of health facilities. The total effect is significantly more pronounced in promoting their resilience and fostering a supportive social climate.Keywords: health facility performance, healthcare management, social climate, resilience, hospital rating |
| first_indexed | 2024-04-24T11:05:37Z |
| format | Article |
| id | doaj.art-fa03e50109274a10b788e87ff31b7932 |
| institution | Directory Open Access Journal |
| issn | 1179-1594 |
| language | English |
| last_indexed | 2024-04-24T11:05:37Z |
| publishDate | 2024-04-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Risk Management and Healthcare Policy |
| spelling | doaj.art-fa03e50109274a10b788e87ff31b79322024-04-11T18:05:51ZengDove Medical PressRisk Management and Healthcare Policy1179-15942024-04-01Volume 1788390191894Impact of Structural Employee Empowerment on Hospital Ratings: Mediating Role of Social Climate and First-Line Managers’ ResilienceJankelová NJoniaková ZSkorková ZGažová Adamková HNadežda Jankelová, Zuzana Joniaková, Zuzana Skorková, Hana Gažová Adamkovpartment of Management, Faculty of Business Management, University of Economics in Bratislava, Bratislava, SlovakiaCorrespondence: Zuzana Skorková, University of Economics in Bratislava, Department of Management, Faculty of Business Management, Dolnozemská cesta 1, Bratislava, 852 35, Slovakia, Tel + 421 2 67 29 56 08, Email zuzana.skorkova@euba.skObjective: The purpose of this article is to investigate the relationship between the structural empowerment of first-line health managers and health facility performance, examining the mediating roles of resilience and social climate in shaping the ratings of Slovak hospitals. Additionally, we aim to investigate the deeper mechanisms of this relationship, particularly the impact of resilience and the social climate, which can positively influence it.Materials and Methods: The data collection was conducted through a questionnaire survey in February 2022. Respondents included 540 healthcare managers at the first level of management from 44 Slovak hospitals, all of which were part of the evaluation by the Institute for Economic and Social Reforms (INEKO). The analysis involved the use of the PLS-SEM method to examine the relationships between variables and assess direct and indirect effects, utilizing SmartPLS 3.3 software.Results: The findings reveal a positive association between the structural empowerment of first-level managers and the ranking of health facilities. The hypotheses regarding the mediation of both variables - First-Level Managers’ (FLMs) resilience and social climate - are supported, whether considered separately or jointly. In the case of joint mediation, a significant portion of the indirect effect is conveyed through FLMs’ resilience, suggesting a potential avenue of support from hospital management to enhance health facility ratings.Conclusion: Structural empowerment of first-line managers establishes the conditions for improving the ratings of health facilities. The total effect is significantly more pronounced in promoting their resilience and fostering a supportive social climate.Keywords: health facility performance, healthcare management, social climate, resilience, hospital ratinghttps://www.dovepress.com/impact-of-structural-employee-empowerment-on-hospital-ratings-mediatin-peer-reviewed-fulltext-article-RMHPhealth facility performancehealthcare managementsocial climateresiliencehospital rating |
| spellingShingle | Jankelová N Joniaková Z Skorková Z Gažová Adamková H Impact of Structural Employee Empowerment on Hospital Ratings: Mediating Role of Social Climate and First-Line Managers’ Resilience Risk Management and Healthcare Policy health facility performance healthcare management social climate resilience hospital rating |
| title | Impact of Structural Employee Empowerment on Hospital Ratings: Mediating Role of Social Climate and First-Line Managers’ Resilience |
| title_full | Impact of Structural Employee Empowerment on Hospital Ratings: Mediating Role of Social Climate and First-Line Managers’ Resilience |
| title_fullStr | Impact of Structural Employee Empowerment on Hospital Ratings: Mediating Role of Social Climate and First-Line Managers’ Resilience |
| title_full_unstemmed | Impact of Structural Employee Empowerment on Hospital Ratings: Mediating Role of Social Climate and First-Line Managers’ Resilience |
| title_short | Impact of Structural Employee Empowerment on Hospital Ratings: Mediating Role of Social Climate and First-Line Managers’ Resilience |
| title_sort | impact of structural employee empowerment on hospital ratings mediating role of social climate and first line managers rsquo resilience |
| topic | health facility performance healthcare management social climate resilience hospital rating |
| url | https://www.dovepress.com/impact-of-structural-employee-empowerment-on-hospital-ratings-mediatin-peer-reviewed-fulltext-article-RMHP |
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