Does psychological empowerment mediate the relationship between high performance work systems and patient care quality in hospitals?

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Bonias, Dimitra, Bartram, Timothy, Leggat, Sandra G and Stanton, Pauline (2010) Does psychological empowerment mediate the relationship between high performance work systems and patient care quality in hospitals? Asia Pacific Journal of Human Resources, 48 (3). pp. 319-337. ISSN 1038-4111

Abstract

This study investigates the mediation effects of the four components of psychological empowerment on the relationship between high performance work systems (HPWS) and perceptions of patient care quality among hospital employees. To test this relationship 541 hospital employees in a large regional Australian health service were surveyed. Regression analysis findings demonstrated that psychological empowerment fully mediated the relationship between HPWS and the perception of the quality of patient care. Three of the four individual components of psychological empowerment – autonomy, competence and meaning – fully mediated the relationship between HPWS and the perception of quality of care; the fourth – impact – was non-significant. This study demonstrates the need to recognise that the quality of patient care is influenced not only by clinicians but also by allowing all hospital employees to exercise concern through their work. Healthcare managers need to focus on ensuring HRM strategy, policy and processes support the implementation of HPWS at the unit level.

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Additional Information

Online ISSN: 1744-7941

Item type Article
URI https://vuir.vu.edu.au/id/eprint/7260
DOI https://doi.org/10.1177/1038411110381667
Official URL http://apj.sagepub.com/content/48/3/319
Subjects Historical > FOR Classification > 1117 Public Health and Health Services
Historical > FOR Classification > 1503 Business and Management
Historical > Faculty/School/Research Centre/Department > School of Management and Information Systems
Historical > SEO Classification > 9104 Management and Productivity
Keywords ResPubID20445. high performance work systems, HPWS, human resources management, psychological empowerment, quality of patient care, patients, HRM, hospital employees, hospital workers, hospitals, employee empowerment, employer-employee relationship, job satisfaction, healthcare sector, Australian, Australia
Citations in Scopus 66 - View on Scopus
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