The Antecedents of Psychological Empowerment and Its Impact towards General Physician Job Performance

Authors

  • Marischa Regina Department of Hospital Administration
  • Santika Henny Department of Hospital Administration, Graduate School of Management, Pelita Harapan University, Jakarta, Indonesia https://orcid.org/0000-0003-0035-6122
  • Ferdi Antonio Department of Hospital Administration, Graduate School of Management, Pelita Harapan University, Jakarta, Indonesia https://orcid.org/0000-0002-1319-3732

DOI:

https://doi.org/10.3889/oamjms.2021.7270

Keywords:

Psychological empowerment, Coronavirus disease 19, Job performance, General practitioners

Abstract

BACKGROUND: The emergence of new infectious diseases such as SARS-CoV-2 (Coronavirus Disease 19) creates a burden to the healthcare system especially to the front liners such as medical doctors. The job performance of the general practitioners related to quality of care to SARS-CoV2 patients.

AIM: ​​The purpose of this study is to analyze the antecedents of psychological empowerment towards job performance, mediated by service orientation. These antecedents could be seen in hospital perspectives and professional life.

 

METHODS: This is a quantitative survey study using a cross-sectional approach. 185 samples purposively obtained from the general practitioners who work at SARS-CoV-2 Reference Private Hospital in Jakarta and surrounding area. Data collection using online questionnaires and analyzed by SmartPLS 3.3.3™ .

RESULTS: There are nine hypotheses that are supported in this research. The strongest predictor of psychological empowerment is the training opportunities, followed by relationships with fellow doctors and autonomy at work. Psychological empowerment has been proven to have a direct impact on job performance, while service orientation has been found as a mediation in this relationship.

CONCLUSION: Psychological empowerment has been proven as an important construct to predict job performance, therefore hospital management has to pay more attention to psychological empowerment for GPs during the pandemic. Training opportunities should be prioritized by the board of directors of the hospitals, they should allocate time and the resources to facilitate the training opportunity.

KEYWORDS: Psychological empowerment, service orientation, job performance, general practitioner, SARS-CoV-2 referral private hospital.

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References

Vuong B, Tung D, Tushar H, Quan T, Giao H. Determinants of factors influencing job satisfaction and organizational loyalty. Manag Sci Lett. 2021;11(1):203-12. https://doi.org/10.5267/j.msl.2020.8.014 DOI: https://doi.org/10.5267/j.msl.2020.8.014

Chmielewska M, Stokwiszewski J, Filip J, Hermanowski T. Motivation factors affecting the job attitude of medical doctors and the organizational performance of public hospitals in Warsaw, Poland. BMC Health Serv Res. 2020;20(1):701. https://doi.org/10.1186/s12913-020-05573-z PMid:32727454 DOI: https://doi.org/10.1186/s12913-020-05573-z

Yu J, Park J, Hyun S. Impacts of the COVID-19 pandemic on employees’ work stress, well-being, mental health, organizational citizenship behavior, and employee-customer identification. J Hosp Market Manag. 2021;30(5):529-48. https://doi.org/10.1080/19368623.2021.1867283 DOI: https://doi.org/10.1080/19368623.2021.1867283

Permarupan P, Al Mamun A, Samy N, Saufi R, Hayat N. Predicting nurses burnout through quality of work life and psychological empowerment: A study towards sustainable healthcare services in Malaysia. Sustainability. 2020;12(1):388. https://doi.org/10.3390/su12010388

Gürlek M, Uygur A. Service-oriented high-performance human resource practices and employee service performance: A test of serial mediation and moderation models. J Manag Organ. 2020;27(1):197-233. https://doi.org/10.1017/jmo.2020.8 DOI: https://doi.org/10.1017/jmo.2020.8

Malik M, Sarwar S, Orr S. Agile practices and performance: Examining the role of psychological empowerment. Int J Proj Manag. 2020;39(1):10-20. https://doi.org/10.1016/j.ijproman.2020.09.002 DOI: https://doi.org/10.1016/j.ijproman.2020.09.002

Olsen E, Mikkelsen A. Development and investigation of a new model explaining job performance and uncertainty among nurses and physicians. Int J Environ Res Public Health. 2020;18(1):164. https://doi.org/10.3390/ijerph18010164 DOI: https://doi.org/10.3390/ijerph18010164

Ghozali I, Ratmono D. Multivariate Analysis and Econometrics App with Eviews 10 [Aplikasi Analisis Multivariat dan Ekonometrika dengan Eviews 10]. 2nd ed. Yogyakarta, Indonesia: Diponegoro University Publisher; 2017.

Mudassar A, Li Z, Syed JS, Salim K, Adnan MS. Impact of humble leadership on project success: The mediating role of psychological empowerment and innovative work behaviour. Emerald J. 2020; 41(3). https://doi.org/10.1108/lodj-05-2019-0230 DOI: https://doi.org/10.1108/LODJ-05-2019-0230

Dina A, Dania A, Ghalia N, Amro A. The relationship between psychological empowerment and creative performance of employees: Mediating effect of job satisfaction in international non governmental organizations. Eur Sci J. 2018;14(20):217. https://doi:10.19044/esj.2018.v14n20p217 DOI: https://doi.org/10.19044/esj.2018.v14n20p217

Annum T, Ghulam A, Tahira H, Fouzia A, Saira A. Perceived organizational support and job satusfaction: A moderated mediation model of proactive personality and psychological empowerment. Future Bus J. 2020;6:21. https://doi.org/10.1186/s43093-020-00027-8 DOI: https://doi.org/10.1186/s43093-020-00027-8

Ringle CM, Wende S, Becker M J. SmartPLS 3. Bönningstedt: SmartPLS; 2015. Available from: https://www.smartpls.com. [Last accessed on 2021 Jun 27].

Hair JF, Howard MC, Nitzl C. Assessing measurement model quality in PLS-SEM using confirmatory composite analysis. J Bus Res. 2020;1:101-10. https://doi.org/10.1016/j.jbusres.2019.11.069 DOI: https://doi.org/10.1016/j.jbusres.2019.11.069

Memon MA, Ting H, Ramayah T, Chuah F, Cheah HW. A review of the methodological misconceptions and guidelines related to the application of structural equation modelling: A malaysian scenario. J Appl Struct Equ Model. 2017;1(1):1-13. https://doi.org/10.47263/jasem.1(1)01 DOI: https://doi.org/10.47263/JASEM.1(1)01

Nitzl C, Roldan JL, Carrion GC. Mediation analysis in partial least squares path modelling: Helping researchers discuss more sophisticated models. Ind Manag Data Syst. 2016;1:1-31. https://doi.org/10.1108/imds-07-2015-0302 DOI: https://doi.org/10.1108/IMDS-07-2015-0302

Henseler J, Ringle CM, Sarstedt M. A new criterion for assessing discriminant validity in variance-based structural equation modeling. J Acad Mark Sci. 2015;43:115-35. https://doi:10.1007/s11747-014-0403-8 DOI: https://doi.org/10.1007/s11747-014-0403-8

Khan J, Malik M, Saleem S. The Impact of psychological empowerment of project-oriented employees on project success: A moderated mediation model. Econ Res. 2020;33(1):1311-29. https://doi.org/10.1080/1331677X.2020.1756374 DOI: https://doi.org/10.1080/1331677X.2020.1756374

Hara Y, Asakura K, Asakura T. The impact of changes in professional autonomy and occupational commitment on nurses’ intention to leave: A two-wave longitudinal study in Japan. Int J Environ Res Public Health. 2020;17(17):6120. https://doi.org/10.3390/ijerph17176120 DOI: https://doi.org/10.3390/ijerph17176120

Asiabar AS, Mehr MH, Arabloo J, Safari H. Leadership effectiveness of hospital managers in Iran: A qualitative study. Leadersh Health Serv. 2020;33(1):43-55. https://doi.org/10.1108/LHS-04-2019-0020 DOI: https://doi.org/10.1108/LHS-04-2019-0020

Dai B, Akey-Torku B. The influence of managerial psychology on job satisfaction among healthcare employees in Ghana. Healthcare. 2020;8(3):262. https://doi.org/10.3390/healthcare8030262 DOI: https://doi.org/10.3390/healthcare8030262

Bruno A, Dell’Aversana G, Zunino A. Customer orientation and leadership in the health service sector: The role of workplace social support. Front Psychol. 2017;8:1920. https://doi.org/10.3389/fpsyg.2017.01920 PMid:29163297 DOI: https://doi.org/10.3389/fpsyg.2017.01920

Al-Hussein RYH. The relation between psychological empowerment and job satisfaction among nurses. Med Legal Update. 2020;20(1):1353-9. https://doi.org/10.37506/v20/i1/2020/mlu/194491

Oducado R. Leader empowering behaviors and psychological empowerment as perceived by young hospital staff nurses: A pilot study. J Ners Philipp. 2021;14(1):47-54. https://doi.org/10.20473/jn.v14i1.15056 DOI: https://doi.org/10.20473/jn.v14i1.15056

Ghaniyoun A, Heidari M, Shakeri K. Psychological empowerment and its associated factors among operational staff of tehran emergency center. J Clin Diagn Res. 2018;12(6):LC15-7. https://doi.org/10.7860/jcdr/2018/35221.11653 DOI: https://doi.org/10.7860/JCDR/2018/35221.11653

Lubis AM, Nasution PCCA. Physician performance measurement barriers in private general hospital around Medan city. J Kesehatan Masyarakat. 2017;13(1):13-8. https://doi.org/10.15294/kemas.v13i1.8284 DOI: https://doi.org/10.15294/kemas.v13i1.7809

de Oliveira Vasconcelos Filho P, de Souza MR, Elias PE, Viana AL. Physicians’ job satisfaction and motivation in a public academic hospital. Hum Resour Health. 2016;14(1):75. https://doi.org/10.1186/s12960-016-0169-9 PMid:27923402 DOI: https://doi.org/10.1186/s12960-016-0169-9

Vermeir P, Degroote S, Vandijck D, Mariman A, Deveugele M, Peleman R et al. Job satisfaction in relation to communication in health care among nurses: A narrative review and practical recommendations. SAGE Open. 2017;7(2). https://doi.org/10.1177/2158244017711486 DOI: https://doi.org/10.1177/2158244017711486

Anuradha, Pandey M. Impact of work-life balance on job satisfaction of women doctors. Probl Perspect Manag. 2016;14(2):319-324. https://doi.org/10.21511/ppm.14(2-2).2016.07 DOI: https://doi.org/10.21511/ppm.14(2-2).2016.07

Umrani W, Afsar B, Khan M, Ahmed U. Addressing the issue of job performance among hospital physicians in Pakistan: The role of job security, organizational support, and job satisfaction. J Appl Biobehav Res. 2019;24(3):e12169. https://doi.org/10.1111/jabr.12169 DOI: https://doi.org/10.1111/jabr.12169

Mehta P. Resource availability, professional relationships and physician job satisfaction. Eur J Mol Clin Med. 2020;7(8):2001-13. Available from: https://www.ejmcm.com/pdf_4529_a5775d35c2b0febe26b7eb41529494e2.html. [Last accessed on 2021 Jun 27].

Ahmad R, Lee MY, Othman AE, Shaminan AS, Heng CS, Sumilan H, et al. The impact of workload on job performance among doctors in malaysian public hospitals: A case study. IJIBS. 2020;20(3):1276-93. Available from: http://www.ijbs.unimas.my/images/repository/pdf/Vol20-no3-paper25.pdf. [Last accessed on 2021 Jun 27].

Olutayo FM, Tukur D, Danburam A, Salwau FK. Job satisfaction among doctors and nurses: A case study of federal medical centre Yola, Nigeria. Int J Community Med Public Health. 2016;3(6):1-8. https://doi.org/10.18203/2394-6040.ijcmph20161643 DOI: https://doi.org/10.18203/2394-6040.ijcmph20161643

O’Connor JS, Trinh HQ, Schewchuck RM. Determinants of Service Orientation among Medical Students. Bradford, United Kingdom: Emerald Group Publishing, Advances in Health Care Management; 2020. https://doi.org/10.1016/S1474-8231(00)01010-7 DOI: https://doi.org/10.1016/S1474-8231(00)01010-7

Kisa S. Burnout among physicians and nurses during COVID-19 pandemic. Eur J Environ Public Health. 2020;4(2):em0055. https://doi.org/10.29333/ejeph/8447 DOI: https://doi.org/10.29333/ejeph/8447

Hardiyono H, Aiyul I, Ifah F, Wahdaniati W, Reni F. Effect COVID-19: Burnout on nurse-efecto COVID-19: Agotamiento en enfermeros. Fac Econ Bus Hasanuddin Univ Rev Espac. 2020;41(42):1-8. https://doi.org/10.48082/espacios-a20v41n42p02 DOI: https://doi.org/10.48082/espacios-a20v41n42p02

Alenezi A, McAndrew S, Fallon P. Burning out physical and emotional fatigue: Evaluating the effects of a programme aimed at reducing burnout among mental health nurses. Int J Ment Health Nurs. 2019;28(5):1045-55. https://doi.org/10.1111/inm.12608 DOI: https://doi.org/10.1111/inm.12608

Permarupan PY, Mamun AA, Samy NK, Saufi AA, Hayat N. Predicting nurses burnout through quality of work life and psychological empowerment: A study towards sustainable healthcare services in Malaysia. J Sustain. 2020;12(1):1-18. https://doi.org/10.3390/su12010388 DOI: https://doi.org/10.3390/su12010388

Denning M, Goh ET, Tan B, Kanneganti A, Almonte M, Scott A, et al. Determinants of burnout and other aspects of psychological well-being in healthcare workers during the COVID-19 pandemic: A multinational cross-sectional study. PLoS One. 2021;16(4):e0238666. https://doi.org/10.1371/journal.pone.0238666 PMid:33861739 DOI: https://doi.org/10.1371/journal.pone.0238666

Wu Y, Wang J, Luo, C, Yang X, Wei S, Qian Y. A comparison of burnout frequency among oncology physicians and nurses working on the frontline and usual wards during the COVID-19 epidemic in Wuhan, China. J Pain Symptom Manage. 2020;60(1):e60-5. https://doi.org/10.1016/j.jpainsymman.2020.04.008 PMid:32283221 DOI: https://doi.org/10.1016/j.jpainsymman.2020.04.008

Talaee N, Varahram M, Jamaati H, Salimi A, Attarchi M, Dizaji MK, et al. Stress and burnout in health care workers during COVID-19 pandemic: Validation of a questionnaire. J Public Health. 2020;6:1-6. https://doi.org/10.1007/s10389-020-01313-z PMid:32837840 DOI: https://doi.org/10.1007/s10389-020-01313-z

Iserson KV. Augmenting the disaster healthcare workforce. West J Emerg Med. 2020;21(3):490-6. https://doi.org/10.5811/westjem.2020.4.47553 PMid:32302286 DOI: https://doi.org/10.5811/westjem.2020.4.47553

Hu D, Kong Y, Li W, Han Q, Zhang X, Zhu LX, et al. Frontline nurses’ burnout, anxiety, depression, and fear statuses and their associated factors during the COVID-19 outbreak in Wuhan, China: A large-scale cross sectional study. EClinicalMedicine. 2020;24:100424. https://doi.org/10.1016/j.eclinm.2020.100424 PMid:32766539 DOI: https://doi.org/10.1016/j.eclinm.2020.100424

Hofmeyer A, Taylor R, Kennedy K. Fostering compassion and reducing burnout: How can health system leaders respond in the COVID-19 pandemic and beyond? Nurse Educ Today. 2020;94:104502. https://doi.org/10.1016/j.nedt.2020.104502 PMid:32980180 DOI: https://doi.org/10.1016/j.nedt.2020.104502

Greenberg N, Docherty M, Gnanapragasam S, Wessely S. Managing mental health challenges faced by healthcare workers during COVID-19 pandemic. BMJ. 2020;368:m1211. https://doi.org/10.1136/bmj.m1211 PMid:32217624 DOI: https://doi.org/10.1136/bmj.m1211

Silva-Gomes RN, Silva-Gomes VT. COVID-19 pandemic: Burnout syndrome in healthcare professionals working in field hospitals in Brazil. Enferm Clin (Engl Ed). 2021;31(2):128-9. https://doi.org/10.1016/j.enfcli.2020.10.011 PMid:33199160 DOI: https://doi.org/10.1016/j.enfcle.2020.10.002

Shah K, Chaudhari G, Kamrai D, Lail A, Patel RS. How essential is to focus on physician’s health and burnout in coronavirus (COVID-19) pandemic?. Cureus. 2020;12(4):e7538. https://doi.org/10.7759/cureus.7538 PMid:32377486 DOI: https://doi.org/10.7759/cureus.7538

Pablo GS, Serrano JV, Catalan A, Arrango C, Moreno C, Ferre F, et al. Impact of coronavirus syndromes on physical and mental health of health care workers: Systematic review and meta-analysis. J Affect Disord. 2020;275:48-57. https://doi.org/10.1016/j.jad.2020.06.022 PMid:32658823 DOI: https://doi.org/10.1016/j.jad.2020.06.022

Dimitriu MC, Stoian AP, Smaranda AC, Nica AA, Carap AC, Constantin VD, et al. Burnout syndrome in Romanian medical residents in time of the COVID-19 pandemic. Med Hypotheses. 2020;144:109972. https://doi.org/10.1016/j.mehy.2020.109972 PMid:32531540 DOI: https://doi.org/10.1016/j.mehy.2020.109972

lake H, Bermingham F, Johnson G, Tabner A. Mitigating the psychological impact of COVID-19 on healthcare workers: A digital learning package. Int J Environ Res Public Health. 2020;17(9):2997. https://doi.org/10.3390/ijerph17092997 PMid:32357424 DOI: https://doi.org/10.3390/ijerph17092997

Thobaity A, Alshammari F. Nurses on the frontline against the COVID-19 pandemic: An integrative review. Dubai Med J. 2020;3:87-92. https://doi.org/10.1159/000509361 DOI: https://doi.org/10.1159/000509361

Matsuo T, Kobayashi D, Taki F. Prevalence of health care worker burnout during the Coronavirus disease 2019 (COVID-19) pandemic in Japan. JAMA Netw Open. 2020;3(8):e2017271. https://doi.org/10.1001/jamanetworkopen.2020.17271 PMid:32749466 DOI: https://doi.org/10.1001/jamanetworkopen.2020.17271

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2021-11-25

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Regina M, Henny S, Antonio F. The Antecedents of Psychological Empowerment and Its Impact towards General Physician Job Performance. Open Access Maced J Med Sci [Internet]. 2021 Nov. 25 [cited 2024 Nov. 26];9(E):1322-30. Available from: https://oamjms.eu/index.php/mjms/article/view/7270

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