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医疗保健机构中领导者的正直与员工的沉默

Leader's integrity and employee silence in healthcare organizations.

作者信息

Erkutlu Hakan, Chafra Jamel

机构信息

Faculty of Economics and Administrative Sciences, Nevsehir Haci Bektas Veli Universitesi , Nevsehir, Turkey.

Department of Tourism and Hotel Management School of Applied Technology and Management, Bilkent Universitesi , Ankara, Turkey.

出版信息

Leadersh Health Serv (Bradf Engl). 2019 Jun 28;32(3):419-434. doi: 10.1108/LHS-03-2018-0021. Epub 2018 Aug 24.

DOI:10.1108/LHS-03-2018-0021
PMID:31298087
Abstract

PURPOSE

Drawing on the social exchange theory, the purpose of this paper is to examine the relationship between a leader's behavioral integrity and employee acquiescent silence. Specifically, the authors take a relational approach by introducing employee's relational identification as the mediator. The moderating role of employee political skill, in the relationship between behavioral integrity and employee acquiescent silence, is also considered.

DESIGN/METHODOLOGY/APPROACH: The data of this study encompass 913 front-line nurses from 13 university hospitals in Turkey. Hierarchical multiple regression analysis was conducted to test the proposed model.

FINDINGS

The results of this study support the negative effect of behavioral integrity on employee's acquiescent silence, as well as the mediating effect of employee's relational identification. Moreover, when the level of employee political skill is low, the relationship between behavioral integrity and acquiescent silence is strong, whereas the effect is weak when the level of political skill is high.

PRACTICAL IMPLICATIONS

The findings of this study suggest that healthcare administrators' words and deeds should be consistent while interacting with their subordinates, as it leads to positive interpersonal relationship, which, in turn, lowers employee silence. Moreover, healthcare administrators should pay more attention to the buffering role of employee political skill for those subordinates with low relational identification and higher workplace silence.

ORIGINALITY/VALUE: This study contributes to the literature on workplace silence by revealing the relational mechanism between behavioral integrity and employee silence. This paper also offers a practical assistance to employees in the healthcare industry and their administrators interested in building trust and high-quality manager-employee relationship, as well as lowering workplace silence.

摘要

目的

本文借鉴社会交换理论,旨在探讨领导者行为正直与员工默许性沉默之间的关系。具体而言,作者引入员工关系认同作为中介变量,采用关系视角进行研究。同时,本研究还考察了员工政治技能在行为正直与员工默许性沉默关系中的调节作用。

设计/方法/途径:本研究的数据来自土耳其13所大学医院的913名一线护士。采用分层多元回归分析对所提出的模型进行检验。

研究结果

本研究结果支持行为正直对员工默许性沉默的负面影响,以及员工关系认同的中介作用。此外,当员工政治技能水平较低时,行为正直与默许性沉默之间的关系较强;而当政治技能水平较高时,这种影响较弱。

实践意义

本研究结果表明,医疗保健管理人员在与下属互动时,言行应保持一致,因为这有助于建立积极的人际关系,进而减少员工沉默。此外,医疗保健管理人员应更加关注员工政治技能对那些关系认同较低且工作场所沉默程度较高的下属的缓冲作用。

原创性/价值:本研究揭示了行为正直与员工沉默之间的关系机制,为职场沉默相关文献做出了贡献。本文还为医疗行业的员工及其管理人员提供了实际帮助,有助于他们建立信任和高质量的管理者-员工关系,并减少职场沉默。

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