Hussain Muzammil, Luu Trong Tuan, Marjoribanks Timothy
Swinburne University of Technology, Hawthorn, Australia.
J Health Organ Manag. 2025 Jan 30;39(9):71-95. doi: 10.1108/JHOM-08-2024-0333.
Healthcare is a service industry where fulfilling the needs of patients (customers) is challenging. Various factors, including cost, system complexity, staffing behaviours and technological advances, play vital roles. Drawing upon social exchange theory, this study seeks to determine how paternalistic leadership (authoritarianism, benevolence and morality) influences employee service innovative behaviour and counterproductive work behaviour via perceived supervisor support in the healthcare sector. Additionally, the study investigates the role of the public service motivation of individuals as a moderating factor in this relationship.
DESIGN/METHODOLOGY/APPROACH: A pilot study and a main study were conducted to test the hypotheses. We collected data from healthcare professionals in Pakistan's large public, private and semi-government hospitals. We applied bootstrapping with 5,000 replications and structural equation modelling to analyse the data.
Results indicate that authoritarianism was negatively associated with service innovative behaviour, whereas benevolent and moral behaviours were positively associated with service innovative behaviour via perceived supervisor support (mediation). Our findings shed light on the moderating role of public service motivation.
ORIGINALITY/VALUE: This empirical quantitative study has several theoretical and practical implications. Findings of our study provide evidence that a paternalistic leadership style can influence both positive (service innovative behaviour) and negative (counterproductive working behaviour) working behaviours simultaneously via perceived supervisor support at an individual level in the service (healthcare) industry. This study also highlights the moderating role of public service motivation as an individual motivation factor.
医疗保健是一个服务行业，满足患者（客户）的需求具有挑战性。成本、系统复杂性、人员行为和技术进步等各种因素都起着至关重要的作用。本研究借鉴社会交换理论，旨在确定家长式领导风格（专制、仁慈和道德）如何通过医疗保健部门员工所感受到的上级支持，影响员工的服务创新行为和反生产工作行为。此外，该研究还调查了个体的公共服务动机在这种关系中作为调节因素的作用。
设计/方法/途径：进行了一项试点研究和一项主要研究来检验假设。我们从巴基斯坦大型公立、私立和半政府医院的医疗保健专业人员那里收集数据。我们应用了5000次重复抽样的自抽样法和结构方程模型来分析数据。
结果表明，专制与服务创新行为呈负相关，而仁慈和道德行为通过员工所感受到的上级支持（中介作用）与服务创新行为呈正相关。我们的研究结果揭示了公共服务动机的调节作用。
原创性/价值：这项实证定量研究具有若干理论和实践意义。我们研究的结果提供了证据，表明家长式领导风格可以通过服务（医疗保健）行业中个体层面所感受到的上级支持，同时影响积极的（服务创新行为）和消极的（反生产工作行为）工作行为。本研究还强调了公共服务动机作为个体动机因素的调节作用。
