Sağlık Sektöründe Lider-Üye Etkileşiminin Örgütsel Vatandaşlık Davranışı Üzerindeki Etkisinin İncelenmesi

Abstract

Bu çalışmanın amacı; sağlık çalışanlarının lider-üye etkileşim düzeyleri alt boyutları ile ilgili değerlendirmelerinin örgütsel vatandaşlık davranışı ve alt boyutları üzerinde etki gösterip göstermediğini ortaya koymaktır. Bu kapsamda; Türkiye’nin Ankara ilinde faaliyet gösteren bir kamu hastanesi ve bir özel hastanede görev yapan sağlık çalışanlarıyla (doktor, hemşire, diğer sağlık personeli ve idari personel) yüz yüze görüşülerek anket formu dağıtılmış ve toplam 423 sağlık çalışanından elde edilen veriler çoklu doğrusal regresyon analizi ile değerlendirilmiştir. Analizler sonucunda; sağlık çalışanlarının lider-üye etkileşim düzeyinin orta, sergiledikleri örgütsel vatandaşlık davranışının ise yüksek seviyede olduğu saptanmıştır. Yapılan regresyon analizi sonuçları; çalışanların lider-üye etkileşim düzeyiyle ilgili değerlendirmelerinin örgütsel vatandaşlık davranışı ve alt boyutlarını pozitif yönde etkilediğini göstermektedir. Elde edilen bulgular, sağlık kuruluşlarının yüksek seviyede lider-üye etkileşimi yoluyla çalışanların örgütsel vatandaşlık davranışlarını geliştirebileceğini göstermektedir.

Keywords

• Lider-Üye Etkileşimi,Örgütsel Vatandaşlık Davranışı,Hastane,Sağlık Çalışanları

Examining the Impact of Leader–Member Exchange on Organizational Citizenship Behaviour in Healthcare Sector

Abstract

This study aims to show whether health professionals’ perceptions regarding leader–member exchange dimensions have any impact on their organizational citizenship behaviour and its dimensions. To this end, surveys were distributed to health professionals (doctors, nurses, other medical officials and administrative staff) working in a public and private hospital located in Turkey’s Ankara province through face-to-face meetings and the data obtained from 423 health professionals were evaluated with multiple linear regression analysis. The results indicated that the health professionals had a medium level of leader-member exchange and high level of organizational citizenship behaviour. The regression analysis results show that the health professionals’ perceptions regarding leader-member exchange had positive impacts on organizational citizenship behaviour and its dimensions. The findings suggest that healthcare organizations can enhance healthcare professionals’ organizational citizenship behaviours through high level of leader-member exchange.

Keywords

• Organizational Citizenship Behaviour,Hospital,Health Professionals,Healthcare Sector,Leader–Member Exchange,Healthcare Sector

References

1. Ali, N. (2009). Effects of perceived organizational support and leader-member exchange on organizational citizenship behaviour. Journal of Managerial Sciences, 3(1), 63-71.
2. Bahrami, M. A., Montazeralfaraj, R., Gazar, S. H. & Tafti, A. D. (2013). Demografic determinants of organizational citizenship behavior among hospital employees. Global Business and Management Research: An International Journal, 5(4), 171-178.
3. Basim, H. N. & Sesen, H. (2006). An adaptation and comparison of organizational citizenship behavior scale. Ankara University The Journal of the Faculty of Political Sciences, 64(1), 83-101.
4. Bas, T., Keskin, N. & Mert, I. S. (2010). Leader member exchange (LMX) model and validity and reliability of its instrument in Turkish. Ege Academic Review, 10(3), 1013-1039.
5. Bhal, K. T., Gulati, N. & Ansari, M. A. (2009). Leader-member exchange and subordinate outcomes: Test of a mediation model. The Leadership & Organization Development Journal, 30(2), 106-125.
6. Blau, P. M. (1964). Exchange and Power in Social Life, New York: Wiley.
7. Brower, H. H., Schoorman, F. D. & Tan, H. H. (2000). A model of relational leadership: The integration of trust and leader-member exchange. Leadership Quarterly, 11(2), 227-250.
8. Bukhari, Z. U. (2008). Key antecedents of organizational citizenship behavior (ocb) in the banking sector of Pakistan. International Journal of Business and Management, 3(12), 106-115.

9. Burton, J. P., Sablynski, C. J. & Sekiguchi, T. (2008). Linking justice, performance, and citizenship via leader–member exchange. Journal of Business and Psychology, 23, 51-61.
10. Cekmecelioglu, H. G. & Ulker, F. (2014). Leader-member exchange and its impact on employee attitudes: a research on education sector. Kocaeli University Institute of Social Sciences Journal, 28, 35-58.
11. Celik, M. & Cira, A. (2013). The mediating role of work overload on the effects of organizational citizenship behavior on job performance and turnover intention. Ege Academic Review, 13(1), 11-20.
12. Chen, C. V., Wang, S., Chang, W. & Hu, C. (2008). The effect of leader-member exchange, trust, supervisor support on organizational citizenship behavior in nurses. Journal of Nursing Research, 16(4), 321-328.
13. Cop, S. & Ozturk, Y. (2017). The impact of leader-member exchange on organizational silence: A case study on hotel managements. Journal of Business Research-Turk, 9(2), 37-68.
14. Coyne, I. & Ong, T. (2007). Organizational citizenship behaviour and turnover intention: A cross-cultural study. The International Journal of Human Resource Management, 18(6), 1085-1097.
15. Danserau, F., Graen, G. & Haga, W. J. (1975). A vertical dyad linkage approach to leadership within formal organizations. Organizational Behavior and Human Performance, 13, 46-78.
16. Deluga, R. J. (1994). Supervisor trust building, leader-member exchange and organizational citizenship behaviour. Journal of Occupational and Organizational Psychology, 67, 315-326.
17. Dienesch, R. M. & Liden, R. C. (1986). Leader-member exchange model of leadership: A critique and further development. Academy of Management Review, 11(3), 618-634.
18. Duarte, N. T., Goodson, J. R. & Klich, N. R. (1993). How do I like thee? Let me appraise the ways. Journal of Organizational Behavior, 14, 239-249.
19. Dulebohn, J. H., Bommer, W. H., Liden, R. C., Brouer, R. L. & Ferris, G. R. (2012). A meta-analysis of antecedents and consequences of leader-member exchange: Integrating the past with an eye toward the future. Journal of Management, 38(6), 1715-1759.
20. Estiri, M., Amiri, N. S., Khajeheian, D. & Rayej, H. (2017). Leader-member exchange and organizational citizenship behavior in hospitality ındustry: A study on effect of gender. Eurasian Business Review, 1-18.
21. George, J. M. & Brief, A. P. (1992). Feeling good-doing good: A conceptual analysis of the mood at work-organizational spontaneity relationship. Psychological Bulletin, 112(2), 310-329.
22. Goertzen, B. J. & Fritz, S. (2004). Does sex of dyad members really matter? A review of leader-member exchange. Journal of Leadership Education, 3(2), 3-18.
23. Goksel, A. & Ekmekcioğlu, E. B. (2016). The mediating role of job involvement in the relationship between leader-member exchange and organizational identification. Gazi University Journal of Faculty of Economics and Administrative Sciences, 18(3), 721-747.
24. Graen, G. B. & Uhl-Bien, M. (1995). Relationship-based approach to leadership: Development of leader-member exchange (LMX) theory of leadership over 25 years: Applying a multi-level multi-domain perspective. Leadership Quarterly, 6(2), 219-247.
25. Greenberg, J. & Baron, R. A. (2000). Behavior in Organizations, 7th. Edition, New Jersey: Prentice-Hall.
26. Hair JR., J. F., Black, W. C., Babin, B. J. & Anderson, R. E. (2010). Multivariate Data Analysis, 7th. Edition, New Jersey: Pearson Prentice Hall.
27. Harris, K. J., Kacmar, K. M. & Witt, L. A. (2005). An examination of the curvilinear relationship between leader–member exchange and intent to turnover. Journal of Organizational Behavior, 26(4), 363-378.
28. Harris, K. J., Harris, R. B. & Eplion, D. M. (2007). Personality, leader-member exchanges, and work outcomes. Journal of Behavioral and Applied Management, 8(2), 92-107.
29. Ibrahim, R. M., Ghani, M. A., Hashim, N. H. & Amin, A. (2017). Does leader-member exchange impact on organizational citizenship behaviour readiness? Evidence from state government agency. International Review of Management and Marketing, 7(1), 216-221.
30. Ishak, N. A. & Alam, S. S. (2009). The effects of leader-member exchange on organizational justice and organizational citizenship behavior: Empirical study. European Journal of Social Sciences, 8(2), 324-334.
31. Kang, D. & Stewart, J. (2007). Leader-member exchange (LMX) theory of leadership and HRD: Development of units of theory and laws of interaction. Leadership & Organization Development Journal, 28(6), 531-551.
32. Katz, D. & Kahn, R. L. (1978). The Social Psychology of Organizations, 2nd. Edition, USA: John Wiley & Sons, Inc.
33. Kolade, O. J., Oluyese, O. O. & Omotayo A., O. (2014). Organizational citizenship behavior, hospital corporate image and performance. Journal of Competitiveness, 6(1), 36-49.
34. Larson, J. E. & Gouwens, J. A. (2008). The relationship between leader member exchange and burnout in psychiatric rehabilitation workers. Journal of Rehabilitation Administration, 32(1), 5-14.
35. Liden, R. C. & Graen, G. (1980). Generalizability of the vertical dyad linkage model of leadership. Academy of Management Journal, 23(3), 451-465.
36. Liden, R. C. & Maslyn, J. M. (1998). Multidimensionality of leader-member exchange: An empirical assessment through scale development. Journal of Management, 24(1), 43-72.
37. Lo, M. C., Ramayah, T. & Hui, J. K. S. (2006). An investigation of leader member exchange effects on organizational citizenship behavior in Malaysia. Journal of Business and Management, 12(1), 5-23.
38. Lomax, R. G. (2013). Introduction to Structural Equation Modeling. In Y. Petscher, C. Schatschneider & D. L. Compton, (Eds.). Applied Quantitative Analysis in Education and The Social Sciences (pp. 245-264). New York: Routledge Taylor & Francis Group.
39. Organ, D. W. (1988). Organizational Citizenship Behavior: The Good Soldier Syndrome, Lexington-Massachusetts: Lexington Books.
40. Ozturk, M. & Eryesil, K. (2016). The effect of leader member exchange and perceived organizational support on turnover intention. Journal of Selçuk University Social Sciences Vocational School, 19(2), 123-141.
41. Rofcanin, Y. & Mehtap, O. (2010). Implications of leader-member exchange relationship (LMX) theory and transformational leadership dimensions on subordinate citizenship behavior: An empirical paper from Turkey with services industry focus. International Journal of Global Business, 3(1), 83-101.
42. Rowe, W. G. & Guerrero, L. (2011). Cases in Leadership, 2nd. Edition, USA: Sage Publications, Inc.
43. Piccolo, R. F., Bardes, M., Mayer, D. M. & Judge, T. A. (2008). Does high quality leader-member exchange accentuate the effects of organizational justice?. European Journal of Work and Organizational Psychology, 17(2), 273 – 298.
44. Podsakoff, P. M., MacKenzie, S. M., Paine, J. B. & Bachrach, D. G. (2000). Organizational citizenship behaviors: A critical review of the theoretical and empirical literature and suggestions for future research. Journal of Management, 26(3), 513-563.
45. Saunders, M., Lewis, P. & Thornhill, A. (2009). Research Methods for Business Students, 5th. Edition, England: Pearson Education.
46. Schumacker, R. E. & Lomax, R. G. (2010). A Beginner’s Guide to Structural Equation Modelling, 3rd. Edition, Taylor and Francis Group, LLC.
47. Sun, L. Y., Chow, I. H. S., Chiu, R. K. & Pan, W. (2013). Outcome favorability in the link between leader–member exchange and organizational citizenship behavior: procedural fairness climate matters. The Leadership Quarterly, 24(1), 215-226.
48. Truckenbrodt, Y. B. (2000). The relationship between leader-member exchange and commitment and organizational citizenship behavior. Acquisition Review Quarterly, 7(3), 233-244.
49. Ulufer, S. (2016). The effects of organizational citizenship behaviour on perceived performance: A research on airlines. Balkan and Near Eastern Journal of Social Sciences, 02(02), 53-57.
50. Van Yperen, N. W., Van Den Berg, A. E. & Willering, M. C. (1999). Towards a better understanding of the link between participation in decision-making and organizational citizenship behaviour: A multilevel analysis. Journal of Occupational and Organizational Psychology, 72, 377-392.
51. Varma, A., Srinivas, E. S. & Stroh, L. K. (2005). A comparative study of the impact of leader member exchange in US and Indian samples. Cross Cultural Management, 12(1), 84-95.
52. Vey, M. A. & Campbell, J. P. (2004). In-Role or extra-role organizational citizenship behavior: Which are we measuring? Human Performance, 17(1), 119-135.
53. Vidyarthi, P. R., Liden, R. C., Anand, S., Erdogan, B. & Ghosh, S. (2010). Where do I stand? examining the effects of leader–member exchange social comparison on employee work behaviors. Journal of Applied Psychology, 95(5), 849-861.
54. Waismel‐Manor, R., Tziner, A., Berger, E. & Dikstein, E. (2010). Two of a kind? Leader–member exchange and organizational citizenship behaviors: The moderating role of leader–member similarity. Journal of Applied Social Psychology, 40(1), 167-181.
55. Wan, H. L. (2011). The role of leader-member exchange in organisational justice: Organisational citizenship behaviour relationship. Research and Practice in Human Resource Management, 19(2), 71-91.
56. Wang, L., Chu, X. & Ni, J. (2010). Leader-member exchange and organizational citizenship behavior: A new perspective from perceived ınsider status and Chinese Traditionality. Frontiers of Business Research in China, 4(1), 148-169.
57. Wayne, S. J. & Green, S. A. (1993). The effects of leader-member exchange on employee citizenship and ımpression management behavior. Human relations, 46(12), 1431-1440.
58. Williams, L. J. & Anderson, S. E. (1991). Job satisfaction and organizational commitment as predictors of organizational citizenship and in-role behaviors. Journal of Management, 17(3), 601-617.
59. Williams, S. & Shiaw, W. T. (1999). Mood and organizational citizenship behavior: The effects of positive affect on employee organizational citizenship behavior intentions. The Journal of Psychology, 133(6), 656-668.
60. Yildiz, S. (2011). The relationship between leader member exchange and organizational citizenship behavior in public organizations providing sports services. Selcuk University Journal of Physical Education and Sport Science, 13(3), 323-329.
61. Yukl, G. (2010). Leadership in Organizations, 7th. Edition, Upper Saddle River, NJ: Pearson Education, Inc.
62. Zhong, J. A., Lam, W. & Chen, Z. (2011). Relationship between leader–member exchange and organizational citizenship behaviors: Examining the moderating role of empowerment. Asia Pacific Journal of Management, 28, 609-626.
63. Zhu, Y. (2013). Individual Behavior: In-role and extra-role. International Journal of Business Administration, 4(1), 23-27.