TY - JOUR

T1 - Untangling the relationship between HRM and hospital performance

T2 - The mediating role of attitudinal and behavioural HR outcomes

AU - Baluch, Alina M.

AU - Salge, Torsten Oliver

AU - Piening, Erk P.

PY - 2013/5/14

Y1 - 2013/5/14

N2 - This study examines the complex linkages between employees' perceptions of HR systems and hospital performance. In particular, it explores the role of attitudinal and behavioural HR outcomes as potential mediating mechanisms of the HRM-performance link. Structural equation models using multi-informant (e.g. medical and non-medical staff, patients) and multi-source data from 167 acute hospital trusts in the English National Health Service reveal a positive relationship between employees' HR system perceptions and patient satisfaction. Moreover, results suggest that this relationship is mediated by employees' civility towards patients, that is, by the extent to which employees treat patients with courtesy, dignity and respect. This behavioural HR outcome, in turn, is negatively affected by employees' intention to leave, an essential attitudinal HR outcome that mediates the link between HR system perceptions and civility towards patients. This study, therefore, contributes to a better understanding of the mechanisms through which HRM can enhance patient satisfaction in health care organisations.

AB - This study examines the complex linkages between employees' perceptions of HR systems and hospital performance. In particular, it explores the role of attitudinal and behavioural HR outcomes as potential mediating mechanisms of the HRM-performance link. Structural equation models using multi-informant (e.g. medical and non-medical staff, patients) and multi-source data from 167 acute hospital trusts in the English National Health Service reveal a positive relationship between employees' HR system perceptions and patient satisfaction. Moreover, results suggest that this relationship is mediated by employees' civility towards patients, that is, by the extent to which employees treat patients with courtesy, dignity and respect. This behavioural HR outcome, in turn, is negatively affected by employees' intention to leave, an essential attitudinal HR outcome that mediates the link between HR system perceptions and civility towards patients. This study, therefore, contributes to a better understanding of the mechanisms through which HRM can enhance patient satisfaction in health care organisations.

KW - employees' attitudes and behaviours

KW - hospitals

KW - HR systems

KW - patient satisfaction

UR - http://www.scopus.com/inward/record.url?scp=84880324074&partnerID=8YFLogxK

U2 - 10.1080/09585192.2013.775027

DO - 10.1080/09585192.2013.775027

M3 - Article

AN - SCOPUS:84880324074

VL - 24

SP - 3038

EP - 3061

JO - International Journal of Human Resource Management

JF - International Journal of Human Resource Management

SN - 0958-5192

IS - 16

ER -