Promoting organizational vision integration among hospital employees

Abstract

\n Background\n\nThe concept of organizational vision has been little explored within the health-care services research literature. Based on this knowledge gap in the literature, this study examines the factors that potentially promote organizational vision integration (OVI), which refers to the employees’ use of organizational vision as a guiding framework in their respective work roles. The roles of organizational commitment (OC), leadership autonomy support (LAS), and organizational culture on hospital employees’ OVI are examined.\nMethods\n\nHospital employees participated in a survey. Partial least-squares structural equation modelling was performed using SmartPLS 3 software to test the proposed hypotheses statistically. A bootstrapping test was used to identify the mediating effects.\nResults\n\nThe main findings show that: (i) OC is the most powerful factor to promote employees’ OVI (\\(\\beta\\) = 0.26), while organizational culture (represented by the concept of internal market-oriented culture) and LAS showed significantly less and almost equal impact (\\(\\beta\\) = 0.16 and \\(\\beta\\) = 0.15, respectively), respectively, and in total explains 25% of the variance in the concept of OVI; (ii) LAS and organizational culture both significantly contribute to employees’ OC (\\(\\beta\\) = 0.35 and \\(\\beta\\) = 0.29, respectively) and in total explains nearly 40% (\\({R}^{2}=0.38)\\) of the variance in the concept of OC; (iii) the relationships between organizational culture, LAS, and OVI are mediated through OC; and (iv) LAS mediates the relationships between organizational culture and OVI, and between organizational culture and OC.\nConclusions\n\nTo promote hospital employees’ OVI effectively, hospital managers should especially focus on their employees’ OC. Specifically, they should strengthen their employees’ OC through building a strong employee-focused organizational culture in addition to leaders who practice LAS. This contributes to promoting hospital employees’ OVI.