The effect of social exchange relationships on work engagement: An empirical study of medical teams in a Private Hospital in China

Detalhes bibliográficos
Autor(a) principal: Sun Yingli
Data de Publicação: 2022
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10071/27294
Resumo: After the implementation of the medical reform, private hospitals are rapidly developing in China. As late comers they face many challenges including fierce competition from other private hospitals and from public ones. This study proposes to improve their competitiveness by cultivating the work engagement level of medical teams. Based on the literature review on Social Exchange Theory, it is advanced that Leader-member Exchange (LMX) and Team-member Exchange (TMX) can positively influence work engagement while self-efficacy is the mechanism for the above relationships based on Social Cognition Theory. In addition, by reviewing related studies on interactional justice differentiation, this research takes it as a moderator to explore this effect on the above direct and indirect relations. On the basis of the literature review, theoretical analysis and logical deduction, eleven hypotheses are proposed. This study designs a questionnaire based on mature scales and conducts a survey in the case hospital through two stages of data collection, after which 370 valid questionnaires were received. Methods such as factor analysis, hierarchical regression analysis and moderated mediating model analysis are used to test the hypotheses. The results of data analysis partially support the research model.
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spelling The effect of social exchange relationships on work engagement: An empirical study of medical teams in a Private Hospital in ChinaLeader-member exchangeTeam-member exchangeSelf-efficacyInteractional justice differentiationWork engagementTroca de membro-líderTroca de membro-grupoAuto eficáciaDiferenciação da justiça interativaCompromisso com o trabalhoAfter the implementation of the medical reform, private hospitals are rapidly developing in China. As late comers they face many challenges including fierce competition from other private hospitals and from public ones. This study proposes to improve their competitiveness by cultivating the work engagement level of medical teams. Based on the literature review on Social Exchange Theory, it is advanced that Leader-member Exchange (LMX) and Team-member Exchange (TMX) can positively influence work engagement while self-efficacy is the mechanism for the above relationships based on Social Cognition Theory. In addition, by reviewing related studies on interactional justice differentiation, this research takes it as a moderator to explore this effect on the above direct and indirect relations. On the basis of the literature review, theoretical analysis and logical deduction, eleven hypotheses are proposed. This study designs a questionnaire based on mature scales and conducts a survey in the case hospital through two stages of data collection, after which 370 valid questionnaires were received. Methods such as factor analysis, hierarchical regression analysis and moderated mediating model analysis are used to test the hypotheses. The results of data analysis partially support the research model.Com a implementação da reforma do sistema de saúde na China tem-se assistido a um rápido crescimento do número de hospitais privados que, no entanto, se veem confrontados com inúmeras dificuldades entre as quais a concorrência de outros hospitais privados e públicos. No sentido de ajudar a melhorar a competitividade destas unidades de saúde, esta tese procura estudar o nível de compromisso com o trabalho das equipas médicas. Através da revisão da literatura sobre a teoria das trocas sociais propõe-se que a troca membro-líder e a troca membro-grupo podem influenciar positivamente o compromisso com o trabalho entendendo-se a auto eficácia como um mecanismo mediador. O estudo considera ainda a diferenciação da justiça interativa como uma variável moderadora que permite explorar os efeitos diretos e indiretos no modelo proposto. Da revisão da literatura e da subsequente análise teórica extraíram-se onze hipóteses que refletem as relações e efeitos enunciados. A recolha de dados foi feita a partir de um questionário utilizando escalas já anteriormente validadas o qual foi administrado em duas fases no hospital privado objeto do estudo tendo-se obtido 370 respostas válidas. Análise fatorial e regressão hierárquica foram os métodos utilizados para testar as hipóteses. Os resultados obtidos suportam parcialmente o modelo teórico proposto.2023-09-01T00:00:00Z2022-06-01T00:00:00Z2022-06-01doctoral thesisinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/octet-streamhttp://hdl.handle.net/10071/27294TID:101609272eng978-989-781-768-7Sun Yingliinfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-07-07T03:08:24Zoai:repositorio.iscte-iul.pt:10071/27294Portal AgregadorONGhttps://www.rcaap.pt/oai/openairemluisa.alvim@gmail.comopendoar:71602024-07-07T03:08:24Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv The effect of social exchange relationships on work engagement: An empirical study of medical teams in a Private Hospital in China
title The effect of social exchange relationships on work engagement: An empirical study of medical teams in a Private Hospital in China
spellingShingle The effect of social exchange relationships on work engagement: An empirical study of medical teams in a Private Hospital in China
Sun Yingli
Leader-member exchange
Team-member exchange
Self-efficacy
Interactional justice differentiation
Work engagement
Troca de membro-líder
Troca de membro-grupo
Auto eficácia
Diferenciação da justiça interativa
Compromisso com o trabalho
title_short The effect of social exchange relationships on work engagement: An empirical study of medical teams in a Private Hospital in China
title_full The effect of social exchange relationships on work engagement: An empirical study of medical teams in a Private Hospital in China
title_fullStr The effect of social exchange relationships on work engagement: An empirical study of medical teams in a Private Hospital in China
title_full_unstemmed The effect of social exchange relationships on work engagement: An empirical study of medical teams in a Private Hospital in China
title_sort The effect of social exchange relationships on work engagement: An empirical study of medical teams in a Private Hospital in China
author Sun Yingli
author_facet Sun Yingli
author_role author
dc.contributor.author.fl_str_mv Sun Yingli
dc.subject.por.fl_str_mv Leader-member exchange
Team-member exchange
Self-efficacy
Interactional justice differentiation
Work engagement
Troca de membro-líder
Troca de membro-grupo
Auto eficácia
Diferenciação da justiça interativa
Compromisso com o trabalho
topic Leader-member exchange
Team-member exchange
Self-efficacy
Interactional justice differentiation
Work engagement
Troca de membro-líder
Troca de membro-grupo
Auto eficácia
Diferenciação da justiça interativa
Compromisso com o trabalho
description After the implementation of the medical reform, private hospitals are rapidly developing in China. As late comers they face many challenges including fierce competition from other private hospitals and from public ones. This study proposes to improve their competitiveness by cultivating the work engagement level of medical teams. Based on the literature review on Social Exchange Theory, it is advanced that Leader-member Exchange (LMX) and Team-member Exchange (TMX) can positively influence work engagement while self-efficacy is the mechanism for the above relationships based on Social Cognition Theory. In addition, by reviewing related studies on interactional justice differentiation, this research takes it as a moderator to explore this effect on the above direct and indirect relations. On the basis of the literature review, theoretical analysis and logical deduction, eleven hypotheses are proposed. This study designs a questionnaire based on mature scales and conducts a survey in the case hospital through two stages of data collection, after which 370 valid questionnaires were received. Methods such as factor analysis, hierarchical regression analysis and moderated mediating model analysis are used to test the hypotheses. The results of data analysis partially support the research model.
publishDate 2022
dc.date.none.fl_str_mv 2022-06-01T00:00:00Z
2022-06-01
2023-09-01T00:00:00Z
dc.type.driver.fl_str_mv doctoral thesis
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10071/27294
TID:101609272
url http://hdl.handle.net/10071/27294
identifier_str_mv TID:101609272
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 978-989-781-768-7
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/octet-stream
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
repository.mail.fl_str_mv mluisa.alvim@gmail.com
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