Evidence map›Paper›PMID 31088463›Full record

ArticleBMC health services research2019

The role of organizational attractiveness in an internal market-oriented culture (IMOC): a study of hospital frontline employees.

Terje Slåtten, Gudbrand Lien, Peer Jacob Svenkerud

Abstract read
In one paragraph

Article in BMC health services research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Terje SlåttenInland Norway University of Applied Sciences Campus Lillehammer, 2604, Lillehammer, Norway. Terje.Slatten@inn.no.
Gudbrand LienInland Norway University of Applied Sciences Campus Lillehammer, 2604, Lillehammer, Norway.
Peer Jacob SvenkerudInland Norway University of Applied Sciences Campus Lillehammer, 2604, Lillehammer, Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHospitals need to understand how to reduce their frontline employees' turnover rate as well as how to positively engage them and improve their service. Central to these issues, we find, is the employees' perception of their organization's attractiveness. This objective of this paper is to clarify how the role of organizational attractiveness relates to frontline employees' perception of their internal market-oriented culture as well as their turnover rate, engagement, and service quality. To our knowledge, no previous research has explored the role of organizational attractiveness from a frontline employee perspective in health-service organizations.

methodsThe conceptual framework we developed was tested in a quantitative study. We sent a questionnaire to nurses in several public hospitals in Norway. We then analyzed the data with confirmatory factor analysis and structural equation modeling in Stata. Further, we performed multi-group comparisons to test heterogeneity in personal characteristics. The indirect effects were tested by mediator analyses.

resultsWe made three main findings. First, organizational attractiveness has a significant positive effect on frontline employees' engagement (β = 0.833) as well as on the service quality they provide to hospital patients (β = 0.472). Additionally, it significantly lowers their turnover rate (β = - 0.729). Second, the 'internal market-oriented culture' (IMOC) has a significantly positive effect on organizational attractiveness (β = 0.587) and explains a total of 35% of the variance in organizational attractiveness. Third, organizational attractiveness fully mediates the relationship between "internal market-oriented culture" (IMOC) and frontline employees' engagement and the service quality they provide to patients, and it partially mediates the relationship with the turnover rate.

conclusionsThis study proves that organizational attractiveness is vital for hospital managers to focus on, as it affects employees' perception of whether the organizations is a great place to work. It reveals the need for those same managers to develop an internal market-oriented culture (IMOC) directed toward hospital frontline employees, as it has both a direct effect on organizational attractiveness and an indirect effect on employees' engagement, turnover intention, and service quality.

Indexed as

Organizational CultureAttitude of Health PersonnelHealth Services ResearchHumansIntentionPersonnel, HospitalPersonnel TurnoverSurveys and QuestionnairesWork EngagementEmployee engagementFrontline employeesHospitalsInternal-market-oriented culture (IMOC)Organizational attractivenessService quality provisionTurnover intentions

Identifiers

PMID31088463
PMCPMC6518731

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.