The boundary-spanning behavior of nurses: The role of support and affective organizational commitment.

Abstract:

AIM:The aim of this study was to examine the relationship between organizational, supervisor, and coworker support, as perceived by registered nurses and their boundary-spanning behaviors. Furthermore, this article examines the mediating role of the affective organizational commitment of nurses in these relationships. BACKGROUND:Registered nurses play a key role in hospitals, as they have an important impact on the quality of the services delivered. For nurses to perform at their best, they need organizational, leader, and coworker support. To date, few studies have explored the link between nurses' perceived support, affective organizational commitment, and boundary-spanning behaviors. METHODS:This cross-sectional research used a questionnaire survey to explore the hypothesized relationships in a sample of 273 nurses from a hospital in Belgium. Structural equation modeling was used for statistical analysis of the mediation model. RESULTS:One hundred forty-seven (53.5%) nurses responded to the survey. Perceived support from the organization, supervisors, and coworkers positively influences nurses' boundary-spanning behaviors. Affective organizational commitment was found to mediate the positive relationship between perceived organization support, perceived coworker support, and boundary-spanning behaviors. Perceived supervisor support and boundary-spanning behaviors showed a direct relationship not mediated by affective organizational commitment. CONCLUSIONS:Perceived support has an important influence on the boundary-spanning behavior of nurses. This study emphasizes the importance on how support exerts an influence on boundary-spanning behavior and underscores the importance of affective organizational commitment. Health care organizations, supervisors, and coworkers are essential in fostering boundary-spanning behaviors of nurses, both directly and through the development of affective organizational commitment. These actors should therefore be aware of the way they behave and the implications their behavior may have.

journal_name

Health Care Manage Rev

authors

De Regge M,Van Baelen F,Aerens S,Deweer T,Trybou J

doi

10.1097/HMR.0000000000000210

subject

Has Abstract

pub_date

2020-04-01 00:00:00

pages

130-140

issue

2

eissn

0361-6274

issn

1550-5030

journal_volume

45

pub_type

杂志文章
  • The corporate social responsiveness orientation of hospital directors: does occupational background make a difference?

    abstract::The results of a survey of 184 directors from 15 hospitals are analyzed to determine their corporate social responsiveness orientation. They indicate that board members whose occupational background is not in health care exhibit greater concern for economic performance and the legal component of corporate responsibili...

    journal_title:Health care management review

    pub_type: 杂志文章

    doi:10.1097/00004010-200004000-00008

    authors: Ibrahim NA,Angelidis JP,Howard DP

    更新日期:2000-04-01 00:00:00

  • Pure versus hybrid: performance implications of Porter's generic strategies.

    abstract::This article identifies the strategic types in the hospital industry based on the hospital's use of Porter's generic strategies in their pure and hybrid forms. The article also examines differences in performance of hospitals across strategic types. Results indicate that hospitals that follow a focussed cost leadershi...

    journal_title:Health care management review

    pub_type: 杂志文章

    doi:10.1097/00004010-199710000-00008

    authors: Kumar K,Subramanian R,Yauger C

    更新日期:1997-10-01 00:00:00

  • Revisiting redundancy in hospitals-A case-based research study.

    abstract:BACKGROUND:Redundancy is mostly conceived as "waste" resulting from inefficient operations that ought to be eliminated. However, there are scholars who challenge this view and argue that redundancy is an essential element in facilitating reliable and safe operations in health care delivery processes. The ambiguity on r...

    journal_title:Health care management review

    pub_type: 杂志文章

    doi:10.1097/HMR.0000000000000257

    authors: Tay HL,Singh PJ

    更新日期:2019-06-26 00:00:00

  • A career built on practice but including some teaching . . .

    abstract::This article describes the author's path from a Doctor of Science from Johns Hopkins to a career mostly involved with practice. This practice has focused on innovation and new business development requiring significant research and analytical application, as well as leadership of key people. ...

    journal_title:Health care management review

    pub_type: 杂志文章

    doi:10.1097/00004010-200210000-00010

    authors: Dahl AW

    更新日期:2002-10-01 00:00:00

  • Organizational control and the status of marketing in multihospital systems.

    abstract::Research on organizational control and multihospital systems has focused on operational and performance characteristics. Little attention has been directed to the role of marketing as an operational strategy. This article examines the practice of marketing across interorganizational types and develops comparative prof...

    journal_title:Health care management review

    pub_type: 杂志文章

    doi:

    authors: Tucker LR,Zaremba RA

    更新日期:1991-01-01 00:00:00

  • Hospital purchasing alliances: utilization, services, and performance.

    abstract:BACKGROUND:Hospital purchasing alliances are voluntary consortia of hospitals that aggregate their contractual purchases of supplies from manufacturers. Purchasing groups thus represent pooling alliances rather than trading alliances (e.g., joint ventures). Pooling alliances have been discussed in the health care manag...

    journal_title:Health care management review

    pub_type: 杂志文章

    doi:10.1097/01.HMR.0000324906.04025.33

    authors: Burns LR,Lee JA

    更新日期:2008-07-01 00:00:00

  • The impact of health system membership on patient safety initiatives.

    abstract:BACKGROUND:Research in configurations and strategic groups has a rich history of revealing performance differences for hospitals and health care systems. PURPOSES:To assess the relationship between hospital-led health system configurations and the adoption of patient safety practices. In particular, the adoption of co...

    journal_title:Health care management review

    pub_type: 杂志文章

    doi:10.1097/01.HMR.0000304496.89684.7f

    authors: Ford EW,Short JC

    更新日期:2008-01-01 00:00:00

  • The presence of hospital-based palliative care programs: A resource dependence perspective.

    abstract:BACKGROUND:The presence of hospital-based palliative care programs has risen over time in the United States. Nevertheless, organizational and environmental factors that contribute to the presence of hospital-based palliative care programs are unclear. PURPOSE:The aim of this study was to examine the role of organizati...

    journal_title:Health care management review

    pub_type: 杂志文章

    doi:10.1097/HMR.0000000000000031

    authors: Chisholm L,Weech-Maldonado R,Landry AY,Epané JP

    更新日期:2015-10-01 00:00:00

  • The economic transformation of American health insurance: implications for the hospital industry.

    abstract::The economics of cost containment, growing competition, and the introduction of new technology are forcing major changes on the health insurance industry. This transformation will impact the hospital industry in significant ways, hastening its evolution from a cottage industry to a modern corporate structure. ...

    journal_title:Health care management review

    pub_type: 杂志文章

    doi:10.1097/00004010-198601140-00003

    authors: Higgins CW,Meyers ED

    更新日期:1986-10-01 00:00:00

  • Multiple productivity measurement approaches for management.

    abstract::Managers may desire an approach to combining multiple productivity measurements into one score. This article demonstrates two approaches to aggregating multiple measurements, data envelope analysis (DEA) and the Multicriteria Performance/Productivity Measurement Technique (MCP/PMT). These methods are applied to actual...

    journal_title:Health care management review

    pub_type: 杂志文章

    doi:10.1097/00004010-199201720-00006

    authors: Young ST

    更新日期:1992-04-01 00:00:00

  • The role of collective labor contracts and individual characteristics on job satisfaction in Tuscan nursing homes.

    abstract:BACKGROUND:The role played by remuneration strategies in motivating health care professionals is one of the most studied factors. Some studies of nursing home (NH) services, while considering wages and labor market characteristics, do not explicitly account for the influence of the contract itself. PURPOSE:This study ...

    journal_title:Health care management review

    pub_type: 杂志文章

    doi:10.1097/HMR.0000000000000177

    authors: Vainieri M,Smaldone P,Rosa A,Carroll K

    更新日期:2019-07-01 00:00:00

  • A case for safety leadership team training of hospital managers.

    abstract:BACKGROUND:Delivering safe patient care remains an elusive goal. Resolving problems in complex organizations like hospitals requires managers to work together. Safety leadership training that encourages managers to exercise learning-oriented, team-based leadership behaviors could promote systemic problem solving and en...

    journal_title:Health care management review

    pub_type: 杂志文章

    doi:10.1097/HMR.0b013e318208cd1d

    authors: Singer SJ,Hayes J,Cooper JB,Vogt JW,Sales M,Aristidou A,Gray GC,Kiang MV,Meyer GS

    更新日期:2011-04-01 00:00:00

  • To make or buy patient safety solutions: a resource dependence and transaction cost economics perspective.

    abstract:BACKGROUND:For almost a decade, public and private organizations have pressured hospitals to improve their patient safety records. Since 2008, the Centers for Medicare & Medicaid Services has no longer been reimbursing hospitals for secondary diagnoses not reported during the point of admission. This ruling has motivat...

    journal_title:Health care management review

    pub_type: 杂志文章

    doi:10.1097/HMR.0b013e318225998b

    authors: Fareed N,Mick SS

    更新日期:2011-10-01 00:00:00

  • In times of transition: an organizational change from a family systems perspective.

    abstract::This article reports on observations of the implementation of a patient-centered care (PCC) work reorganization model in a community hospital setting. Analysis of videotape, direct observation, and interviews with key informants demonstrated the similarities between organizations and families in times of change. We pr...

    journal_title:Health care management review

    pub_type: 杂志文章

    doi:10.1097/00004010-199901000-00007

    authors: Speice J,Laneri H,Kennedy R,Engerman J

    更新日期:1999-01-01 00:00:00

  • Do corporate chains affect quality of care in nursing homes? The role of corporate standardization.

    abstract:BACKGROUND:Chain-owned nursing homes have become the predominant type of provider in the United States, but little is known about their management structures. Prior research has found that chain ownership has significant effects on health outcomes, but why that is the case is not well understood. PURPOSE:This study ex...

    journal_title:Health care management review

    pub_type: 杂志文章

    doi:10.1097/01.HMR.0000267794.55427.52

    authors: Kamimura A,Banaszak-Holl J,Berta W,Baum JA,Weigelt C,Mitchell W

    更新日期:2007-04-01 00:00:00

  • Does social capital matter when medical professionals encounter the SARS crisis in a hospital setting.

    abstract::This study examined whether social capital can enhance an individual's ability in reducing emotional exhaustion and job tension when medical professionals encounter a crisis such as Severe Acute Respiratory Syndrome (SARS). ...

    journal_title:Health care management review

    pub_type: 杂志文章

    doi:10.1097/00004010-200601000-00005

    authors: Chang KH,Gotcher DF,Chan MY

    更新日期:2006-01-01 00:00:00

  • Managed care and the relevant costs for pricing.

    abstract::An important factor in pricing decisions is the concept of cost analysis. The objective of this article is to describe the relevant costs for pricing medical services in the managed care environment. It discusses how a proper understanding of costs enables one to make correct pricing decisions. ...

    journal_title:Health care management review

    pub_type: 杂志文章

    doi:10.1097/00004010-199701000-00011

    authors: Heshmat S

    更新日期:1997-01-01 00:00:00

  • The more things change, the more they stay the same.

    abstract::For decades, the hospital environment has been described as turbulent and hostile. At the same time, the transfer of business practices into hospitals has been advocated, accompanied by the largely untested assumption that these practices are crucial to performance and even survival. As this pattern became entrenched,...

    journal_title:Health care management review

    pub_type: 杂志文章,评审

    doi:10.1097/00004010-200001000-00008

    authors: Bigelow B,Arndt M

    更新日期:2000-01-01 00:00:00

  • Can ethical management and managed care coexist?

    abstract::The growth of for-profit managed care organizations raises serious ethical questions for managers in these settings, such as whether contemporary business ethics are most appropriate for health care organizations or how the principles of biomedical ethics can be integrated into profit-seeking firms. A model is propose...

    journal_title:Health care management review

    pub_type: 杂志文章,评审

    doi:10.1097/00004010-199804000-00006

    authors: Friedman LH,Savage GT

    更新日期:1998-04-01 00:00:00

  • Nursing home administrator self-assessed preparedness.

    abstract:BACKGROUND:Nursing home administrators (NHAs) are in key positions to improve nursing home quality. NHAs require state-level licensure, which involves passing a national NHA licensure examination and fulfilling state-level licensure requirements that vary widely across states. With multiple pathways to NHA licensure, l...

    journal_title:Health care management review

    pub_type: 杂志文章

    doi:10.1097/HMR.0b013e318294e5ce

    authors: Siegel EO,Leo MC,Young HM,Castle NG

    更新日期:2014-07-01 00:00:00

  • The end of autonomy? Reflections on the postprofessional physician.

    abstract::Of the many characteristics that classify the practice of medicine as a profession, autonomy plays the most important role. There are currently assaults on the profession's ability to select, train, and license its own practitioners and on the medical knowledge base itself, as well as the standards for applying it. Th...

    journal_title:Health care management review

    pub_type: 杂志文章

    doi:10.1097/00004010-199201710-00008

    authors: O'Connor SJ,Lanning JA

    更新日期:1992-01-01 00:00:00

  • Hospital markets and competition: implications for antitrust policy.

    abstract::Antitrust and competitive issues are intertwined with efforts to control health care costs. Whether hospital competition holds down costs is an issue of much controversy and is the topic of this article. The findings are consistent with the hypothesis that hospitals compete primarily on a nonprice basis. This suggests...

    journal_title:Health care management review

    pub_type: 杂志文章,评审

    doi:

    authors: Nguyen NX,Derrick FW

    更新日期:1994-01-01 00:00:00

  • "I'm gonna do what i wanna do." Organizational change as a legitimized vehicle for bullies.

    abstract::In-depth interviews with nurses who have been bullied depict bullies masking their bullying behavior behind the cloak of legitimate organizational processes, resulting in extensive harm to targets. ...

    journal_title:Health care management review

    pub_type: 杂志文章

    doi:10.1097/00004010-200510000-00007

    authors: Hutchinson M,Vickers MH,Jackson D,Wilkes L

    更新日期:2005-10-01 00:00:00

  • A comparison of inpatient severity, average length of stay, and cost for traditional fee-for-service medicare and medicare HMOs in Florida.

    abstract::This research compares the mean severity level, length of stay, and cost of Medicare health maintenance organization (HMO) and Medicare fee-for-service (FFS) inpatients. The results suggest Medicare HMOs have healthier inpatients and shorter lengths of stay, but more costly per-day utilization. These findings are cont...

    journal_title:Health care management review

    pub_type: 杂志文章

    doi:10.1097/00004010-200410000-00008

    authors: Revere L,Large J,Langland-Orban B

    更新日期:2004-10-01 00:00:00

  • Evaluating health care advertising.

    abstract::Evaluating health care advertising is a four-part process that enables health care managers to target particular markets and to determine the effects of advertising particular services and products. ...

    journal_title:Health care management review

    pub_type: 杂志文章

    doi:

    authors: MacStravic RS

    更新日期:1988-07-01 00:00:00

  • Designing a physician leadership development program based on effective models of physician education.

    abstract:BACKGROUND:Because of modern challenges in quality, safety, patient centeredness, and cost, health care is evolving to adopt leadership practices of highly effective organizations. Traditional physician training includes little focus on developing leadership skills, which necessitates further training to achieve the po...

    journal_title:Health care management review

    pub_type: 杂志文章

    doi:10.1097/HMR.0000000000000146

    authors: Hopkins J,Fassiotto M,Ku MC,Mammo D,Valantine H

    更新日期:2018-10-01 00:00:00

  • A premerger profile of Columbia and HCA hospitals.

    abstract::This article profiles the premerger marketing, management, and mission characteristics of the combined Columbia and Hospital Corporation of America (HCA) entity relative to local market hospitals. The findings show that the Columbia/HCA hospitals had fewer Medicaid patients, lower proportion of outpatient revenues, hi...

    journal_title:Health care management review

    pub_type: 杂志文章

    doi:10.1097/00004010-199605000-00006

    authors: McCue MJ

    更新日期:1996-04-01 00:00:00

  • Care guides: an examination of occupational conflict and role relationships in primary care.

    abstract:BACKGROUND:Improving the efficiency and effectiveness of primary care treatment of patients with chronic illness is an important goal in reforming the U.S. health care system. Reducing occupational conflicts and creating interdependent primary care teams is crucial for the effective functioning of new models being deve...

    journal_title:Health care management review

    pub_type: 杂志文章

    doi:10.1097/HMR.0b013e31825f3df9

    authors: Wholey DR,White KM,Adair R,Christianson JB,Lee S,Elumba D

    更新日期:2013-10-01 00:00:00

  • The impact of Maryland's payment reforms on hospital community benefit efforts.

    abstract:BACKGROUND:In 2014, Maryland established a global budget policy for all hospitals in the state. Under this policy, hospitals are incentivized to not only provide clinical care services to individual patients but also address the health needs of their broader patient population through prevention efforts and investment ...

    journal_title:Health care management review

    pub_type: 杂志文章

    doi:10.1097/HMR.0000000000000305

    authors: Cronin CE,Singh S,Franz B

    更新日期:2021-01-26 00:00:00

  • The effects of open access on member satisfaction and intentions to remain in an HMO.

    abstract::This study is the first empirical test of the strategic importance of member autonomy and open access in a managed care environment. The model utilized in this study assesses the relative importance of autonomy in selecting specialists (open access), service convenience, value/pricing, and HMO resources on member sati...

    journal_title:Health care management review

    pub_type: 杂志文章

    doi:10.1097/00004010-200010000-00004

    authors: Gamble JE,Icenogle ML,Bryan NB,Rickert DA

    更新日期:2000-10-01 00:00:00