Operations Management Research

, Volume 5, Issue 3–4, pp 70–80 | Cite as

Job autonomy, trust in leadership, and continuous improvement: An empirical study in health care

Article

Abstract

This research examines the influence of autonomy in day-to-day work on commitment of frontline employees to continuous improvement. Our hypothesized model links the job characteristics theory of work design that associates job autonomy with responsibility for outcomes, and the total quality management perspective that advocates empowering employees in order to generate commitment to continuous improvement. Further, as leadership is known to have a role in shaping job behaviors, and is considered important for the success of total quality management, the influence of trust in leadership on the relationship between job autonomy and commitment to continuous improvement is also examined. We test our hypotheses on data collected from individual employees working for an outpatient health care organization that is applying lean principles for managing and improving work processes. Based on our results, we present implications for organizations implementing continuous improvement initiatives such as lean, particularly in service environments such as health care.

Keywords

Continuous improvement Lean Job autonomy Leadership Employee commitment Health care 

References

  1. Ahmad S, Schroeder RG (2003) The impact of human resource management practices on operational performance: recognizing country and industry differences. J Oper Manag 21(1):19–43CrossRefGoogle Scholar
  2. Aiken LS, West SG (1991) Multiple regression: Testing and interpreting interactions. Sage Publications, Newbury ParkGoogle Scholar
  3. Anderson JC, Rungtusanatham M, Schroeder RG (1994) A theory of quality management underlying the Deming management method. Acad Manag Rev 19(3):472–509Google Scholar
  4. Babson S (1993) Lean or mean: the MIT model and lean production at Mazda. Labor Stud J 18:3–24Google Scholar
  5. Bateman N, Rich N (2003) Companies’ perceptions of inhibitors and enablers for process improvement activities. Intl J Oper Prod Manag 23(2):185–199CrossRefGoogle Scholar
  6. Bertolino M, Truxillo DM, Fraccaroli F (2011) Age as moderator of the relationship of proactive personality with training motivation, perceived development from training, and training behavioral intentions. J Organ Behav 32:248–263CrossRefGoogle Scholar
  7. Canal DF, Torbeck L, Djuricich AM (2007) A curriculum in continuous quality improvement for surgery residents. Arch Surg 142(5):479–483CrossRefGoogle Scholar
  8. Choi TY, Liker JK (1995) Bringing Japanese continuous improvement approaches to U.S. manufacturing: the roles of process orientation and communications. Decis Sci 26(5):589–620CrossRefGoogle Scholar
  9. de Menezes LM (2012) Job satisfaction and quality management: an empirical analysis. Intl J Oper Prod Manag 32(3):308–328CrossRefGoogle Scholar
  10. de Treville S, Antonakis J (2006) Could lean production job design be intrinsically motivating? Contextual, configurational, and levels-of-analysis issues. J Oper Manag 24(2):99–123CrossRefGoogle Scholar
  11. Done A, Voss C, Rytter NG (2011) Best practice interventions: short-term impact and long-term outcomes. J Oper Manag 29(5):500–513CrossRefGoogle Scholar
  12. Duxbury ML, Armstrong GD, Drew DJ, Henly SJ (1984) Head nurse leadership style with staff nurse burnout and job satisfaction in neonatal intensive care units. Nurs Res 33(2):97–101CrossRefGoogle Scholar
  13. Eisenberger R, Huntington R, Hutchison S, Sowa D (1986) Perceived organizational support. J Appl Psychol 71(3):500–507CrossRefGoogle Scholar
  14. Evans MG (1985) A Monte Carlo study of the effects of correlated method variance in moderated multiple regression analysis. Organ Behav Hum Decis Process 36(3):305–323CrossRefGoogle Scholar
  15. Fleishman EA, Harris EF (1962) Patterns of leadership behavior related to employee grievances and turnover. Pers Psychol 15(1):43–56CrossRefGoogle Scholar
  16. Fuller JB, Marler LE, Hester K (2006) Promoting felt responsibility for constructive change and proactive behavior: exploring aspects of an elaborated model of work design. J Organ Behav 27(8):1089–1120CrossRefGoogle Scholar
  17. Hackman JR, Oldham GR (1975) Development of the job diagnostic survey. J Appl Psychol 60(2):159–170CrossRefGoogle Scholar
  18. Hackman JR, Oldham GR (1976) Motivation through the design of work: test of a theory. Org Behav Human Perform 16(2):250–279CrossRefGoogle Scholar
  19. Hackman JR, Wageman R (1995) Total quality management: empirical, conceptual, and practical Issues. Adm Sci Q 40(2):309–342CrossRefGoogle Scholar
  20. Hair J, Anderson RE, Tatham RL, Black WC (1998) Multivariate data analysis, 5th edn. Prentice Hall, Upper Saddle RiverGoogle Scholar
  21. Harter JK, Schmidt FL, Hayes TL (2002) Business-unit-level relationship between employee satisfaction, employee engagement, and business outcomes: a meta-analysis. J Appl Psychol 87(2):268–279CrossRefGoogle Scholar
  22. Herscovitch L, Meyer JP (2002) Commitment to organizational change: extension of a three-component model. J Appl Psychol 87(3):474–487CrossRefGoogle Scholar
  23. Joyce WF, McGee VE, Slocum JW Jr (1997) Designing lateral organizations: an analysis of the benefits, costs, and enablers of nonhierarchical organizational forms. Decis Sci 28(1):1–25CrossRefGoogle Scholar
  24. Judge TA, Piccolo RF, Ilies R (2004) The forgotten ones? The validity of consideration and initiating structure in leadership research. J Appl Psychol 89(1):36–51CrossRefGoogle Scholar
  25. Kahn WA (1990) Psychological conditions of personal engagement and disengagement at work. Acad Manag J 33(4):692–724CrossRefGoogle Scholar
  26. Kelley L (2010) Taking the reins. Quality Progress. September:18–23Google Scholar
  27. Kelley L (2011) Refresh and revitalize. Quality Progress. February:18–23Google Scholar
  28. Kotter JP, Schlesinger LA (1979) Choosing strategies for change. Harv Bus Rev 57(2):32–39Google Scholar
  29. Kotter JP, Schlesinger LA (2008) Choosing strategies for change. Harv Bus Rev 86(7/8):130–139Google Scholar
  30. LaGanga LR (2011) Lean service operations: reflections and new directions for capacity expansion in outpatient clinics. J Oper Manag 29(5):422–433CrossRefGoogle Scholar
  31. Langabeer J, DelliFraine J, Heineke J, Abbass I (2009) Implementation of lean and six sigma quality initiatives in hospitals: a goal theoretic perspective. Oper Manag Res 2(1):13–27CrossRefGoogle Scholar
  32. Laschinger HKS, Finegan J, Shamian J, Casier S (2000) Organizational trust and empowerment in restructured healthcare settings: effects on staff nurse commitment. J Nurs Adm 30(9):413–425CrossRefGoogle Scholar
  33. Lifvergren S, Gremyr I, Hellström A, Chakhunashvili A, Bergman B (2010) Lessons from Sweden’s first large-scale implementation of Six Sigma in healthcare. Oper Manag Res 3(3–4):117–128CrossRefGoogle Scholar
  34. Liker JK (2004) The toyota way. McGraw Hill, New YorkGoogle Scholar
  35. Lillrank P, Kano N (1989) Continuous improvement: quality control circles in Japanese industry. University of Michigan, Ann ArborGoogle Scholar
  36. Linderman K, Schroeder RG, Sanders J (2010) A knowledge framework underlying process management. Decis Sci 41(4):689–719CrossRefGoogle Scholar
  37. Lowin A, Hrapchak WJ, Kavanagh MJ (1969) Consideration and initiating structure: an experimental investigation of leadership traits. Adm Sci Q 14(2):238–253CrossRefGoogle Scholar
  38. Morgeson FP, Campion MA (2002) Minimizing tradeoffs when redesigning work: evidence from a longitudinal quasi-experiment. Pers Psychol 55(3):589–612CrossRefGoogle Scholar
  39. Morrison EW, Phelps CC (1999) Taking charge at work: extrarole efforts to initiate workplace change. Acad Manag J 42(4):403–419CrossRefGoogle Scholar
  40. Nair A (2006) Meta-analysis of the relationship between quality management practices and firm performance—implications for quality management theory development. J Oper Manag 24(6):948–975CrossRefGoogle Scholar
  41. Nembhard IM, Edmondson AC (2006) Making it safe: the effects of leader inclusiveness and professional status on psychological safety and improvement efforts in health care teams. J Organ Behav 27:941–966CrossRefGoogle Scholar
  42. Nembhard IM, Tucker AL (2011) Deliberate learning to improve performance in dynamic service settings: evidence from hospital intensive care units. Organ Sci 22(4):907–922CrossRefGoogle Scholar
  43. Oldham GR, Hackman JR (2010) Not what it was and not what it will be: the future of job design research. J Organ Behav 31(2–3):463–479CrossRefGoogle Scholar
  44. Parker SK (2003) Longitudinal effects of lean production on employee outcomes and the mediating role of work characteristics. J Appl Psychol 88(4):620–634CrossRefGoogle Scholar
  45. Parker SK, Wall TD, Jackson PR (1997) That’s not my job: developing flexible employee work orientations. Acad Manag J 40(4):899–929CrossRefGoogle Scholar
  46. Parker SK, Wall TD, Cordery JL (2001) Future work design research and practice: towards an elaborated model of work design. J Occup Organ Psychol 74:413–440CrossRefGoogle Scholar
  47. Piccolo RF, Colquitt JA (2006) Transformational leadership and job behaviors: the mediating role of core job characteristics. Acad Manag J 49(2):327–340CrossRefGoogle Scholar
  48. Powell TC (1995) Total quality management as competitive advantage: a review and empirical study. Strateg Manag J 16(1):15–37CrossRefGoogle Scholar
  49. Rich B, Lepine JA, Crawford ER (2010) Job engagement: antecedents and effects on job performance. Acad Manag J 53(3):617–635CrossRefGoogle Scholar
  50. Rungtusanatham M (2001) Beyond improved quality: the motivational effects of statistical process control. J Oper Manag 19(6):653–673CrossRefGoogle Scholar
  51. Ryan RM, Deci EL (2000) Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being. Am Psychol 55:68–78CrossRefGoogle Scholar
  52. Salanova M, Agut S, Peiró J (2005) Linking organizational resources and work engagement to employee performance and customer loyalty: the mediation of service climate. J Appl Psychol 90(6):1217–1227CrossRefGoogle Scholar
  53. Samson D, Terziovski M (1999) The relationship between total quality management practices and operational performance. J Oper Manag 17(4):393–409CrossRefGoogle Scholar
  54. Seltzer J, Numerof RE (1988) Supervisory leadership and subordinate burnout. Acad Manag J 31(2):439–446CrossRefGoogle Scholar
  55. Shafer SM, Tepper BJ, Meredith JR, Marsh R (1995) Comparing the effects of cellular and functional manufacturing on employees’ perceptions and attitudes. J Oper Manag 12(2):63–74CrossRefGoogle Scholar
  56. Shah R, Ward PT (2003) Lean manufacturing: context, practice bundles, and performance. J Oper Manag 21(2):129–149CrossRefGoogle Scholar
  57. Shortell SM, O’Brien JL, Carman JM, Foster RW, Hughes EFX, Boerstler H, O’Connor EJ (1995) Assessing the impact of continuous quality improvement/total quality management: concept versus implementation. Heal Serv Res 30(2):377–401Google Scholar
  58. Siemsen E, Roth AV, Balasubramanian S, Anand G (2009) The influence of psychological safety and confidence in knowledge on employee knowledge sharing. Manuf Serv Oper Manag 11(3):429–447CrossRefGoogle Scholar
  59. Siemsen E, Roth AV, Oliveira P (2010) Common method bias in regression models with linear, quadratic, and interaction effects. Organ Res Methods 13(3):456–476CrossRefGoogle Scholar
  60. Spear SJ, Bowen HK (1999) Decoding the DNA of the Toyota production system. Harv Bus Rev 77(5):96–106Google Scholar
  61. Spreitzer GM (1995) Psychological empowerment in the workplace: dimensions, measurement, and validation. Acad Manag J 38(5):1442–1465CrossRefGoogle Scholar
  62. Spreitzer GM (1996) Social structural characteristics of psychological empowerment. Acad Manag J 39(2):483–504CrossRefGoogle Scholar
  63. Stogdill RM (1962) Leader behavior description questionnaire, Form XII. In: Cook JD, Hepworth SJ, Wall TD, Warr PB (eds) Experience of work: A compendium and review of 249 measures and their use. Academic, New York, pp 227–234Google Scholar
  64. Toussaint J, Gerard R (2010) On the mend. Lean Enterprise Institute, IncGoogle Scholar
  65. Tucker AL, Edmondson AC (2003) Why hospitals don’t learn from failures: organizational and psychological dynamics that inhibit system change. Calif Manag Rev 45(2):1–18Google Scholar
  66. Waldman DA (1994) The contributions of total quality management to a theory of work performance. Acad Manag Rev 19(3):510–536Google Scholar
  67. Weiner BJ, Shortell SM, Alexander JA (1997) Promoting clinical involvement in hospital quality improvement efforts: the effects of top management, board, and physician leadership. Heal Serv Res 32(4):491–510Google Scholar
  68. Wickramasinghe D, Wickramasinghe V (2011) Differences in organizational factors by lean duration. Oper Manag Res 4(3–4):111–126CrossRefGoogle Scholar
  69. Zhang W, Hill AV, Schroeder RG (2008) Project management infrastructure: the key to operational performance improvement. Oper Manag Res 1(1):40–52CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  1. 1.Department of Business AdministrationUniversity of Illinois at Urbana-ChampaignChampaignUSA
  2. 2.Christie ClinicChampaignUSA

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