Administrative Staff Empowerment and Organizational Development in Peruvian Public Hospitals
DOI:
https://doi.org/10.5281/zenodo.20649107Keywords:
Employee empowerment, organizational development, hospital managementAbstract
This study aimed to explain the effect of an empowerment model for administrative-process workers on organizational development in hospitals belonging to the Ica Healthcare Network, Peru. A quantitative, non-experimental, cross-sectional, correlational-causal study was conducted with a probabilistic sample of 351 workers from a population of 2,042. Two Likert-type questionnaires were administered and validated through expert judgment, internal consistency, and confirmatory factor analysis. The instruments showed satisfactory properties: α = .97, ω = .87, χ²/df = 2.14, CFI = .94, TLI = .93, GFI = .92, RMSEA = .061, and SRMR = .045. Overall empowerment was mainly moderate (51.0%), whereas organizational development reached an efficient level among 55.3% of participants. The correlation between both variables was strong and statistically significant (rho = .816; p < .001), with a coefficient of determination of 66.5%. Teamwork showed the strongest association (rho = .796; R² = .591), followed by continuous improvement, technical skills, decision-making autonomy, and effective communication. The study concludes that an institutional empowerment model, integrated with technical training, regulated autonomy, communication, continuous improvement, and collaborative work, may strengthen hospital organizational development and guide human resource policies in public healthcare networks.
Downloads
References
Al-Rjoub, S. R., Aldiabat, B. F., & Ait Yassine, F. L. Y. (2023). The impact of employee empowerment on continuous improvement of health care: An empirical and comparative study between hospitals. Business: Theory and Practice, 24(1), 93–105. https://doi.org/10.3846/btp.2023.16667
Alrige, M., Alshahrani, F., Alharbi, A., Aljuhani, N., & Aldini, N. (2022). The effects of empowerment on health care worker performance during the COVID-19 pandemic in Saudi Arabia. Quality Management in Health Care, 31(3), 143–148. https://doi.org/10.1097/QMH.0000000000000337
Choi, S. L., Goh, C. F., Adam, M. B. H., & Tan, O. K. (2016). Transformational leadership, empowerment, and job satisfaction: The mediating role of employee empowerment. Human Resources for Health, 14, 73. https://doi.org/10.1186/s12960-016-0171-2
Dahleez, K. A., Aboramadan, M., & Abu Sharikh, N. (2022). Empowering leadership and healthcare workers performance outcomes in times of crisis: The mediating role of safety climate. Journal of Organizational Effectiveness: People and Performance, 9(3), 401–420. https://doi.org/10.1108/JOEPP-03-2021-0080
Fanelli, S., Lanza, G., Enna, C., & Zangrandi, A. (2020). Managerial competences in public organisations: The healthcare professionals’ perspective. BMC Health Services Research, 20, 303. https://doi.org/10.1186/s12913-020-05179-5
Fragkos, K. C., Makrykosta, P., & Frangos, C. C. (2020). Structural empowerment is a strong predictor of organisational commitment in nurses: A systematic review and meta-analysis. Journal of Advanced Nursing, 76(4), 939–962. https://doi.org/10.1111/jan.14289
Goedhart, N. S., van Oostveen, C. J., & Vermeulen, H. (2017). The effect of structural empowerment of nurses on quality outcomes in hospitals: A scoping review. Journal of Nursing Management, 25(3), 194–206. https://doi.org/10.1111/jonm.12455
Hu, L. T., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling: A Multidisciplinary Journal, 6(1), 1–55. https://doi.org/10.1080/10705519909540118
Jankelová, N., Joniaková, Z., Skorková, Z., & Gažová Adamková, H. (2024). Impact of structural employee empowerment on hospital ratings: Mediating role of social climate and first-line managers’ resilience. Risk Management and Healthcare Policy, 17, 883–901. https://doi.org/10.2147/RMHP.S453351
Kahn, W. A. (1990). Psychological conditions of personal engagement and disengagement at work. Academy of Management Journal, 33(4), 692–724. https://doi.org/10.5465/256287
Metcalf, A. Y., Habermann, M., Fry, T. D., & Stoller, J. K. (2019). The impact of quality practices and employee empowerment in the performance of hospital units. International Journal of Production Research, 57(7), 2111–2130. https://doi.org/10.1080/00207543.2018.1475763
Paarima, Y., Ofei, A. M. A., & Kwashie, A. A. (2020). Managerial competencies of nurse managers in Ghana. Africa Journal of Nursing and Midwifery, 22(2), 1–22. https://doi.org/10.25159/2520-5293/6969
Rappaport, J. (1981). In praise of paradox: A social policy of empowerment over prevention. American Journal of Community Psychology, 9(1), 1–25. https://doi.org/10.1007/BF00896357
Rotter, J. B. (1966). Generalized expectancies for internal versus external control of reinforcement. Psychological Monographs: General and Applied, 80(1), 1–28. https://doi.org/10.1037/h0092976
Spreitzer, G. M. (1995). Psychological empowerment in the workplace: Dimensions, measurement, and validation. Academy of Management Journal, 38(5), 1442–1465. https://doi.org/10.5465/256865
Published
Issue
Section
License

This work is licensed under a Creative Commons Attribution 4.0 International License.
The journal is licensed under the Attribution License (CC BY), allowing the possibility of copying, distributing, displaying, and producing derivative works, as long as the author is acknowledged and cited.







