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Does leadership style moderate the relationship between job demands, job resources and doctors' job performance?: Evidence from traditional Chinese medicine hospitals

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Resumo:Over the past decade, the Chinese government has vigorously promoted the development of traditional Chinese medicine (TCM) hospitals. However, in comparison to the rapid and effective diagnostic methods of Western medicine, TCM hospitals primarily rely on manual diagnostic techniques. As a result, their performance lags behind that of their Western counterparts. This paper aims to investigate the association between work demands (workload and emotional demands), work resources (salary levels and promotion opportunities), and doctors’ job performance in TCM hospitals through the lens of the Job Demands-Resources Model. Additionally, it examines the moderating effects of different leadership styles (transformational and transactional leadership) on doctors’ job performance. Using 958 valid questionnaires collected from 10 TCM hospitals in Guangdong Province, regression analysis revealed that (1) job resources (salary level and promotion opportunity) were positively associated with the work engagement of employees in TCM hospitals; (2) job demands (emotional demands and workload) were positively associated with burnout of employees in TCM hospitals; (3) work engagement played a mediating role between job resources (salary level and promotion opportunity) and job performance; (4) burnout played a mediating role between job demands (emotional demands and workload) and job performance; and (5) transformational leadership accentuated the relationship between job resources (salary level and promotion opportunity) and job performance. The findings of this research contribute to a deeper understanding of the challenges encountered by TCM hospitals. These results hold significant implications for policymakers and hospital administrators in areas such as human resource development and management, leadership styles, and the emotional demands of doctors. Furthermore, this study extends the application of the Job Demands-Resources Model to the context of TCM hospitals in China, thereby enriching the existing literature in this field.
Autores principais:Li Jianwei
Assunto:Job Demands-Resources Model Job performance Traditional Chinese medicine hospitals Transformational leadership Transactional leadership Modelo Exigências-Recursos do Trabalho Desempenho profissional Hospital de medicina tradicional chinesa Liderança transformacional Liderança transacional
Ano:2024
País:Portugal
Tipo de documento:tese de doutoramento
Tipo de acesso:acesso aberto
Instituição associada:ISCTE
Idioma:inglês
Origem:Repositório ISCTE
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author Li Jianwei
author_facet Li Jianwei
author_role author
country_str PT
creators_json_txt [{\"Person.name\":\"Li Jianwei\"}]
datacite.creators.creator.creatorName.fl_str_mv Li Jianwei
datacite.date.Accepted.fl_str_mv 2024-11-12T00:00:00Z
datacite.rights.fl_str_mv http://purl.org/coar/access_right/c_abf2
datacite.subjects.subject.fl_str_mv Job Demands-Resources Model
Job performance
Traditional Chinese medicine hospitals
Transformational leadership
Transactional leadership
Modelo Exigências-Recursos do Trabalho
Desempenho profissional
Hospital de medicina tradicional chinesa
Liderança transformacional
Liderança transacional
datacite.titles.title.fl_str_mv Does leadership style moderate the relationship between job demands, job resources and doctors' job performance?: Evidence from traditional Chinese medicine hospitals
dc.creator.none.fl_str_mv Li Jianwei
dc.date.Accepted.fl_str_mv 2024-11-12T00:00:00Z
dc.description.none.fl_str_mv Na última década, o governo chinês promoveu vigorosamente o desenvolvimento de hospitais de medicina tradicional chinesa (MTC). No entanto, em contraste com a medicina ocidental com métodos de diagnóstico rápidos e eficazes, os hospitais de MTC baseiam-se principalmente em técnicas de diagnóstico manuais. Consequentemente, o seu desempenho fica aquém do dos seus congéneres ocidentais. Com base no Modelo Exigências-Recursos do Trabalho ("Job Demands-Resources"), esta tese tem como objetivo investigar a associação entre as exigências do trabalho (volume de trabalho e exigências emocionais), os recursos do trabalho (níveis salariais e oportunidades de promoção) e o desempenho profissional dos médicos nos hospitais de MTC. Além disso, examina os efeitos moderadores dos diferentes estilos de liderança (liderança transformacional e transacional) no desempenho profissional dos médicos. Utilizando 958 questionários válidos reconhidos em 10 hospitais de MTC na província de Guangdong, a análise de regressão revelou que (1) os recursos do trabalho (níveis salariais e oportunidades de promoção) estavam positivamente associados ao compromisso com o trabalho ("work engagement") dos trabalhadores dos hospitais de MTC; (2) as exigências do trabalho (exigências emocionais e volume de trabalho) estavam positivamente associadas ao esgotamento ("burnout") dos trabalhadores dos hospitais de MTC; (3) o compromisso com o trabalho desempenhou um papel mediador entre os recursos do trabalho (níveis salariais e oportunidades de promoção) e o desempenho profissional; (4) o esgotamento desempenhou um papel mediador entre as exigências do trabalho (exigências emocionais e volume de trabalho) e o desempenho profissional; e (5) a liderança transformacional acentuou a relação entre os recursos do trabalho (níveis salariais e oportunidades de promoção) e o desempenho profissional. Os resultados desta investigação contribuem para uma compreensão mais profunda dos desafios enfrentados pelos hospitais de MTC. Têm implicações significativas para os decisores políticos e os administradores hospitalares em áreas como o desenvolvimento e a gestão dos recursos humanos, os estilos de liderança e as exigências emocionais dos médicos. Além disso, esta investigação estende a aplicação do Modelo Exigências-Recursos do Trabalho ao contexto dos hospitais de MTC na China, enriquecendo assim a literatura neste domínio.
dc.format.none.fl_str_mv application/pdf
application/octet-stream
dc.identifier.none.fl_str_mv http://hdl.handle.net/10071/34065
dc.language.none.fl_str_mv eng
dc.rights.none.fl_str_mv http://purl.org/coar/access_right/c_abf2
dc.subject.none.fl_str_mv Job Demands-Resources Model
Job performance
Traditional Chinese medicine hospitals
Transformational leadership
Transactional leadership
Modelo Exigências-Recursos do Trabalho
Desempenho profissional
Hospital de medicina tradicional chinesa
Liderança transformacional
Liderança transacional
dc.title.fl_str_mv Does leadership style moderate the relationship between job demands, job resources and doctors' job performance?: Evidence from traditional Chinese medicine hospitals
dc.type.none.fl_str_mv http://purl.org/coar/resource_type/c_db06
description Over the past decade, the Chinese government has vigorously promoted the development of traditional Chinese medicine (TCM) hospitals. However, in comparison to the rapid and effective diagnostic methods of Western medicine, TCM hospitals primarily rely on manual diagnostic techniques. As a result, their performance lags behind that of their Western counterparts. This paper aims to investigate the association between work demands (workload and emotional demands), work resources (salary levels and promotion opportunities), and doctors’ job performance in TCM hospitals through the lens of the Job Demands-Resources Model. Additionally, it examines the moderating effects of different leadership styles (transformational and transactional leadership) on doctors’ job performance. Using 958 valid questionnaires collected from 10 TCM hospitals in Guangdong Province, regression analysis revealed that (1) job resources (salary level and promotion opportunity) were positively associated with the work engagement of employees in TCM hospitals; (2) job demands (emotional demands and workload) were positively associated with burnout of employees in TCM hospitals; (3) work engagement played a mediating role between job resources (salary level and promotion opportunity) and job performance; (4) burnout played a mediating role between job demands (emotional demands and workload) and job performance; and (5) transformational leadership accentuated the relationship between job resources (salary level and promotion opportunity) and job performance. The findings of this research contribute to a deeper understanding of the challenges encountered by TCM hospitals. These results hold significant implications for policymakers and hospital administrators in areas such as human resource development and management, leadership styles, and the emotional demands of doctors. Furthermore, this study extends the application of the Job Demands-Resources Model to the context of TCM hospitals in China, thereby enriching the existing literature in this field.
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person_str_mv Li Jianwei
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spelling porOver the past decade, the Chinese government has vigorously promoted the development of traditional Chinese medicine (TCM) hospitals. However, in comparison to the rapid and effective diagnostic methods of Western medicine, TCM hospitals primarily rely on manual diagnostic techniques. As a result, their performance lags behind that of their Western counterparts. This paper aims to investigate the association between work demands (workload and emotional demands), work resources (salary levels and promotion opportunities), and doctors’ job performance in TCM hospitals through the lens of the Job Demands-Resources Model. Additionally, it examines the moderating effects of different leadership styles (transformational and transactional leadership) on doctors’ job performance. Using 958 valid questionnaires collected from 10 TCM hospitals in Guangdong Province, regression analysis revealed that (1) job resources (salary level and promotion opportunity) were positively associated with the work engagement of employees in TCM hospitals; (2) job demands (emotional demands and workload) were positively associated with burnout of employees in TCM hospitals; (3) work engagement played a mediating role between job resources (salary level and promotion opportunity) and job performance; (4) burnout played a mediating role between job demands (emotional demands and workload) and job performance; and (5) transformational leadership accentuated the relationship between job resources (salary level and promotion opportunity) and job performance. The findings of this research contribute to a deeper understanding of the challenges encountered by TCM hospitals. These results hold significant implications for policymakers and hospital administrators in areas such as human resource development and management, leadership styles, and the emotional demands of doctors. Furthermore, this study extends the application of the Job Demands-Resources Model to the context of TCM hospitals in China, thereby enriching the existing literature in this field.porNa última década, o governo chinês promoveu vigorosamente o desenvolvimento de hospitais de medicina tradicional chinesa (MTC). No entanto, em contraste com a medicina ocidental com métodos de diagnóstico rápidos e eficazes, os hospitais de MTC baseiam-se principalmente em técnicas de diagnóstico manuais. Consequentemente, o seu desempenho fica aquém do dos seus congéneres ocidentais. Com base no Modelo Exigências-Recursos do Trabalho ("Job Demands-Resources"), esta tese tem como objetivo investigar a associação entre as exigências do trabalho (volume de trabalho e exigências emocionais), os recursos do trabalho (níveis salariais e oportunidades de promoção) e o desempenho profissional dos médicos nos hospitais de MTC. Além disso, examina os efeitos moderadores dos diferentes estilos de liderança (liderança transformacional e transacional) no desempenho profissional dos médicos. Utilizando 958 questionários válidos reconhidos em 10 hospitais de MTC na província de Guangdong, a análise de regressão revelou que (1) os recursos do trabalho (níveis salariais e oportunidades de promoção) estavam positivamente associados ao compromisso com o trabalho ("work engagement") dos trabalhadores dos hospitais de MTC; (2) as exigências do trabalho (exigências emocionais e volume de trabalho) estavam positivamente associadas ao esgotamento ("burnout") dos trabalhadores dos hospitais de MTC; (3) o compromisso com o trabalho desempenhou um papel mediador entre os recursos do trabalho (níveis salariais e oportunidades de promoção) e o desempenho profissional; (4) o esgotamento desempenhou um papel mediador entre as exigências do trabalho (exigências emocionais e volume de trabalho) e o desempenho profissional; e (5) a liderança transformacional acentuou a relação entre os recursos do trabalho (níveis salariais e oportunidades de promoção) e o desempenho profissional. Os resultados desta investigação contribuem para uma compreensão mais profunda dos desafios enfrentados pelos hospitais de MTC. Têm implicações significativas para os decisores políticos e os administradores hospitalares em áreas como o desenvolvimento e a gestão dos recursos humanos, os estilos de liderança e as exigências emocionais dos médicos. Além disso, esta investigação estende a aplicação do Modelo Exigências-Recursos do Trabalho ao contexto dos hospitais de MTC na China, enriquecendo assim a literatura neste domínio.application/pdfapplication/octet-streamengporDoes leadership style moderate the relationship between job demands, job resources and doctors' job performance?: Evidence from traditional Chinese medicine hospitalsLi JianweiHandlehttp://hdl.handle.net/10071/34065ISBNIsPartOf978-989-584-088-5DOIurn:tid:101725914URNTID:1017259142024-11-122024-11-12T00:00:00Z2024-03http://purl.org/coar/access_right/c_abf2open accessporJob Demands-Resources ModelporJob performanceporTraditional Chinese medicine hospitalsporTransformational leadershipporTransactional leadershipporModelo Exigências-Recursos do TrabalhoporDesempenho profissionalporHospital de medicina tradicional chinesaporLiderança transformacionalporLiderança transacional2645432 bytes895748 byteshttp://purl.org/coar/access_right/c_abf2application/pdffulltexthttps://repositorio.iscte-iul.pt/bitstreams/a047aba1-2101-4396-a58e-c7583a9ab5dd/downloadhttp://purl.org/coar/access_right/c_abf2application/octet-streamfulltexthttps://repositorio.iscte-iul.pt/bitstreams/fd0c152e-3eef-4827-a907-a23f0c030963/downloadother research producthttp://purl.org/coar/resource_type/c_db06doctoral thesis
spellingShingle Does leadership style moderate the relationship between job demands, job resources and doctors' job performance?: Evidence from traditional Chinese medicine hospitals
Li Jianwei
Job Demands-Resources Model
Job performance
Traditional Chinese medicine hospitals
Transformational leadership
Transactional leadership
Modelo Exigências-Recursos do Trabalho
Desempenho profissional
Hospital de medicina tradicional chinesa
Liderança transformacional
Liderança transacional
status SINGLETON
subject.fl_str_mv Job Demands-Resources Model
Job performance
Traditional Chinese medicine hospitals
Transformational leadership
Transactional leadership
Modelo Exigências-Recursos do Trabalho
Desempenho profissional
Hospital de medicina tradicional chinesa
Liderança transformacional
Liderança transacional
title Does leadership style moderate the relationship between job demands, job resources and doctors' job performance?: Evidence from traditional Chinese medicine hospitals
title_full Does leadership style moderate the relationship between job demands, job resources and doctors' job performance?: Evidence from traditional Chinese medicine hospitals
title_fullStr Does leadership style moderate the relationship between job demands, job resources and doctors' job performance?: Evidence from traditional Chinese medicine hospitals
title_full_unstemmed Does leadership style moderate the relationship between job demands, job resources and doctors' job performance?: Evidence from traditional Chinese medicine hospitals
title_short Does leadership style moderate the relationship between job demands, job resources and doctors' job performance?: Evidence from traditional Chinese medicine hospitals
title_sort Does leadership style moderate the relationship between job demands, job resources and doctors' job performance?: Evidence from traditional Chinese medicine hospitals
topic Job Demands-Resources Model
Job performance
Traditional Chinese medicine hospitals
Transformational leadership
Transactional leadership
Modelo Exigências-Recursos do Trabalho
Desempenho profissional
Hospital de medicina tradicional chinesa
Liderança transformacional
Liderança transacional
topic_facet Job Demands-Resources Model
Job performance
Traditional Chinese medicine hospitals
Transformational leadership
Transactional leadership
Modelo Exigências-Recursos do Trabalho
Desempenho profissional
Hospital de medicina tradicional chinesa
Liderança transformacional
Liderança transacional
url http://hdl.handle.net/10071/34065
visible 1