Purpose: Due to increasing cost pressures, and the necessity to ensure high quality patient care while maintaining a safe environment for patients and staff, interest in the capacity for HRM practices to make a difference has piqued the attention of healthcare professionals. The purpose of this study is to present and test a model whereby engagement mediates the relationship between four HRM practices and quality of care and safety in two different occupational groups in healthcare, namely, nurses and administrative support workers.
Design/methodology/approach: Structural equation modelling was used to analyzequestionnaire data collected by the National Health Service in the United Kingdom as part of their 2011 Staff Survey (n=69,018). We tested the hypotheses for nurses and administrative support workers separately.
Findings:Training, participation in decision-making, opportunities for development, and communication were positively related to quality of care and safety via work engagement.The strength of the relationships was conditional on whether an employee was a nurse or administrative support worker.Originality/value: This is the first paper to examine the mediating role of engagement on the relationship between four relevant HRM practices in the healthcare context, and outcomes important to healthcare practitioners. We also add value to the HRM literature by being among the first to use the Job Demands Resources Model to explain the impact of HRM practices on performance outcomes. Moreover, we provide insight into how HRM practices affect outcomes in the world's largest publicly funded healthcare service.Keywords: perceptions of HRM practices; engagement; safety; quality of care; healthcare
PERCEPTIONS OF HRM PRACTICES ENGAGEMENT HEALTHCARE 2Research has established the critical importance of Human Resource Management (HRM) practices in the healthcare sector for promoting positive outcomes for patients, staff, and organizations (e.g. Ang et al., 2013;Baluch et al., 2013;Townsend et al., 2013).Although this budding area of HRM research indicates the capability of HRM practices to make a difference, there remain a number of pressing unanswered questions. For instance, few studies have focused on the effect of HRM practices on outcomes that are tailored to the healthcare context, and still fewer have examined individual HRM practices, rather than bundles of HRM practices on such outcomes. Moreover, little is known about the psychological mechanism that explains the relationship between HRM practices and outcomes of strategic importance to healthcare organizations. This study was designed to address these gaps in the literature. Indeed, the purpose of the present study is to develop and test a model of the mediating role of engagement on the relationship between HRM practices and quality of care and safety (Veld et al., 2010). In other words, our research question is:Does engagement mediate the relationship between HRM practices and outcomes of relevance to healthcare organizations? Engagement is at t...