Relationship between Psychological Empowerment of Managers with Performance Accountability in Hospitals Affiliated to Tehran University of Medical Sciences, Tehran, Iran

Document Type: Original Article

Author

Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.

Abstract

Introduction: The most important functions of the organization are accountability. The only sustainable competitive advantage in any organization, is its employee and their role in the success of the organization that it is possible through empowerment and job satisfaction. The aim of this study was to determine the relationship between psychological empowerment of managers with performance accountability in Hospitals at Tehran University of Medical Sciences.
Material and Methods:This cross-sectional analytic study was performed in 2014 among 110 top and middle managers in 12 hospitals at Tehran University of Medical Sciences. The sample size was calculated based on the formula for determining sample size in correlation studies. The data were collected via the psychological empowerment questionnaire and performance accountability checklist. The analysis was carried out with the SPSS 18 software and Statistical methods used are descriptive (frequency, mean, percent) and analytical statistics (Pearson correlation).
Results: In general, the condition of performance accountability of hospitals and managers' psychological empowerment was "good". The total mean on feeling of meaningful (4.33±0.72), competence (4.29±0.62) and impact of managers (3.81±0.78) was 'high' but on feeling of self determination (3.62±0.80) and trust (3.47±0.82) was average. There was no significant correlation between the psychological empowerment and performance accountability (P>0/05).
Conclusion: In order to improve the conditions in health sectors, more attention to weaknesses in accountability should be a priority for managers to deal with the problems. Empowerment of managers can play an important role in implementation of tasks and thus reaching the level of the logical and appropriate accountability.

Keywords


1- Griffin DJ. Hospitals: what they are and how they work. Massachusetts: Jones & Bartlett Publishers; 2006. 
2- Ghaniyoun A, Shakeri K, Heidari M. The association of psychological empowerment and job burnout in operational staff of Tehran emergency center. Indian J Crit Care Med. 2017; 21(9):563-7.  
3- Sehat A, Khallaghi A. The relationship between creativity and leadership style and educational productivity in technical & vocational colleges. J Technol Educ. 2012;6(4):317-27. 
4- Gözükara İ, Çolakoğlu N, Şimşek ÖF.Development culture and TQM in Turkish healthcare: importance of employee empowerment and top management leadership.Total Qual Manag Bus Excell. 2018; 29(5):1-17.  
5- Martin Folgueras T, Ballesteros Pomar MD,Burgos Peláez R, Calvo Hernández MV,Luengo Pérez LM, Irles Rocamora JA, et al.Organization and management of clinical nutrition in Spain. How do we assess the quality of our activities? Nutr Hosp. 2017;34(4):989-96. 
6- Hodavand S, Sadeghiyan S. The matters of effectiveness in gaining employees’empowerment. Tadbir. 2007; 180:54-61. 
7- Whetten DA, Cameron KS. Developing management skills. New York: Addison Wesley; 1998. 
8- Abolalaei B. Performance management.Tehran: Industrial Management Institute;2010. 
9- Gholami S, Ghafourian H, Mannavipour D.Relationship between the organizational intelligence and the managers’ performance.J Modern Indust Organ Psychol. 2011;2(6):89-99.
10- Shakour M, Bazrafkan L, Alizadeh M, Ghasemi M. Assessing the leadership styles and effectiveness of administrators in Isfahan university of medical sciences in 2009. Iran J Med Educ. 2012; 11(9):1255-64. 
11- Connolly M, Jacobs S, Scott K. Clinical leadership, structural empowerment and psychological empowerment of registered nurses working in an emergency department.J Nurs Manag. 2018; 26(7):881-7.  
12- Fan Y, Zheng Q, Liu S, Li Q. Construction of a new model of job engagement, psychological empowerment and perceived work environment among Chinese registered nurses at four large university hospitals:
implications for nurse managers seeking to enhance nursing retention and quality of care. J Nurs Manag. 2016; 24(5):646-55.  
3- Mahboubi M, Tabibi J, Ghahramani F, Nasiripour AA, Gouhari MR. A model for evaluation and validation of different dimensions of accountability in teaching hospitals in Iran, 2012. J Health Administ. 2013; 51(6):73-85. 
4- Thompson JM. Understanding and managing organizational change: implications for public health management. J Public Health Manag Pract. 2010; 16(2):167-73.  
5- Bayat M. Performance accountability system survey in Hazrat-E-Rasool Hospital in Tehran, 2004. Tehran: Iran University of Medical Sciences; 2004. 
6- Zahedi S, Khanlou N. Foresight of Iran health & hygiene’s NGOs accountability. Iran J Manag Sci. 2011; 6(21):47-76. 
7- Manuel J, Crowe M. Clinical responsibility,accountability, and risk aversion in mental health nursing: a descriptive, qualitative
study. Int J Ment Health Nurs. 2014; 23(4):336-43.  
8- Chan M, Kazatchkine M, Lob-Levyt J, Obaid T, Schweizer J, Sidibe M, et al. Meeting the demand for results and accountability: a call for action on health data from eight global health agencies. PLoS Med. 2010; 7(1):e1000223.  
9- Rosner B. Fundamentals of biostatistics. 6th ed. Toronto: Nelson Education; 2006.  
0- Thomas KW, Velthouse BA. Cognitive elements of empowerment: an “interpretive”model of intrinsic task motivation. Acad Manag Rev. 1990; 15(4):666-81. 
1- Spreitzer GM. Psychological empowerment in the workplace: dimensions, measurement, and validation. Acad Manag J. 1995; 38(5):1442-65. 
2- Mahmudreza G, Jamalodin TS, Amirashkan N, Mohammad M. Seven dimensions of accountability in Iran's teaching hospitals: a national study. Payavard Salamat. 2012;6(4):of255-64.  
3- Tabibi J, Nasiripour AA, Gohari MR, Mahboubi M. Educational hospitals accounttability of Iran from the perspective of veterans. Iran J War Public Health. 2013;5(17):1-6. 
4- Dickert NW, Kass NE. Understanding respect:learning from patients. J Med Ethics. 2009;35(7):419-23.  
5- Javadi M, Karimi S, Reisi AR, Yaghoubi M, Kadkhodaie M. Organizational justice and responsiveness in selected private and public hospitals of Isfahan. J Sch Public Health Inst Public Health Res. 2011; 9(4):11-20. 
26- Pongsupap Y, Van Lerberghe W. Choosing between public and private or between hospital and primary care: responsiveness,patient-centredness and prescribing patterns in outpatient consultations in Bangkok. Trop Med Int Health. 2006; 11(1):81-9.  
27- Kebriaei A, Akbari F. Gaps in health care quality primary health care services provided by the city of Kashan. J Qazvin Univ Med Sci.2004;8(2):88. 
28- Abili KH, Nastezaie N. Surveying the relationship between psychological empowerment and organizational commitment in nursing staff. Toloo-e-Behdasht. 2008; 8(12):26-38.
29- Turani S, Yazdi Feyzabadi V, Gohari MR. The relationship between empowerment climate and perception empowerment’s employees
in teaching hospital of Kerman university of medical. Health Manag. 2008; 11(31):17-26. 
30- Mirkamali S, Hayat AS, Noruzy A, Jarahi N. The correlation of psychological empowerment, with job satisfaction and organizational commitment in University employees. Train Learn Res. 2010; 1(39):
15-30. 
31- Li H, Ying S, Li Y, Xing Z, Wang S, Ying J, et al. Relationship between nurse psychological empowerment and job satisfaction: a systematic review and meta-analysis. J Adv Nurs. 2018; 74(5):1264-77.  
32- Beyginia A, Sardari A, Najari Nejad H.The effect of cognitive empowering of strengthening factors of efficacy in human force productivity. J Public Administ Perspect.2010; 1(3):79-102. 
33- Trus M, Doran D, Martinkenas A, Asikainen P,Suominen T. Perception of work-related empowerment of nurse managers. J Res Nurs.2018; 23(2):1-14.  
34- Huang J. The relationship between employee psychological empowerment and proactive behavior: Self-efficacy as mediator. Soc Behav Personal Int J. 2017; 45(7):1157-66.  
35- Teymournejad K, Sarihi AR. Effects of organizational learning on psychological empowerment, in the ministry of Economic Affairs And Finance. JMSD.economic affairs and finance. J Manag Stud Dev Evaluat. 2010; 
20(62):37-59.