Journal of Health Organization and Management最新文献

{"title":"The impact of leadership and workload on healthcare employee affective well-being: does career calling matter?","authors":"Jiatian Chen, Matt Deeg, Pratigya Sigdyal","doi":"10.1108/JHOM-11-2024-0440","DOIUrl":"10.1108/JHOM-11-2024-0440","url":null,"abstract":"<p><strong>Purpose: </strong>As concerns for healthcare employee retention have grown, organizations are seeking new ways to improve employees' well-being. Drawing on the job demands-resources model, we identify two key predictors of affective well-being (i.e. leadership quality and workload) and articulate ways in which a sense of career calling moderates the main effects.</p><p><strong>Design/methodology/approach: </strong>Responses from 396 employees working in 18 healthcare facilities in the Midwest USA were analyzed using structural equation modeling (SEM) to examine support for the hypotheses' main and moderating effects.</p><p><strong>Findings: </strong>Results indicated that leadership quality related positively to affective well-being and workload related negatively. In addition, calling interacted with leadership quality, not workload, to influence well-being such that the stronger the calling, the weaker the relationship. In post hoc analyses, this pattern of interaction was found to apply to both measures of positive and negative affect.</p><p><strong>Practical implications: </strong>Our study provides guidance for healthcare organizations, emphasizing the critical role of high-quality leadership in enhancing employees' well-being. Our findings help healthcare leaders identify where to focus their efforts. Specifically, the study suggests that employees with a weaker calling stand to gain the most in affective well-being from high-quality leadership.</p><p><strong>Originality/value: </strong>This study is the first one to empirically examine the interaction effect between leadership and calling as it influences employees' well-being. Additionally, it contributes to the existing literature by examining affective well-being among healthcare workers, a combination that has been omitted by past research.</p>","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":" ","pages":"612-628"},"PeriodicalIF":2.2,"publicationDate":"2026-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145233770","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Navigating uncertainty: a qualitative exploration of supply chain risks in Pakistani hospitals in the post-COVID-19 era.","authors":"Zunaira Sajjad, Afshan Naseem, Asjad Shahzad","doi":"10.1108/JHOM-01-2025-0027","DOIUrl":"10.1108/JHOM-01-2025-0027","url":null,"abstract":"<p><strong>Purpose: </strong>The post-COVID-19 era in Pakistan is marked by economic turbulence and political instability. These circumstances have significantly disrupted the supply chains of numerous industries, including healthcare. The aim of this study is to explore the supply chain risk factors faced by hospitals in the post-COVID-19 era.</p><p><strong>Design/methodology/approach: </strong>A Qualitative inductive approach was adopted for this study. Semi-structured interviews were conducted with 12 supply chain professionals working at various Pakistani hospitals. Thematic analysis was carried out, generating six main themes that impact the supply chain of the hospitals: (1) organizational risks, (2) political and regulatory risks, (3) external risks, (4) financial risks, (5) supplier risks and (6) demand risks.</p><p><strong>Findings: </strong>Organizational risks, including employees' resistance to change and staff turnover, highlight the critical need for robust human resource strategies. Hospitals are particularly vulnerable to uncertain governance and economic policies, which are reflected in political and regulatory disruptions that are made worse by import bans, delays in customs clearance, strikes and communication blackouts. External risks such as counterfeit medicines, compromise patient safety and treatment outcomes. Financial risks, such as dollar rate fluctuations and tax revisions and Supplier-related risks, such as single-source supplier monopoly, further enhance the vulnerability of the supply chain.</p><p><strong>Originality/value: </strong>The article fills the gap in the literature by adopting a qualitative approach, offering an in-depth understanding of risk factors impacting the supply chain of Pakistani hospitals. The study highlights that with the changing economic and political scenario, new risks have emerged, including political, regulatory and financial challenges, which have been largely overlooked in the previous studies. This study enriches our understanding by exploring these factors in the post-pandemic era, particularly in the context of a developing country like Pakistan.</p>","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":" ","pages":"435-456"},"PeriodicalIF":2.2,"publicationDate":"2026-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974090","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Organisational professional support measures to enhance mental health and wellbeing in female healthcare workers: an umbrella review.","authors":"Lauren Kate Smith, Kimberly Khor, Matthew McGrail, Lucylynn Lizarondo, Martelle Ford, Bahram Sangelaji, Priya Martin","doi":"10.1108/JHOM-04-2025-0181","DOIUrl":"10.1108/JHOM-04-2025-0181","url":null,"abstract":"<p><strong>Purpose: </strong>This study aims to synthesise evidence on organisational professional support measures that enhance female healthcare workers' mental health and wellbeing. Female healthcare workers face high rates of mental health challenges, impacting their ability to provide optimal care.</p><p><strong>Design/methodology/approach: </strong>This umbrella review adhered to the nine-step pathway to conducting umbrella reviews by Cant et al. (2022) and reported following the Preferred Reporting Items for Overview of Reviews checklist (Pollock, 2019). A search of Embase, Medline, CINAHL via EBSCO and the Cochrane Library for English language papers from January 2011 onwards was conducted (search date: February 2024). Following an identification of relevant papers and data extraction, themes were developed using a narrative synthesis approach.</p><p><strong>Findings: </strong>In total, 32 systematic reviews met the inclusion criteria. From the data synthesis, four themes were developed, namely lack of studies specific to female healthcare workers, diversity and variability of interventions, interventions best related to staff outcomes versus organisational outcomes and social connections at work can be supportive or stressful.</p><p><strong>Originality/value: </strong>Evidence supports that person-directed interventions including cognitive-behavioural therapy and relaxation measures may enhance staff-level outcomes. In contrast, organisation-directed interventions such as clinical supervision and mentoring, or a combination of person- and organisation-centred interventions, appear to enhance both staff and organisational outcomes. Limitations in existing studies highlight the need for improved research conduct and reporting.</p>","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":" ","pages":"567-594"},"PeriodicalIF":2.2,"publicationDate":"2026-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145041730","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Corrigendum: How sensory marketing affects perceived service quality and customer satisfaction: study in Vietnam public hospitals.","authors":"","doi":"10.1108/JHOM-03-2026-0339","DOIUrl":"10.1108/JHOM-03-2026-0339","url":null,"abstract":"","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":" ","pages":"629"},"PeriodicalIF":2.2,"publicationDate":"2026-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147575954","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The influence of contextual factors on organisational performance: evidence from Portuguese hospitals.","authors":"Carlos Manuel Nunes, Patrícia Gomes, Joaquim Santana","doi":"10.1108/JHOM-10-2024-0404","DOIUrl":"10.1108/JHOM-10-2024-0404","url":null,"abstract":"<p><strong>Purpose: </strong>This study aims to investigate the impact of key contextual factors, specifically those related to governance structures and resource availability, on the operational and financial performance of hospitals.</p><p><strong>Design/methodology/approach: </strong>Adopting a quantitative research design, the analysis applies a multivariate regression model to assess the relationship between governance structure and the allocation of material, financial and human resources with hospital performance outcomes. Empirical data were collected from the official websites of 40 hospitals within the Portugue National Health Service (NHS) and the Ministry of Health's benchmarking platform.</p><p><strong>Findings: </strong>Findings indicate a significant and positive association between governance quality and the availability of financial and human resources, with both operational efficiency (measured through production outputs) and financial performance. In contrast, the presence of an external auditor, while essential for regulatory oversight, shows a negative correlation with financial resources, reflecting its role in financial scrutiny and constraint. A reduction in financial resources impacts, indirectly, on the hospital productivity.</p><p><strong>Originality/value: </strong>This study contributes to the health management literature by integrating multiple contextual variables, governance and organisational resources to evaluate their combined impact on hospital performance, a dimension still underexplored in empirical research. Furthermore, it introduces a novel methodological contribution by employing structural equation modelling (SEM) within the context of healthcare management. Although based on data from Portugal, the methodological and analytical framework is applicable to comparative studies and may be replicated in other national healthcare systems.</p>","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":" ","pages":"457-480"},"PeriodicalIF":2.2,"publicationDate":"2026-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144884085","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Research on regional digital innovation empowering public health emergency management capacity.","authors":"Yuxiang Hong, Wenhao Miao, Mengfan Zhang, Jie Zhang","doi":"10.1108/JHOM-09-2025-0540","DOIUrl":"https://doi.org/10.1108/JHOM-09-2025-0540","url":null,"abstract":"<p><strong>Purpose: </strong>Timely and effective response to public health emergencies has become an urgent task for all countries, which is also a major challenge to the public health organizations' emergency management capacity (EMCP). With the rapid development of information and communication technology, regional digital innovation has increasingly become an important means to improve EMCP. In this study, we analyzed the impact mechanism of regional digital innovation on EMCP.</p><p><strong>Design/methodology/approach: </strong>We adopted the fixed effect model as the basic regression model using the panel data of 31 provinces in China from 2011 to 2021.</p><p><strong>Findings: </strong>The results showed that regional digital innovation can improve EMCP. Moreover, the heterogeneity test results showed that in regions with low population aging, regional digital innovation has a stronger positive effect on EMCP. The positive impact of regional digital innovation on EMCP is significant only in areas with higher levels of education.</p><p><strong>Practical implications: </strong>Public organizations should formulate relevant policies and regulations to provide preferential policies, financial support and technical guidance for the transfer and transformation of digital innovation achievements in the area of public health.</p><p><strong>Originality/value: </strong>This study applied the theory of innovation ecosystem in the scenario of digital enabling public health emergency management.</p>","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":" ","pages":"1-18"},"PeriodicalIF":2.2,"publicationDate":"2026-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147692753","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring patient incivility impact on nurse retention: the mediating role of well-being.","authors":"Pilar Mosquera, Maria Eduarda Soares","doi":"10.1108/JHOM-11-2024-0451","DOIUrl":"https://doi.org/10.1108/JHOM-11-2024-0451","url":null,"abstract":"<p><strong>Purpose: </strong>Workplace incivility is a pervasive and costly feature in healthcare settings. This article focuses on incivility from patients towards nurses, for which research is still scarce. Based on the job demands-resources model, we analyse the combined effects of patient incivility and job autonomy on nurses' turnover intentions, through the mediating role of well-being.</p><p><strong>Design/methodology/approach: </strong>Through an online questionnaire shared on social networks, a sample of 201 nurses working in Portugal was obtained. The hypotheses under study were tested using structural equations modelling with partial least squares.</p><p><strong>Findings: </strong>Patient incivility is negatively related to nurses' well-being and retention. Multi-group analysis reveals that the relationship between patient incivility and turnover intention is significantly stronger for male nurses, suggesting that female nurses may be more prone to normalise patient incivility. Results also show a positive association between job autonomy and life satisfaction. Life satisfaction mediates the relationships between working conditions variables - patient incivility and job autonomy - and turnover intention.</p><p><strong>Practical implications: </strong>This study highlights the importance of healthcare managers implementing preventive measures against this pervasive feature of nurses' work settings.</p><p><strong>Originality/value: </strong>The article adds to previous research by proposing a broad model to analyse the joint and separate effects of job demands and job resources on nurses' life satisfaction and turnover intention. Furthermore, results from this study highlight the relevance of an overall cognitive evaluation of well-being, which has not been as extensively researched as measures of physical and mental health.</p>","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":" ","pages":"1-19"},"PeriodicalIF":2.2,"publicationDate":"2026-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147692806","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Physicians' attitudes toward artificial intelligence and ChatGPT: a cross-sectional study.","authors":"Nurperihan Tosun, Mustafa Tosun, Abdulkadir Güner","doi":"10.1108/JHOM-12-2025-0889","DOIUrl":"https://doi.org/10.1108/JHOM-12-2025-0889","url":null,"abstract":"<p><strong>Purpose: </strong>The increasing use of artificial intelligence (AI) and large language models such as ChatGPT in healthcare has highlighted the need to understand physicians' perceptions and readiness for clinical adoption.</p><p><strong>Design/methodology/approach: </strong>This cross-sectional study included 328 physicians. Data were collected through face-to-face surveys incorporating sociodemographic items, AI/ChatGPT knowledge and interaction questions, and two validated instruments (MAIRS and TAME-ChatGPT). Descriptive statistics, correlations, and simple linear regression were used to identify predictors of ChatGPT acceptance.</p><p><strong>Findings: </strong>Physicians demonstrated moderate awareness of AI, while nearly half lacked knowledge about ChatGPT. Among AI readiness dimensions, MAIRS-Ability was the strongest positive predictor of ChatGPT acceptance (β = 0.315, p < 0.001). Vision (β = 0.180, p = 0.001) and Ethics (β = 0.143, p = 0.010) also showed significant positive effects, whereas Cognition was not significant. Among sociodemographic variables, duration of medical practice (β = -0.295, p < 0.001) and marital status (β = -0.117, p = 0.035) negatively predicted ChatGPT acceptance. Knowledge about AI use in healthcare demonstrated the strongest positive association overall (β = 0.396, p < 0.001).</p><p><strong>Originality/value: </strong>Physicians exhibit cautious but growing interest in ChatGPT. AI competence, ethical sensitivity, and demographic factors significantly shape acceptance. Structured AI training and clear ethical guidelines are essential to support safe and effective integration of generative AI tools into clinical practice.</p>","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":" ","pages":"1-15"},"PeriodicalIF":2.2,"publicationDate":"2026-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147677740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enhancing cultural competence in healthcare: a cultural intelligence approach.","authors":"Emmy van Esch, Laszlo Sajtos, Hanoku Bathula","doi":"10.1108/JHOM-07-2025-0396","DOIUrl":"https://doi.org/10.1108/JHOM-07-2025-0396","url":null,"abstract":"<p><strong>Purpose: </strong>This study addresses the growing need for culturally competent healthcare by introducing cultural intelligence as a theoretically grounded framework for conceptualizing and operationalizing individual-level cultural competence. It aims to explore the real-world relevance of cultural intelligence in nurses' daily work and its impact on their performance and satisfaction.</p><p><strong>Design/methodology/approach: </strong>A mixed-methods convergent design was employed. The qualitative component explored how nurses perceive and navigate cultural dynamics in their daily work. The quantitative component examined the relationships between the four cultural intelligence components (meta-cognitive, cognitive, motivational, and behavioural) and nurses' job performance and satisfaction.</p><p><strong>Findings: </strong>The qualitative findings demonstrate three key themes: the self (i.e. the nurse), the other (i.e. the patients), and the context (i.e. the healthcare facility), each reflecting different aspects of cultural intelligence. The quantitative findings demonstrate that meta-cognitive cultural intelligence was positively associated with job performance and indirectly with job satisfaction. In contrast, cognitive cultural intelligence had a negative effect on performance. Motivational and behavioural cultural intelligence showed no significant effects on performance.</p><p><strong>Research limitations/implications: </strong>By integrating cultural intelligence into the healthcare management literature, this study establishes a foundation for future research and offers several directions for scholars to further examine the application of cultural intelligence in healthcare contexts.</p><p><strong>Practical implications: </strong>This study offers several practical recommendations for healthcare management on how to integrate cultural intelligence into training, recruitment, and organizational policy, so that healthcare institutions can better prepare their workforce to deliver equitable, culturally responsive care.</p><p><strong>Originality/value: </strong>The qualitative findings underscore the practical relevance of cultural intelligence in nurses' daily work and that the broader context plays an important role in shaping how cultural dynamics are perceived by nurses. The quantitative findings underscore that cultural competence is not merely about acquiring cultural knowledge but about developing the reflective and adaptive capabilities necessary to navigate complex, culturally diverse healthcare environments.</p>","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":" ","pages":"1-19"},"PeriodicalIF":2.2,"publicationDate":"2026-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147663250","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Connected but cautious: the role of social influence, performance expectancy and medicolegal risk in digital healthcare adoption.","authors":"Ammaz Sajid, Aitzaz Khurshid, Aitzaz Sajid, Shaiza Aslam","doi":"10.1108/JHOM-06-2025-0342","DOIUrl":"https://doi.org/10.1108/JHOM-06-2025-0342","url":null,"abstract":"<p><strong>Purpose: </strong>This research examines the determinants affecting the adoption of digital technologies within Pakistan's healthcare sector, employing the unified theory of acceptance and use of technology (UTAUT) framework.</p><p><strong>Design/methodology/approach: </strong>This study evaluated the roles of social influence (SI), medicolegal risk (MLR) and performance expectancy (PE) in shaping the adoption of digital technologies (ADT) and their impact on operational performance (OP). Data were collected via a survey from 352 healthcare professionals and analyzed employing the structural equation modeling technique through Smart-Pls.</p><p><strong>Findings: </strong>The results indicate that SI has a positive effect on adaptive decision-making, particularly in hierarchical institutional contexts, whereas market legal regulations act as a notable obstacle due to legal uncertainty and regulatory ambiguity. PE was shown to directly promote adoption and also mitigate the adverse impact of MLR. ADT was additionally confirmed as a mediating variable connecting external influences to operational outcomes.</p><p><strong>Originality/value: </strong>This research expands the UTAUT framework by integrating MLR as a domain-specific inhibitor and analyzing key constructs in the context of Hofstede's cultural dimensions pertinent to Pakistan, including high power distance and moderate uncertainty avoidance. This study provides a context-specific, empirically supported extension of the UTAUT framework applicable to healthcare systems in developing nations.</p>","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":" ","pages":"1-27"},"PeriodicalIF":2.2,"publicationDate":"2026-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147640103","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}