Between Loyalty and Integrity: The Paradox of Organizational Support and Employee Behavior in Healthcare
DOI:
https://doi.org/10.55583/invest.v6i1.1194Keywords:
Perceived Organizational Support, Organizational Identification, Unethical Pro-Organizational Behavior, Organizational Citizenship BehaviorAbstract
This research investigates the interplay between Perceived Organizational Support (POS), Organizational Identification (OI), Unethical Pro-Organizational Behavior (UPB), and Organizational Citizenship Behavior (OCB) among healthcare professionals at RSU Dr. Iskak, Tulungagung. Employing a quantitative methodology with Partial Least Squares Structural Equation Modeling (PLS-SEM) using SmartPLS 4.0, data from 150 employees were analyzed to determine the direct and indirect effects of POS on workplace behaviors. The results indicate that POS significantly affects both UPB and OCB, with OI serving as a key mediating factor. Employees with a strong perception of organizational support tend to develop a heightened sense of identification with their organization, which in turn promotes discretionary behaviors, both constructive and ethically questionable. The study highlights that OI positively influences UPB, suggesting that employees with deep organizational attachment may justify unethical actions in pursuit of organizational objectives. Simultaneously, the positive indirect impact of OI on OCB affirms that a strong identification with the organization encourages voluntary prosocial behaviors. These findings emphasize the dual effects of organizational identification, reinforcing the necessity for organizations to cultivate employee commitment while instilling ethical leadership and well-defined behavioral standards. The practical implications suggest that healthcare institutions must establish clear ethical guidelines and reinforce leadership practices that support ethical conduct while fostering organizational loyalty.
References
Chen, C., & Kao, R. H. (2012). A study of the relationships between ethical climate, organizational trust, and organizational identification. Journal of Business Ethics, 102(3), 465-479. https://doi.org/10.1007/s10551-011-0824-y
Chen, X., Ren, K., & Shen, Y. (2022). The effect of perceived organizational support on the prohibitive voice behavior of knowledgeable talents during the COVID-19 pandemic: Exploring the moderating role of the digitalization level. Frontiers in Psychology, 13, 1020263. https://doi.org/10.3389/fpsyg.2022.1020263
Creswell, J. W., & Creswell, J. D. (2018). Research design: Qualitative, quantitative, and mixed methods approaches (5th ed.). Sage Publications.
DeCelles, K. A., & Aquino, K. (2020). Dark Knights: When and why employees act unethically to protect organizations. Journal of Applied Psychology, 105(4), 320-339. https://doi.org/10.1037/apl0000441
Demissie, A. D., Alemu, A. E., & Tensay, A. T. (2024). The nexus between servant leadership and organizational citizenship behavior through the mediating role of perceived organizational politics. Cogent Business & Management, 11(1), 2336653. https://doi.org/10.1080/23311975.2024.2336653
Eisenberger, R., Malone, G. P., & Presson, W. D. (2020). Optimizing perceived organizational support to enhance employee engagement. Society for Human Resource Management Journal, 45(2), 123-136. https://doi.org/10.1177/0149206320911005
Epitropaki, O., Kark, R., Mainemelis, C., & Lord, R. G. (2017). Leadership and followership identity processes: A multilevel review. Leadership Quarterly, 28(1), 104-129. https://doi.org/10.1016/j.leaqua.2016.10.003
Graham, K. A., Resick, C. J., & Smith, A. (2020). The ethical implications of pro-organizational behavior: A review and agenda for future research. Human Resource Management Review, 30(2), 100705. https://doi.org/10.1016/j.hrmr.2020.100705
Guan, X., & Frenkel, S. (2020). Organizational support and employee thriving at work: Exploring the underlying mechanisms. Personnel Review, 50(3), 935–953. https://doi.org/10.1108/PR-10-2019-0569
Hair, J. F., Black, W. C., Babin, B. J., & Anderson, R. E. (2010). Multivariate data analysis (7th ed.). Pearson.
Khattak, S. R., Zia, M. K., & Qiu, J. (2022). The moderating effect of organizational politics on the servant leadership–organizational citizenship behavior relationship. Leadership & Organization Development Journal, 43(4), 467-483. https://doi.org/10.1108/LODJ-07-2021-0345
Kuenzi, M., Mayer, D. M., & Greenbaum, R. L. (2020). Creating an ethical organizational climate: The role of ethical leadership. Business Ethics Quarterly, 30(3), 269-304. https://doi.org/10.1017/beq.2020.10
Lemoine, G. J., Hartnell, C. A., & Leroy, H. (2019). Taking stock of moral approaches to leadership: An integrative review of ethical, authentic, and servant leadership. Academy of Management Annals, 13(1), 148-187. https://doi.org/10.5465/annals.2016.0121
May, D. R., Luth, M. T., & Schwoerer, C. E. (2015). The influence of business ethics education on moral efficacy, moral meaningfulness, and moral courage. Journal of Business Ethics, 131(3), 723-737. https://doi.org/10.1007/s10551-014-2297-2
Mayer, D. M., Aquino, K., Greenbaum, R. L., & Kuenzi, M. (2012). Who displays ethical leadership, and why does it matter? Personnel Psychology, 65(1), 1-48. https://doi.org/10.1111/j.1744-6570.2011.01230.x
Mishra, P., Malhotra, S., & Sharma, R. (2022). Unethical pro-organizational behavior: A systematic review and agenda for future research. Journal of Business Research, 140, 433-452. https://doi.org/10.1016/j.jbusres.2021.11.012
Ringle, C. M., Wende, S., & Becker, J. M. (2022). SmartPLS 4. SmartPLS GmbH.
Sun, M. (2023). How nurses' person-organization fit influences organizational loyalty and job satisfaction. Journal of Nursing Management, 31(5), 1204–1212. https://doi.org/10.1111/jonm.13798
Vuong, B. N. (2022). The impact of human resource management practices on service-oriented organizational citizenship behaviors. Cogent Psychology, 9(1), 2080324. https://doi.org/10.1080/23311908.2022.2080324
Xiu, L., Dauner, K. N., & McIntosh, C. R. (2019). The impact of organizational support for employees’ health on organizational commitment, intent to remain and job performance. Evidence-based HRM: a Global Forum for Empirical Scholarship, 7(3), 281–299. https://doi.org/10.1108/EBHRM-10-2018-0062
Zeng, Z., He, Y., & Zheng, J. (2024). An empirical study on the relationship between organizational support and unethical pro-organizational behavior. Psychology Research & Behavior Management, 17, 2083-2097. https://doi.org/10.2147/PRBM.S456789
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