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Linking supportive leadership to satisfaction with care: proposing and testing a service-profit chain inspired model in the context of elderly care
University West, Department of Social and Behavioural Studies, Division of Psychology, Pedagogy and Sociology. (LINA)ORCID iD: 0000-0001-7164-0433
Department of Psychology, Gothenburg University, Goteborg, Sweden.
2021 (English)In: Journal of Health Organization & Management, ISSN 1477-7266, E-ISSN 1758-7247, Vol. 35, no 4, p. 492-510Article in journal (Refereed) Published
Abstract [en]

PURPOSE: As marketization has gained ground in elderly care, satisfaction with care has come to play a crucial role in designing for high-quality care. Inspired by the service-profit chain (SPC) model, the authors aimed to gain a deeper understanding of the intricate interplay between supportive leadership practices, organizational climate, job satisfaction and service quality by predicting satisfaction with care. DESIGN/METHODOLOGY/APPROACH: A Swedish sample of frontline elderly care staff (n = 1,342) participated in a cross-sectional questionnaire study. Mediation analyses were conducted to test the proposed model. FINDINGS: As predicted, engaging in supportive leadership practices was directly and positively associated with satisfaction with care. In addition, as predicted, this relationship was partially mediated by organizational climate and job satisfaction. Moreover, job satisfaction predicted satisfaction with care with service quality explaining a statistically significant part of this relationship. PRACTICAL IMPLICATIONS: Managers in elderly care services may improve satisfaction with care in multiple ways but primarily by showing that they care about the staff and ensuring that they are satisfied with their working conditions. Employee job satisfaction seems to be particularly crucial for satisfaction with care, beyond what can be accounted for by care service quality. ORIGINALITY/VALUE: The authors proposed a novel service-outcome model. Adding to the original SPC model, the model in this study suggested and validated previously unexplored relationships including a direct path between leadership practices and satisfaction with service and a multiple-mediator model explaining this relationship. Also, new measures of organizational climate and supportive leadership were developed for which satisfactory reliability estimates were obtained.  

Place, publisher, year, edition, pages
NLM (Medline) , 2021. Vol. 35, no 4, p. 492-510
Keywords [en]
aged; article; elderly care; employee; female; human; human experiment; human tissue; job satisfaction; leadership; major clinical study; male; manager; mediation analysis; organizational climate; profit; reliability; work environment
National Category
Psychology (excluding Applied Psychology)
Identifiers
URN: urn:nbn:se:hv:diva-16403DOI: 10.1108/JHOM-10-2020-0393ISI: 000624077300001PubMedID: 33629577Scopus ID: 2-s2.0-85102157448OAI: oai:DiVA.org:hv-16403DiVA, id: diva2:1539546
Available from: 2021-03-24 Created: 2021-03-24 Last updated: 2022-04-01Bibliographically approved

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