High core self‐evaluation maintains patient oriented behavior: A motivational model of reward system

• Published date: 01 May 2022
• Author: Sajjad Ahmad Baig,Muhammad Zia Ur Rehman,Anam Naz,Khalid Jamil
• Date: 01 May 2022
• DOI: http://doi.org/10.1002/pa.2488

ACADEMIC PAPER

High core self-evaluation maintains patient oriented behavior:

A motivational model of reward system

Sajjad Ahmad Baig

1

| Muhammad Zia Ur Rehman

1

| Anam Naz

1

| Khalid Jamil

2

1

Department of Management Sciences,

National Textile University, Faisalabad,

Pakistan

2

Economics and Management School, North

China Electric Power University, Beijing, China

Correspondence

Khalid Jamil, School of Economics and

Management, North China Electric Power

University, Changping District, Beijing 102206,

China.

Email: khalidjamil2020@yahoo.com

Healthcare industry plays a vital role in the betterment of society. In this context, the

hospitals are paying more attention for providing more pay and rewards to their

employees to improve the motivation level and patient-oriented behavior. The cur-

rent study investigates the effect of the rewards and core self-evaluation (CSE) on

employee motivation and their patient-oriented behavior (POB) in the healthcare sec-

tor A cross-sectional survey was conducted and data was collected from 226 nurses

of public sector hospitals of Pakistan through questionnaires. SPSS 23, used for

descriptive statistics and PLS-SEM 3 was used for analysis purpose. The results

reveal that the reward system, CSE, and employee motivation had an impact on POB.

However, the reward system non-significantly negatively affects POB and positively

affects employee motivation. Employee motivation positively mediates the relation-

ship between the reward system and POB. The CSE as moderate the relationship

between the reward system (RS) and employee motivation (EM) as well as moderate

the intervening effect of EM between the RS and POB.

1|INTRODUCTION

The guidelines for healthcare services are provided in accordance with

human observation and response. Due to the growing expectations

with the healthcare services, the frontline healthcare service providers

are confronted with challenges of quickly changing the working envi-

ronment. In this study, the rewards and motivation for the healthcare

service providers prompt to the patient-oriented behavior (POB). It

would have a positive effect, enhancing patient's general satisfaction

in the hospitals with improvement. Healthcare industry does a critical

enhancing patient's general satisfaction in the hospitals with improve-

ment. Healthcare industry does a critical role in any country; the infra-

structure of healthcare industry in Pakistan is very strong, which

consists of Rural Health Centers (RHC), Tehsil Headquarter Hospitals

(THQs), and Basic Health Units (BHU), Tertiary Care/Teaching hospi-

tals (THC) and District Headquarter Hospitals (DHQ). Healthcare

department provides preventive, primitive as well as therapeutic ser-

vices. The infrastructure of healthcare industry in According to

Glen (1998) nursing is an art, and it may genuinely express the value

of nursing care. The nurse and patient relationship have developed

through the execution of obligations, associated with special needs.

Indeed, Care is known as “the attention to special needs.”This job

requires special skills. These skills include the advancement of pas-

sionate and inspirational states that are reasonable to the

nursing work.

Nursing is the major part of Pakistan's healthcare industry, pres-

ented the frontline management of hospitals which directly deals with

patients. Initially, in Pakistan, the healthcare services were poorly

established, and the rate of employment in the healthcare industry

was near to ground. Since 1951, the Government has been concen-

trating on the advancement and upgrading of the health care facilities.

One of the most important steps is to increase the rate of funding to

Pakistan Nursing Council Clinics. The Nursing board (PNCC) plays a

crucial role to give excellent healthcare and nursing services to the

patients.

In Pakistan, the scenario for the reward system (RS) is not devel-

oped. Due to lack of motivational rewards for health care employees

of hospitals, patient centered behavior is affected. These situations

create demotivated employees due to which service-based climate of

hospitals is affected badly.

According to Janus (2010), in the healthcare services sector, HRM

faces many difficulties. Firstly, it searches for highly specialized

Received: 5 August 2020 Revised: 8 September 2020 Accepted: 11 September 2020

DOI: 10.1002/pa.2488

J Public Affairs. 2022;22:e2488. wileyonlinelibrary.com/journal/pa © 2020 John Wiley & Sons Ltd 1of11

https://doi.org/10.1002/pa.2488