Unveiling the Influence of Empowerment Leadership on Employee Loyalty: the Mediating Role of Employee Trust and Job Satisfaction

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DOI:

https://doi.org/10.4995/jarte.2024.19546

Keywords:

Employee loyalty, employee trust, empowerment leadership, employee job satisfaction, private healthcare sector

Abstract

This study examines the influence of empowerment leadership on employee loyalty under the mediating roles of employee trust and job satisfaction among medical staff at the private healthcare system. The investigation was conducted by surveying 374 doctors, nurses, and other medical staffs within 19 cities/provinces in the south of Vietnam. The SmartPLS software was used to conduct the partial least squared structural equation modeling (PLS-SEM) technique. The findings from the PLS-SEM analysis reveal that empowerment leadership has a direct positive influence on the employee loyalty to the organization of medical staff as well as a positive impact on intermediate variables such as employee trust and employee job satisfaction. On the other hand, the intermediate variables employee trust and employee job satisfaction also have a positive impact on the employee loyalty toward the organization. This research not only contributes to the existing body of knowledge by evaluating the relationship between employee trust, empowerment leadership, job satisfaction, and employee loyalty but also offers valuable recommendations for the management board of private healthcare organizations in southern Vietnam.

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References

Ababneh, K. (2020). Effects of met expectations, trust, job satisfaction, and commitment on faculty turnover intentions in the United Arab Emirates (UAE). The International Journal of Human Resource Management, 31(2), 303-334. https://doi.org/10.1080/09585192.2016.1255904

Aityan, S., & Gupta, T. (2012). Challenges of Employee Loyalty in Corporate America. Business and Economics Journal, 3(1), 1-13. Retrieved from https://www.hilarispublisher.com/abstract/challenges-of-employee-loyalty-in-orporateamerica-29798.html

AlMazrouei, H. (2021). Empowerment leadership as a predictor of expatriates job performance and creative work involvement. International Journal of Organizational Analysis, ahead-of-print(ahead-of-print). https://doi.org/10.1108/IJOA-05-2021-2769

Al-Sada, M., Al-Esmael, B., & Faisal, M. N. (2017). Influence of organizational culture and leadership style on employee satisfaction, commitment and motivation in the educational sector in Qatar. EuroMed Journal of Business, 12(2), 163-188. https://doi.org/10.1108/EMJB-02-2016-0003

Arshad, M., Qasim, N., Farooq, O., & Rice, J. (2022). Empowering leadership and employees’ work engagement: a social identity theory perspective. Management Decision, 60(5), 1218-1236. https://doi.org/10.1108/MD-11-2020-1485

Asiedu, E. (2015). Supportive Organizational Culture and Employee Job Satisfaction: A Critical Source of CompetitiveAdvantage. International Journal of Economics & Management Sciences, 4(7), 1-8. https://doi.org/10.4172/2162-6359.1000272

Baoguo, X., & Mian, X. (2021). Chain Model of Employee Loyalty Management. Proceedings of the 8th International Conference on Innovation & Management, 710-713.

Bharadwaja, M., & Tripathi, N. (2020). Linking empowering leadership and job attitudes: the role of psychological empowerment. Journal of Asia Business Studies, 15(1), 110-127. https://doi.org/10.1108/JABS-03-2020-0098

Boamah, S., Spence Laschinger, H., Wong, C., & Clarke, S. (2018). Effect of transformational leadership on job satisfaction and patient safety outcomes. Nursing Outlook, 66(2), 180-189. https://doi.org/10.1016/j.outlook.2017.10.004

Book, L., Gatling, A., & Kim, J. (2019). The effects of leadership satisfaction on employee engagement, loyalty, and retention in the hospitality industry. Journal of Human Resources in Hospitality & Tourism, 18(3), 368-393. https://doi.org/10.1080/15332845.2019.1599787

Boonlertvanich, K. (2019). Service quality, satisfaction, trust, and loyalty: the moderating role of main- bank and wealth status. International Journal of Bank Marketing, 37(1), 278-302. https://doi.org/10.1108/IJBM-02-2018-0021

Brashear, T. G., Bellenger, D. N., Boles, J. S., & Barksdale Jr, H. C. (2006). An exploratory study of the relative effectiveness of different types of sales force mentors. Journal of Personal Selling & Sales Management, 26(1), 7-18. https://doi.org/10.2753/PSS0885-3134260101

Chang, C., Chiu, C., & Chen, C. (2010). The effect of TQM practices on employee satisfaction and loyalty in government. Total Quality Management & Business Excellence, 21(12), 1299-1314. https://doi.org/10.1080/14783363.2010.530796

Chao, C.-M., & Cheng, B. W. (2019). Does service recovery affect satisfaction and loyalty? An empirical study of medical device suppliers. Total Quality Management & Business Excellence, 30(11), 1350-1366. https://doi.org/10.1080/14783363.2017.1369351

Chin, W., Cheah, J. H., Liu, Y., Ting, H., Lim, X. J., & Cham, T. H. (2020). Demystifying the role of causal-predictive modeling using partial least squares structural equation modeling in information systems research. Industrial Management & Data Systems, 120(12), 2161-2209. https://doi.org/10.1108/IMDS-10-2019-0529

Churchill, G. A. (1979). A paradigm for Developing Beter Measures of Marketing Constructs. Journal of Marketing Research, 16, 64-73. https://doi.org/10.2307/3150876

Dung, T. K. (2005). Demand, employee satisfaction and the level of engagement with the organization. HCM City: University of Economics Ho Chi Minh City.

Eisenberger, R., Huntington, R., Hutchison, S., & Sowa, D. (1986). Perceived organizational support. Journal of Applied Psychology, 71(3), 500-507. doi: https://doi.org/10.1037/0021-9010.71.3.500

Elegido, J. M. (2013). Does It Make Sense to Be a Loyal Employee? Journal of Business Ethics, 116(3), 495-511. https://doi.org/10.1007/s10551-012-1482-4

Erawan, J., Azis, Y. A., & Satibi, I. (2023). Transformational Leadership Model of Muhammadiyah Branch Leaders in Bandung Regency. Jurnal Studi Ilmu Pemerintahan, 4(2), 63-72.

Ericsson, A. (2018). Organizational Culture and Employee Loyalty. Department of Business and Economics Studies. University of Gavle.

Esitti, B., & Kasap, M. (2020). The impact of leader-member exchange on lodging employees’ dynamic capacities: the mediating role of job satisfaction. Tourism and Hospitality Research, 20(2), 237-244. https://doi.org/10.1177/1467358419826397

Fischer, R. F., Assmar, E. M., Baris, G., Berberoglu, G., Dalyan, F., Wong, C. C.,... Boer, D. (2014). Organizational practices across cultures: An exploration in six cultural contexts. International Journal of Cross Cultural Management, 14(1), 105-125. https://doi.org/10.1177/1470595813510644

Flores-Zamora, J., & Garcıa-Madariaga, J. (2017). Does opinion leadership influence service evaluation and loyalty intentions? Evidence from an arts services provider. Journal of Retailing and Consumer Services, 39(1), 114-122. https://doi.org/10.1016/j.jretconser.2017.07.008

Fornell, C., & Larcker, D. F. (1981). Evaluating structural equation models with unobservable variables and measurement error. Journal of Marketing Research, 18(1), 39-50. https://doi.org/10.2307/3151312

Frempong, L. N., Agbenyo, W., & Darko, P. A. (2018). The Impact of Job Satisfaction on Employees’ Loyalty and Commitment: A Comparative Study Among Some Selected Sectors in Ghana. European Journal of Business and Management, 10(12), 95-105.

Galinsky, A. D., & Moskowitz, G. B. (2000). Perspective-taking: Decreasing stereotype expression, stereotype accessibility, and in group favoritism. Journal of Personality and Social Psychology, 78(4), 708–724. doi: https://doi.org/10.1037/0022-3514.78.4.708

Gerbing, D. W., & Anderson, J. C. (1988). An Updated Paradigm for Scale Development Incorporating Unidimensionality and Its Assessment. Journal of Marketing Research, 25(2), 186-192. https://doi.org/10.2307/3172650

Gioi, L. T., & Huy, L. V. (2012). Research on the relationship between service quality, customer satisfaction and loyalty in the banking sector. Banking Magazine(7), 10-17.

Grover, S. L., & Crooker, K. J. (1995). Who appreciates family-responsive human resource policies: The impact of familyfriendly policies on the organizational attachment of parents and non-parents. Personnel Psychology, 48(2), 271-288. https://doi.org/10.1111/j.1744-6570.1995.tb01757.x

Hagen, B. N., Albright, A., Sargeant, J., Winder, C. B., Harper, S. L., O’Sullivan, T. L., & Jones-Bitton, A. (2019). Research trends in farmers’ mental health: A scoping review of mental health outcomes and interventions among farming populations worldwide. PLoS one, 14(12), e0225661. https://doi.org/10.1371/journal.pone.0225661

Hair, J. F., Ringle, C. M., & Sarstedt, M. (2011). PLS-SEM: Indeed a Silver Bullet. Journal of Marketing Theory and Practice, 19(2), 139-152. https://doi.org/10.2753/MTP1069-6679190202

Hair Jr, J. F., Sarstedt, M., Hopkins, L., & Kuppelwieser, V. G. (2014). Partial least squares structural equation modeling (PLS-SEM): An emerging tool in business research. European business review, 26(2), 106-121. https://doi.org/10.1108/EBR-10-2013-0128

Henseler, J., Ringle, C., & Sinkovics, R. (2009). The Use of Partial Least Squares Path Modeling in International Marketing. Advance in International Marketing, 20(1), 277-319. https://doi.org/10.1108/S1474-7979(2009)0000020014

Hien, H. P. (2016). Determinants of Job Satisfaction and Organizational Commitment of Employees Within the Telecommuting Environment in Vietnam. International Journal of Scientific & Engineering Research, 7(11), 1511-1520. https://doi.org/10.2139/ssrn.2986311

Holtzworth-Munroe, A., Stuart, G. L., & Hutchinson, G. (1997). Violent versus nonviolent husbands: Differences in attachment patterns, dependency, and jealousy. Journal of Family Psychology, 11(3), 314–33. https://doi.org/10.1037/0893-3200.11.3.314

Hu., H., Wang, E., Mao, S., & Liu, H. (2019). Intrinsic motivation and turnover intention among geriatric nurses employed in nursing homes: The roles of job burnout and pay satisfaction. Contemporary nurse, 55(2-3), 195-210. https://doi.org/10.1080/10376178.2019.1641120

Hung, S. W., Cheng, M. J., & Chiu, P. C. (2019). Do antecedents of trust and satisfaction promote consumer loyalty in physical and virtual stores? A multi-channel view. Service Business, 13(1), 1-23. https://doi.org/10.1007/s11628-018-0364-y

Huynh, V., Nguyen, Q., & Mai, V. (2021). The relationships among service failure, service recovery, customer satisfaction and trust at international hospitals: A Case in Vietnam. Uncertain Supply Chain Management, 9(4), 887-896.

Ineson, E. M., Benke, E., & Laszlo, J. (2013). Employee loyalty in Hungarian hotels. International Journal of Hospitality Management, 32, 31-39. https://doi.org/10.1016/j.ijhm.2012.04.001

Jun, M., Cai, S., & Shin, H. (2006). TQM practice in maquiladora: Antecedents of employee satisfaction and loyalty. Journal of operations management, 24(6), 791-812. https://doi.org/10.1016/j.jom.2005.09.006

Kalhor, R., Khosravizadeh, O., Kiaei, M., Shahsavari, S., & Badrlo, M. (2020). Role of service quality, trust and loyalty in building patient-based brand equity: Modeling for public hospitals. International Journal of Healthcare Management, 1389-1396. https://doi.org/10.1080/20479700.2020.1762053

Kelloway, E., Turner, N., Barling, J., & Loughlin, C. (2012). Transformational Leadership and Employee Psychological Well-Being: The Mediating Role of Employee Trust in Leadership. Work & Stress, 39(1), 39-55. https://doi.org/10.1080/02678373.2012.660774

Keshavarz, Y., & Jamshidi, D. (2018). Service quality evaluation and the mediating role of perceived value and customer satisfaction in customer loyalty. International Journal of Tourism Cities, 4(2), 220-244. https://doi.org/10.1108/IJTC-09-2017-0044

Ko, Y. J., & Choi, J. N. (2019). Overtime work as the antecedent of employee satisfaction, firm productivity, and innovation. Journal of Organizational Behavior, 40(3), 282-295. https://doi.org/10.1002/job.2328

Kunisato, Y., Okamoto, Y., Ueda, K., Onoda, K., Okada, G., Yoshimura, S., Suzuki, S., Samejima, K., & Yamawaki, S. (2012). Effects of depression on reward-based decision making and variability of action in probabilistic learning. Journal of Behavior Therapy and Experimental Psychiatry, 43(4), 1088–1094. https://doi.org/10.1016/j.jbtep.2012.05.007

Lai, P. C., (2019) Factors That Influence the tourists’ or Potential Tourists’ Intention to Visit and the Contribution to the Corporate Social Responsibility Strategy for Eco-Tourism. International Journal of Tourism and Hospitality Management in the Digital Age, 3(2). IGI-Global. https://doi.org/10.4018/IJTHMDA.2019070101

Lai, P. C. (2020). Intention to use a drug reminder app: a case study of diabetics and high blood pressure patients. SAGE Research Methods Cases. https://doi.org/10.4135/9781529744767

Lai, P C, Tong, D L, (2022) An Artificial Intelligence-Based Approach to Model User Behavior on the Adoption of E-Payment. Handbook of Research on Social Impacts of E-Payment and Blockchain. 1-15, IGI Global. https://doi.org/10.4018/978-1-7998-9035-5.ch001

Ledden, L., Kalafatis, S. P., & Samouel, P. (2007). The relationship between personal values and perceived value of education. Journal of Business Research, 60(9), 965–974. https://doi.org/10.1016/j.jbusres.2007.01.021

Liden, R. C., Sparrowe, R. T., & Wayne, S. J. (1997). Leader-member exchange theory: The past and potential for the future. Research in Personnel and Human Resources Management, 15, 47-119.

Liden, R. C., Wayne, S. J., Zhao, H., & Henderson, D. (2008). Servant leadership: Development of a multidimensional measure and multi-level assessment. The Leadership Quarterly, 19(2), 161-177. https://doi.org/10.1016/j.leaqua.2008.01.006

Liu, Y., Belliba, M., & Gumu, S. (2020). The effect of instructional leadership and distributed leadership on teacher selfefficacy and job satisfaction: mediating roles of supportive school culture and teacher collaboration. Educational Management Administration and Leadership, 49(3), 1-24. https://doi.org/10.1177/1741143220910438

Madueke, C. V., & Emerole, I. C. (2017). Organizational culture and employee retention of selected commercial banks in Anambra State. Saudi Journal of Business and Management Studies, 2(3), 244-252.

Matzler, K., & Renzl, B. (2006). The Relationship between Interpersonal Trust, Employee Satisfaction, and Employee Loyalty. Total Quality Management & Business Excellence, 17(10), 1261-1271. https://doi.org/10.1080/14783360600753653

Melian-Alzola, L., & Martın-Santana, J. D. (2020). Service quality in blood donation: satisfaction, trust, and loyalty. Service Business, 14(1), 101-129. https://doi.org/10.1007/s11628-019-00411-7

Michael, J., Sebanz, N., & Knoblich, G. (2016). The sense of commitment: A minimal approach. Frontiers in Psychology, 6. https://doi.org/10.3389/fpsyg.2015.01968

Mufti, M., Xiaobao, P., Shah, S., Sarwar, A., & Zhenqing, Y. (2020). Influence of leadership style on job satisfaction of NGO employee: the mediating role of psychological empowerment. Journal of Public Affairs, 20(1), 1-11. https://doi.org/10.1002/pa.1983

Ngoc, C. N. M. (2020). Statistical research on a model to measure economic patriotism of urban consumers in Vietnam. Doctoral thesis, University of Economics, Ho Chi Minh City.

Nguyen, T. T. K. D., & Trang, T. M. (2007). The influence of organizational culture and leadership style on employee performance and their loyalty to the organization. Scientific research project at ministerial level, University of Economics, Ho Chi Minh City.

Paparoidamis, N. G., Katsikeas, C. S., & Chumpitaz, R. (2019). The role of supplier performance in building customer trust and loyalty: a cross-country examination. Industrial Marketing Management, 78(4), 183-197. https://doi.org/10.1016/j.indmarman.2017.02.005

Peabody, D., & Goldberg, L. R. (1989). Some determinants of factor structures from personality-trait descriptors. Journal of Personality and Social Psychology, 57(3), 552-567. https://doi.org/10.1037/0022-3514.57.3.552

Potter, L. (2003). The communicator as gardener. Communication World, 20, 14-17.

Roberts, J. A., & David, M. E. (2020). Boss phubbing, trust, job satisfaction, and employee performance. Personality and Individual Differences, 155(10), 1-8. https://doi.org/10.1016/j.paid.2019.109702

Raj, A. (2021). This startup is transforming Vietnam’s healthcare sector through tech - Tech Wire Asia. Tech Wire Asia. Retrieved 15 November 2021, from https://techwireasia.com/2021/09/this-vietnamese-startup-is-smartly-transforming-the-healthcare-sector-through-technology/

Roehling, P. V., Roehling, M. V., & Moen, P. (2001). The relationship between work-life policies and practices and employee loyalty: A life course perspective. Journal of Family and Economic Issues, 22(2), 141-170. https://doi.org/10.1023/A:1016630229628

Schaubroeck, J. M., Hannah, S. T., Avolio, B. J., Kozlowski, S. W., Lord, R. G., Treviño, L. K., ... & Peng, A. C. (2012). Embedding ethical leadership within and across organization levels. Academy of Management Journal, 55(5), 1053-1078. https://doi.org/10.5465/amj.2011.0064

Settoon, R. P., Bennett, N., & Liden, R. C. (1996). Social exchange in organizations: Perceived organizational support, leader–member exchange, and employee reciprocity. Journal of Applied Psychology, 81(3), 219-227. https://doi.org/10.1037/0021-9010.81.3.219

Staples, D. S., Hulland, J. S., & Higgins, C. A. (1999). A self-efficacy theory explanation for the management of remote workers in virtual organizations. Organization Science, 10(6), 758-776. https://doi.org/10.1287/orsc.10.6.758

Suifan, T. (2021). How innovativeness mediates the effects of organizational culture and leadership on performance. International Journal of Innovation Management, 25(02), 2150016. https://doi.org/10.1142/S136391962150016X

Suharti, L., & Suliyanto, D. (2012). The Effects of Organizational Culture and Leadership Style toward Employee Engagement and Their Impacts toward Employee Loyalty. World Review of Business Research, 2(5), 128-139. Retrieved from http://wbiaus.org/wrbr_final2.htm

Suong, H. T., Nam, T. T., Quoc, L. V., Phuong, M. T., & Vinh, N. Q. (2021). Influence of emotional intelligence, intention to quit and job satisfaction on commitment employee engagement and loyalty in the retail industry in Ho Chi Minh City. Journal of Marketing and Finance Research, 63, 76-89. https://doi.org/10.52932/jfm.vi63.167

Sutanto, H., & Setiadi., N. J. (2021). Organizational Culture and Employee Loyalty: Mediation Impact of Organizational Commitment. PalArch’s Journal of Archaeology of Egypt / Egyptology, 18(1), 704-717. Retrieved from https://archives.palarch.nl/index.php/jae/article/view/2090

UNFPA. (2021). Market Outlook for Elderly Care Service in Vietnam. HCMC: The United Nations Population Fund and Vietnam Chamber of Commerce and Industry. Retrieved from Hospitals: new target for investors: https://vietnam.unfpa.org/sites/default/files/pub-pdf/en_-_vccihcm_report_-_market_mapping_on_elderly_care_service.pdf

Velasco, C., & Bond, A. (1998). Personal relevance is an important dimension for visceral reactivity in emotional imagery. Cognition and Emotion, 12(2), 231-242. https://doi.org/10.1080/026999398379736

Vo, N., Du, T., & Le, N. (2020). Digital Health in Vietnam [Ebook]. KPMG. Retrieved 15 May 2022, from https://assets.kpmg/content/dam/kpmg/vn/pdf/publication/2021/digital-health-vietnam-2020-twopage.pdf

Wang, D.-S., & Hsieh, C. (2013). The effect of authentic leadership on employee trust and employee engagement. Social Behavior and Personality: An International Journal, 41(4), 613-624. https://doi.org/10.2224/sbp.2013.41.4.613

Wang, H., Lu, G., & Liu, Y. (2017). Ethical leadership and loyalty to supervisor in China: the roles of interactional justice and collectivistic orientation. Journal of Business Ethics, 146(3), 529-543. https://doi.org/10.1007/s10551-015-2916-6

Wen, J., Huang, S., & Hou, P. (2019). Emotional intelligence, emotional labor, perceived organizational support, and job satisfaction: A moderated mediation model. International Journal of Hospitality Management, 81(12), 120-130. https://doi.org/10.1016/j.ijhm.2019.01.009

Winder, C. L., Ahmad, F. Z., Bandura, A., & Rau, L. C. (1962). Dependency of patients, psychotherapists’ responses, and aspects of psychotherapy. Journal of Consulting Psychology, 26(2), 129-134. https://doi.org/10.1037/h0043754

Wu, M., & Wang, J. (2012). Developing a charismatic leadership model for Chinese organizations: the mediating role of loyalty to supervisors. The International Journal of Human Resource Management, 23(9), 4069-4084. https://doi.org/10.1080/09585192.2012.703420

Xiong, K., Lin, W., Li, J. C., & Wang, L. (2016). Employee Trust in Supervisors and Affective Commitment: The Moderating Role of Authentic Leadership. Psychological Report, 118(3), 829-848. https://doi.org/10.1177/003329411664437

Yanartaş, Ö., Kani, H. T., Kani, A. S., Akça, Z. N., Akça, E., Ergün, S.,... Sayar, K. (2019). Depression and anxiety have unique contributions to somatic complaints in depression, irritable bowel syndrome and inflammatory bowel diseases. Psychiatry and Clinical Psychopharmacology, 29(4), 418-426. https://doi.org/10.1080/24750573.2019.1589177

Yang, S.-Y., Fu, S.-H., Chen, K.-L., Hsieh, P.-L., & Lin, P.-H. (2019). Relationships between depression, healthrelated behaviors, and internet addiction in female junior college students. PLoS ONE, 14(8), Article e0220784. https://doi.org/10.1371/journal.pone.0220784

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2023-10-25

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