Influences of Transformational leadership, Organizational climate, Human resource management, Organizational structure, and Job satisfaction on the Innovative creation of employees for the Faculty of Medicine Ramathibodi hospital, Mahidol University

Abstract

At present, the system for healthcare service quality improvement which strives for excellence and sustainability is very important to the operation of the Faculty of Medicine Ramathibodi Hospital, Mahidol University. What the organization needs to do is keeping pace with changes by creating new innovations, both in terms of service and medical modernization. The objectives of this research were to: 1) study the levels of transformational leadership, organizational climate, human resource management, organizational structure, job satisfaction, and creation of innovations of the personnel of the Faculty of Medicine Ramathibodi Hospital, Mahidol University; 2) examine the influences of transformational leadership, organizational climate, human resource management, organizational structure, and job satisfaction on the creation of innovations of the personnel of the Faculty of Medicine Ramathibodi Hospital, Mahidol University; and 3) develop a model for the creation of innovations of the personnel of Faculty of Medicine Ramathibodi Hospital, Mahidol University. This research employed a mixed research methodology combining quantitative and qualitative methods. For the quantitative research part, the sample consisted of 420 respondents including doctors, nurses, pharmacists and supporting staff. The sample size was determined based on the criterion of 20 times the observed variables. They were selected via stratified sampling. Data were collected with the use of a questionnaire and analyzed with a structural equation model. As for the qualitative research component, in-depth interviews were conducted with 17 key informants including doctors, nurses, and supporting staff. Data were analyzed with content analysis. The findings showed that: 1) transformational leadership, organizational climate, human resource management, organizational structure, job satisfaction, and creative innovations of the personnel of the Faculty of Medicine Ramathibodi Hospital, Mahidol University were rated at a high level; 2) transformational leadership, organizational climate, human resource management, organizational structure, and job satisfaction had an influence on the creation of innovations of the personnel of the Faculty of Medicine Ramathibodi Hospital, Mahidol University, with a .05 level of statistical significance and the equation could predict the creation of innovations by 71 percent; and 3) the model for the creation of innovations of the personnel of the Faculty of Medicine Ramathibodi Hospital, which was developed by the researcher, conformed to the empirical data. The model was known as the T O H O J C model (T referring to transformational leadership, O referring to organizational climate; H referring to human resource management, O referring to organization structure, J referring to job satisfaction, and C referring to creation of innovations of personnel). The model for the creation of innovations that can establish sustainable competitive advantage needs to be adjusted in terms of the paradigm in which every stakeholder is encouraged to work together through a multidisciplinary approach and a workflow that integrated all key functions related to education and health services.  This should be accomplished within the organizational climate that is goal-oriented and moves towards the future, even though there are threats to the organization in terms of the development of products and services. The model will lead to the enhancement of work process which can happen despite of limited resources, and can drive the Faculty of Medicine Ramathibodi Hospital, Mahidol University to achieve excellence and sustainability.