The Influence Of Organizational Culture, Work Motivation And Working .

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Scientific Research Journal (SCIRJ), Volume IV, Issue VII, July 2016ISSN 2201-279615The Influence of Organizational Culture, WorkMotivation and Working Climate on the Performanceof Nurses through Job Satisfaction, OrganizationalCommitment and Organizational CitizenshipBehavior in the Private Hospitals in Jakarta,IndonesiaIda AriyaniPh.D Candidate,Graduate School of EconomicsUniversity of Hasanuddin, MakassarSulawesi Selatan, IndonesiaSiti HaeraniProfessor of Economics, Graduate School of EconomicsUniversity of Hasanuddin, MakassarSulawesi Selatan, IndonesiaHaris MaupaProfessor of Economics, Graduate School of EconomicsUniversity of Hasanuddin, MakassarSulawesi Selatan, IndonesiaMuh. Idrus TabaPh.D of Economics, Graduate School of EconomicsUniversity of Hasanuddin, MakassarSulawesi Selatan, IndonesiaAbstract- This study has six objectives. First, to examine theinfluence of organizational culture, work motivation and workingenvironment on the performance of nurses. Second, to examinethe influence of organizational culture, work motivation, andworking environment on the performance of nurses through JobSatisfaction, Organizational Commitment and OrganizationalCitizenship Behavior (OCB). Third, to examine the influence oforganizational culture, work motivation and workingenvironment on Organizational Citizenship Behavior (OCB)through Job Satisfaction and Organizational Commitment.Fourth, to examine the influence of job satisfaction anizational commitment. Fifth, to examine the influence oforganizational commitment on the performance of nursesthrough Organizational Commitment. Sixth, to examine theinfluence of Organizational Citizenship Behavior (OCB) on thePerformance of Nurses in the Private hospitals in Jakarta,Indonesia. The nature of this research is an explanatoryresearch, which seeks to explain the causality relationship of thevariables under examination. The unit of analysis were nurseswho have worked at least one year in two private hospitals inJakarta. These two private hospitals are RS PGI CIKINI locatedin Central Jakarta and RSU UKI Cawang located in EastJakarta. The sample was selected using Proportionate StratifiedRandom Sampling method. The number of samples selected was200 nurses. The data was collected by using interview andquestionnaires. The analytical tool used to test the hypothesis isby using the Structural Equation Models (SEM) with the help ofprogram analysis of moment structure (AMOS) version 21.Thestudy found that organizational culture has a positive andsignificant influence on the performance of nurses. Theorganizational culture, work motivation and workingenvironment have also positive and significant influences on theperformance of nurses through Job Satisfaction, OrganizationalCommitment and Organizational Citizenship Behavior (OCB).Also, it was found that organizational culture, motivation andwork climate have positive and significant influence onOrganizational Citizenship Behavior (OCB) through jobsatisfaction, organizational commitment. Similarly, Jobsatisfaction has positive and significant influence on theperformance of nurses through Organizational Commitment andOrganizational Citizenship Behavior (OCB). Also, it was foundthat organizational commitment has significant influence on theperformance of nurses through Organizational CitizenshipBehavior (OCB) and the organizational Citizenship Behavior(OCB) has positive and significant impact on the performance ofnurses through organizational commitment. However, the workmotivation was found to have negative and insignificant influenceon the performance of nurses. Also, there was negative andinsignificant influence of working environment on theperformance of nurses. This negative and insignificant influencewas also for the Job satisfaction on Organizational Citizenshipwww.scirj.org 2016, Scientific Research Journal

Scientific Research Journal (SCIRJ), Volume IV, Issue VII, July 2016ISSN 2201-2796Behavior (OCB) through organizational commitment. Therefore,these findings can be useful for the two private hospitals inparticular to improve the performance of nurses.IndexTerms— organizational culture, work nizationalcommitment, Organizational Citizenship Behavior(OCB), Theperformance of nurses.I. INTRODUCTIONAn organization is said to be effective and efficient if anorganization has a high quality and a good performance of itshuman resources. One organization that manages humanresources is the hospital. The hospital is one of the serviceorganizations that is unique in terms of human resources, andhas a relative high scale in terms of capital, technology andscience, regulation and policy. It is said that because a hospitalneeds large capital investment to meet the its requirements.Science and technology are necessary as hospitals havesophisticated and expensive equipment and hence they need toupdate their various disciplines in accordance to the changeshappening in this sector.Hospitals’ services can run well if the hospitals have a goodregulation and policy that are interrelated one toanother. According to the Health minister's decisionNo. 983/1992, the principal task of the hospital is to implementhealth activities effectively with emphasis on healing andrecovery efforts carried on a harmonious and integrated in linewith the efforts of the hospital as a business unit, especially forthe recovery, rehabilitation, maintenance, improvement ofeducation and research health that required professionalmanagement in order to make the quality of services well forpatients and families.Hospitals should have a good performance of their humanresources. The human resources in hospitals can be groupedinto three, namely, professional, managerial and thejanitor. Professionals have task to seek healing of patientstreated. This group included doctors, nurses, pharmacists,nutritionists and others. Managerial group has tasks to assistthe professional group particularly in providing a goodhospital’s management, namely, structural officials,accountants and others. The janitor is a human resourcecomponent working as laundress, cleaner, porter and thelike (Mangkunagara, 2000).Nurse plays important role in a hospital. However, theperformance of nurse in the form of a quality service dependsheavily on how the interaction between nurses and patients,nurses with colleagues and nurses to hospitals. The interactionof nurses in shaping the optimal services’ performance, is notonly to meet the expectations of the company, but they alsoneed to have an extra-role behavior. This extra role behavior inthe organization can also be called as an organizationalcitizenship behavior (OCB). This OCB recently becomes oneof the global strategic issues that get more attention.The organizational citizenship behavior of nurses affect theperformance of a hospital. This OCB has been consideredcrucial to support hospital (Eisenberger, et. al,1990). According to Organ (1994), the OCB emerges as aspontaneous behavior or extras beyond the job description. TheOCB leads to positive influence on the company and improvedthe performance of the human resources in providing goodservices to the company's stakeholders.16Factors that influence the OCB and performance in anorganization include job satisfaction and organizationalcommitment (Robbin and Judge, 2007). This is simply becausewhen employees satisfied with their work, then the employeewill work optimally in completing the job, even doing somethings that may be beyond their duties. Also, when employeehas a high commitment to the organization, then that employeewill do anything to advance his company because of his beliefin the organization (Luthans, 1995). Similarly, when employeesatisfied with his/her job and highly committed to theorganization, employee consequently will provide goodservice, vice versa.The decline in job satisfaction is the attitude shown byevery individual who caused the aspects that are not being metor not as they had hoped such as wages, opportunities forpromotion, working conditions, relationships with superiors,and relationships with peers. Psychological aspects that arisedue to decreased job satisfaction is a reduction in thecommitment of each individual to work wholeheartedly incontributingtotheachievementofcompanyobjectives. Increased commitment is expected to makeemployees more productive, effective, efficient andprofessional manner. This can be done through the motivationof employees, increase employee working climate, workdiscipline, organizational culture, education and training, andothers. Each company will strive to always improve theperformance of employees in order to achieve the stated goalsof the company. Various ways can be taken companiesimprove employee performance by achieving job satisfactionamong employees through organizational culture, motivationand working environment in line with expectations ofemployees.However, the above conditions have not been fulfilled inthe hospital of RS PGI Cikini and RS Cawang UKI. In terms ofthe turnover rate of nurses, for instance, based on secondarydata obtained it was reported that the turn over of nurses in RSPGI Cikini increased from 2013 to 2014. Also, from apreliminary study in RS PGI Cikini and RS. UKI, Cawang UKIby using interview, it was reported that the relationshipbetween fellow nurses was less harmonious. This, for example,can be found in terms of the division works in the morning,afternoon and evening. This problem occurs because there arestill some nurses who do not abide the schedule, sharing of feesthat were incompatible with the workload in the room andothers. Also, it was reported that relationship betweensuperiors and subordinates are less harmonious. The nurses feltthe level of the salary they receive does not match what theyexpect. Besides job dissatisfaction, there is also problemsassociated with limited promotion and lacks transparency,which lowers the morale of the nurses to improve the quality ofwork. These problems indeed interesting to be studied in orderto determine factors that the influence the job satisfaction ofnurses in these two hospitals. By undertaking this study, theperformance of nurses in these two hospitals can be improvedfurther. In brief, the objective of this study is to examine theinfluence of Organizational Culture, Work Motivation andworking climate on the Work Performance of Nurses dOrganizational Citizenship Behavior (OCB ) in RS Cikini,Central Jakarta and RS UKI, Cawang, East Jakarta.www.scirj.org 2016, Scientific Research Journal

Scientific Research Journal (SCIRJ), Volume IV, Issue VII, July 2016ISSN 2201-2796II. LITERATURE REVIEW1. PerformancePerformance can be defined as the results of the works ofthe individual both the quantity and quality in anorganization. Performance can be from individual or group.The performance is not only limited to a person who hasfunctional and structural position, but also to the entire range ofpersonnel within the organization (Elias 2012). Description ofthe performance involves three essential components, namely,the purpose, the size and ratings. Determining the purpose ofeach organizational unit is a strategy to improveperformance. This goal will give direction and influence howwork behaviors affect the organization wishes to the personnel.However, goal setting is not enough, it also need ameasurement of whether the personnel has reached theexpected performance or not. Thus, both quantitative andqualitative performance standards for each task and officepersonnel play an important role.Among the performance theories that most commonlyadvanced in the literature is the work by Campbell,(1990). From a psychological perspective, Campbell describesthe job performance as individual-level variables. This meansthat the performance is something that is done by a person. JobPerformance consists of behaviors that people do in their workrelevant to organizational goals. Further, Campbell et.al.(1993) explained that job performance is not a consequence ofthe behavior, but the behavior itself. In other words, theperformance consisted of employee behavior that can actuallyengage and can be observed. Whilst Griffin (2004) argued thatperformance is one of the total collection of work on thejob. Thus, the performance can also be interpreted as the resultsachieved by the efforts of someone with his ability in certaincircumstances.Furthermore, Dessler (1992) defines performance as thework achievement that is a comparison between theachievement and standards of the work achievement.According to Berman & Evans (2006), performance is the useof resources effectively and efficiently to achieve results.Effectiveness is defined as the level of results. These results arealso referred to as an achievement or success rate. Efficiency isdefined as the ratio of output (outcome) with input (O / I). Thisillustrates the cost per activity to achieve a given outcome. Soefficiency is the ratio of the resources used (inputs) to achieve(outcome or output).Armstrong and Baron cited in Sedarmayanti (2011) definedperformance asa means to get better results fromorganizations, teams and individuals by understanding andmanaging the performance within the framework of theobjectives and standards, and attribute requirementsagreed. Performance is the motivation and ability. According toLyman Forter and Edward Laulier, performance is a functionof the desire to do the job, the skills necessary to solve task, aclear understanding of what is done and how to do it. \Other definition of the performance can be seen in Mathisand Jackson (2006), Gomes (2001) and Cushway (2002) toname a few.Gomes (2001), for instance, define theperformance as ". the record of outcomes produced onspecified job of function or activity during a specified timeperiod". Whilst Dale Timple in Mangkunagara ( 2006) statesfactors in the performance consists of internal factors andexternal factors. Internal factors are factors associated with theproperties of a person, while external factors are the factors17that influence the performance of someone who comes fromthe environment such as behaviors, attitudes and actions of coworkers, subordinates or leaders, working facilities andorganizational climate. Internal factors and external factors arethe kinds of attributions that affect a person'sperformance. Performance is good because a person is said tohave high capability and has a hard-working type, whereas aperson has poor performance because the person has a lowability and not have the efforts to improve themselves and theirabilities.Nurse performance is a nurse who implementing his/herauthority, duty and responsibility as good as possible toachieve the goals and objectives of the organizational unit(Faizin, et.al., 2008). Bartlett (2010) cites the American NurseAssociation states that the performance of nurses that inaccordance with its core competencies in nursing include : 1.Caring to patient;. 2 Ability to work in the team; and 3. Usingcompetency based on practices, 4. Improving the quality ofself-efficacy; and 5. Utilizing information technology. Whilethe core component in serving patients according to Canadiannurse association or so called Carna (2003), among others areas follows : 1. Professional Responsibility, 2. Measures inaccordance with science, 3. Ethical actions 4. The provision ofservices to the community. Whilst Nursalam (2008) stated thatsome aspects that need to be evaluated against nurses inperforming care to patients in the hospital can be divided intofour nursing interventions, namely, (1) Diagnostic; (2)Education, (3) Therapeutic, and (4) Referral that is to take adecision to refer or collaborate with other health care workers.2. Organizational Citizenship Behavior (OCB)OCB concept as a form of extra-role behavior has attractedthe attention and debate among researchers, academics andpractitioners' organizations. However, previous studies that aretaking place until today still leaves some crucial issues thatneed to be handled more intensive and thorough. However, theoriginal definition of OCB includes two dimensions: altruismand general compliance (Smith, Organ and Near, 1983).Altruism, which has been identified as an important componentof the OCB by most researchers working in this field, refer to"behaviors that directly and intentionally aimed at helpingspecific people in face to face situations" (Smith, Organ andNear, 1983), General compliance, which was renamed byOrgan (1988) is as conscientiousness, more impersonal thanaltruism because it is not directed to a specific person, but tothe system. This mainly refers to the fulfillment of internalizednorms that determine the behavior of a good worker like beingon time, make proper use of work time by not wasting time(Smith, Organ, & Near, 1983).However, Organ and Organ (1988) identified fivedimensions of OCB that is altruism, conscientiousness, civicvirtue, courtesy and sportsmanship. Altruism refers to thevoluntary actions that help others with work-related problemssuch as instruction to new employees on how to use theequipment, helping colleagues to catch up with the back log ofwork. Conscientiousness is a pattern to go far beyond theminimum punctuality attendance as required level, household,preserving resources, and others relates with internalmaintenance. While civic virtue is defined as constructiveengagement in the political process of organization andcontribution to this process to share opinions, meetingattendance, daily discussion and reading any information forwww.scirj.org 2016, Scientific Research Journal

Scientific Research Journal (SCIRJ), Volume IV, Issue VII, July 2016ISSN 2201-2796the sake of welfare organization. Courtesy refers to actionsthat help others to protect individual problems occurred.Sportive, however, is defined as "a person's desire not tocomplain when experiencing inevitable discomfort and abuseresulting in carrying out a professional activity" (Organ, 1990).3. Organizational CommitmentThere are different definitions of the commitment.However, it is generally agreed that commitment is able toreduce the possibility of turnover intentions (Meyer, Becker, &Vandenberghe, 2004). An employee can be committed to theorganization, job, work, his/her leaders, his/her works andworkgroup (Cohen, 2007; Snape, Chan, & Redman, 2006)."The commitment of the organization is defined as the relativestrength and identified individual involvement in a particularorganization" (Steers, 1977).As an important predictor of OCB, the relationship betweenaffective organizational commitment and OCB have beenadvanced in the literature. The relationship with performance,pro-social behavior, and the OCB has been widely studied (eg,Becker & Kernan, 2003; Schappe, 1998; Organ & Ryan, 1995;Lavelle, Brockner, Konovsky, Price, Henley, Taneja, &Vinekar, 2008). Meyer, et.al. (2002) also found a strongcorrelation between OCB and affective commitment. Anothertype of organizational commitment, normative commitment,under-researched compared to affective commitment.However, the importance of normative commitment has beenrecognized in the context of Western and non-Western. Despitethe importance of normative commitment has been recognized,research on this topic is still less than the affective commitmentand continuance commitment. Social norms are built moreeffective in predicting normative commitment. Therefore,normative commitment is rooted in culture. In the culture ofcollective, normative commitment is expected to be animportant predictor of outcome more involvement inorganizations such as the OCB and lower turnover intentions(Yao and Wang, 2008).4. Job SatisfactionJob satisfaction has attracted quite a lot of interest fromresearchers. It is one of the most studied concepts inorganizational behavior literature, and until the 1990s morethan 12,000 studies concerning on job satisfaction have beenpublished (Ghazzawi, 2008). One reason for this popularity isthe belief that job satisfaction can affect a variety of behaviorsand contribute to the welfare of employees (George & Jones,2008).According Wexley and Yukl (1977) theories about jobsatisfaction can be grouped into three. The first is thediscrepancy theory. Locke in Agoes Dariyo (2008: 78) statesthat job satisfaction is strongly influenced by the extent of thedifference between the expected (das Sollen) and perceivedreality (das sein). Job satisfaction was defined based on thedifference between the expectations and desires of a person bywhat he felt had been obtained through his work. The second isthe theory of Opponent-Process Theory proposed by Landy inMunandar, (2008: 356) in that it emphasizes the aspects ofemotional balance (emotional equilibrium). According to thistheory, satisfaction and dissatisfaction with the work wasdemonstrated when imbalances among the factors that gives afeeling of pleasure and displeasure. The third is two-factortheory of Herzberg (Agoes Dariyo, 2008: 81) which explainsthat job satisfaction is associated with feelings of pleasure ornot pleased with aspects of the job. This theory divides18situations that may affect attitudes towards work in twodifferent factors, namely, the group that gave satisfaction(satisfiers) and those that do not give satisfaction (un satisfieror hygiene factor).In addition to the above theories, there is other jobsatisfaction theory so called the Work Adjustment Theory.This theory was introduced from the study in Minnesota whichis based on the adjustment concept between the individual andthe environment, which is a condition that indicates a linkharmonious, reciprocal and complementary between theindividual and his environment. In this case, the individual isalso known as a personality working in conjunction with theadjustment of labor (work adjustment), have the ability(ability) and needs (needs) (Weiss et al., 1967). Individualshoping to be evaluated by supervisors as workers aresatisfactory when the capabilities and expertise of individualsmeet the job requirements. If the drives of work meet theneeds of individual work, they are expected to become satisfiedworkers. If the capabilities and job requirements are notbalanced, then resignation, turnover, dismissals and demotionsmay occur. The model of the theory of Work Adjustmentmeasures 20 dimensions that explain 20 needs reinforcingelements or specific conditions that are important in creatingjob satisfaction. These dimensions are described as follows: a.Utilization ability is the utilization of skills possessed byemployees; b. Achievement is an accomplishment achievedduring the work; c. Activity is all kinds of activities undertakenin the work; d. Advancement is progress or developmentsachieved during the work; e. Authority is the authority held indoing the work; f. Company Policies and Practices wasconducted a fair policy for employees; g. Compensation is anyform of compensation given to employees; h. Co-workers areco-workers who are directly involved in the work; i. Creativityis creativity that can be done in doing the work; j.Independence is independency oft employees at work; k. Moralvalues are the moral values that employees in their work suchas guilt or forced; l. Recognition is a recognition of the workperformed; m. Responsibility, responsibilities carried andpossessed; n. Security, security is perceived employees to theirwork environment; o. Social Service is the social feeling ofemployees to their work environment; p. Social status is thedegree of social and self-esteem perceived result of the work;q. Supervision-Human Relations is the support provided byenterprises to their employees; r. Supervision-Technicalguidance and technical assistance is given employer to anemployee; s. Variety is the variation that can do the employeesin their work; t. Working Conditions, the state of the workplacewhere employees perform the work. The principal hypothesistheory of Work Adjustment is that job satisfaction is a functionof the relationship between the propulsion systems of theworking environment to individual needs.The theory of job satisfaction tried to express what makessome people more satisfied with their work than some of theothers. This theory is also looking for a cornerstone of thefeelings of people on job satisfaction. In this study, the theoryused is the Two-factor theory by Herzberg. Furnham et al.(2009) states two factor theory is a theory which suggests thatjob satisfaction and the satisfaction and dissatisfaction is partof a group of different variables, namely factor motivators andhygiene factors. In general, people expect that certain factorsgive satisfaction when available and when there is no causedissatisfaction. In this theory, dissatisfaction linked towww.scirj.org 2016, Scientific Research Journal

Scientific Research Journal (SCIRJ), Volume IV, Issue VII, July 2016ISSN 2201-2796conditions around work and not with the work itself. Becauseof these factors prevent negative reactions, named as hygieneor maintenance factors.Conversely, job satisfaction drawn from factors associatedwith the work itself or the direct result of the work,promotions and opportunities for self-development andrecognition. Because of these factors associated with highlevels of job satisfaction, called motivators. The study titledPersonality, Motivation and job satisfaction: Herzberg meetsthe Big Five, which is done by Furnham et al. (2009) aims toinvestigate the extent of the motivators and hygiene factors is aprerequisite for job satisfaction.Job satisfaction is very important for individuals andemployees. Job satisfaction has been examined by theemployees and was established in job satisfaction whichWirawan (2013) defines job satisfaction is the perception ofpeople about various aspects of his job. Understanding thefeelings and perceptions can be people's attitude to work.Feelings and attitudes can be positive or negative.Satisfied or not the employee to work in Furnham et al.(2009) is defined as the extent to which they are satisfied withtheir jobs. Sopiah (2008) described some definition of jobsatisfaction as an emotional response on individual toward thesituations and working condition. Emotional response can be apositive feeling or negative toward job satisfaction. If theemotional response is positive it means that he/she is satisfiedwith his/her jobs, vice versa.5. Organizational CultureOrganizational culture is often defined as the values,symbols that are understood and adhered together, possessedan organization so that members of the organization feel as afamily and creating a condition of the organization's membersfeel different from other organizations. Differences in workingconditions may result differences in organizational culture.This consequently may result a strong culture and weak.Robins (2006), states that the organizational culture is asystem of shared meaning held by members of the organizationthat distinguishes the organization from other organizations.Organizational culture is a value system that is acquired anddeveloped by the organization and habit patterns and the basicphilosophy of its founder, which is formed into a rule that isused as a guide in thinking and acting in achievingorganizational goals. Cultures were grown into a strongorganization capable spur towards a better development.There are different theoretical views on changes or managethe organizational culture, which shows that the complexprocess of cultural change. O'Reilly (1989) believes that it ispossible to change or manage the organizational culture bychoosing the attitudes and behaviors necessary, identify thenorms that promote or hinder them, and then take action tocreate the desired influence. In connection with it, Arnold(2005) states that "culture can be seen as something that can bemanaged or changed when cultures were unsuitable or evendetrimental to the competitive needs of the organization".Therefore, organizations may change its culture consciouslybecause it is necessary to do so (Harrison, 1993). However,Martins and Martins (2003) states that "changingorganizational culture is very difficult but the culture can bechanged".Study of organizational culture proposed by Denison(1990) is in the form of four principles of integrative which isalso known as the four main properties which include19involvement, consistency, adaptability and the mission.Involvement is the key factor in the organization's culture.High involvement of members of the organization affect theperformance of the company, especially regardingmanagement, corporate strategy, organizational structure,transaction costs, and so forth. Values, norms, and traditionscan be a consensus organization for member organizations toinvolve themselves in the activities of the organization.Denison (1996) states that the involvement has three indicators,namely, empowerment, teamwork orientation and capabilitydevelopment.Consistency deals with beliefs, values, symbols andregulations which have an influence on the company'sperformance, especially concerning, methods of doingbusiness, employee behavior and actions of other businesses.Denison and Mirsha (1995) states that consistency can be seenfrom the three indicators of core values, agreement andcoordination and integration. Whilst adaptability has are threeaspects that have an impact on the effectiveness of theorganization. These impacts are the ability to recognize andtestify in the external environment, the ability to testify on theinternal environment and the ability to react to internal andexternal customers. These three aspects are the result of thedevelopment of assumptions, values, and basic norms thatprovide structure and direction for the organization. Denisonand Mishra (1995) states that adaptability can be seen from thethree indicators of change, that are, creating change, customerfocus and

organizational culture, work motivation and working environment have also positive and significant influences on the performance of nurses through Job Satisfaction, Organizational Commitment and Organizational Citizenship Behavior (OCB). Also, it was found that organizational culture, motivation and

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