LEAN HOSPITAL MANAGEMENT IMPLEMENTATION IN RURAL PRIVATE HOSPITAL: ITS EFFECT ON JOB SATISFACTION AND TURNOVER INTENTION
Abstract. Previous studies in Indonesia examining the effect of lean hospital management implementation on employee’s job satisfaction and turnover intention had not been done. Results from studies in other countries regarding the effect of lean hospital for employee’s wellbeing also point to contradictions, being positive or negative. The expected positive effect of lean hospital implementation for employee’s wellbeing is to encourage the sustainability of lean management implementation in hospital. Adina MC Hospital as a rural private hospital in Central Java has implemented the lean concept to improve the quality of hospital service in the last seven months. This study is aimed to determine the effect of lean hospital tools (Value Stream Mapping and 5S) to job satisfaction and turnover intention of hospital employees in the context of job demands as mediator and job resources as moderator. Questionnaires were given to 78 employees of Adina MC Hospital who had been working for more than one year. All data and hypotheses testing were analyzed using smartPLS. The findings show that the implementation of lean hospital tools (5S) is positively associated with job satisfaction. The influence of lean hospital tools' VSM could not be seen because it has been dropped out in reliability testing instruments. Job satisfaction was also found to be negatively associated with turnover intention. In the context of job resources, the findings show that job resources moderate the correlation between lean hospital tools (5S) implementation with job satisfaction, so lean hospital implementation could promote employee’s job satisfaction when supported by adequate job resources. Job resources are also not found to moderate the correlation between job demands with job satisfaction and both hypotheses of job demands mediate the correlation between lean hospital tools implementation with job satisfaction and turnover intention have been rejected.
Keywords: lean hospital, job satisfaction, turnover intention, job demands, job resources
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