Abstract
Studies on physiotherapists are generally focused on clinical professionalism, with very few examining job performance from a management standpoint. To address this gap, this study sought to investigate the relationship between impression management and organizational citizenship behavior and job performance. This study targeted medical institutions offering rehabilitation and physiotherapy services and conducted a questionnaire survey based on scales developed by domestic and foreign scholars. A total of 600 questionnaires were distributed and 523 valid ones collected. The data was tested and verified using regression analysis and hierarchical linear modeling (HLM). In the survey, the Impression Management Scale, Organizational Citizenship Behavior Scale, and Job Performance Scale indicated that at the individual level, the impression management of physiotherapists is significantly related to their organizational citizenship behaviors and job performance. The organizational citizenship behaviors were also found to have a mediating effect between impression management and job performance. At the group level, impression management had a conditioning effect on organizational citizenship behaviors and job performance. In terms of statistical methods, group-level variables act as moderators, which affects the power of individual-level explanatory variables on outcome variables, i.e., the influence of the slope. The job behaviors of physiotherapists entail direct service and their performance is closely related to organizational development. Impression management gives people certain purposes and behaviors while organizational citizenship behaviors are a type of non-self-seeking, selfless dedication behaviors. Therefore, the motivation of physiotherapists who demonstrate organizational citizenship behaviors should be further explored.
Highlights
Current medical environments are patient-centered, and rehabilitation medical services and needs have significantly increased [1, 2]
The regression analysis showed that impression management had a significant positive effect on organizational citizenship behaviors and job performance, with organizational citizenship behaviors exhibiting a mediating effect, similar to Lin’s findings [37]
The hierarchical linear modeling (HLM) analysis supported the cross-level conditioning effect of impression management, which suggests that when physiotherapists had greater impression management, they were more associates to affect organizational citizenship behaviors to change the perception of others toward them, increasing their chance of achieving their goals
Summary
Current medical environments are patient-centered, and rehabilitation medical services and needs have significantly increased [1, 2]. It is necessary to comprehensively understand the factors that affect the work attitude of physiotherapists to improve the quality of services. Apart from overall organizational operations, monitoring employee behavior is important for hospitals. Employees motivated by impression management will use organizational citizenship behaviors to influence others’ perceptions to increase their personal appeal and achieve their desired outcome [4, 5]. Employee behaviors become goal-oriented and outward conduct becomes intentional to achieve the desired effect [6]. To earn promotions and pay raises, employees often adopt certain strategies to influence others and achieve their goals through impression management [8,9,10,11,12]. People aim to appear competent to others and, demonstrate diverse positive impressions in many areas of life [13, 14]
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