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Advances in Social Sciences Research Journal – Vol. 10, No. 11
Publication Date: November 25, 2023
DOI:10.14738/assrj.1011.15816.
Ma’arof, R. A., Rashid, U. K., & Nasuredin, J. (2023). Improving Employee Engagement Through HRM Practices in Public Hospitals.
Advances in Social Sciences Research Journal, 10(11). 24-33.
Services for Science and Education – United Kingdom
Improving Employee Engagement Through HRM Practices in
Public Hospitals
Rabiatul Adawiyah Ma’arof
Faculty of Business and Management, Universiti Teknologi
MARA (UiTM) Cawangan Terengganu Kampus Dungun,
23000 Sura Hujung Dungun, Terengganu, Malaysia
Umi Kartini Rashid
Faculty of Technology Management and Business,
Universiti Tun Hussein Onn Malaysia, 86400 Parit
Raja, Batu Pahat, Johor, Malaysia
Juzaimi Nasuredin
Faculty of Technology Management and Business,
Universiti Tun Hussein Onn Malaysia, 86400 Parit
Raja, Batu Pahat, Johor, Malaysia
ABSTRACT
The objective of this study is to examine the relationship between Human Resource
Management (HRM) practices and employee engagement within the context of
nurses in public hospitals in Malaysia. Prior studies have investigated several
factors that influence employee engagement in Malaysia. However, the present
study specifically concentrates on examining the relationship between HRM
practices and employee engagement. The study encompassed a sample of 330
nurses employed in public hospitals in Malaysia. Data analysis was performed using
Statistical Package for Social Sciences (SPSS) software version 25. The study
revealed that the implementation of three specific HRM practices, namely career
development, employee participation, and training and development, had a
positive and significant effect on employee engagement. The findings have the
potential to offer useful insights to decision-makers within healthcare
organizations in Malaysia. Specifically, these insights can inform the development
of effective HRM strategies aimed at enhancing employee engagement among
nurses. Moreover, this study offers suggestions for future research and
recommendations for the authorities to strengthen human resource policies
pertaining to the healthcare sector in Malaysia.
Keywords: HRM Practices, Employee Engagement, Social Exchange Theory, Nurses
INTRODUCTION
The significance of employee engagement in various industries stems from its relationship with
both employee performance and organizational performance. According to a recent study
conducted by Gallup, which examined employee engagement across a sample of more than 125
organizations, it was shown that companies that allocate resources towards fostering employee
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Ma’arof, R. A., Rashid, U. K., & Nasuredin, J. (2023). Improving Employee Engagement Through HRM Practices in Public Hospitals. Advances in Social
Sciences Research Journal, 10(11). 24-33.
URL: http://dx.doi.org/10.14738/assrj.1011.15816
engagement can expect their earnings to grow at 2.6 times higher compared to organizations
with lower levels of employee engagement [1].
However, during the COVID-19 pandemic, numerous organizations experienced a decline in
their performance as a result of diminished employee engagement. This decline can be
attributed to the challenges faced by employees in maintaining focus on jobs, productivity, and
motivation at work [2]. According to the study conducted by [3], Malaysia exhibits relatively
low levels of employee engagement in the Asia Pacific region. In the context of healthcare, [4]
conducted a study using the Press Ganey employee engagement database. Their findings
indicate that approximately 15% of nurses exhibit signs of disengagement.
According to [5], engagement has assumed significance increased within the healthcare
industry, especially in the nursing context. This is attributed to the prevailing global shortage
of nurses, who serve as the fundamental pillars of healthcare services. In fact, the former Health
Minister of Malaysia, Khairy Jamaluddin, has highlighted the presence of a nurse shortage in
public hospitals and clinics [6]. Concurrently, there has been a significant outflow of trained
and experienced nurses to foreign countries. For instance, it has been reported that
approximately 2,000 nurses are currently employed in Saudi Arabia [7].
As reported by the [8], there is a significant disparity in the number of people seeking medical
services between public and private hospitals. In 2020, public hospitals recorded a substantial
increase in patients, with a total of 2,284,303 admissions, but private hospitals reported a
comparatively lower figure of 916,294 admissions. Therefore, it can be inferred that active
engagement in the nursing profession is a crucial strategy in mitigating the negative effects of
diminishing staff ratios, enhancing staff retention, elevating the overall quality of healthcare
service, and augmenting both patient safety and patient satisfaction levels [9].
Therefore, it is imperative for nurses to exhibit a positive attitude through employee
engagement, which encompasses many behaviors, attitudes, and intentions [10]. Moreover,
during the COVID-19 pandemic, there has been a rapid increase in the number of patients
seeking medical attention, in conjunction with a shortage of manpower, which has led to an
augmented workload and extended working hours for nursing staff [11]. In a study conducted
by [11], it was found that longer working hours may contribute to the occurrence of burnout
among nurses. Hence, drawing upon scientific studies on human strength and optimal
performance, employee engagement is commonly regarded as the opposite of burnout [12]. It
is recognized as an active psychological state that has the potential to enhance positive
emotions and motivation among employees [13].
Employees who are engaged in their work exhibit a heightened level of energy and are more
likely to achieve success. This can be attributed to their frequent experience of good emotions
and their belief in their ability to effectively manage the demands of their jobs [14]. Therefore,
the understanding of nurses’ engagement is vital due to its direct impact on critical safety,
quality, and patient experience outcomes [4].
Numerous studies have investigated the impact of organizational resources on employee
engagement across diverse sectors, such as the manufacturing industry [15], academic
institutions [16], the banking industry [3], and the telecommunications industry [17]. These
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Advances in Social Sciences Research Journal (ASSRJ) Vol. 10, Issue 11, November-2023
Services for Science and Education – United Kingdom
studies provide evidence that employees who are actively engaged and committed to their
work demonstrate higher levels of performance and productivity. Therefore, in order to foster
high levels of employee engagement among nurses, it is imperative that they are provided with
enough resources to effectively carry out their duties.
[18] also suggested that organizational practices play a crucial role in predicting employee
engagement. Along the same line, [19] conducted a study on nurses and found that participation
and training had a significant influence on the development of positive work attitudes and
behaviors among nurses. [20] have observed that within the nursing field, the implementation
of training and development programs, performance appraisal systems, as well as career
planning initiatives are considered effective human resource strategies for enhancing the
performance and competence of nurses.
Therefore, the implementation of HRM practices has the potential to influence the positive
attitudes and behavior of employees, ultimately leading to increased levels of employee
engagement [21]. This, in turn, has been found to have a positive impact on the job performance
of nurses employed in public hospitals [22].
In accordance with [23] Social Exchange Theory (SET), it is posited that a mutual relationship
can be established through a series of contacts between two parties (employees and
employers) that are interdependent and have a sense of obligation. Thus, organizations have
the ability to cultivate a favorable perception among employees by implementing HRM
practices such as career development, employee participation, as well as training and
development. These practices contribute to employees feeling valued and motivated to
contribute their resources. Consequently, employees will experience satisfaction with HRM
practices, and they will repay the organization through the positive outcome of employee
engagement.
However, the majority of studies on employee engagement have primarily focused on Western
contexts. Meanwhile, in Malaysia, studies were placed on private organizations, specifically in
the fields of manufacturing [15], banking [3], and private higher education [24]. According to
[25], there is a less empirical study examining the relationship between HRM practices as an
antecedent of employee engagement, particularly within the healthcare sector. Simultaneously,
prior scholars such as [26] claimed that there had not been many studies examining the impact
of HRM practices or perceived HRM practices on employee engagement, particularly in
developing countries. Thus, based on the above discussion, this study aims to investigate the
influence of HRM practices, namely career development, employee participation, and training
and development, on employee engagement within the context of nurses employed at public
hospitals in Malaysia.
LITERATURE REVIEW
Employee Engagement
The concept of employee engagement has garnered significant interest from both practitioners
and academics, owing to its observed positive effects on employees and organizational
performance. However, based on a comprehensive study of the existing literature, it becomes
evident that there is a lack of agreement among scholars regarding the conceptualization of
employee engagement.