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Providing the vital roles of nurses in defining the sustainability of the healthcare system, nursing performance is recognized to be significant in providing quality care of patients. However, job performance reported in Pakistani public hospitals over the past few years has been deteriorated. There have been numerous researches about factors that affect job performance like HRM practices, spirituality at work and employee engagement. So, in this regard, leadership desires to change the behavior to engage the nurses in improving performance. The current study examines the direct effect of HRM practices and spirituality at work on job performance and on the employee engagement. The indirect mediating effect of employee engagement is examined on the associations and the moderating effect of change leadership between employee engagement and job performance is also examined. Purposive sampling was used to collect the data. There were 390 practical data from fifteen public hospitals in Pakistan were applied for further data analysis. The software PLS-SEM was applied to measure the structural model. Further the bootstrapping supported on the effect of inner life and employee participation and career development on employee engagement and on job performance is significant. In addition, the study found the partial mediating effect of employee engagement between inner life and career development on job performance is significant. The moderating effect of change leadership between employee engagement and job performance is also significant. The empirical implication showed that HRM practices and spirituality at work confines the negative effect of shortage of nurses and also increasing nursing job performance of nurses and providing better working atmosphere. However, there is no need to any intervention from the top management to modify the nursing behaviors. Future research could increase on the scope of the study.
Massood et al. (Fri,) studied this question.