Table 6 Direct and indirect impact for the structural model
Direct impact for the Second order | ||||||
Dependent variable | Â | Independent variable | Standardized coefficient | Lower Bound | Upper Bound | P Values |
Management Capability | <−-- | Operational Flexibility | .335 | 0.066 | 0.124 | *** |
Employee Engagement | <−-- | Operational Flexibility | .324 | 0.044 | 0.073 | *** |
Employee Engagement | <−-- | Management Capability | .527 | 0.288 | 0.302 | *** |
Hospital Performance | <−-- | Operational Flexibility | .372 | 0.115 | 0.212 | *** |
Input (Operational Flexibility) | <−-- | Operational Flexibility | .823 | 0.266 | 0.319 | *** |
Outcome (Operational Flexibility) | <−-- | Operational Flexibility | .840 | 0. 245 | 0.432 | *** |
Hospital Performance | <−-- | Employee Engagement | .367 | 0.575 | 0412 | *** |
Hospital Performance | <−-- | Management Capability | .148 | 0.087 | 1.268 | .006 |
Process Flexibility | <−-- | Operational Flexibility | .879 | 1.000 | 1.000 | F |
Process Orientation | <−-- | Hospital Performance | .743 | 2.655 | 3.391 | *** |
Work condition | <−-- | Hospital Performance | .664 | 1.000 | 1.000 | F |
Clinical Quality | <−-- | Hospital Performance | .741 | 1.245 | 1.553 | *** |
Financial Performance | <−-- | Hospital Performance | .643 | 0.888 | 1.158 | *** |
Patient Satisfaction | <−-- | Hospital Performance | .802 | 1.471 | 1.830 | *** |
Indirect impact for the Structural Model | ||||||
Dependent variable | Mediating variable | Independent variable | Standardized coefficient | Lower Bound | Upper Bound | P Values |
Hospital Performance | Employee engagement | Operational Flexibility | 0.102 | 0.075 | 0.140 | 0.002 |
Hospital Performance | Management capability | Operational Flexibility | 0.031 | 0.023 | 0.44 | 0.001 |
Hospital performance | Employee engagement | Management Capability | 0.311 | 0.179 | 0.454 | 0.003 |