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International Journal of Recent Advances in Organizational Behaviour and Decision Sciences (IJRAOB)
An Online International Research Journal (ISSN: 2311-3197)
2015 Vol: 1 Issue 2
360 www.globalbizresearch.org
The Effect of Organizational Justice Perception on Job Satisfaction
of Health Employees
Mahmud AKBOLAT,
Faculty of Business,
Sakarya University, Sakarya, Turkey.
E-mail: [email protected]
Oguz ISIK,
Faculty of Economics and Administrative Sciences,
Hacettepe University, Ankara-Turkey.
E-mail: [email protected]
Ali YILMAZ,
Faculty of Health Science,
Kirikkale University, Kirikkale, Turkey.
E-mail: [email protected]
Nesrin AKCA,
Faculty of Health Science,
Kirikkale University, Kirikkale, Turkey.
E-mail: [email protected]
___________________________________________________________________________
Abstract
The purpose of this study is to explore the relationship between organizational justice and job
satisfaction of health employee and to reveal whether or not differences according to socio-
demographic characteristics of employees. Organizational justice scale that was developed
by Niehoff and Moorman (1993) and Minnesota Job Satisfaction Scale that was developed
Weis and colleagues (1967) were used as data collection tool in the study. The survey was
administrated in a public hospital in Sakarya between May 30 and 30 June 2011. The validity
and reliability of data obtained from the survey was measured using analysis confirmatory
factor analysis and Cronbach's alpha coefficient. Path analysis, descriptive statistical
methods, one-way variance analysis and independent samples t test were used for analyzing
of the data. Results were evaluated in 95% confidence interval, p
International Journal of Recent Advances in Organizational Behaviour and Decision Sciences (IJRAOB)
An Online International Research Journal (ISSN: 2311-3197)
2015 Vol: 1 Issue 2
361 www.globalbizresearch.org
1. Introduction
Organizational justice is based on Equality Theory of Adams (Luthans 1981). In
accordance with this theory, individuals compare gaining obtained at the end of tasks
executed with the gaining of other individuals and when they perceive injustice as a result of
such comparison, they improve certain attitudes towards their managers and works
(Greenberg 1990).
Organizational justice includes sovereignty and promotion of fair and ethical
implementations and proceedings within the organization (Iscan and Naktiyok 2004).
Moorman (199) defines organizational justice as a term being directly related with working
areas and defining the justice. Workers within the organization expect equal application of
rules to all employees, payment of equal amount to equal work and equal benefiting from fees
and social possibilities. However, not only outcomes and comparison of such outcomes are
placed on the focus of justice perceptions, but also rules within the organization, application
type of these rules and interaction between the individuals are also included by the scope
(Barling and Phillips 1993). In that case, studies on organizational justice analyze perception
formation, the cognitive and emotional processing of events, attitudinal and behavioral
reactions to perceived mistreatment, and the formation of justice climates within workgroups
and organizations (Rupp, 2011).
Organizational justice is analyzed in three categories named as distributive, procedural
and interactional.
Distributive justice shortly defines honestly share of outputs within the organization
(Lambert et al., 2007). Distributive justice is related with honesty and fidelity shown during
distribution of organizational resources. Distribution justice focus on wage increases,
performance evaluations, promotions and punishments (Tutar 2007). Distributive justice
compares gaining presented by the organization to the employees with their responsibilities
within the organization, their level of expertise, effort and other contributions related with the
work (Moorman, 1991). Individuals may perceive outputs as fair or unfair (income, bonus,
promotion, social rights, etc.). They make comparisons between what they and others
obtained. As a result, they may think that injustice is done towards them. This point of view
may affect their attitudes and behaviors of these individuals may change with respect to their
attitudes (Ozdevecioglu, 2003; Barsky and Kaplan, 2007). In other words, what is important
in terms of distributive justice is the belief of employees with regard to the fairness of their
share among the resources distributed.
Procedural justice is based on views of individuals in terms of accuracy of proceedings or
methods used during decision-making process of the management for the individual or other
employees. Procedural justice is defined as the fairness of the methods, procedures and
International Journal of Recent Advances in Organizational Behaviour and Decision Sciences (IJRAOB)
An Online International Research Journal (ISSN: 2311-3197)
2015 Vol: 1 Issue 2
362 www.globalbizresearch.org
policies used in identification and measurement of items such as wage, promotion, material
possibilities, working conditions and performance evaluation (Jahangir et al. 2006; Dogan
2002). One of the significant issues of the procedural justice is the behavior of the decision-
making managers towards the individuals affected due to the decision. Honest and kind
attitudes of managers towards the persons affected due to the decision, timely feedback in
terms of the decision taken, respecting the rules are counted among the basic indicators of
procedural justice related evaluation (Greenberg, 1990). Adequate explanations made by the
decision-maker regarding the reasons on which the decision is based and sincere
communications established with the employees affect procedural justice related perceptions
positively. This form of organizational justice scrutinizes whether or not people feel that they
are treated fairly, when decisions are being implemented. Fair interpersonal treatment
necessitates that managers communicate truthfully and treat people with courtesy and respect
(Colquitt et al., 2001).
Interactional justice is viewed as expanded version of procedural justice and is related
with human factor of organizational implementations. Accordingly, interactional justice
highlights the justice perception related with the communication established between the
employees and the managers distributing the resources. In accordance with this dimension of
organizational justice, performance of the communication process between the source of
justice and the receiver on the basis of kindness, respect and honesty is important (Cohen-
Charash and Spector 2001). The important issue in terms of interactional justice is the
perceptions related with the quality of inter-personal behaviors encountered during
application of processes.
Surveys performed about organizational justice show that justice related concerns of the
employees may affect their attitudes and behaviors.
Researchers of the justice mainly focus on distributive justice interpreting justice
perceptions about outcomes of decisions taken and procedural justice defining justice
perception during decision-making process. As for surveys conducted in recent years,
interpersonal justice (sincere and respect) and informative justice named also as interactional
justice (adequate, honest explanations) are considered (Judge and Colquitt 2004). In
conclusion, perceptions related with distributive justice is based on fair utilization of
resources being available within the organization; whereas, justice perception regarding
processes considered within distribution decisions are considered in the scope of procedural
justice (Scandura, 1999). Communicative justice represents the justice perceived during
execution of processes by means of mutual communication.
Job satisfaction reflects respond of the employees against the job or part of job (Varoglu,
1993). Job satisfaction is defined as pleasing or positive emotions arisen due to evaluation of
the job or experience by the employee (Locke, 1976); perception of the employees regarding
International Journal of Recent Advances in Organizational Behaviour and Decision Sciences (IJRAOB)
An Online International Research Journal (ISSN: 2311-3197)
2015 Vol: 1 Issue 2
363 www.globalbizresearch.org
the job and tangible, intangible possibilities provided by the job (Luthans, 1994) or emotional
respond improved by the employee as a result of evaluation of the job and job environment.
Job satisfaction may result with determination of the job or price for the job experience of the
individual, in which case the individual may be pleased or feel positive senses (Locke, 1976)
and it realizes when characteristics of the job overlaps with the requests of the employee
(Okray and Cakici, 2008). An interesting job, any job providing learning opportunities,
bringing responsibilities are all reasons for satisfaction (Sevimli and İscan, 2005). Job
satisfaction or dissatisfaction defines intrinsic evaluations as a product of ideas and behaviors
of the employees towards their jobs, job environments or co-workers; their general attitudes
towards their jobs (Solmus, 2004).
At it may be understood from above definitions, different definitions are presented about
job satisfaction; however, it is generally accepted that this concept represent positive state of
mind of the employee towards his/her job or job experience, pleasure felt against the changing
job with respect to the values owned, harmony between job related expectations and
promotions provided by the job, attitudes towards the job (Kilic et al., 2008). Accordingly,
job satisfaction is the pleasure or positive feelings sensed as a result of evaluation of the job
or life. This sense can be felt by the employees when the values to be obtained from the
organization are equal to the values needed (Basaran, 1992). Job satisfaction is an important
factor encouraging the people to work, success hopes to be senses as a result of their efforts.
Satisfaction is possible when these hopes are realized (Eren, 1990).
Job satisfaction is a positive factor enabling orientation towards the job. Behavioral
differences are identified between those having high and low job satisfaction. Job motivation
and quality of service increase, as job satisfaction increases. When health employees are
pleased of their working environment, they concentrate their energies towards increase of
patient care quality (Kilic et al., 2008).
When the expectation and longing levels of the employees are higher than what they
obtain actually, job dissatisfaction arises. Most of the studies related with job satisfaction aim
to make job dissatisfaction clear and to take certain measures (Kazanc, 1998), as job
dissatisfaction may cause decrease in productivity and performance of the employee as a
result of which the employee may sabotage the job and quit the job (Dole and Schroeder,
2001; Vecchio, 1995). Therefore, it should be considered that issues such as lower
performance, discontinuity and increase in workforce turnover shall be encountered, in case
of job dissatisfaction (Noe et al., 1997).
While satisfaction of the employees due to the external resources (wage, promotion,
admiration, master, etc.) is called as external job satisfaction; satisfaction experienced due to
the internal resources (respect, skill, decision-making, conscience, occupancy, etc.) is called
as internal satisfaction (Weiss et al., 1967). Therefore, internal job satisfaction is related with
International Journal of Recent Advances in Organizational Behaviour and Decision Sciences (IJRAOB)
An Online International Research Journal (ISSN: 2311-3197)
2015 Vol: 1 Issue 2
364 www.globalbizresearch.org
success, recognition, appreciation, intrinsic features of the job such as the job, job
responsibility, promotion and feelings of the employees about the job. However, external job
satisfaction orients towards business policy, audit type, relations with the managers and
subordinates, working conditions of the company, environment of the business, such as wage
and feelings of the employees about the business.
Although justice concept is perceived as important in terms of all individuals,
organizational justice concept increases its significance within the business life changing
rapidly every day (Elovainio 2002); because, organizational justice is a fundamental
requirement in order for provision of personal satisfactions of organizations and the persons
working within the organizations (Lambert 2003). In particular, in case of discriminatory
behaviors of the managers, employees shall perceive this condition as an organizational
injustice in which case the employees shall not obtain job satisfaction in such an environment.
Possible output of a working environment being lack of job dissatisfaction shall be
unproductivity of the employees and even, higher desire to quit the job.
In this study, relations between the organizational justice and job satisfaction is analyzed
in health institutions representing labor intensive sector and accordingly, impacts of
organizational justice on job satisfaction are searched. An environment that is perceived as
fair by employees of the organization effects a positive on job satisfaction (Kaneshiro, 2008).
Therefore, some answers are tried find the following questions in the study:
Is there a relationship between job satisfaction and organizational justice?
Does organizational justice effect on job satisfaction?
2. Methodology
This study is performed to identify impact of organizational justice perceived by health
employees on job satisfaction and whether socio-demographical characteristics of the
employees cause differences on organizational justice and job satisfaction.
Universe of the survey is the health employees, except for doctors working at a public
hospital in Sakarya. Any sample is not selected in the scope of the survey and it is aimed to
access all employees. There were 680 staff and 400 questionnaires were distributed, but 279
of them were received back. Return rate of the questionnaire is 72.25%.
In the scope of the study, organizational justice scale improved by Niehoff and Moorman
(1993) and Minnesota Job Satisfaction scale improved by Weiss and Cropanzano (1996) are
used as data collection means. The organizational justice scale has 20 items, including three
dimensions, namely, distributive justice, procedural justice and interactional justice. The
Minnesota satisfaction questionnaire (short form) is a 20-item self-report measure of job
satisfaction, including two dimensions, namely, internal and external satisfaction.
International Journal of Recent Advances in Organizational Behaviour and Decision Sciences (IJRAOB)
An Online International Research Journal (ISSN: 2311-3197)
2015 Vol: 1 Issue 2
365 www.globalbizresearch.org
The participants are asked to choose the most appropriate answer among “1= absolutely
do not agree - 5= absolutely agree” in terms of those creating organizational loyalty scale and
“1=Dissatisfied – 5=Very satisfied” for the job satisfaction scale. The questionnaire is
performed between May 30 and June 30, 2011. Data was analyzed using structural equality
model, descriptive statistical methods, independent samples t test and one-way ANOVA.
Results are evaluated within 95% confidence level, p
International Journal of Recent Advances in Organizational Behaviour and Decision Sciences (IJRAOB)
An Online International Research Journal (ISSN: 2311-3197)
2015 Vol: 1 Issue 2
366 www.globalbizresearch.org
Figure 1: DFA results of scales used in the system
Organizational Justice Scale Job satisfaction Scale
CMIN=288.742; DF=140; CMIN/DF=2.062; p=.000;
GFI=.911; AGFI=.867; NFI=.909; IFI=.951; TLI=.940;
CFI=.950; RMSEA=.061
CMIN=320.520; DF=154; MIN/DF=2.081; p=.000;
GFI=.902; AGFI=.867; NFI=.912; IFI=.952; TLI=.940;
CFI=.952; RMSEA=.061
3. Findings
51.60% of the health employees participating to the study is females and the resting
48.40% is males. 59.9% of the participants are married and majority of the participants
(56.80%) is aged 30 and more. 49.10% of the participants of the survey has worked for 5
years and less and most of them (40.50%) received high school and associate degree
(34.90%) level education. 33.2-% of the participants is nurse and 27.70% of them is medical
secretary (Table 2).
Table 2: Socio-demographical characteristics of health employees (n=289)
Quantity Rate Quantity Rate
Gender
Female 149 51.60 Marital
status
Married 173 59.90
Male 140 48.40 Single 116 40.10
Total 289 100.00 Total 289 100.00
Age
Under 30 125 43.30
Working
period
5 years and less 142 49.10
30-39 97 33.60 6-10 years 65 22.50
Above 39 67 23.20 10 years and more 82 28.40
Total 289 100.00 Total 289 100.00
Education
status
Primary school 13 4.50
Task
Nurse 96 33.20
High school 117 40.50 Technician 35 12.10
Associate degree 101 34.90 Administrative 50 17.30
International Journal of Recent Advances in Organizational Behaviour and Decision Sciences (IJRAOB)
An Online International Research Journal (ISSN: 2311-3197)
2015 Vol: 1 Issue 2
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personnel
Undergraduate 37 12.80 Medical secretary 80 27.70
Master 21 7.30 Auxiliary staff 28 9.70
Total 289 100.00 Total 289 100.00
A model is developed to identify impact of organizational justice perception of health
employees on internal and external job satisfaction. Before evaluation of structural model, it
is ensured that designation of all clusters of causal relationship is sufficient and structural
model is acceptable by analyzing compliance statistics of the models. As it is obvious in
Figure 2, models are acceptable with respect to the GFI, RMSEA, TLI and NFI values
indicating basic compliance statistics of the models.
Figure 2: Model indicating impact of organizational justice perception on job satisfaction
CMIN=1264.487; DF=651; P=.000; CMIN/DF=1.942; GFI=.828; AGFI=.783; NFI=.841; IFI=.916; TLI=.898;
CFI=.915; RMSEA=.057
Figure 2 shows findings of organizational justice on job satisfaction and goodness indices
of scales. In the scope of the model, distributive justice, procedural justice and interactional
justice constituting organizational justice factors are called as independent variables
(exogenous); internal job satisfaction and external job satisfaction constituting job satisfaction
factors are called as dependent variables (endogenous). As it indicated in Table 3, high level
of covariance is available between procedural justice and interactional justice (ρ=0.933),
distributive justice and procedural justice (ρ=0.841) and distributive justice and interactional
justice (ρ=0.763) included in organizational justice – job satisfaction model (p
International Journal of Recent Advances in Organizational Behaviour and Decision Sciences (IJRAOB)
An Online International Research Journal (ISSN: 2311-3197)
2015 Vol: 1 Issue 2
368 www.globalbizresearch.org
Table 3: Covariance relation between organizational justice dimensions
Relations between organizational justice factors ρ S.H. t p
Procedural justice Interactional justice .933 .074 8.066 ***
Distributive justice Procedural justice .841 .069 7.929 ***
Distributive justice Interactional justice .763 .065 7.984 ***
***p
International Journal of Recent Advances in Organizational Behaviour and Decision Sciences (IJRAOB)
An Online International Research Journal (ISSN: 2311-3197)
2015 Vol: 1 Issue 2
369 www.globalbizresearch.org
internal and external job satisfaction of married health employees is higher than single health
employees. In terms of age, statistically significant difference is detected between external job
satisfaction of health employees aged 39, 29 and 30-38. External job satisfaction level of
health employees aged 39 is higher than others. These results could be affected by the status
of senior staff and the resources that they have.
Table 6: Difference in job satisfaction of health employees in accordance with socio-
demographical characteristics
n Ave. S.S. t p Post Hoc
Marital status/
internal job
satisfaction
Single 116 3.19 0.878
-2.433 0.000 Married 173 3.42 0.617
Marital status/
external job
satisfaction
Single 116 3.20 0.892
-1.661 0.004 Married 173 3.36 0.686
Age/ external job
satisfaction
≤29 years1 125 3.25 0.834
5.653 0.004 1-3 p=0.007
2-3 p=0.001 30-38 years2 97 3.17 0.773
≥39 years 3 67 3.56 0.604
4. Conclusion and Recommendations
This study is performed to determine impact of organizational justice on job satisfaction
level of health employees. It is supported that identification of perception of organizational
justice and job satisfaction by the health employees and interaction between these two factors
shall contribute to more productive and effective functioning of health organizations. Positive
perceptions of employees in health sector regarding their organizations having high level of
specialization shall affect their job satisfaction and related performance positively or
negatively.
In accordance with results of the survey, high level of covariance is available between
procedural justice and interactional justice (ρ=0.933), distributive justice and procedural
justice (ρ=0.841) and distributive justice and interactional justice (ρ=0.763) (p
International Journal of Recent Advances in Organizational Behaviour and Decision Sciences (IJRAOB)
An Online International Research Journal (ISSN: 2311-3197)
2015 Vol: 1 Issue 2
370 www.globalbizresearch.org
and performance evaluation; negative impact on internal job satisfaction of health employees
is meaningful. Because this outcome shows that job satisfaction of health employees is
affected adversely as they think that their managers do not behave fairly in terms of above
stated issues. In addition, procedural justice has statistically meaningful impact on external
job satisfaction (p>0.05). Accordingly, health managers should act more carefully in terms of
procedural justice related proceedings and processes.
In accordance with the results of analysis performed on the basis of socio-demographical
characteristics of health employees, statistically meaningful difference is identified between
them in terms of organizational justice and job satisfaction, as well as their gender,
educational status and working periods. In addition, interactional justice and job satisfaction
perceptions of married health employees are higher than that of single health employees.
External job satisfaction levels of employees working for 39 years and more is higher than
other employees. Besides, distributive justice perceptions of nurses are lower than other
employees.
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