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An exploration of individual perceptions on emergency medical service work environments
Dissertation   Open access

An exploration of individual perceptions on emergency medical service work environments

Brian Ruiz
Doctor of Business Administration (D.B.A.), Drexel University
Mar 2020
DOI:
https://doi.org/10.17918/00000991
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Abstract

Industrial management
Voice, as defined by LePine and Van Dyne (1998), is a suggestion to make a presumed important change, perhaps to the standard operating procedure. Individuals are agents in the workplace and are molded and shaped by their social environment. This paper adopts Social Cognitive Theory's proxy agency as an anchoring theoretical perspective, in order to better understand the phenomena that impacts an employee's desire to speak up and voice his/her thoughts on where or how improvements can be made. Specifically, I test a model that explores how the climate of compliance documentation created by supervisors' impacts voice behaviors through motivation to learn. Healthcare organizations are particularly affected by quality assurance and voice, since healthcare is a heavily regulated industry that must abide by reimbursement regulations as set forth by Medicare law. In particular, Medicare generates a tremendous amount of information; however, critical knowledge is not always voiced by EMS technicians after a call. I use a sample of 101 surveys collected from an EMS association in the Mid-Atlantic of the US region to test my hypotheses. In general, my hypotheses were supported as the climate of compliance documentation positively impacted voice by EMS technicians. Furthermore, that relationship was mediated by the EMS technicians' motivation to learn. Notably, psychological safety did not moderate the downstream effect. Practical and theoretical implications are discussed.

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