Impact of quality management practices on innovation performance in hospitals with the intervening roles of quality culture and innovation strategy

The main objective of this study is to examine the effect of the Quality Management practices (QMPs) on innovation performance in the Kingdom of Saudi Arabia (KSA) hospitals. Additionally, the mediating effect of innovation strategy, quality culture and moderating effect of transformation leadership were examined between relationship of QMPs and innovation performance in hospitals of KSA. Data were collected from a population of 268 hospitals in the KSA using a cross-sectional study. A survey method was used for data collection and the questionnaires were personally-administered. Samples of 159 respondents were selected from the hospitals' directors using stratified random sampling. Partial Least Squares Structural Equation Modelling (PLS-SEM) was used to test the hypotheses in this study. The results showed that the construct of QMPs positively affect innovation performance in Saudi hospitals. With regard to the mediation of quality culture and innovation strategy, the results proved that both
variables have a partial mediation role in the relationship between QMPs and innovation performance. Finally, the results showed that transformational leadership moderates the relationship between QMPs and innovation performance. The results of this study provide important insights to the hospital administrators, policy-makers and researchers in order to have a greater understanding of the effect of quality management practices, quality culture, innovation strategy, transformational leadership and innovation performance. The study concludes that providing quality culture in hospitals positively influences the performance of hospital employees. The health policy-makers should encourage hospital administrators to improve their transformational leadership which will also provide opportunities for the employees to enhance innovation performance in KSA Hospitals.