Frontiers in psychology · 2026
The effect of perceived organizational support on safety compliance in Libyan public hospitals: a cross-sectional study of the mediating role of proactive personality.
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Saaid Maryam G, Berberoğlu Ayşen
Аннотация
BACKGROUND: Perceived organizational support (POS) reflects employees' beliefs that their organization values their contributions and cares about their well-being. Although POS has been linked to desirable workplace outcomes, less is known about the psychological processes through which it is associated with safety compliance behavior among healthcare employees, particularly in under-examined developing-country contexts.
OBJECTIVE: This study aims to evaluate proactive personality as an individual-level mechanism underlying the association between POS and safety compliance behavior in healthcare personnel.
METHODS: A hospital-based cross-sectional survey was conducted among 309 healthcare employees working in public hospitals in Ajdabiya, Libya. Data were analyzed using partial least squares structural equation modeling (PLS-SEM) with SmartPLS 4. Reliability and validity of the measurement model were assessed before testing the direct and indirect relationships using bootstrapping with 5,000 resamples (bias-corrected and accelerated, BCa).
RESULTS: POS was positively associated with proactive personality (β = 0.242, p < 0.001) and safety compliance behavior (β = 0.217, p < 0.001). Proactive personality was also positively associated with safety compliance behavior (β = 0.554, p < 0.001), the strongest path in the model. Proactive personality was also associated with a significant indirect association between POS and safety compliance (β = 0.134, p < 0.001), consistent with complementary partial mediation. The structural model accounted for 41.2% of the variance in safety compliance behavior and 5.9% of the variance in proactive personality.
CONCLUSION: The findings indicate that proactive personality is associated with a stronger direct relationship with safety compliance behavior than organizational support is among healthcare workers in this sample. The study extends organizational support theory within the healthcare context by showing how individual differences relate to safety-related behavior. Given the cross-sectional design, these associations should not be interpreted causally; the findings nonetheless suggest that healthcare organizations may benefit from combining organizational-support practices with efforts that support proactive engagement among staff. As a primary goal, the abstract should render the general significance and conceptual advance of the work clearly accessible to a broad readership. References should not be cited in the abstract. Leave the Abstract empty if your article does not require one - please see the "Article types" on every Frontiers journal page for full details.
OBJECTIVE: This study aims to evaluate proactive personality as an individual-level mechanism underlying the association between POS and safety compliance behavior in healthcare personnel.
METHODS: A hospital-based cross-sectional survey was conducted among 309 healthcare employees working in public hospitals in Ajdabiya, Libya. Data were analyzed using partial least squares structural equation modeling (PLS-SEM) with SmartPLS 4. Reliability and validity of the measurement model were assessed before testing the direct and indirect relationships using bootstrapping with 5,000 resamples (bias-corrected and accelerated, BCa).
RESULTS: POS was positively associated with proactive personality (β = 0.242, p < 0.001) and safety compliance behavior (β = 0.217, p < 0.001). Proactive personality was also positively associated with safety compliance behavior (β = 0.554, p < 0.001), the strongest path in the model. Proactive personality was also associated with a significant indirect association between POS and safety compliance (β = 0.134, p < 0.001), consistent with complementary partial mediation. The structural model accounted for 41.2% of the variance in safety compliance behavior and 5.9% of the variance in proactive personality.
CONCLUSION: The findings indicate that proactive personality is associated with a stronger direct relationship with safety compliance behavior than organizational support is among healthcare workers in this sample. The study extends organizational support theory within the healthcare context by showing how individual differences relate to safety-related behavior. Given the cross-sectional design, these associations should not be interpreted causally; the findings nonetheless suggest that healthcare organizations may benefit from combining organizational-support practices with efforts that support proactive engagement among staff. As a primary goal, the abstract should render the general significance and conceptual advance of the work clearly accessible to a broad readership. References should not be cited in the abstract. Leave the Abstract empty if your article does not require one - please see the "Article types" on every Frontiers journal page for full details.