Abstract
Organizational citizenship behavior (OCB) is vital for continuous organizational growth and development. OCB also plays an evident role in advancing the quality of health care services and practicing OCB in hospitals can be useful. Although OCBs’ contributing factors have been studied in Jordan in earlier researches, the utilization of OCB in health sector is still a new topic. Therefore, this article aimed to investigate the impact of employees’ gender and age on OCB at Jordanian governmental hospitals using a fuzzy approach. A convenient sample of 126 employees working in three main governmental hospitals in the north of Jordan has been taken. The collected data include linguistic terms that suffer from uncertainty which, in turn, cannot be dealt with traditional numerical values. This study indicates that gender impact on OCB has statistically significant differences at α = .05 in favor of males with the total score of 0.011% as far as altruism, courtesy, and civic virtue are concerned. Similarly, the effect of age factor on OCB is statistically significant differences at α = .05 in relation to courtesy, sportsmanship, and civic virtue with the total score of 0.27%. Finally, the results provide baseline data for further studies that may pay more attention toward employees’ demographics in OCB. This study can support mangers and leaders holding dominant positions in public sector health care organizations.
Recently, behavioral science has emerged as a scientific study, and researchers have started giving more attention to organizational citizenship behavior (OCB) due to its working performance effects (N. P. Podsakoff et al., 2009). At the beginning of the past decade, researchers simply described OCB as “willingness to cooperate” (Organ et al., 2006). OCB refers to discretionary employee behavior and contributes toward making organizations’ functioning more effective (Klotz et al., 2018). The discretionary behaviors are not a formal requirement of employees’ role or job description. This behavior is rather a matter of personal choice and its oversight is not generally considered punishable (Organ et al., 2006). OCB was initially presented by Organ (1997) with its five dimensions as follows: Altruism is a helping behavior, courtesy is a communicating and commitment behavior, sportsmanship is forgiveness behavior, civic virtue is a shared governance behavior, and finally, conscientiousness is an attendance and compliance behavior (O’Grady, 2018).
OCB is deemed as a notion produced by the modern administrative ideas and its positive effects are believed by many researchers. Many government and private employees adopt this approach to gain better competence and efficiency (Kamel et al., 2015). However, an organization must play a vital role in satisfying and encouraging its employees because, in return, employees have an important role in advancing their countries’ economics (Uzonwanne, 2014).
OCB has an eminent role in advancing the quality of health care facilities (Ng et al., 2014; Sutharjana et al., 2013). At the same time, good employee attitudes and behaviors significantly improve patient care (Parasuraman et al., 1988).
Fuzzy logic provides extremely valuable flexibility in thinking by making it possible to take into account inaccuracies and uncertainties (Kóczy et al., 2020). Fuzzy logic has rules developed in natural language to study human thinking (Dernoncourt, 2013; Kóczy et al., 2020). Fuzzy numbers or fuzzy set can appropriately represent inaccurate parameters and can be processed through various operations (Kahraman et al., 2006). Various fields apply fuzzy logic when handling partial truth (Lowen, 1990). Fuzzy set theory is used for problems in medical, business, engineering health sciences, and natural sciences (Kahraman et al., 2006; Kóczy et al., 2020).
Jordan facing many challenges in health care; therefore, it was trying to apply OCB in hospitals for more organizational success. Few studies were found to investigate factors affecting OCB in Jordanian hospital. However, the impact of these two employees’ demographics (gender and age) on OCB is not studied in details. Therefore, this article aims to investigate them at Jordanian governmental hospitals using a fuzzy approach. Finally, the results of this study can help mangers in adopting strategies to enhance OCB in Jordanian health care employees, and this study can serve as the starting point for more future studies in Jordan.
Literature Review
This section summarizes some of the key earlier studies related to the impact of age and gender on (OCB) and fuzzy set.
Employees’ Gender and Age With OCB
Many factors contribute in enhancing the practice of OCB among employees. The most important variables explored were employees’ characteristics in addition to job attitude, task characteristics, and leadership behaviors (P. M. Podsakoff et al., 2000). Generally, shared governance behaviors were significantly affected by employees’ gender (Shah et al., 2014). Moreover, significant relations of managers’ genders and their education level with OCB have been found (Farzianpour et al., 2011). Similar significant relations of OCB have been observed with employees’ demographics such as age, work position, institutional experience, and professional characteristics (Altuntas & Baykal, 2014). Saleem et al. (2017) reported that OCB is significantly affected by all demographics including gender and age at public- and private-sector universities of Punjab, which was evident in their study for female and employee of age 40 and above. Study by Mahnaz et al. (2013) about relations between employees’ demographic characteristics and OCB in Tehran’s hospitals indicated that practice of OCB was affected by all demographics except ethnicity. Moreover, male employees exhibit more OCB than females. Beyond employees’ demographics, working environment also influences OCB, and psychological empowerment also has a positive impact on it (Abazeed, 2010).
Contrary to above, the study of Francis (2014) regarding OCB and demographic factors among oil workers in Nigeria revealed some demographics such as gender, educational level, and marital status did not affect practice of OCB. A similar study was conducted by El-Badawy et al., (2017) to assess and compare the effect of demographics on OCB in Egypt and Mexico. Two samples taken from Egypt and Mexico, respectively, demonstrated that OCB level was higher in Mexico than Egypt. The results highlighted that there was no significant relationship among gender, age, years of experience, level of education, and OCB of Egyptian and Mexican employees.
In Jordan, OCB has significantly improved companies’ performance (Nooh, 2013). However, most of the reviewed literature investigated OCB in different companies and reported that Jordanian employees expressed acceptable level of OCB (Abazeed, 2010; Ajlouni, 2010; Khasawneh, 2011). Employees of Jordanian telecom companies expressed high level of OCB with statistical differences according to their gender, age, job title, and years of experience (Shury, 2010), while OCB among social security corporation employees in Jordan was not affected by their demographics (Abazeed, 2010). Finally, there were no statistically significant differences among OCB level of managers and subordinates related to age and qualification (Taamneh, 2015). Furthermore, enhancing daily practice of OCB increases organizational productivity. However, the practice of OCB in Jordanian hospitals can be encouraged by developing new strategies of promoting OCB culture. Thus, the review of existing literature shows no published investigations related to the impact of employees’ demographics on OCB in Jordanian hospitals. Moreover, inconsistency is found in the results of studies pertaining to the impact of employees’ gender and age on OCB, and this can be attributed to cultural diversity (Waris, 2005). El-Badawy et al. (2017) showed indirect positive and significant relationship between culture and OCB. This study hopes to explore the impact of employees’ gender and age on OCB in Jordanian governmental hospitals.
Fuzzy Set
In humanities and social sciences, the evaluation of data obtained from responses given to questionnaires is a complex task, and dealing with the inherent subjectivity and vagueness in such data was also essential (Kóczy et al., 2020). A method based on fuzzy signatures suitable for analyzing questionnaires with hierarchically connected (partially) vague responses was proposed, and its applicability was demonstrated by a real-life problem by Kóczy et al. (2020). Li et al. (2020) used the fuzzy-set qualitative comparative analysis approach to examine the contextual embeddedness of women’s entrepreneurship through a focus on gendered institutions. This study confirmed the complex interactions occurring among institutional components and highlighted the key role that gender equality in entrepreneurial cognitions plays in achieving high female entrepreneurship.
According to Arefi and Taheri (2011) and Bodjanova (2005), fuzzy hypothesis testing was statistical technique that empowered them to test the hypothesis. Due to the quality and flexibility of the technique, it has a wide range of applications especially in social science research and other areas (Buckley, 2005; Manton et al., 1994; Wu, 2009). The literature leads to the development of following conceptual framework of employee’s gender and age with OCB as shown in Figure 1.

The conceptual model of employee’s gender and age with organizational citizenship behavior.
Hypotheses
Following hypothesis was established to describe association among studied variables based on previous literature review:
Proposed Works of Fuzzy Set
First, this section provides a brief review of fuzzy set theory, fuzzy hypothesis testing, fuzzy t test, and fuzzy one-way analysis of variance (ANOVA). Then, the proposed approach and fuzzy hypothesis testing were given in detail.
Fuzzy Hypothesis Testing
The data were collected from employees or a group of participants through a questionnaire for testing the hypothesis (de Sáa et al., 2014; Devore, 2008; Guajardo et al., 2015; Wong et al., 2007). Their responses were obtained on a Likert-type scale range from strongly agree to strongly disagree with the numerical values in the range of 4–1 since Likert-type scale is psychometric scale (it proposes as four fuzzy values to express the individual response from agree to strongly disagree). However, Zadeh (1965) pointed that these numerical values do not handle the impreciseness/vagueness in these linguistic variables. Moreover, Zadeh (1965) introduced the concept of fuzzy set theory to handle such type of situations. Another way followed by several researchers like Buckley (2005), Manton et al. (1994), and Wu (2009) to handle impreciseness/vagueness in these linguistic variables was to use fuzzy numbers instead of positive integers for representing the linguistic terms.
Preliminaries
The definitions of a fuzzy set are given as hereunder: α cut of a triangular fuzzy number. (i) (i) (ii) (ii) (iii) (iii)

A triangular fuzzy number

Triangular fuzzy numbers.
Arithmetic Operations on Interval Fuzzy Numbers
Let
Fuzzy ANOVA Method
In this section, the proposed method is illustrated as follows:
1. Collected the data from employees or a group of participants through a questionnaire in terms of linguistic variables like were strongly agree, agree, disagree, strongly disagree, and so on. Transformed the linguistic data into triangular fuzzy numbers, using the fuzzy triangular scale as shown in Table 1.
The Fuzzy Triangular Scale of Fuzzy Analysis of Variance.
The triangular fuzzy number

Response of participants.
Let
2. Assumed the following fuzzy testing hypothesis:
where
where,
3. Using Equation 2 as mentioned above and subsection 3.1, to transform the fuzzy ANOVA model into two crisp ANOVA models, this can be written as follows:
4. Applied crisp ANOVA method to obtain sums of squares based on the interval valued observations
5. Computed the mean squares using Step 5:
Lower Crisp Analysis of Variance.
Upper Crisp Analysis of Variance.
6. Finally, in order to test whether the hypothesis is accepted or not, the following test statistic was used:
Using the defuzzification function
Fuzzy t Test
Let
Now for the null hypothesis,
where,
Finally, by using the defuzzification function,
Population and Sampling
As this study aims to investigate the impact of employees’ gender and age on OCB in Jordanian governmental hospitals, the general population of this study is all employees from governmental hospitals in Jordan number to 2,355 (Ministry of Health Hashemite Kingdom of Jordan, 2017). The target population includes employees who work in the selected governmental hospitals located in the north of Jordan (Irbid city). For sampling, the probability sampling method was used. After briefing about purpose of the study and ensuring that these data were treated confidentially, more realistic and not presumptive data were collected. Sample size of the study was based on Cohen power primer; the sample size for medium sample effect size (ES), at power (P) of .08 with significant criterion α of .05, for ANOVA tests was 52 for each group that resulted in at least 126 employees (Cohen, 1992). The inclusion creations included all health employees working in the selected hospitals, providing direct and indirect patient care, that is, physicians, nurses, radiologists, pharmacists, laboratory technicians, and managers.
Research Design and Data Collection
A descriptive and cross-sectional research design was used to collect data related to current research. Questionnaire prepared for the target group was well structured and was distributed directly to employees in the selected hospitals who were on duty at the time of data collection. A brief clarification about the study was given to employees before distributing the questionnaires.
The participants were assured that the data collected would be used solely for the purpose of this research with confidentiality. Of 210 questionnaires distributed, 126 employees participated in the sample with a response rate of 60% because some of them expressed inability to participate due to excess duties.
Study Instrument
A well-structured and pretested questionnaire was used for data collection in line with earlier studies (Ajlouni, 2010; Kóczy et al., 2020; Niehoff & Moorman, 1993; P. M. Podsakoff et al., 1997). The responses were rated on a 4-point Likert-type scale (4 for strongly agree and 1 was strongly disagree). Thus, there were 20 items reflecting OCBs’ five dimensions, viz: altruism, conscientiousness, sportsmanship, courtesy, and civic virtues were considered for the purpose of this study. Content validity was checked on the judgment of 10 experts including physicians and faculty members of different universities. They reported that the instrument-related items sufficiently measured OCB and its dimensions.
Pilot Study
A pilot study with 40 employees of the selected hospitals was conducted. A suitable pilot study sample size was prepared for medium sample ES at a significance criterion α of .05 with 40 participants (Whitehead et al., 2016). The pilot study aimed to assess the feasibility of study (reliability, validity, applicability, readability, and the precise amount of time needed to fill in the questionnaire), to find out any obstacle that could hinder the data collection process, and to make necessary modifications if any. The pilot study showed that all items of instrument were clear, readable, and easily understandable. Time needed to fill the questionnaire was 10–15 min for each participant; therefore, it was considered sufficient in view of the limited information required.
Reliability of this study instrument was assessed by computing Cronbach’s α with a score of .89 for the entire questionnaire, which showed that the instrument had acceptable internal consistency (Polit & Beck, 2010). This pretest process involved subsequent analysis of collected data, confirming that questionnaire items matched research objectives. It also ensured content validity based on expert judgment and ensured that instrument-related items effectively measured OCB and its dimensions.
Setting
Current study was conducted in the northern part of Jordan in three main governmental hospitals. All these three hospitals have specializations in medical–surgical, pediatric, and gynecological ailments that provide a comprehensive health care to about 1.77 million individuals living in this part of Jordan (Census of Population and Housing, 2015). Furthermore, these hospitals are providing teaching facilities to medical and nursing students.
Results
The experimental analysis and results pertaining to the proposed work identify the impact of employees’ gender and age on OCB as per employees’ perception in Jordanian governmental hospitals. Standard deviation, t test, and one-way ANOVA were applied to get the study aims. Tables represent the final transformed and crisp results as follows:
Table 4 shows the final transformed results of means and standard deviation. Total mean score of 3.07 due to gender variable stands in favor of males, while females lag in all dimensions with a mean score of 2.86. There were statistically significant differences at α = .05 in altruism of .006, civic virtue of .012, and courtesy of .045, respectively. While sportsmanship and conscientiousness had no statistically significant differences at α = .05. The total statistically significant difference is .011, as reported in Table 5.
Means and Standard Deviations Sample Responses Related to Participants’ Gender.
The t-Test Results of Sample Responses Related to Participants’ Gender.
Table 6 displays the final transformed results of means and standard deviation. Respondents of age 41 and above have the highest mean score in altruism of 3.22, courtesy of 3.29, sportsmanship of 3.31, and conscientiousness of 2.61. The total mean score is 3.03.
Means and Standard Deviation Results of Sample Responses Related to Age Variable.
Table 7 shows statistically significant differences at (
One-Way Analysis of Variance Result of Sample Responses Related to Their Age Variable.
Pairwise multiple comparisons post hoc test using the Scheffe method were conducted as shown in Table 8. This table shows that there are statistically significant differences at (
Pairwise Multiple Comparisons Post Hoc Tests Using the Scheffe Method Due to Age Variable.
* The mean difference is significant at .05 level.
Discussion and Conclusion
This study was descriptive in nature. The aim was to explore effects of demographic variables including gender and age on OCB among employees of Jordanian governmental hospitals. OCB is vital for enhancing the quality of health care services (Ng et al., 2014; Sutharjana et al., 2013). Whereas, there are many factors that contribute to enhancing OCB practice by employees, also including their characteristics (P. M. Podsakoff et al., 2000).
Results of earlier studies were inconsistent regarding the effects of employees’ demographics like gender and age on OCB. However, the results of this study supported the Hypothesis 1(a) that OCB is significantly related to gender at α = .05 in favor of male employees regarding three dimensions of OCB, altruism, civic virtue, and courtesy. This can be attributed to differences in attitudes and interests of males and females, for example; males and females had different attitudes toward shared governance (Shah et al., 2014). This significant impact of gender on OCB was proved earlier by some studies (Farzianpour et al., 2011; Mahnaz et al., 2013; Shury, 2010), while contradictory results were depicted by Saleem et al. (2017) that female employees practiced OCB more than male employees. Similarly, the results of this study were contrary to those of Abazeed (2010), Francis (2014), and El-Badawy et al. (2017), who reported that employees’ gender had no impact on OCB. Finally, more future investigations can provide better results.
Furthermore, the results of this study show strong support for Hypothesis 1(b). A significant impact of employees’ age on OCB at α = .05 in courtesy and sportsmanship was found in favor of respondents of age 41 and above. This results could be interpreted as respondents having more experience and professionalism revealed higher level of OCB (Saleem et al., 2017; Shury, 2010) as well as professional characteristics (Altuntas & Baykal, 2014). Age also had significant impact on civic virtue, and results were in favor of respondents having age of 30 or less and above both. It was also proved that employees of age 31–40 were more concerned about OCB. Similarly, Saleem et al. (2017) showed that employees aged 46 or above were more committed to OCB than younger ones. Many researchers like Shury (2010) found a high level of OCB in Jordanian telecom companies affected by employees’ age, gender, job title, and years of experience. In addition, Altuntas and Baykal (2014) found that some employees’ demographics such as age, work position, and institutional experience in addition to professional characteristics had positive effects on OCB in Turkey. This was also supported by Mahnaz et al. (2013) that OCB was influenced by all employees’ demographics except ethnicity. However, these results were inconsistent with some other studies (El-Badawy et al., 2017; Farzianpour et al., 2011; Taamneh, 2015), which detected no significant impacts of employees’ age on OCB.
Finally, the results of this study showed that OCB at Jordanian governmental hospitals was affected by both employees’ gender and age. Findings of this study will be valuably contribute to the literature, and this study is an initiative toward studies regarding OCB in health sector at one of the developing countries. This was also be useful in further understanding the impacts of employees’ other demographics such as level of education, marital status, and years of experience on OCB in future.
Limitations
This study had some limitations that need to be taken into consideration when examining the findings and can be addressed in future studies. Some of the main limitations of this study are as follows: Using a convenience sampling method restricts the generalizability of findings. Thus, a randomized sample will be more effective in further studies. This study takes into consideration only three government hospitals of Jordan. Comprehensive studies involving more Jordanian hospitals in future may enhance the reliability of results.
Further Scope
Future studies can investigate how OCB norms according to gender and age could be developed in hospitals to increase employees’ efficiency and quality of services. Future studies having larger representative samples, more locations, and considering more employees’ demographics such as organizational justice, job satisfaction, loyalty, effectiveness, human resource management, and others can contribute more in this field of research.
Supplemental Material
Supplemental Material, Responses_to_Editor's_Comments - The Impact of Employees’ Gender and Age on Organizational Citizenship Behavior Using a Fuzzy Approach
Supplemental Material, Responses_to_Editor's_Comments for The Impact of Employees’ Gender and Age on Organizational Citizenship Behavior Using a Fuzzy Approach by Wajdee Mohammadkair Ebrheem Ajlouni, Gurvinder Kaur and Saleh Ali Alomari in Social Science Computer Review
Footnotes
Declaration of Conflicting Interests
The author(s) declare no potential conflicts of interests with respect to the research, authorship, and/or publication of this article.
Funding
The author(s) received no financial support for the research, authorship, and/or publication of this article.
Supplemental Material
The supplemental material for this article is available online.
References
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