Conclusion
Firstly, it is important to create an environment of trust involving good relationships with supervisors to contribute to the organizational commitment of the employees and improve their perception of organizational performance. Employees should be openly communicating with their supervisors and receiving feedback and support when needed. In addition, adopting work teams can improve the work environment by constituting a warm and cooperating atmosphere while reducing the conflict. Continuously, autonomy is another important aspect where employees take full responsibility of their jobs and can take initiatives. At this point, practicing in participative management will be useful for the decision makers so that they share the authority with the employees allowing them to take more responsibilities, which will contribute, to their commitment and perceptions.
Secondly, the perception of employees on equality and fairness in distribution of rewards is also crucial. Managers should offer rewards to their employees and at the same time watch over the distribution of rewards to create a positive climate because a perception of unfairness can cause a reverse impact.
Thirdly, organizational structure, including regulations, standards and organization of work, is also another component of organizational climate, which has an impact on organizational commitment and perceived organizational performance. It is not only important for the patients but also for the physical conditions of employees. In order to create a positive organizational climate, decision makers can transform the current mechanistic structure of the public hospitals into more of an organic structure, which includes flexibility and decentralization.
Lastly, organic structures can also contribute to openness to innovation and reduce the resistance to change. Considering that organic structures are sensitive to the external environment, they are always open to change and encourage employees to be creative and innovative. So then, organizational climate can be perceived more positively and organizational commitment and perceived organizational performance will be affected positively.