This study examines the mechanisms through which employee empathy is related to customer delight in a personal service setting where customers and frontline employees interact to produce and deliver a service. Building on trait-behavior-performance relation, we propose that there exists an indirect relationship between employee empathy and customer delight with the employee, and that employee deep acting and perceived service quality would independently and serially mediate the empathy-satisfaction relationship. Health care is an appropriate context for examining the role of empathy in customer-employee interactions because of the depth and variance of service experiences. Our sample includes 154 dyads of customers (patients) and service employees (doctors), who were surveyed after a patient and a doctor completed a health consultation, diagnosis or treatment. Our findings suggest that special attention should be paid to leverage deep acting and empathy dimensions of health care. Specifically, health care managers should concentrate on the improvement of competency and capability of medical employees and establishment of a sincere and authentic relationship between patients and employees to achieve patient delight.
AshkanasyN.M., HärtelC.E., & DausC.S. (2002). Diversity and emotion: the new frontiers in organizational behavior research. J. Manag., 28(3), 307–338.
2.
BarnesD.C., PonderN., & DugarK. (2011). Investigating the key routes to customer delight. J. Mark. Theory Pract., 19(4), 359–376.
3.
BartlC., GouthierM.H., & LenkerM. (2013). Delighting consumers click by click antecedents and effects of delight online. J. Serv. Res., 16(3), 386–399.
4.
BatsonC.D., & ShawL.L. (1991). Evidence for altruism: toward a pluralism of prosocial motives. Psychol. Inq., 2(2), 107–122.
5.
BatsonC.D., FultzJ., & SchoenradeP.A. (1987). Distress and empathy: Two qualitatively distinct vicarious emotions with different motivational consequences. J. Pers., 55(1), 19–39.
6.
BitnerM.J., & HubbertA.R. (1994). Encounter satisfaction versus overall satisfaction versus quality. Serv. Qual. New Dir. Theory Pract., 34, 72–94.
BrislinR.W. (1970). Back-translation for cross-cultural research. J. Cross Cult. Psychol., 1(3), 185–216.
9.
CánovasL., CarrascosaA.J., GarcíaM., FernándezM., CalvoA., MonsalveV.,… & Empathy Study Group. (2018). Impact of empathy in the patient-doctor relationship on chronic pain relief and quality of life: a prospective study in Spanish pain clinics. Pain Med., 19(7), 1304–1314.
10.
ChitturiR., RaghunathanR., & MahajanV. (2008). Delight by design: the role of hedonic versus utilitarian benefits. J. Mark., 72(3), 48–63.
11.
DaggerT.S., & SweeneyJ.C. (2006). The effect of service evaluations on behavioral intentions and quality of life. J. Serv. Res., 9(1), 3–18.
12.
DerksenF., BensingJ., KuiperS., van MeerendonkM., & Lagro-JanssenA. (2014). Empathy: what does it mean for GPs? A qualitative study. Fam. Pract., 32(1), 94–100.
13.
DerksenF., BensingJ., & Lagro-JanssenA. (2013). Effectiveness of empathy in general practice: a systematic review. Br. J. Gen. Pract., 63(606), e76–e84.
14.
DerksenF., HartmanT.C.O., van DijkA., PlouvierA., BensingJ., & Lagro-JanssenA. (2017). Consequences of the presence and absence of empathy during consultations in primary care: A focus group study with patients. Patient Educ. Couns., 100(5), 987–993.
15.
Di BlasiZ., HarknessE., ErnstE., GeorgiouA., & KleijnenJ. (2001). Influence of context effects on health outcomes: a systematic review. Lancet N. Am. Ed., 357(9258), 757–762.
16.
DuanC., & HillC.E. (1996). The current state of empathy research. J. Couns. Psychol., 43(3), 261.
17.
FinnA. (2012). Customer delight distinct construct or zone of nonlinear response to customer satisfaction?J. Serv. Res., 15(1), 99–110.
18.
FinnA. (2005). Reassessing the foundations of customer delight. J. Serv. Res., 8(2), 103–116.
19.
FissP.C. (2011). Building better causal theories: A fuzzy set approach to typologies in organization research. Acad. Manag. J., 54(2), 393–420.
20.
GallanA.S., JarvisC.B., BrownS.W., & BitnerM.J. (2013). Customer positivity and participation in services: an empirical test in a health care context. J. Acad. Mark. Sci., 41(3), 338–356.
21.
GenteisM., Edgman-LevitanS., DalayJ., & DelbancoT.L. (2003). Through the patient's eyes: understanding and promoting patient-centered care. J. Healthc. Qual., 25(3), 47.
22.
GiacobbeR.W., JacksonD.W.Jr, CrosbyL.A., & BridgesC.M. (2006). A contingency approach to adaptive selling behavior and sales performance: selling situations and salesperson characteristics. J. Pers. Sell. Sales Manag., 26(2), 115–142.JacksonD.W.Jr.
23.
GrandeyA.A. (2003). When “the show must go on”: surface acting and deep acting as determinants of emotional exhaustion and peer-rated service delivery. Acad. Manag. J., 46(1), 86–96.
24.
GrothM., Hennig-ThurauT., & WalshG. (2009). Customer reactions to emotional labor: the roles of employee acting strategies and customer detection accuracy. Acad. Manag. J., 52(5), 958–974.
25.
HairJ.F., AndersonR.E., TathamR.L., & BlackW.C. (1998). Multivariate Data Analysis. Prentice Hall, Upper Saddle River
26.
HalpernJ. (2003). What is clinical empathy?. J. Gen. Intern. Med., 18(8), 670–674.
27.
HardyC. (2017). Empathizing with patients: the role of interaction and narratives in providing better patient care. Med. Health Care Philos., 20(2), 237–248.
28.
Hennig-ThurauT., GrothM., PaulM., & GremlerD.D. (2006). Are all smiles created equal? How emotional contagion and emotional labor affect service relationships. J. Mark., 70(3), 58–73.
29.
HochschildA.R. (2003). The Managed Heart: Commercialization of Human Feeling. University of California Press.
30.
HochschildA.R. (1983). The Managed Heart. Berkeley
31.
HurW.M., MoonT.W., & JungY.S. (2015). Customer response to employee emotional labor: the structural relationship between emotional labor, job satisfaction, and customer satisfaction. J. Serv. Mark., 29(1), 71–80.
32.
KempE., BuiM., KrishenA., HomerP.M., & LaTourM.S. (2017). Understanding the power of hope and empathy in healthcare marketing. J. Consum. Mark., 34(2), 85–95.
33.
KeremE., FishmanN., & JosselsonR. (2001). The experience of empathy in everyday relationships: cognitive and affective elements. J. Soc. Pers. Relatsh., 18(5), 709–729.
34.
KrumlS.M., & GeddesD. (2000). Exploring the dimensions of emotional labor the heart of hochschild's work. Manag. Commun. Q., 14(1), 8–49.
35.
KumarA., OlshavskyR.W., & KingM.F. (2001). Exploring alternative antecedents of customer delight. J. Consum. Satisf. Dissatisf. Complain. Behav., 14, 14–26.
36.
LarsonE.B., & YaoX. (2005). Clinical empathy as emotional labor in the patient-physician relationship. JAMA, 293(9), 1100–1106.
37.
LeeY.H., LeeS.H.B., & ChungJ.Y. (2019). Research on how emotional expressions of emotional labor workers and perception of customer feedbacks affect turnover intentions: emphasis on moderating effects of emotional intelligence. Front. Psychol., 9, 1–21.
38.
MercerS.W., HigginsM., BikkerA.M., FitzpatrickB., McConnachieA., LloydS.M.,… & WattG.C. (2016). General practitioners’ empathy and health outcomes: a prospective observational study of consultations in areas of high and low deprivation. Ann. Fam. Med., 14(2), 117–124.
39.
Mesmer-MagnusJ.R., DeChurchL.A., & WaxA. (2012). Moving emotional labor beyond surface and deep acting: a discordance–congruence perspective. Organ. Psychol. Rev., 2(1), 6–53.
NunnallyJ.C., & BernsteinI.H. (1994). Psychometric Theory (McGraw-Hill Series in Psychology) (Vol. 3). McGraw-HillNew York
42.
OliverR.L., RustR.T., & VarkiS. (1997). Customer delight: foundations, findings, and managerial insight. J. Retail., 73(3), 311–336.
43.
ParasuramanA., ZeithamlV.A., & BerryL.L. (1985). A conceptual model of service quality and its implications for future research. J. Mark., 49(4), 41–50.
44.
ParasuramanA., ZeithamlV.A., & BerryL.L. (1988). Servqual. J. Retail., 64(1), 12–40.
45.
ParkerS.K., & AxtellC.M. (2001). Seeing another viewpoint: antecedents and outcomes of employee perspective taking. Acad. Manag. J., 44(6), 1085–1100.
46.
PreacherK.J., & HayesA.F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behav. Res. Methods, 40(3), 879–891.
TaylorS.A., & CroninJ.J.Jr, (1994). Modeling patient satisfaction and service quality. Mark. Health Serv., 14(1), 34.CroninJ.J.Jr.
53.
ThiriouxB., BiraultF., & JaafariN. (2016). Empathy is a protective factor of burnout in physicians: new neuro-phenomenological hypotheses regarding empathy and sympathy in care relationship. Front. Psychol., 7, 763.
54.
TsaiW.C., & HuangY.M. (2002). Mechanisms linking employee affective delivery and customer behavioral intentions. J. Appl. Psychol., 87(5), 1001.
55.
VerhaertG.A., & Van den PoelD. (2011). Empathy as added value in predicting donation behavior. J. Bus. Res., 64(12), 1288–1295.
56.
VermaH.V. (2003). Customer outrage and delight. J. Serv. Res., 3(1), 119–133.
57.
WangH., KlineJ.A., JacksonB.E., Laureano-PhillipsJ., RobinsonR.D., CowdenC.D.,… & ZenarosaN.R. (2018). Association between emergency physician self-reported empathy and patient satisfaction. PLoS One, 13(9), e0204113
58.
WatsonD., & TellegenA. (1985). Toward a consensual structure of mood. Psychol. Bull., 98(2), 219.
59.
WestbrookR.A., & OliverR.L. (1991). The dimensionality of consumption emotion patterns and consumer satisfaction. J. Consum. Res., 18(1), 84–91.
60.
WiesekeJ., GeigenmüllerA., & KrausF. (2012). On the role of empathy in customer-employee interactions. J. Serv. Res., 15(3), 316–331.
