Work, cilt.83, sa.1, ss.242-249, 2026 (SSCI, Scopus)
Background: In increasingly dynamic and innovation-driven healthcare environments, fostering intrapreneurship among employes is critical for organizational resilience and progress. While proactive personality traits are known to support such innovative behaviors, the broader organizational climate—particularly the presence of organizational cynicism—may significantly constrain this effect. Research exploring this interaction remains limited, especially in healthcare settings. Objective: This study aims to examine whether organizational cynicism moderates the relationship between proactive personality traits and intrapreneurial behavior among healthcare professionals working in public hospitals. Methods: A cross-sectional survey was conducted with 330 healthcare workers from public hospitals in Niğde, Turkey, between July and December 2021. Data were collected using validated instruments measuring proactive personality, organizational cynicism, and intrapreneurship. Statistical analyses included descriptive statistics, Pearson correlations, regression analysis, structural equation modeling (SEM), and Hayes’ PROCESS macro (Model 1) for moderation testing with 10,000 bootstrap samples. Results: Findings revealed a significant positive association between proactive personality and intrapreneurship (r = .422, p < .01), and a significant negative correlation between proactive personality and organizational cynicism (r = −.430, p < .01). Regression analysis confirmed the positive impact of proactive personality on intrapreneurial behavior (β = 0.044, p < .001). The moderation analysis showed that organizational cynicism significantly weakens this positive relationship (β = −0.062, p < .05). Conclusions: These results highlight the critical interplay between individual traits and organizational culture. While proactive personality enhances intrapreneurship, high levels of cynicism undermine this effect. Reducing organizational cynicism and fostering trust-based environments may amplify the benefits of proactive traits in healthcare institutions.