Proactive behaviors and health care workers: A systematic review.

IF 1.7 3区 医学 Q3 HEALTH POLICY & SERVICES
Health Care Management Review Pub Date : 2024-07-01 Epub Date: 2024-05-17 DOI:10.1097/HMR.0000000000000409
Alden Yuanhong Lai, Kenneth Z Wee, Jemima A Frimpong
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引用次数: 0

Abstract

Background: Proactive behaviors at work refer to discretionary actions among workers that are self-starting, change oriented, and future focused. Proactive behaviors reflect the idiosyncratic actions by individual workers that shape the delivery and experience of professional services, highlight a bottom-up perspective on workers' agency and motivation that can influence organizational practices, and are associated with a variety of employee and organizational outcomes.

Purpose: This systematic review aims to understand the various forms of proactive behaviors in health care workers that have been studied, and how these proactive behaviors are associated with employee-level outcomes and quality of care.

Methods: Systematic review of articles published to date on proactive behaviors in health care workers.

Results: Based on the identification of 40 articles, we find that job crafting, active problem solving, voice, extra-role behaviors, and idiosyncratic deals have been investigated as proactive behaviors among health care workers. Among these, job crafting is the most commonly studied (35% of articles), and it has been conceptualized and measured in the most consistent way, including as individual- and group-level phenomena, and as organizational interventions. Studies on active problem solving, which refers to workers accepting responsibility, exercising control, and taking action around anticipated or experienced problems at work, have not been consistently investigated as a form of proactive behavior but represent 25% of the articles identified in this review. Overall, this review finds that proactive behaviors in health care is a burgeoning area of research, with the majority of studies being cross-sectional in design and published after 2010, and focused on workers' job satisfaction as the outcome.

Practice implications: Health care workers and managers should consider the distinct influences and contributions of proactive behaviors as ways to improve employee-level outcomes and quality of care.

积极主动的行为与医护人员:系统综述。
背景:工作中的积极主动行为指的是员工自行决定采取的行动,这些行动具有自我启动、以变化为导向和以未来为重点的特点。积极主动的行为反映了员工个人的特异行动,这些行动影响了专业服务的提供和体验,突出了员工的能动性和积极性这一自下而上的视角,而这种能动性和积极性会影响组织的实践,并与员工和组织的各种结果相关联。目的:本系统性综述旨在了解已研究过的医护人员各种形式的积极主动行为,以及这些积极主动行为与员工层面的结果和护理质量之间的关系:对迄今为止发表的有关医护人员主动行为的文章进行系统综述:结果:在对 40 篇文章进行鉴定的基础上,我们发现工作精心设计、积极解决问题、发言权、角色外行为和特异性交易作为医护人员的积极主动行为得到了研究。其中,工作精心制作是最常见的研究内容(占 35% 的文章),其概念化和测量方法也最为一致,包括将其作为个人和群体层面的现象以及组织干预措施。关于主动解决问题的研究,是指工人在工作中承担责任、行使控制权,并围绕预期或经历的问题采取行动,这些研究并没有作为主动行为的一种形式进行持续调查,但在本综述中占 25% 的文章。总体而言,本综述发现,医疗保健领域的积极主动行为是一个新兴的研究领域,大多数研究都是横断面设计,发表于 2010 年之后,并以员工的工作满意度为研究结果:实践意义:医疗工作者和管理者应考虑积极主动行为的独特影响和贡献,将其作为提高员工水平和医疗质量的途径。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Health Care Management Review
Health Care Management Review HEALTH POLICY & SERVICES-
CiteScore
4.70
自引率
8.00%
发文量
48
期刊介绍: Health Care Management Review (HCMR) disseminates state-of-the-art knowledge about management, leadership, and administration of health care systems, organizations, and agencies. Multidisciplinary and international in scope, articles present completed research relevant to health care management, leadership, and administration, as well report on rigorous evaluations of health care management innovations, or provide a synthesis of prior research that results in evidence-based health care management practice recommendations. Articles are theory-driven and translate findings into implications and recommendations for health care administrators, researchers, and faculty.
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