"Let me handle this myself": The value of psychological empowerment and kaleidoscope career orientation for career sustainability.

IF 2.6 3区 医学 Q3 HEALTH POLICY & SERVICES
Health Care Management Review Pub Date : 2026-07-01 Epub Date: 2026-04-15 DOI:10.1097/HMR.0000000000000490
Denise Mary Jepsen, Beatrice Van der Heijden, Sait Gürbüz
{"title":"\"Let me handle this myself\": The value of psychological empowerment and kaleidoscope career orientation for career sustainability.","authors":"Denise Mary Jepsen, Beatrice Van der Heijden, Sait Gürbüz","doi":"10.1097/HMR.0000000000000490","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>High staff turnover in residential aged care threatens both care quality and workforce sustainability, highlighting the urgent need to understand factors that support employee well-being and performance.</p><p><strong>Purpose: </strong>Building on self-determination theory and the kaleidoscope career model, this study examines how psychological empowerment, authenticity, balance, and challenge predict career sustainability among eldercare staff.</p><p><strong>Methodology: </strong>Cross-sectional survey data from 370 staff in 21 facilities in metropolitan and regional Australia were analyzed. Participants completed validated measures of the predictor variables, job satisfaction, psychological distress, and task performance. Hypothesized relationships were tested using structural equation modeling.</p><p><strong>Results: </strong>Psychological empowerment was positively related to job satisfaction and task performance and negatively related to psychological distress. Contrary to expectations, an authentic career orientation was negatively associated with job satisfaction and positively associated with psychological distress. Balanced career orientation was not associated with any sustainable career indicators. Challenge career orientation was positively associated with job satisfaction and negatively associated with psychological distress.</p><p><strong>Practice implications: </strong>Given the predictive value of psychological empowerment and challenge career orientation for workers' career sustainability, HR professionals and line managers need to be aware of the importance of fostering psychological empowerment in the workplace, and enabling opportunities for growth and development across the working life. In doing so, career sustainability can be protected and supported, which will be reflected in improved retention-relevant outcomes, well-being, and performance. Findings suggest that authenticity-oriented career priorities may be more difficult to realize in structurally constrained care settings.</p>","PeriodicalId":47778,"journal":{"name":"Health Care Management Review","volume":" ","pages":"253-262"},"PeriodicalIF":2.6000,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13193172/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Health Care Management Review","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/HMR.0000000000000490","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2026/4/15 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"HEALTH POLICY & SERVICES","Score":null,"Total":0}
引用次数: 0

Abstract

Background: High staff turnover in residential aged care threatens both care quality and workforce sustainability, highlighting the urgent need to understand factors that support employee well-being and performance.

Purpose: Building on self-determination theory and the kaleidoscope career model, this study examines how psychological empowerment, authenticity, balance, and challenge predict career sustainability among eldercare staff.

Methodology: Cross-sectional survey data from 370 staff in 21 facilities in metropolitan and regional Australia were analyzed. Participants completed validated measures of the predictor variables, job satisfaction, psychological distress, and task performance. Hypothesized relationships were tested using structural equation modeling.

Results: Psychological empowerment was positively related to job satisfaction and task performance and negatively related to psychological distress. Contrary to expectations, an authentic career orientation was negatively associated with job satisfaction and positively associated with psychological distress. Balanced career orientation was not associated with any sustainable career indicators. Challenge career orientation was positively associated with job satisfaction and negatively associated with psychological distress.

Practice implications: Given the predictive value of psychological empowerment and challenge career orientation for workers' career sustainability, HR professionals and line managers need to be aware of the importance of fostering psychological empowerment in the workplace, and enabling opportunities for growth and development across the working life. In doing so, career sustainability can be protected and supported, which will be reflected in improved retention-relevant outcomes, well-being, and performance. Findings suggest that authenticity-oriented career priorities may be more difficult to realize in structurally constrained care settings.

“让我自己来处理”:心理赋权和万花筒式职业导向对职业可持续发展的价值。
背景:养老院的高员工流动率威胁着护理质量和劳动力的可持续性,因此迫切需要了解支持员工福利和绩效的因素。目的:基于自我决定理论和万花筒职业模型,研究心理授权、真实性、平衡和挑战对老年护理人员职业可持续性的影响。方法:横断面调查数据从370名员工在21个设施在澳大利亚大都市和地区进行分析。参与者完成了预测变量、工作满意度、心理困扰和任务表现的有效测量。使用结构方程模型对假设关系进行检验。结果:心理授权与工作满意度、任务绩效正相关,与心理困扰负相关。与预期相反,真实的职业取向与工作满意度呈负相关,与心理困扰呈正相关。平衡的职业定位与任何可持续的职业指标无关。挑战性职业取向与工作满意度正相关,与心理困扰负相关。实践启示:鉴于心理赋权和挑战职业导向对员工职业可持续发展的预测价值,人力资源专业人员和直线经理需要意识到在工作场所培养心理赋权的重要性,并在整个工作生涯中创造成长和发展的机会。这样做,可以保护和支持职业的可持续性,这将反映在与保留相关的结果、福祉和绩效的改善上。研究结果表明,在结构受限的护理环境中,以真实性为导向的职业优先事项可能更难实现。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
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.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信
小红书