Journal of Health Organization and Management最新文献_第10页

Improving the learning capacity of regional health systems for their transformation towards health and well-being systems: a qualitative study of ten Dutch regions. 提高地区卫生系统的学习能力，使其向卫生和福利系统转型：对荷兰十个地区的定性研究。

IF 1.7 4区医学

Journal of Health Organization and Management Pub Date : 2024-08-13 DOI: 10.1108/JHOM-06-2023-0187

Natascha van Vooren, Esther de Weger, Josefien de Bruin, Caroline Baan

{"title":"Improving the learning capacity of regional health systems for their transformation towards health and well-being systems: a qualitative study of ten Dutch regions.","authors":"Natascha van Vooren, Esther de Weger, Josefien de Bruin, Caroline Baan","doi":"10.1108/JHOM-06-2023-0187","DOIUrl":"10.1108/JHOM-06-2023-0187","url":null,"abstract":"Purpose: There is growing recognition that transformation of healthcare systems towards health and well-being systems requires a continuous learning process. This explorative study aims to gain insight into the experiences with and investment in these learning processes within regional partnerships for health and in what they need to enhance their learning capacity to use the learning for transformation.Design/methodology/approach: 17 interviews were held with programme managers, data scientists, trusted advisors and a citizen representative, all involved in the learning process on a regional level in ten Dutch regional partnerships. The interviews were inductively and thematically analysed, focusing on the experiences and perceptions underlying the learning processes.Findings: Regional partnerships invest in learning processes by organizing interactions between different groups of stakeholders and by reflecting on specific themes or on a region-wide level. Difficulty was found in region-wide reflection and in enhancing the learning capacity within the partnerships. Further enhancing the learning capacity required: (1) Investment in (the use of) expertise for translating learning outcomes into concrete action; (2) Leadership for change, underpinned by a shared sense of urgency to learn for transformation and (3) A facilitative environment for change which is both based on facilitative system structures and a basis of trust and commitment to learn and adapt.Originality/value: The study highlighted the difficulty of learning on a region-wide level and the struggle to apply this learning for transformation. It provides insights into how learning processes and learning capacity can be further improved.","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":"38 9","pages":"280-296"},"PeriodicalIF":1.7,"publicationDate":"2024-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11346209/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142298610","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Putting a decommissioning programme into action: an interview study with politicians and public servants in a local healthcare organisation. 将退役计划付诸行动：对地方医疗机构中的政治家和公务员的访谈研究。

IF 1.7 4区医学

Journal of Health Organization and Management Pub Date : 2024-07-19 DOI: 10.1108/JHOM-04-2023-0111

Inga-Britt Gustafsson, Lars Wallin, Ulrika Winblad, Mio Fredriksson

{"title":"Putting a decommissioning programme into action: an interview study with politicians and public servants in a local healthcare organisation.","authors":"Inga-Britt Gustafsson, Lars Wallin, Ulrika Winblad, Mio Fredriksson","doi":"10.1108/JHOM-04-2023-0111","DOIUrl":"10.1108/JHOM-04-2023-0111","url":null,"abstract":"Purpose: A local healthcare organisation providing healthcare to 288,000 residents in Sweden struggled with a longstanding budget deficit. Several attempts to overcome the demanding financial situation have failed. A decommissioning programme was launched, and two years later, an evaluation indicated positive outcomes. The aim of this study was to explore factors politicians and public servants perceived as enablers to the successful implementation of the programme.Design/methodology/approach: A deductive content analysis approach using a framework of factors facilitating successful implementation of decommissioning decisions was applied to analyse interviews with 18 informants.Findings: Important factors were: (1) a review report contributing to the clarity of evidence, which (2) made the clarity of the rationale for change undeniable and (3) strengthened the political support for change. Additional factors were: (4) the strength of executive leadership, (5) the strength of clinical leadership supported by (6) the quality of project management and (7) a cultural and behavioural change seen as an important outcome for the path forward. A way to maximise the potential for a successful implementation of a large-scale decommissioning programme is to build a shared vision and a collaboration grounded in convincing evidence. Include public servants with a clinical background in the executive leadership team to contribute with legitimacy, competence, and trust in the decommissioning programme's intention.Originality/value: The paper addresses the limited knowledge of best practices in decommissioning processes and contributes empirical knowledge from a successful case.","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":"38 9","pages":"258-279"},"PeriodicalIF":1.7,"publicationDate":"2024-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11346211/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142298612","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pursuing sustainable performance in healthcare organizations: a sustainable business model perspective. 追求医疗机构的可持续绩效：可持续商业模式视角。

IF 1.7 4区医学

Journal of Health Organization and Management Pub Date : 2024-07-16 DOI: 10.1108/JHOM-12-2023-0369

Federico Cosenz, Guido Noto, Giuliana Cavadi, Enzo Bivona, Giovanni Scirè

{"title":"Pursuing sustainable performance in healthcare organizations: a sustainable business model perspective.","authors":"Federico Cosenz, Guido Noto, Giuliana Cavadi, Enzo Bivona, Giovanni Scirè","doi":"10.1108/JHOM-12-2023-0369","DOIUrl":"https://doi.org/10.1108/JHOM-12-2023-0369","url":null,"abstract":"Purpose: This paper explores the use of Dynamic Business Modeling for Sustainability (DBMfS) in healthcare management settings as a holistic approach to integrating economic, social, and environmental dimensions into the business formula of these complex organizations.Design/methodology/approach: After framing sustainable value in healthcare in terms of organizational complexity, wicked problems, and emerging managerial challenges, the paper proposes and illustrates the DBMfS approach that adopts a systemic view of sustainable value in healthcare. According to a qualitative perspective, a single-case study of a maternity-related healthcare treatment is also described to explore the implications and limitations of using this approach to sustainable business modeling in healthcare organizations.Findings: Findings show that, by embracing sustainability through DBMfS, healthcare organizations can improve operational efficiency, reduce waste (like energy, water, and medical supplies), and enhance cost-effectiveness, thus contributing significantly to societal well-being.Originality/value: In recent years, the healthcare sector has faced numerous challenges and wicked problems, including escalating costs, resource constraints, and growing environmental concerns. As a result, the concept of sustainability has gained significant attention, thus calling scholars and practitioners to develop methods and tools able to integrate it into strategic management systems of healthcare organizations. By proposing the adoption of DBMfS in the healthcare sector, this paper contributes to feeding up the current debate.","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":"38 5","pages":"741-759"},"PeriodicalIF":1.7,"publicationDate":"2024-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141617366","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Abusive supervision and helping behavior among nursing staff: a moderated mediation model. 虐待性监督与护理人员的助人行为：调节中介模型。

IF 1.7 4区医学

Journal of Health Organization and Management Pub Date : 2024-07-16 DOI: 10.1108/JHOM-12-2023-0372

Muhammad Asim, Liu Zhiying, Usman Ghani, Muhammad Athar Nadeem, Xu Yi

{"title":"Abusive supervision and helping behavior among nursing staff: a moderated mediation model.","authors":"Muhammad Asim, Liu Zhiying, Usman Ghani, Muhammad Athar Nadeem, Xu Yi","doi":"10.1108/JHOM-12-2023-0372","DOIUrl":"https://doi.org/10.1108/JHOM-12-2023-0372","url":null,"abstract":"Purpose: This study aims to explore the adverse impacts of abusive supervision on helping behaviors among employees, as mediating by intention to leave and moderating by Islamic work ethics (IWE).Design/methodology/approach: A quantitative approach was employed, and the sample consisted of 283 nurses working in various public sector hospitals in Pakistan. The data analysis was conducted using SPSS and AMOS with the PROCESS macro.Findings: The results suggest that abusive supervision diminishes helping behavior among nurses. Additionally, the study reveals that intention to leave mediates the relationship of abusive supervision and nurses' helping behavior. Moreover, the introduction of IWE as a boundary condition reveals that the mediated link is weaker when IWE is higher, and vice versa.Practical implications: This study provides valuable insights for hospital authorities to develop intervention strategies and policies aimed at reducing abusive supervision in hospitals. Hospital management should also be aware of the detrimental effects of abusive supervision on nurses' helping behaviors, which can be mitigated by promoting ethical values aligned with IWE.Originality/value: This study makes a valuable contribution to the limited research on the link between abusive supervision and helping behaviors in hospital settings. It offers new perspectives by incorporating the Conservation of Resources theory, particularly within the healthcare sector. Furthermore, this research expands the current knowledge by investigating the mediating influence of intention to leave and the moderating effect of IWE in mitigating the adverse impact of abusive supervision on nurses' helping behavior in Pakistan's public sector hospitals.","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":"38 5","pages":"724-740"},"PeriodicalIF":1.7,"publicationDate":"2024-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141617348","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Nurse middle managers' proactive work behavior: antecedents and consequences on innovative work behavior and job performance. 护士中层管理人员的积极主动工作行为：创新工作行为和工作绩效的前因后果。

IF 1.7 4区医学

Journal of Health Organization and Management Pub Date : 2024-07-16 DOI: 10.1108/JHOM-03-2023-0087

Lucie Pierre, Nicola Cangialosi, Guillaume R M Déprez

{"title":"Nurse middle managers' proactive work behavior: antecedents and consequences on innovative work behavior and job performance.","authors":"Lucie Pierre, Nicola Cangialosi, Guillaume R M Déprez","doi":"10.1108/JHOM-03-2023-0087","DOIUrl":"https://doi.org/10.1108/JHOM-03-2023-0087","url":null,"abstract":"Purpose: Healthcare organizations require more proactive behaviors from nursing professionals. However, nurse managers' proactivity has rarely been analyzed in the literature and little is known about the antecedents and consequences of their proactive behavior at work. This study examines the relationships between job characteristics (i.e. job autonomy and job variety), psychological empowerment, proactive work behavior and job effectiveness indicators (i.e. innovative work behavior, job performance). We tested a model in which psychological empowerment and proactive work behavior sequentially mediate the relationship between job characteristics and job effectiveness.Design/methodology/approach: A cross-sectional study was conducted among nurse middle managers from a French hospital (N = 321). A hypothetical model was developed based on existing theory. Structural equation modeling was used to test the hypotheses.Findings: Results show that psychological empowerment and proactive work behavior fully mediate the relationship between job characteristics and innovative work behavior, and partially mediate the relationship between job characteristics and job performance.Originality/value: This study provides insights for understanding how job characteristics can contribute to fostering the proactivity of nurse middle managers and how their proactive work behavior can be positively related to innovative work behavior and job performance. Findings raise several implications for hospital administrators and upper management seeking new ways to enhance nurse middle managers' proactive work behavior and push further their effectiveness at work.","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":"38 5","pages":"682-704"},"PeriodicalIF":1.7,"publicationDate":"2024-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141617350","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Dynamic adaptive decision support for strategic decision-making in healthcare organizations. 为医疗机构的战略决策提供动态自适应决策支持。

IF 1.7 4区医学

Journal of Health Organization and Management Pub Date : 2024-07-16 DOI: 10.1108/JHOM-07-2023-0229

Anke Aarninkhof-Kamphuis, Hans Voordijk, Geert Dewulf

{"title":"Dynamic adaptive decision support for strategic decision-making in healthcare organizations.","authors":"Anke Aarninkhof-Kamphuis, Hans Voordijk, Geert Dewulf","doi":"10.1108/JHOM-07-2023-0229","DOIUrl":"https://doi.org/10.1108/JHOM-07-2023-0229","url":null,"abstract":"Purpose: The main objective of this study was to design a dynamic adaptive decision support model for healthcare organizations facing deep uncertainties by considering promising dynamic adaptive approaches. The main argument for this is that healthcare organizations have to make strategic decisions under deep uncertainty, but lack an approach to deal with this.Design/methodology/approach: A Dynamic Adaptive Decision Support model (DADS) is designed using the Design Science Research methodology. The evaluation of an initial model leads, through two case studies on ongoing and strategic decision-making, to the final design of this needed model for healthcare organizations.Findings: The research reveals the relevance of the designed dynamic and adaptive tool to support strategic decision-making for healthcare organizations. The final design of DADS innovates Decision Making under Deep Uncertainty (DMDU) approaches in an organizational context for ongoing and strategic decision-making.Originality/value: The designed model applies the Dynamic Adaptive Policy Pathways approach in an organizational context and more specifically in health care organizations. It further integrates Corporate Real Estate Management knowledge and experience to develop a most needed tool for decision-makers in healthcare. This is the first DADS designed for an organization facing deep uncertainties in a rapidly changing healthcare environment and dealing with ongoing and strategic decision-making.","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":"38 5","pages":"638-661"},"PeriodicalIF":1.7,"publicationDate":"2024-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141617349","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Relationship among group learning, individuals' and groups' internalization of evidence-based practice, and nurses' sustainment of the practice: a cross-sectional study. 小组学习、个人和小组对循证实践的内化以及护士对实践的坚持之间的关系：一项横断面研究。

IF 1.7 4区医学

Journal of Health Organization and Management Pub Date : 2024-07-16 DOI: 10.1108/JHOM-04-2023-0096

Keiko Ishii, Yukie Takemura, Ryohei Kida

{"title":"Relationship among group learning, individuals' and groups' internalization of evidence-based practice, and nurses' sustainment of the practice: a cross-sectional study.","authors":"Keiko Ishii, Yukie Takemura, Ryohei Kida","doi":"10.1108/JHOM-04-2023-0096","DOIUrl":"https://doi.org/10.1108/JHOM-04-2023-0096","url":null,"abstract":"Purpose: This study, by applying the feedback process of the organizational learning model, examined the relationships among group learning, individuals' and groups' internalization of institutionalized evidence-based practice (I-EBP), and nurses' sustainment of I-EBP.Design/methodology/approach: Twelve hospitals were included in this cross-sectional study, with 1,741 nurses from 59 wards. Anonymous questionnaires were administered from October to December 2021. Participants self-reported their wards' group learning, internalization of I-EBP, sustainment of I-EBP, EBP beliefs, intra-hospital transfers, and nursing research experiences. The number of nurses and I-EBP introduction length and type of I-EBP were assessed. Internalization of I-EBP of nurses and groups was considered the mediating variable, while group learning and nurses' sustainment of I-EBP were the independent and dependent variables, respectively. Significant variables in bivariate analyses were used as control variables. Multi-level Mediation Analysis and a significance test of indirect effect using the bootstrap method were conducted.Findings: Responses from 360 nurses in 48 wards from 12 hospitals were analyzed. Groups' internalization of I-EBP significantly mediated the relationship between group learning and nurses' sustainment of I-EBP. In contrast, no significant mediating effect of nurses' internalization of I-EBP was observed.Originality/value: In the feedback process of organizational learning, group learning and its subsequent effects on individuals and groups have not been previously examined. Regardless of the nurses' degree of internalization of I-EBP, those who belong to the ward with a high degree of internalization of I-EBP are more likely to sustain it. Conducting group learning may prevent superficial practice, resulting in its sustainability.","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":"38 5","pages":"705-723"},"PeriodicalIF":1.7,"publicationDate":"2024-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141617367","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

What are the antecedents of nosiness among nurses? A qualitative study. 护士多管闲事的前因后果是什么？一项定性研究。

IF 1.7 4区医学

Journal of Health Organization and Management Pub Date : 2024-07-16 DOI: 10.1108/JHOM-10-2023-0306

Mehdi Golverdi, Amir Hossein Soleimani Naeini, Mohammad Shaker Ardakani, Mohammad Sadegh Sharifirad

{"title":"What are the antecedents of nosiness among nurses? A qualitative study.","authors":"Mehdi Golverdi, Amir Hossein Soleimani Naeini, Mohammad Shaker Ardakani, Mohammad Sadegh Sharifirad","doi":"10.1108/JHOM-10-2023-0306","DOIUrl":"https://doi.org/10.1108/JHOM-10-2023-0306","url":null,"abstract":"Purpose: Nosiness is an annoying behavior at the workplace that can lead to negative consequences. It is characterized by being overly curious about other people's affairs. Specifically, this study aims to identify the factors contributing to nosiness among nurses.Design/methodology/approach: We conducted an exploratory qualitative interview study involving 38 nurses in Iran. The participants were selected by purposive sampling.Findings: We identified nine themes as the antecedents of nosiness among nurses: defamation motive, the need for certainty, the need for power, recreational motive, empathy, social comparison, the allure of the subject for the individual, having an employee-friendly workplace, and work environment and workload.Originality/value: Understanding the antecedents of nosiness can help healthcare organizations curtail this phenomenon and foster a positive work environment, particularly in nursing where empathy, compassion, and attention to detail make them susceptible to nosiness.","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":"38 5","pages":"760-777"},"PeriodicalIF":1.7,"publicationDate":"2024-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141617368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Public-private partnerships, boundary spanners and the boundary wall in the English National Health Service. 英国国民健康服务中的公私合作伙伴关系、"边界破坏者 "和 "边界墙"。

IF 1.7 4区医学

Journal of Health Organization and Management Pub Date : 2024-07-16 DOI: 10.1108/JHOM-01-2023-0002

James Duncan Alexander

{"title":"Public-private partnerships, boundary spanners and the boundary wall in the English National Health Service.","authors":"James Duncan Alexander","doi":"10.1108/JHOM-01-2023-0002","DOIUrl":"https://doi.org/10.1108/JHOM-01-2023-0002","url":null,"abstract":"Purpose: The paper investigates English National Health Service (NHS) organisations partnering with private companies, a form commonly known as a Public-Private Partnership (PPP). Successive governments have promoted PPPs as a way of improving the delivery of health care, making the best of the different skills/experience which both sectors bring. However, the task of making these relationships work on the ground often falls to individual leaders/practitioners (\"boundary spanners\") whose role has been under-researched in this type of partnership.Design/methodology/approach: The paper opted for a comparative three case study approach, including 13 semi-structured interviews and questionnaires with employees representing middle and senior management involved in managing the partnerships. The data were complemented by documentary analysis, including minutes, descriptions of internal processes and press releases.Findings: The paper provides conceptual and empirical insights by creating a framework called the \"boundary wall\" that indicates the ways in which different elements of the boundaries between organisations influence the role and activities of boundary spanners (managers of the partnership).Research limitations/implications: This is an initial framework in an under-researched area, so will need further testing and application to other case study sites in future research.Practical implications: The paper includes implications for both practice and policy.Originality/value: While we know an increasing amount about the role of boundary spanners in public partnerships, the paper makes a unique contribution by exploring these concepts in the context of relationships between the public and private sectors.","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":"38 5","pages":"662-681"},"PeriodicalIF":1.7,"publicationDate":"2024-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141617365","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The joint impact of burnout and neurotic personality on career satisfaction and intention to leave among health workers during the first 2 years of COVID-19. 在 COVID-19 的头两年，职业倦怠和神经质人格对卫生工作者职业满意度和离职意向的共同影响。

IF 1.4 4区医学

Journal of Health Organization and Management Pub Date : 2024-06-19 DOI: 10.1108/JHOM-03-2023-0089

Hannah Vivian Osei, Justice Arthur, Francis Aseibu, Daniel Osei-Kwame, Rita Fiakeye, Charity Abama

{"title":"The joint impact of burnout and neurotic personality on career satisfaction and intention to leave among health workers during the first 2 years of COVID-19.","authors":"Hannah Vivian Osei, Justice Arthur, Francis Aseibu, Daniel Osei-Kwame, Rita Fiakeye, Charity Abama","doi":"10.1108/JHOM-03-2023-0089","DOIUrl":"https://doi.org/10.1108/JHOM-03-2023-0089","url":null,"abstract":"Purpose: The purpose of the study is to examine the psychological impact of COVID-19 on health workers' career satisfaction and intention to leave the health profession, with neurotic personality type as a moderator.Design/methodology/approach: A total of 277 health workers in two public hospitals in Ghana were included in this study. Purposive and convenience sampling techniques were adopted for the study, focusing on eight departments that were involved in the management of COVID-19 cases. Validated instruments were used to measure burnout, intention to leave, neurotic personality and career satisfaction. Using AMOS and partial least squares structural equation modeling (PLS-SEM), various techniques were employed to analyze mediating and moderating mechanisms.Findings: The departments had staff sizes ranging from 19 to 40, with 67% female and 33% male, with an average age of 31. Nurses accounted for the majority of responses (67.8%), followed by physicians (13.9%), sonographers (0.9%), lab technicians (0.9%) and other respondents (16.5%). The study found that health workers' level of burnout during COVID-19 had a positive effect on their intention to leave the health profession. Career satisfaction does not mediate this relationship; however, career satisfaction negatively influences the intention to leave the health profession. A neurotic personality does not moderate this relationship.Originality/value: This study provides validation of burnout and intention to leave among health workers in Ghana during COVID-19 and supports the proposition that threats to resources (burnout) and having a resource (career satisfaction) have effects on the intention to leave one's profession.","PeriodicalId":47447,"journal":{"name":"Journal of Health Organization and Management","volume":"ahead-of-print ahead-of-print","pages":""},"PeriodicalIF":1.4,"publicationDate":"2024-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141421399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0