结构差异、安全氛围和离职意愿：对医护人员虐待经历的调查

IF 3.1 2区文学 Q1 COMMUNICATION

Communication Monographs Pub Date : 2021-04-05 DOI:10.1080/03637751.2021.1900886

Jessica L. Ford, Yaguang Zhu, Ashley K. Barrett

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引用次数: 6

摘要

摘要在结构分歧（SD）理论的指导下，本研究考察了医院工作人员中围绕安全问题的未解决紧张关系的存在及其影响。采用两项研究设计，从两所医院的40名医院员工的焦点小组和访谈中收集研究1的数据。专题分析表明，工人经历了以未解决的冲突、停滞和发展侵蚀为标志的可持续发展周期。调查研究2（N = 303）同一医院网络内的工作人员，以检查无法解决的安全问题的影响，作为SD的结果和工作人员打算离开的前提。测试的概念模型显示了SD对安全气候的破坏性结果，其中SD水平越高，安全气候的感知就越低。

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Structurational divergence, safety climate, and intentions to leave: An examination of health care workers’ experiences of abuse

ABSTRACT Guided by structurational divergence (SD) theory, this study examined the presence and impact of unresolved tensions surrounding safety issues among hospital workers. Using a two-study design, data were gathered for Study 1 from focus groups and interviews involving 40 hospital employees at two hospitals. Thematic analysis indicated workers experienced SD-cycles marked by unresolved conflict, immobilization, and erosion of development. Study 2 surveyed (N = 303) workers within the same hospital network to examine the impact of unresolvable safety issues as both the outcome of SD and the antecedent to workers’ intent to leave. The conceptual model tested shows the destructive outcomes of SD on safety climate, where higher levels of SD lead to lower perceptions of safety climate.

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来源期刊

Communication Monographs COMMUNICATION-

CiteScore

5.40

自引率

0.00%

发文量

期刊介绍： Communication Monographs, published in March, June, September & December, reports original, theoretically grounded research dealing with human symbolic exchange across the broad spectrum of interpersonal, group, organizational, cultural and mediated contexts in which such activities occur. The scholarship reflects diverse modes of inquiry and methodologies that bear on the ways in which communication is shaped and functions in human interaction. The journal endeavours to publish the highest quality communication social science manuscripts that are grounded theoretically. The manuscripts aim to expand, qualify or integrate existing theory or additionally advance new theory. The journal is not restricted to particular theoretical or methodological perspectives.