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1.
Front Psychol ; 15: 1439470, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-39081375

RESUMO

Background: The Maslach Burnout Inventory-General Survey (MBI-GS) stands as the preeminent tool for assessing burnout across various professions. Although the MBI-GS9 emerged as a derivative of the MBI-GS and has seen extensive use over several years, a comprehensive examination of its psychometric properties has yet to be undertaken. Methods: This study followed the Standards for Educational and Psychological Testing guidelines to validate the MBI-GS9. Employing a combined approach of classical test theory and item response theory, particularly Rasch analysis, within an integrated framework, the study analyzed data from 16,132 participants gathered between 2005 and 2015 by the Centre for Organizational Research at Acadia University. Results: The findings revealed that the MBI-GS9 exhibited satisfactory reliability and validity akin to its predecessor, the MBI-GS. Across its three dimensions, Cronbach's α and omega coefficients ranged from 0.84 to 0.91. Notably, the MBI-GS9 displayed no floor/ceiling effects and demonstrated good item fit, ordered threshold, acceptable person and item separation and reliability, clear item difficulty hierarchy, and a well-distributed item threshold. However, the results suggested a recommended minimum sample size of 350 to mitigate potential information loss when employing the MBI-GS9. Beyond this threshold, the observed mean difference between the MBI-GS and MBI-GS9 held minimal practical significance. Furthermore, measurement equivalence tests indicated that the MBI-GS9 maintained an equivalent three-factor structure and factor loadings across various gender, age, and continent groups, albeit with inequivalent latent values across continents. Conclusion: In sum, the MBI-GS9 emerges as a reliable and valid alternative to the MBI-GS, particularly when utilized within large, diverse samples across different age and gender demographics. However, to address potential information loss, a substantial sample size is recommended when employing the MBI-GS9. In addition, for cross-cultural comparisons, it is imperative to initially assess equivalence across different language versions at both the item and scale levels.

2.
Front Psychol ; 14: 1071924, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-36743243

RESUMO

In the contemporary world of work, organizational change is a constant. For change to be successful, employees need to be positive about implementing organizational change. Change engagement reflects the extent to which employees are enthusiastic about change, and willing to actively involve themselves in promoting and supporting ongoing organizational change. Drawing from Kahn's engagement theory, the research aimed to assess the influence of change-related meaningful work, psychological safety, and self-efficacy as psychological preconditions for change engagement. The study also aimed to test the indirect associations of the change-related psychological preconditions with proactive work behavior through change engagement. Survey data from a Prolific sample (N = 297) were analyzed using confirmatory factor analysis and structural equations modeling. In support of the validity of the model, the results showed that change-related self-efficacy, psychological safety, and meaningfulness had significant direct effects on change engagement, explaining 88% of the variance. The change-related psychological conditions also had significant indirect effects on proactive work behavior through change engagement. The findings therefore suggest that employees who exhibit higher levels of change-related self-efficacy, psychological safety, and work meaningfulness are more likely to support and promote organizational change, and to proactively engage in innovative work behavior. In practical terms, organizations that create the psychological conditions for change could significantly improve employee motivation to change and to innovate, which in turn would increase the likelihood of successful organizational change, and improved organizational competitiveness. Study limitations and directions for future research are discussed.

3.
Psychol Health Med ; 28(8): 2353-2367, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-34649468

RESUMO

The COVID-19 pandemic has increased physician burnout beyond high baseline levels. We aimed to determine whether pandemic-related factors contribute to physician burnout beyond known organizational factors. This was a cross-sectional survey of Canadian physicians using a convenience sample. Eligible participants included any physician currently holding a license to practice in Canada. Responses were gathered from May 13 to 12 June 2020. Risk factors measured included the newly developed Pandemic Experiences and Perceptions Scale (PEPS) subscales, contact with virus, pandemic preparation, and provincial caseload. The primary outcome was the Maslach Burnout Inventory (MBI). The primary outcome was completed by 309 respondents. Latent profile analysis found 107 (34.6%) respondents were burned out. In multivariate analysis, exhaustion was independently associated with PEPS adequacy, risk perception, and worklife subscales (adjusted R2 = 0.236, P < 0.001). Cynicism was associated with exhaustion, and PEPS worklife (adjusted R2 = 0.543, P < 0.001). Efficacy was associated with cynicism, PEPS worklife, and active cases (adjusted R2 = 0.152, P < 0.001). Structural equation modelling showed statistically significant direct paths between PEPS areas of worklife and all MBI subscales. Contact with virus, preparation, and PEPS risk perception added to the prediction of MBI exhaustion. Among a sample of Canadian physicians during the COVID-19 pandemic, adequacy of resources, risk perception, and quality of worklife were associated with burnout indices. To mitigate physician burnout organizations should work to improve working conditions, ensure adequate resources, and foster perceived control of risk of transmission.Trial Registration: NCT04379063.

5.
Front Psychol ; 13: 910206, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35769731

RESUMO

Employee attitudes to change are key predictors of organizational change success. In this article, change engagement is defined as the extent to which employees are enthusiastic about change, and willing to actively involve themselves in ongoing organizational change. A model is tested showing how change-related organizational resources (e.g., senior leader support for change and organizational change climate) influence change engagement, in part through their influence on change-related job resources. Confirmatory Factor Analysis (CFA) and Structural Equations Modeling (SEM) results yielded good fit to the data in two independent samples: 225 Australian working professionals, and 201 employees from a Prolific sample. As proposed, change-related organizational resources (modeled as a higher order construct) were positively associated with higher order change-related job resources. Change-related job resources were positively associated with change engagement. In contrast to expectations, organizational resources were not directly associated with change engagement. Instead, change-related job resources fully mediated the relationship. Overall, the study provides empirical support for new measures of organizational change resources and employee change engagement. By drawing from well-established models in the change and engagement literatures, the study provides a promising research direction for those interested in further understanding positive employee attitudes to organizational change. Practical implications and future research opportunities are discussed.

7.
8.
Stud Health Technol Inform ; 284: 510-515, 2021 Dec 15.
Artigo em Inglês | MEDLINE | ID: mdl-34920583

RESUMO

Introducing new technology, such as an electronic medical record (EMR) into an Intensive Care Unit (ICU), can contribute to nurses' stress and negative consequences for patient safety. The aim of this study was to explore ICU nurses' perceptions of factors expected to influence their adoption of an EMR in their workplace. The objectives were to: 1) measure psychological factors expected to influence ICU nurses' adoption of EMR, and 2) explore perceptions of facilitators and barriers to the implementation of an EMR in their workplace. Using an explanatory sequential mixed method approach, data were collected using surveys and focus groups. ICU nurses reported high scores for motivation, work engagement and wellbeing. Focus group analyses revealed two themes: Hope the EMR will bring a new world and Fear of unintended consequences. Recommendations relate to strategies for education and training, environmental restructuring and enablement. Overall, ICU nurses were optimistic about EMR implementation.


Assuntos
Registros Eletrônicos de Saúde , Enfermeiras e Enfermeiros , Cuidados Críticos , Humanos , Unidades de Terapia Intensiva , Inquéritos e Questionários
9.
Stud Health Technol Inform ; 284: 516-521, 2021 Dec 15.
Artigo em Inglês | MEDLINE | ID: mdl-34920584

RESUMO

In Australia, almost 40% of nurses are aged 50 years and older. These nurses may be vulnerable to leaving the workforce due to challenges experienced during electronic medical record (EMR) implementations. This research explored older nurses' perceptions of factors expected to influence their adoption of an EMR, to inform recommendations to support implementation. The objectives were to: 1) measure psychological factors expected to influence older nurses' adoption of the EMR; and 2) explore older nurses' perceptions of facilitators and barriers to EMR adoption. An explanatory sequential mixed methods design was used to collect survey and focus group data from older nurses, prior to introducing an EMR system. These nurses were highly engaged with their work; 79.3% reported high wellbeing scores. However, their motivation appeared to be predominantly governed by external rather than internal influences. Themes reflecting barriers to EMR and resistance to adoption emerged in the qualitative data.


Assuntos
Registros Eletrônicos de Saúde , Enfermeiras e Enfermeiros , Idoso , Austrália , Humanos , Pessoa de Meia-Idade
10.
Stud Health Technol Inform ; 284: 522-527, 2021 Dec 15.
Artigo em Inglês | MEDLINE | ID: mdl-34920585

RESUMO

The use of electronic medical record (EMR) systems is transforming health care delivery in hospitals. Perioperative nurses work in a unique high-risk health setting, hence require specific considerations for EMR implementation. This research explored perioperative nurses' perceptions of facilitators and barriers to the implementation of an EMR in their workplace to make context-specific recommendations about strategies to optimise EMR adoption. Using a qualitative exploratory descriptive design, focus group data were collected from 27 perioperative nurses across three hospital sites. Thematic analyses revealed three themes: 1) The world is going to change; 2) What does it mean for me? and 3) We can do it, but we have some reservations. Mapping coded data to the Theoretical Domains Framework identified prominent facilitators and barriers, and informed recommended implementation strategies for EMR adoption by perioperative nurses.


Assuntos
Registros Eletrônicos de Saúde , Enfermeiras e Enfermeiros , Humanos
11.
Nurs Rep ; 11(2): 320-330, 2021 May 01.
Artigo em Inglês | MEDLINE | ID: mdl-34968209

RESUMO

BACKGROUND: Good social climate and high work engagement are important factors affecting outcomes in healthcare settings. This study observed the effects of a program called Civility, Respect, and Engagement in the Workplace (CREW) on social climate and staff work engagement in a psychiatric ward of a Japanese hospital. METHODS: The program comprised 18 sessions installed over six months, with each session lasting 30-min. Participation in the program was recommended to all staff members at the ward, including nurses, medical doctors, and others, but it was not mandatory. A serial cross-sectional study collected data at four time-points. Nurses (n = 17 to 22), medical doctors (n = 9 to 13), and others (n = 6 to 10) participated in each survey. The analysis of variance was used to evaluate the changes in the following dependent variables, the Essen climate evaluation schema (EssenCES), the CREW civility scale, and the Utrecht work engagement scale (UWES) over time. RESULT: We found no significant effects. The effect size (Cohen's d) for EssenCES was 0.35 from baseline to post-installation for all staff members. Effect sizes for EssenCES for medical doctors and UWES for nurses were 0.79 and 0.56, respectively, from baseline to post-program. CONCLUSIONS: Differences in social climate and work engagement among Japanese healthcare workers between the baseline and post-installation of the CREW program were non-significant.

12.
Front Psychol ; 12: 610795, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34385944

RESUMO

Humor studies are increasingly prevalent in workplace and leadership domains, it has shown significant development in the last 40 years. The multifaceted nature of humor means varied definitions and diverse measurement approaches have been approved. As a result, research methodologies and findings are not easily clarified, and have not been synthesized. The aim of this scoping review was to review the existing body of literature relevant to humor in workplace leadership to identify key research areas, methodologies used, guiding theoretical frameworks, and gaps that are persisting over the last 40 years. Using qualitative review methods, four key themes in the research emerged relating to: (1) humor styles and outcomes; (2) humor as communication and discursive resource; (3) variables in the humor and leadership relationship; and (4) cultural context. This review demonstrates significant research progress on the topic of humor in workplace leadership. Research progress and gaps are discussed based on five key questions. Future research directions are outlined and discussed.

13.
Healthc Policy ; 16(4): 31-45, 2021 05.
Artigo em Inglês | MEDLINE | ID: mdl-34129477

RESUMO

A cross-sectional province-wide survey study of 3,978 British Columbia (BC) nurses was conducted to explore the mental health state of the nursing workforce in BC. About one third of nurses reported depression and anxiety; about half reported symptoms of post-traumatic stress disorder and at least one third reported high levels of one or more dimensions of burnout. Mental health problems were about 1.5 to 3 times more prevalent among BC nurses compared to their peers nationally. Improving nurses' mental health requires multi-factorial and multi-level efforts. Evidence-based and workplace-specific policies and interventions that better support nurses at risk are recommended.


Assuntos
Saúde Mental , Enfermeiras e Enfermeiros , Colúmbia Britânica/epidemiologia , Estudos Transversais , Humanos , Inquéritos e Questionários , Local de Trabalho
14.
Artigo em Inglês | MEDLINE | ID: mdl-33805428

RESUMO

Employed people (N = 826) completed questionnaires including the Social Encounters Scale that assessed civility, incivility, and intimidation from supervisors, coworkers, and respondents on identical frequency scale. Factor analyses, correlations, and profile analysis addressed the first research question by demonstrating the benefits of assessing various dimensions of workplace social dynamics on a common rating scale. A subsample (N = 275 completed a second survey, confirming consistency over time. To address the second research question a Latent Profile Analysis (LPA) identified five social profiles: Civil, Low Contact, Uncivil Coworkers, Uncivil Supervisor, and Uncivil. These profiles were associated with distinct perceptions of the work environment, addressing the third research question. To address the fourth research question, crosstabulation with a profile structure based on the Maslach Burnout Scale demonstrated close links of workplace social culture with psychological connections with work.


Assuntos
Esgotamento Profissional , Incivilidade , Esgotamento Profissional/epidemiologia , Análise Fatorial , Humanos , Inquéritos e Questionários , Local de Trabalho
15.
Psychiatr Rehabil J ; 44(3): 229-237, 2021 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-33793289

RESUMO

Objective: Clinician burnout in healthcare is extensive and of growing concern. In mental health and rehabilitation settings, research on interventions to improve burnout and work engagement is limited and rarely addresses organizational drivers of burnout. This study sought to elaborate on the organizational influence of burnout and work engagement in mental health. Methods: We randomly selected 40 mental health clinicians and managers who were participating in a burnout intervention and conducted semi-structured interviews to understand their views of organizational conditions impacting burnout and work engagement. Data were analyzed using a thematic analytical approach. Results: Analyses yielded three major themes where organizational contexts might reduce burnout and increase work engagement: (a) a work culture that prioritizes person-centered care over productivity and other performance metrics, (b) robust management skills and practices to overcome bureaucracy, and (c) opportunities for employee professional development and self-care. Participants also referenced three levels of the organizational context that they believed influenced burnout and work engagement: front-line supervisors and program managers, organizational executive leadership, and the larger health system. Conclusions and Implications for Practice: Findings point to several possible targets of intervention at various organizational levels that could guide the field toward more effective ways to reduce burnout and improve work engagement. (PsycInfo Database Record (c) 2021 APA, all rights reserved).


Assuntos
Esgotamento Profissional , Engajamento no Trabalho , Pessoal de Saúde , Humanos , Saúde Mental , Pesquisa Qualitativa
16.
Artigo em Inglês | MEDLINE | ID: mdl-33418874

RESUMO

Journalists are at particular risk of work-related stress and burnout. The objective of this study is to describe and analyze the principal factors involved in the appearance of burnout in communication professionals, as well as the possible interactions between them and with self-reported health, and to observe whether the variables involved are the same in different types of environments. To achieve this objective, 292 participants answered the following measurement instruments: Demographic and labor datasheet; Maslach Burnout Inventory (MBI General survey); Areas of Worklife Scale (AWS); and General Health Questionnaire (GHQ -12). The results were the following: Emotional Exhaustion (EE) shows direct correlation and statistical significance with the other two burnout dimensions, Depersonalization (DP) and Personal Accomplishment (PA), also with health perception variables and inverse and statistical significance with the workload, control, rewards, community, fairness, and values. A multiple linear regression model shows workload and values as inverse EE predictors, which confirms a burnout process in which EE contributes as the main dimension in DP and is shown to be a precursor of PA, itself. When comparing different types of media, journalists who work in institutional press offices presented significantly lower scores in PA and higher in control, rewards, community, justice, and values. Therefore, further research should be carried out in order to analyze the protective role of these variables regarding PA and burnout.


Assuntos
Esgotamento Profissional , Esgotamento Profissional/epidemiologia , Comunicação , Humanos , Recompensa , Fatores de Risco , Inquéritos e Questionários , Televisão
17.
Artigo em Inglês | MEDLINE | ID: mdl-33339208

RESUMO

In the Job Demand-Control-Support (JDCS) model, the combination of job demands, job control, and social support was hypothesized to lead to eight different constellations of job types. According to the model, these constellations are linked to wellbeing/health and learning outcomes. In the last three decades, these constellations of job types have been investigated by adopting a variable-centered perspective. However, latent profile analyses (LPA) enable a person-centered approach and empirically capture constellations of job types. In the present study, we used LPA to empirically identify distinct profiles of JDCS among Italian healthcare workers. Furthermore, we investigated the role of social stressors (workplace relationships and coworkers' incivility) as antecedents of these profiles and the association of these profiles with job burnout and work motivation. Results from LPA (n = 1671) revealed four profiles: Isolated Prisoner, Participatory Leader, Moderate Strain, and Low Strain. Negative relationships at work and coworkers' incivility increased the chances of being included in both Isolated prisoner and Participatory Leader profiles. Finally, the Isolated Prisoner and Moderate Strain profiles showed the highest levels of emotional exhaustion and cynicism and the lower levels of intrinsic work motivation. This study extends previous JDCS research, highlighting that researchers should consider empirically identified profiles rather than theoretically defined subgroups. Implications for stress theory, future research, and practice are discussed.


Assuntos
Esgotamento Profissional , Satisfação no Emprego , Motivação , Humanos , Itália , Estresse Psicológico , Inquéritos e Questionários , Local de Trabalho
18.
Healthc Manage Forum ; 33(5): 206-209, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32292095

RESUMO

Many healthcare workers are "on the road" traveling to and from fixed sites (eg, patients'/clients' homes). Qualitative interviews with nine Nova Scotian managers of mobile healthcare workers explored the conditions of workers' travel. Findings highlight challenges such as changing schedules, as well as positive features including flexibility over the travel schedule. Some managers noted worker mobility-related responsibilities including having to decide if travel is too dangerous due to poor weather. A few managers suggested that workers may not receive adequate economic reimbursement for travel costs (eg, wear and tear on vehicle), and in some instances, workers need to use a benefit (eg, vacation day) or are not paid if they cannot drive due to poor weather. Reported organizational supports for workers' travel were variable. This research indicates a need for supportive mobility-related policies and practices across all organizations, including policies that cover economic costs related to travel for all workers.


Assuntos
Pessoal de Saúde , Viagem , Humanos , Entrevistas como Assunto , Nova Escócia , Saúde Ocupacional , Política Organizacional , Pesquisa Qualitativa , Viagem/economia
19.
Artigo em Inglês | INDEXPSI, LILACS | ID: biblio-1135428

RESUMO

Abstract There is growing interest on the relationship between attachment and work- or career-related decisions. However, to this date, there are no scientific reports assessing adult attachment in work environment in Brazilian samples. This study aimed to adapt and collect psychometric evidence from the Short Work Attachment Measure for Brazilian Portuguese. A total of 450 adults (62.2% women; mean age = 23.8 years old) from a Southeastern state of Brazil participated in this research. Exploratory and confirmatory factorial procedures replicated the original version of the two-dimensional structure of the measure. The McDonald's Omega accuracy indicators were higher than 0.78 for the instrument. Evidence of convergent validity was observed with a measure of attachment to romantic relationships and life satisfaction. We concluded that the Brazilian version of SWAM presents adequate psychometric properties


Resumo Há um crescente interesse na relação entre apego e decisões relacionadas a trabalho e carreira. Entretanto, até o presente momento, não há relatos científicos de nenhuma medida para avaliação do apego adulto no contexto laboral em amostras brasileira. O presente estudo teve por objetivo adaptar e levantar evidências psicométricas da Short Work Attachment Measure para o português brasileiro. Participaram da pesquisa 450 profissionais adultos (62,2% feminino, M = 23,8 anos) oriundas de um estado do sudeste brasileiro. Procedimentos fatoriais exploratórios e confirmatórios replicaram a versão original da estrutura bidimensional da medida. Os indicadores de precisão ômega de McDonald's do instrumento foram ambos superiores a 0,78. Evidências de validade convergente foram observadas com uma medida de apego para relações românticas e satisfação com a vida. Conclui-se que a versão brasileira da SWAM apresenta propriedades psicométricas adequadas.


Resumen Existe un creciente interés en la relación entre apego y decisiones relacionadas con el trabajo y la carrera. Pero hasta el momento son inexistentes los estudios científicos sobre medidas que evalúan el apego adulto en el contexto laboral en muestras brasileñas. El presente estudio tuvo como objetivo adaptar y recopilar evidencias psicométricas de la Short Work Attachment Measure para el portugués brasileño. Participaron 450 profesionales adultos en la investigación (el 62,2% mujeres, M = 23,8 años), provenientes de un estado del Sudeste de Brasil. Los procedimientos factoriales exploratorios y confirmatorios se replicaron a la versión original de la estructura bidimensional de la medida. Los indicadores de precisión omega de McDonald's del instrumento fueron superiores a 0,78. Se observó evidencias de validez convergente con una medida de apego a las relaciones románticas y de satisfacción con la vida. Se concluye que la versión brasileña de SWAM tiene propiedades psicométricas adecuadas.


Assuntos
Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Satisfação Pessoal , Psicometria , Pesos e Medidas , Trabalho , Vida , Apego ao Objeto
20.
J Nurs Adm ; 49(11): 569-573, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31651618

RESUMO

OBJECTIVE: This study aims to examine 1st-line managers' (FLMs') experiences in managing the workplace social environment (WSE). BACKGROUND: FLMs are responsible for the establishment and maintenance of supportive WSE essential for effective teamwork. Poorly managed WSE and dysfunctional teams hold negative implications for patients, teams, and organizations. METHODS: This was a qualitative descriptive study, using content analysis of individual and focus group interviews with FLMs and directors. RESULTS: FLMs play a critical role in the management of the WSE; however, the task is fraught with constraints and challenges including competing demands, lack of support, and insufficient training. Findings explicate how competing demands and communication challenges impede the successful management of the WSE. CONCLUSIONS: Given the importance of a healthy WSE to patient, professional, and organizational outcomes, FLMs need support, training, and resources to assist them in managing the social environment alongside other competing priorities.


Assuntos
Atitude do Pessoal de Saúde , Liderança , Enfermeiros Administradores/psicologia , Cultura Organizacional , Meio Social , Local de Trabalho/organização & administração , Local de Trabalho/psicologia , Adulto , Feminino , Grupos Focais , Humanos , Masculino , Pesquisa Qualitativa
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