Psychological contract breach among allied health professionals

2015 ◽  
Vol 29 (3) ◽  
pp. 393-412 ◽  
Author(s):  
John Rodwell ◽  
Andre Gulyas
Keyword(s):  
Mental Health ◽  
Health Professionals ◽  
Psychological Contract ◽  
Allied Health ◽  
Healthcare Organisation ◽  
Interpersonal Justice ◽  
Allied Health Professionals ◽  
Content Type ◽  
Work Related ◽  
Organisational Justice

Purpose – Allied health professionals are vital for effective healthcare yet there are continuing shortages of these employees. Building on work with other healthcare professionals, the purpose of this paper is to investigate the influence of psychological contract (PC) breach and types of organisational justice on variables important to retention among allied health professionals: mental health and organisational commitment. The potential effects of justice on the negative outcomes of breach were examined. Design/methodology/approach – Multiple regressions analysed data from 113 allied health professionals working in a medium-large Australian healthcare organisation. Findings – The main negative impacts on respondents’ mental health and commitment were from high PC breach, low procedural and distributive justice and less respectful treatment from organisational representatives. The interaction between procedural justice and breach illustrates that breach may be forgivable if processes are fair. Surprisingly, a betrayal or “aggravated breach effect” may occur after a breach when interpersonal justice is high. Further, negative affectivity was negatively related to respondents’ mental health (affective outcomes) but not commitment (work-related attitude). Practical implications – Healthcare organisations should ensure the fairness of decisions and avoid breaking promises within their control. If promises cannot reasonably be kept, transparency of processes behind the breach may allow allied health professionals to understand that the organisation did not purposefully fail to fulfil expectations. Originality/value – This study offers insights into how breach and four types of justice interact to influence employee mental health and work attitudes among allied health professionals.

Perceptions of fairness in the psychological contracts of allied health professionals

2015 ◽  
Vol 7 (2) ◽  
pp. 106-116 ◽  
Author(s):  
Rebecca Flower ◽  
Defne Demir ◽  
John McWilliams ◽  
Dianne Johnson
Keyword(s):  
Job Satisfaction ◽  
Distributive Justice ◽  
Health Professionals ◽  
Psychological Contract ◽  
Allied Health ◽  
Psychological Contracts ◽  
Organisational Commitment ◽  
Allied Health Professionals ◽  
Content Type ◽  
Organisational Justice

Purpose – The purpose of this paper is to investigate the relationships between components of the psychological contract, organisational justice, and negative affectivity (NA), with key employee outcomes (i.e. organisational commitment, job satisfaction, depression, and psychological distress) among allied health professionals. Design/methodology/approach – In total, 134 (response rate of 46 per cent) Australian allied health professional completed a questionnaire. Findings – Multiple regressions revealed that higher NA was associated with lower organisational commitment, lower job satisfaction, and higher levels of depression. The psychological contract variable, breach, was associated with depression. Informational justice was associated with organisational commitment. Distributive justice was associated with job satisfaction. Research limitations/implications – This research is limited by its cross-sectional design and that the data were self-reported. The results obtained suggest the potential utility of collecting longitudinal data to replicate and extend the results. Practical implications – While NA may be beyond management control, it may be ameliorated by attention to improving communication of management decisions and by sensitivity to the elements implicit in psychological contracts. The negative consequences of contract breach may be offset by informational and distributive justice. Originality/value – This study is one of the first to examine multiple measures of the psychological contract in addition to organisational justice and NA. Further, this study adds to the literature for allied health professionals, where little is known about factors contributing to their turnover.

Responding and adapting to change: an allied health perspective

2020 ◽  
Vol 33 (4) ◽  
pp. 339-349
Author(s):  
Lisa Beasley ◽  
Sandra Grace ◽  
Louise Horstmanshof
Keyword(s):  
Health Care ◽  
Change Management ◽  
Scoping Review ◽  
Health Professionals ◽  
Allied Health ◽  
Change Processes ◽  
Allied Health Professionals ◽  
Content Type ◽  
Scoping Reviews ◽  
Change Leaders

Purpose The purpose of this paper is to review the literature on the response and adaption to change of allied health professionals. Understanding how individuals respond and adapt to change is essential to assist leaders to manage transformational change effectively. Contemporary health-care environments are characterised by frequent and rapid change, often with unrealistic and challenging time frames. Individuals operate independently, but also as members of teams, professions and organisations. Therefore, having a sound understanding of individual response to change is important for change leaders. In the Australian context, allied health professionals represent a quarter of the health-care workforce. There is a significant gap in understanding how allied health professionals respond and adapt to change. Design/methodology/approach A scoping review was designed to report on the nature and extent of the literature on the response and adaption to change in the context of allied health professionals. Change leaders in the health-care environment face a number of complex challenges when attempting to facilitate change. While this scoping review did not identify any specific literature on the response and adaption to change of allied health professionals, it did however provide information on change models and factors to take into consideration when implementing a change process. Findings The results of this scoping review identified findings in two main areas with regard to response and adaptation of allied health to change: a review of change management literature at the organisation level and change management for allied health. Most of the literature described organisational level change management without providing a structural framework for change. At the professional individual level, the literature focused on specific clinical interventions, rather than on the response and adaption to change for allied health. Minimal literature was identified in regard to the response and adaption to change of allied health professionals. In an environment characterised by continuous change and policy reform, a greater understanding of the response and adaption to change by allied health is a priority for research, policy and practice. Research limitations/implications This scoping review was undertaken to explore the response and adaption to change of allied health. It sought to identify the factors that may explain why certain disciplines within the allied health professional group responded to change differently. Scoping reviews do not set out to comprehensively source all relevant literature but rather to ascertain the nature and extent of the published literature in the field. Therefore, it is possible that a systematic review might uncover additional relevant papers. However, this scoping review provides a clear indication of the nature and extent of the literature in allied health. Practical implications Social implications This scoping review will assist change leaders to gain a better understanding of theoretical frameworks of individual, team and organisational change processes and the impacts these have individually and collectively on change processes. Originality/value To the best of the authors’ knowledge, this scoping review is the first of its kind to identify the minimal literature available on the way allied health professionals respond and adapt to change.

What is exchanged in psychological contracts? Multiple sets of obligations, targeted effort and uncertainty reduction

2015 ◽  
Vol 37 (2) ◽  
pp. 232-247 ◽  
Author(s):  
John Rodwell ◽  
Julia Ellershaw
Keyword(s):  
Organizational Citizenship ◽  
Psychological Contract ◽  
Allied Health ◽  
Health Workers ◽  
Career Commitment ◽  
Psychological Contracts ◽  
Allied Health Professionals ◽  
Contract Breach ◽  
Content Type ◽  
Survey Responses

Purpose – The purpose of this paper is to explore the currency underlying the employment relationship of allied health workers by investigating the mechanisms of their psychological contracts. Design/methodology/approach – Path analyses were conducted on the survey responses from Australian allied health professionals (n=112; a 46 per cent response rate). Findings – The analyses revealed that psychological contract promises decreased organizational citizenship behaviours relating to the organization (OCBO), while contract fulfilment increased commitment and reduced psychological distress. Contract breach reduced organizational commitment. Originality/value – The results indicate that obligations may be the primary currency in their psychological contract, with career commitment forming a set of obligations by which employees determine their OCBO, highlighting the nature of the resources exchanged to be targeted to their perceived source, in this case organizational promises begetting discretionary contributions to the organization. Further, fulfilment may reduce uncertainty, which in turn can reduce strain and increase OCBO.

scholarly journals Models of psychological service provision under Australia's Better Outcomes in Mental Health Care program

2006 ◽  
Vol 30 (3) ◽  
pp. 277 ◽  
Author(s):  
Jane Pirkis ◽  
Philip Burgess ◽  
Fay Kohn ◽  
Belinda Morley ◽  
Grant Blashki ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Health Professionals ◽  
Allied Health ◽  
Care Program ◽  
Local Context ◽  
Allied Health Professionals ◽  
Psychological Service ◽  
Health Care Program

The Access to Allied Psychological Services component of Australia?s Better Outcomes in Mental Health Care program enables eligible general practitioners to refer consumers to allied health professionals for affordable, evidence-based mental health care, via 108 projects conducted by Divisions of General Practice. The current study profiled the models of service delivery across these projects, and examined whether particular models were associated with differential levels of access to services. We found: � 76% of projects were retaining their allied health professionals under contract, 28% via direct employment, and 7% some other way; � Allied health professionals were providing services from GPs? rooms in 63% of projects, from their own rooms in 63%, from a third location in 42%; and � The referral mechanism of choice was direct referral in 51% of projects, a voucher system in 27%, a brokerage system in 24%, and a register system in 25%. Many of these models were being used in combination. No model was predictive of differential levels of access, suggesting that the approach of adapting models to the local context is proving successful.

Evaluation of mental health professionals’ views of a higher education scholarship scheme designed to enhance workforce development

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Melissa Hill ◽  
Michelle Heron-Delaney
Keyword(s):  
Mental Health ◽  
Higher Education ◽  
Workforce Development ◽  
Mental Health Professionals ◽  
Health Workforce ◽  
Health Professionals ◽  
Allied Health ◽  
Financial Barriers ◽  
Content Type ◽  
Mental Health Workforce

Purpose The purpose of this paper is to evaluate the use of a scholarship scheme to support mental health workforce development. Design/methodology/approach Nursing and allied health recipients (n = 72) of a scholarship for postgraduate mental health study provided quantitative and qualitative feedback via an online survey. Findings Benefits of the scholarship scheme include helping to overcome financial barriers to accessing higher education, increased motivation to study, increased knowledge and skills and enhanced positive feelings towards the recipient’s organisation. A total of 44% of participants reported being majorly or completely influenced to remain working in the organisation due to provision of the scholarship. Originality/value This study asks recipients to evaluate the scholarship scheme rather than the associated postgraduate education and provides preliminary support that scholarships are beneficial even when the amount of funding is less than half of course fees and the support from the employer is primarily monetary. The provision of scholarship funding can encourage existing professionals to undertake postgraduate study and attract them to pursue mental health specialisation instead of other health specialisations. Provision of scholarships is one strategy which can positively impact on mental health workforce retention in allied health professionals.

Managing emotional and psychological distress in older people

2018 ◽  
Vol 22 (4) ◽  
pp. 234-242
Author(s):  
Felicity Chapman
Keyword(s):  
Older People ◽  
Health Professionals ◽  
Allied Health ◽  
Close Contact ◽  
Management Strategies ◽  
Family Carers ◽  
Allied Health Professionals ◽  
Extensive Experience ◽  
Content Type ◽  
Common Problems

Purpose Much has been written about helping those with dementia. But what about those for whom distress is not primarily related to a neurological cause and there is no psychiatric history? The purpose of this paper is to offer a guide for allied health professionals and family carers to manage distress in older people who are able to engage in language based communication and who are experiencing significant change or loss. Design/methodology/approach This practice informed paper draws on the authors’ extensive experience working as a mental health social worker who specializes in work with older people in the community and in care, with family carers and in educating allied health professionals on how to manage presentations of distress in older people. Findings Three foundational management strategies are discussed: understand the reason for distress, implement the C.A.R.E. Plan and maximize comfort in exploration and referral. Research limitations/implications This viewpoint piece has not been substantiated through research and does not reflect training in the field of clinical geropsychology. Originality/value The ideas in this paper are original and are practical solutions to common problems that can be faced by workers or family in close contact with older people. The information can be applied immediately to whatever setting is relevant for the reader and is written in easy to understand language. Furthermore, its aim is not only to increase skill and confidence for the reader but also to promote the emotional and psychological wellbeing of older people.

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