scholarly journals Organisational Commitment in Healthcare Systems: A Bibliometric Analysis

2021 ◽  
Vol 18 (5) ◽  
pp. 2271
Author(s):  
Carlos de las Heras-Rosas ◽  
Juan Herrera ◽  
Mercedes Rodríguez-Fernández
Keyword(s):  
Psychological Contract ◽  
Job Dissatisfaction ◽  
Burnout Syndrome ◽  
Future Research ◽  
Organisational Commitment ◽  
High Turnover ◽  
Staff Burnout ◽  
Quality Of Patient Care ◽  
Organisational Factors

Business organisations are subject to high pressure to ensure their sustainability and competitiveness. In the case of healthcare institutions, moreover, there are unique characteristics where human resource management is of vital importance. The workforce in these institutions is at a critical moment where the shortages of qualified staff, burnout, or job dissatisfaction represent some of the detrimental aspects for the performance of the organisation, and more importantly, they diminish the quality of patient care. The promotion of organisational commitment is positioned as one of the tools that organisations have to face this problem. This paper aims to increase knowledge about research trends that analyse organisational commitment in healthcare institutions. To this end, using bibliometric techniques, a sample of 448 publications on this subject from journals indexed in Web of Science between 1992 and 2020 is analysed. The results obtained suggest a growing interest in this subject and a visible concern for the management of human resources in these institutions. Research has focussed mainly on organisational factors related to nursing staff. The most analysed topics have been job satisfaction, the implications of stress and high turnover, burnout syndrome, and the possibility of leaving the job. On the other hand, issues emerged such as empowerment in the workplace and others related to organisational management such as quality of service or performance. Finally, there is a lack of research that deals more deeply with other groups working in health centres, such as doctors or administrative staff. There is also a need for further development in the analysis of the implications of the ideological psychological contract in relation to normative organisational commitment in the field of healthcare organisations. The contribution of this work focusses on expanding knowledge about commitment in healthcare organisations and creating points of support for future research as well as helping healthcare managers make decisions in HR management.

The role of the psychological contract in the motivation of nurses

2018 ◽  
Vol 31 (1) ◽  
pp. 62-76 ◽  
Author(s):  
Emma Corder ◽  
Linda Ronnie
Keyword(s):  
Health Care ◽  
Psychological Contract ◽  
Structured Interviews ◽  
Content Type ◽  
Nursing Managers ◽  
Quality Of Patient Care ◽  
Management Perspective ◽  
Manager Support

Purpose Although private health care is regarded as providing a premium quality experience for both patients and staff alike, it is not without its daily challenges for health professionals. This study aims to explore the psychological contract of nurses to develop a greater understanding of how employee–employer interaction impacts motivation levels. Design/methodology/approach Data were gathered through semi-structured interviews with thirteen nurses at a private hospital in South Africa. Five nursing managers were interviewed to provide a management perspective. Thematic analysis was used to identify the salient elements of the psychological contract and to establish connections with motivational features. Findings The psychological contract of nurses was balanced in nature, contained predominantly relational elements and was characterized by the need for manager support, leadership and autonomy. Motivation was a by-product of fulfilment and was enhanced by a combination of tangible and intangible rewards. Practical implications Nursing managers should recognize their role in caring for the wellbeing of their staff and should be trained accordingly. Equipping nurses with the necessary tools to work autonomously, as well as acknowledging their skills, will stimulate confidence and improve motivation. Originality/value This study makes an important contribution to the existing literature on the psychological contract of nurses within the health-care system. It provides insight into relationship-based mechanisms that can be used to improve the motivation of nurses and thus impact the overall quality of patient care.

The Impact of the Electronic Medical Records (EMRs) on Hospital Pathology Services

2015 ◽  
pp. 50-66
Author(s):  
Andrew Georgiou
Keyword(s):  
Electronic Medical Records ◽  
Medical Records ◽  
Work Processes ◽  
Communication Framework ◽  
Laboratory Services ◽  
Quality Of Patient Care ◽  
Organisational Factors ◽  
The Impact ◽  
Test Ordering

This chapter reviews what is currently known about the effect of the Electronic Medical Records (EMRs) on aspects of laboratory test ordering, their impact on laboratory efficiency, and the contribution this makes to the quality of patient care. The EMR can be defined as a functioning electronic database within a given organisation that contains patient information. Although laboratory services are expected to gain from the introduction of the EMRs, the evidence to date has highlighted many challenges associated with the implementation of EMRs, including their potential to cause major shifts in responsibilities, work processes, and practices. The chapter outlines an organisational communication framework that has been derived from empirical evidence. This framework considers the interplay between communication, temporal, and organisational factors, as a way to help health information technology designers, clinicians, and hospital and laboratory professionals meet the important challenges associated with EMR design, implementation, and sustainability.

Distinguishing Between the Effect of Perceived Organisational Support and Person–Organisation Fit on Work Outcomes

2009 ◽  
Vol 2 ◽  
pp. 1-9 ◽  
Author(s):  
Catherine Ng ◽  
Aspa Sarris
Keyword(s):  
Job Satisfaction ◽  
Hospital Setting ◽  
Future Research ◽  
Organisational Commitment ◽  
Job Outcomes ◽  
High Turnover ◽  
Organisational Support ◽  
Organisational Values ◽  
Perceived Organisational Support ◽  
The Relationship

AbstractWhile previous research has contributed to our understanding of the effect of person-organisation fit on a range of job outcomes (e.g., Chatman, 1989; Kristof-Brown & Jansen, 2007; Schneider, 1987), the relationship between person–organisation fit, perceived organisational support and job outcomes, such as job satisfaction and organisation commitment has not been fully explored. Further research examining the relationship between these variables is needed, particularly in organisational settings that experience high turnover such as hospitals. This study examined the relationship between person–organisation fit, perceived organisational support, job satisfaction and organisational commitment among employees in an Australian hospital setting. Person–organisation fit was assessed in terms of the fit, or congruence, between perceived organisational values and ideal organisational values. The study also examined the extent to which perceived organisational support moderated the relationship between person–organisation fit and job satisfaction and organisational commitment. Results showed that person–organisation fit and perceived organisational support were significant predictors of job satisfaction and organisational commitment. However, perceived organisational support was not a moderator in the relationship between person–organisation fit and job satisfaction and organisational commitment. Results also showed that perceived organisational support may be a stronger predictor of job satisfaction and organisational commitment than person–organisation fit, highlighting the importance of providing nursing and support staff with adequate support to carry out their work in hospital settings. The implications of the study are discussed and future research opportunities are highlighted.

scholarly journals A “Not So Quiet” Revolution: Systemic Benefits and Challenges of Telehealth in the Context of COVID-19 in Quebec (Canada)

2021 ◽  
Vol 3 ◽  
Author(s):  
Hassane Alami ◽  
Pascale Lehoux ◽  
Randa Attieh ◽  
Jean-Paul Fortin ◽  
Richard Fleet ◽  
...  
Keyword(s):  
Digital Divide ◽  
Quality Of Services ◽  
Integrative Approach ◽  
Future Research ◽  
Delivery Of Care ◽  
Regulatory Issues ◽  
Organizational Issues ◽  
Quality Of Patient Care ◽  
Short Period

The COVID-19 pandemic has had a major impact on health and social service systems (HSSS) worldwide. It has put tremendous pressure on these systems, threatening access, continuity, and the quality of patient care and services. In Quebec (Canada), the delivery of care and services has radically changed in a short period of time. During the pandemic, telehealth has been widely deployed and used, notwithstanding the decades-long challenges of integrating this service modality into the Quebec HSSS. Adopting a narrative-integrative approach, this article describes and discusses Quebec's experience with the deployment and utilization of telehealth in the context of COVID-19. Firstly, we introduced the achievements and benefits made with the use of telehealth. Secondly, we discussed the challenges and concerns that were revealed or accentuated by the sanitary crisis, such as: (1) training and information; (2) professional and organizational issues; (3) quality of services and patient satisfaction; (4) cost, remuneration, and funding; (5) technology and infrastructure; (6) the emergence of private telehealth platforms in a public HSSS; (7) digital divide and equity; and (8) legal and regulatory issues. Finally, the article presents recommendations to guide future research, policies and actions for a successful integration of telehealth in the Quebec HSSS as well as in jurisdictions and countries facing comparable challenges.

Work-Stress Burnout among Paramedics

1988 ◽  
Vol 63 (1) ◽  
pp. 55-64 ◽  
Author(s):  
David W. Grigsby ◽  
Mark A. Mc Knew
Keyword(s):  
Work Stress ◽  
Health Professionals ◽  
Job Dissatisfaction ◽  
Burnout Syndrome ◽  
Emergency Medical Technicians ◽  
Work Related ◽  
Staff Burnout ◽  
Related Stress ◽  
Requirement Changes ◽  
High Work

A survey-based study was conducted among 213 advanced emergency medical technicians (paramedics) to determine if work-related stress and its attendant burnout syndrome could influence the high job dissatisfaction reported by this group. Using Jones' Staff Burnout Scale for Health Professionals, the highest mean burnout score yet reported for any group of health professionals was obtained. of 23 possible correlates of the measure, 18 were associated with burnout. A multiple regression procedure produced a model containing eight independent predictors of burnout. On the whole, the study indicates alarmingly high work-stress burnout among paramedics, which is associated with a rather complex set of correlates. Implications of the study, including job requirement changes for paramedics, are also discussed.

scholarly journals How do doctors experience the interactions among professional fulfilment, organisational factors and quality of patient care? A qualitative study in a Norwegian hospital

BMJ Open ◽  
2019 ◽  
Vol 9 (5) ◽  
pp. e026971 ◽  
Author(s):  
Fredrik Baathe ◽  
Judith Rosta ◽  
Berit Bringedal ◽  
Karin Isaksson Rø
Keyword(s):  
Qualitative Study ◽  
Patient Care ◽  
Quality Care ◽  
Surgical Department ◽  
Individual Interviews ◽  
Quality Of Patient Care ◽  
Provide Quality Care ◽  
Workplace Values ◽  
Organisational Factors

ObjectivesDoctors increasingly experience high levels of burnout and loss of engagement. To address this, there is a need to better understand doctors’ work situation. This study explores how doctors experience the interactions among professional fulfilment, organisational factors and quality of patient care.DesignAn exploratory qualitative study design with semistructured individual interviews was chosen. Interviews were transcribed verbatim and analysed by a transdisciplinary research group.SettingThe study focused on a surgical department of a mid-sized hospital in Norway.ParticipantsSeven doctors were interviewed. A purposeful sampling was used with gender and seniority as selection criteria. Three senior doctors (two female, one male) and four in training (three male, one female) were interviewed.ResultsWe found that in order to provide quality care to the patients, individual doctors described ‘stretching themselves’, that is, handling the tensions between quantity and quality, to overcome organisational shortcomings. Experiencing a workplace emphasis on production numbers and budget concerns led to feelings of estrangement among the doctors. Participants reported a shift from serving as trustworthy, autonomous professionals to becoming production workers, where professional identity was threatened. They felt less aligned with workplace values, in addition to experiencing limited management recognition for quality of patient care. Management initiatives to include doctors in development of organisational policies, processes and systems were sparse.ConclusionThe interviewed doctors described their struggle to balance the inherent tension among professional fulfilment, organisational factors and quality of patient care in their everyday work. They communicated how ‘stretching themselves’, to overcome organisational shortcomings, is no longer a feasible strategy without compromising both professional fulfilment and quality of patient care. Managers need to ensure that doctors are involved when developing organisational policies, processes and systems. This is likely to be beneficial for both professional fulfilment and quality of patient care.

scholarly journals The influence of nurses job dissatisfaction on adoption of Magnet status within hospitals

2018 ◽  
Vol 5 (1) ◽  
pp. 1 ◽  
Author(s):  
Sawsan Manea ◽  
Jessie Johnson ◽  
Carolyn Wolsey
Keyword(s):  
Professional Practice ◽  
Nurse Staffing ◽  
Work Relationships ◽  
Job Dissatisfaction ◽  
Management Styles ◽  
Review Of Literature ◽  
Magnet Program ◽  
Magnet Hospital ◽  
Quality Of Patient Care

Background: Hamad Medical Corporation (HMC) has a goal to achieve Magnet designation. Magnet status is a worldwide international award given to hospitals which demonstrate excellent quality of patient care, innovative professional nursing practices and effective nurse recruitment and retention patterns. To date, only 3 other hospitals in the Middle East have achieved this recognition; two in Saudi Arabia and one in Lebanon. Achieving Magnet status is highly influenced by nurses’ job satisfaction and commitment to their organization.Purpose: A literature review was used to identify factors contributing to nurses’ job dissatisfaction that may impede the adoption of the Magnet Program at HMC hospitals in Qatar.Findings: Five themes emerged from the review of literature representing the predominant factors that influence nurses’ job dissatisfaction. They include: (1) nurse staffing; (2) work and professional practice environments; (3) work relationships; (4) management styles; (5) professional development and career advancement opportunities.Conclusions: Understanding the factors contributing to nurses’ job dissatisfaction is essential in order to identify barriers which may impede the achievement of a Magnet hospital designation.

scholarly journals BREACH OF PSYCHOLOGICAL CONTRACT AND QUALITY OF LIFE; PSYCHOSOMATIC STRAIN AS MEDIATOR AND POWER DISTANCE AS MODERATOR

2017 ◽  
Vol 5 (1) ◽  
pp. 23-33
Author(s):  
Muhammad Asad
Keyword(s):  
Quality Of Life ◽  
Psychological Contract ◽  
Power Distance ◽  
Research Direction ◽  
Future Research ◽  
Future Research Direction ◽  
Mediating Role ◽  
The Impact

This study empirically examined the impact of breach of psychological contract on employees’ quality of life via the mediating mechanism of psychosomatic strain, while facilitating effect of power distance was also examined. Data were collected from a sample of 183 employees using a questionnaire. Results confirm that the breach of psychological contract declines employees’ quality of life, while mediating role of psychosomatic strain in this particular relationship was also established. Contrary to expectations, power distance does not act as a moderating variable. Implications, limitation and future research direction are discussed.

The Impact of the Electronic Medical Records (EMRs) on Hospital Pathology Services

2016 ◽  
pp. 60-76
Author(s):  
Andrew Georgiou
Keyword(s):  
Electronic Medical Records ◽  
Medical Records ◽  
Work Processes ◽  
Communication Framework ◽  
Laboratory Services ◽  
Quality Of Patient Care ◽  
Organisational Factors ◽  
The Impact ◽  
Test Ordering

This chapter reviews what is currently known about the effect of the Electronic Medical Records (EMRs) on aspects of laboratory test ordering, their impact on laboratory efficiency, and the contribution this makes to the quality of patient care. The EMR can be defined as a functioning electronic database within a given organisation that contains patient information. Although laboratory services are expected to gain from the introduction of the EMRs, the evidence to date has highlighted many challenges associated with the implementation of EMRs, including their potential to cause major shifts in responsibilities, work processes, and practices. The chapter outlines an organisational communication framework that has been derived from empirical evidence. This framework considers the interplay between communication, temporal, and organisational factors, as a way to help health information technology designers, clinicians, and hospital and laboratory professionals meet the important challenges associated with EMR design, implementation, and sustainability.

scholarly journals Communication and humanization of care: Effects over burnout on nurses

PLoS ONE ◽  
2021 ◽  
Vol 16 (6) ◽  
pp. e0251936
Author(s):  
María del Mar Molero Jurado ◽  
Iván Herrera-Peco ◽  
María del Carmen Pérez-Fuentes ◽  
Nieves Fátima Oropesa Ruiz ◽  
África Martos Martínez ◽  
...  
Keyword(s):  
Job Dissatisfaction ◽  
Burnout Syndrome ◽  
Communication Styles ◽  
Emotional Understanding ◽  
Verbal Aggressiveness ◽  
Professional Performance ◽  
Personal Impact ◽  
Analytical Instruments ◽  
The Relationship

Background Healthcare professionals may have certain psychological characteristics which contribute to increasing the quality of their professional performance. Objective Study the effect that humanization of care and communication have on the burnout syndrome in nursing personal. Methods The sample included a total of 330 Spanish nurses. Analytical instruments used were the Health Professional’s Humanization Scale (HUMAS), Communication Styles Inventory Revised (CSI-R) and Brief Burnout Questionnaire Revised (CBB-R). Results Two broad nursing profiles could be differentiated by their level of humanization (those with scores over the mean and those with scores below it in optimistic disposition, openness to sociability, emotional understanding, self-efficacy, and affection), where the largest group had the high scores. A communication repertoire based on verbal aggressiveness impacted indirectly on the effect of humanization on burnout, mainly in the personal impact component. We observed the relation of humanization profiles in nursing staff with the job dissatisfaction and burnout components. Besides that, some communication styles, verbal aggressiveness and questioningness, have an indirect effect on the relationship between humanization profiles and job dissatisfaction. Conclusions The results on the relationship between communication styles and burnout, and the mediator effect of communication styles on the relationship between humanization of care and burnout in nursing personnel are discussed.

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