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首页> 外文学位 >Insights into Nurses' Work: Exploring Relationships among Work Attitudes & Work-related Behaviours.
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Insights into Nurses' Work: Exploring Relationships among Work Attitudes & Work-related Behaviours.

机译：护士工作的见解：探索工作态度与工作相关行为之间的关系。

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摘要

Work motivation has been associated with work productivity. In health care, low motivation levels are associated with low productivity and linked to poor performance, decreased patient safety, and overall poor quality care. Hence the importance, ascribed in the literature, to clearly identifying the relationships between and among factors associated with work motivation, including work attitudes, and behaviours linked to work performance such as extra-role behaviours. Despite their importance to performance in health care, these relationships are understudied and poorly understood. The purpose of this study is to better understand work attitudes and their relationships to one another and to extra-role behaviours amongst nurses working in hospitals, the community, and long-term care settings in Ontario. This study comprises two stages: first, a scoping review focused on identifying individual-, unit-level, and organization-level characteristics that influence work motivation in health service organizations. The findings from the scoping review, augmented by a more in-depth review of the literature, aided in the development of a conceptual framework that guided the second stage of the study, to examine relationships amongst a specific set of nurses' work attitudes - including perceptions of organizational justice, perceived organizational support, and affective commitment --- and extra-role behaviours -- specifically, organizational citizenship behaviours --- in Ontario health care settings. In the second stage of the study, a survey was developed and administered to frontline nurses actively working in hospitals, the community, and long-term care settings in Ontario. Relationships amongst the constructs of interest were examined using structural equation modeling and path analysis. Examining the relationships of these concepts in a single model is novel, and offers insights regarding their complexity. The analyses further suggest that prior studies may be under-nuanced, and approaches to conceptualizing the concepts of perceived organizational justice and affective commitment in particular may have led to erroneous conclusions regarding their associations with perceived organizational support and organizational citizenship behaviours. This study further addresses four significant gaps previously identified in the work motivation and work behaviour literature: (1) how affective commitment relates to behavioural efforts, specifically organizational citizenship behaviours; (2) utilization of reliable and validated instruments to study work motivation; (3) use of a sufficiently large sample to have empirical support for generalizability; and (4) examination of these phenomena, among nurses, across diverse health care settings.
机译：工作动机已经与工作效率相关联。在卫生保健中，低动力水平与低生产率相关，并与不良绩效，降低的患者安全性和整体质量差的护理有关。因此，在文献中归因于清楚识别与工作动机相关的因素之间和之间的关系的重要性，这些因素包括工作态度和与工作绩效相关的行为，例如角色以外的行为。尽管它们对卫生保健的绩效很重要，但对这些关系的研究仍很少，并且了解甚少。这项研究的目的是更好地了解工作态度及其相互之间的关系，以及安大略省在医院，社区和长期护理机构工作的护士中的角色外行为。这项研究包括两个阶段：第一，范围界定研究，侧重于确定影响医疗服务组织工作动机的个人，部门级别和组织级别的特征。范围界定审查的结果，再加上对文献的更深入审查，有助于制定指导研究第二阶段的概念框架，以检查一组特定护士工作态度之间的关系，包括在安大略省的医疗机构中，对组织公正的看法，对组织的支持以及情感承诺（以及角色外行为），特别是组织公民行为。在研究的第二阶段，针对在安大略省的医院，社区和长期护理机构中积极工作的一线护士进行了调查并进行了调查。使用结构方程模型和路径分析检查了感兴趣的构造之间的关系。在单个模型中检查这些概念之间的关系是新颖的，并提供了有关其复杂性的见解。分析进一步表明，以前的研究可能没有得到足够的重视，并且将概念化的组织正义和情感承诺的概念概念化的方法尤其可能导致关于它们与感知的组织支持和组织公民行为之间的关联的错误结论。这项研究进一步解决了先前在工作动机和工作行为文献中发现的四个重大空白：（1）情感承诺与行为努力，特别是组织公民行为之间的关系； （2）利用可靠且经过验证的工具来研究工作动机； （3）使用足够大的样本以为推广性提供经验支持； （4）在不同医疗机构中的护士中检查这些现象。

著录项

  • 作者

    Perreira, Tyrone A.;

  • 作者单位

    University of Toronto (Canada).;

  • 授予单位 University of Toronto (Canada).;
  • 学科 Health care management.;Organizational behavior.
  • 学位 Ph.D.
  • 年度 2016
  • 页码 263 p.
  • 总页数 263
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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