Can the type of organisational structure affect individual well-being in health and social welfare occupations?

The aim of this study was to analyse the perceived stress and individual resources of people involved in health and social welfare occupations, and evaluate whether belonging to different organisational structures leads to different reactions. To this end, we used the Maslach Burnout Inventory, the Coping Inventory for Stressful Situations, and the Team Climate Inventory. The sample consisted of 327 subjects (67% females) with a mean age of 35.9 +/- 8.8 years; most had a middle or high school diploma (63%), and they had been employed in the same place for about four years (47.5 +/- 7.3 months): 103 worked for health and social welfare cooperatives, and 224 for a local health authority. The results showed average burnout values and coping strategies prevalently aimed at directly solving the stressing situation in both working contexts. In comparison with the variables expressing the perceived organisational climate, sociodemographic characteristics did not seem to have a determining influence on the perception of individual stress. Comparison of the subjects employed in the two settings showed that organisational vision and a sense of belonging significantly determined subjective well-being, with the healthcare workers showed greater individual ill-being and a worse vision (i.e. an unclear perception of hospital choices and objectives). Our findings confirm that subjective well-being in high-touch occupations may be determined by the organisational culture: a mutual aid culture such as that of a cooperative has a protective effect despite the fact that the employment situation of the workers is more precarious and flexible than that of workers employed in highly structured environments such as that of a hospital.