Harlos Karen P, Axelrod Lawrence J
Assistant Professor, Desautels Faculty of Management, McGill University, Montreal, QC.
Healthc Policy. 2008 Aug;4(1):40-50.
Research on work life quality in hospitals has focused on how nurses and physicians perceive or react to work conditions. We extend this focus to another major professional group - healthcare administrators - to learn more about how these employees experience the work environment. Administrators merit such attention given their key roles in sustaining the financial health of the hospital and in fulfilling management functions efficiently to support consistent, high-quality care. Specifically, we examined mistreatment in the workplace experienced by administrative staff from a hospital in a large Canadian city. Three dimensions of mistreatment - verbal abuse, work obstruction and emotional neglect - have been associated with diminished well-being, work satisfaction and organizational commitment, along with stronger intent to leave. In this paper, we provide additional support for interpreting these three dimensions as mistreatment and report on their frequencies in our sample. We then consider implications for policy development (e.g., communication and conflict resolution skills training, mentoring programs, respect-at-work policies) to make workplaces healthier for these neglected but important healthcare professionals.
医院工作生活质量的研究主要集中在护士和医生如何看待工作条件或对其做出反应。我们将这一关注点扩展到另一个主要专业群体——医疗保健管理人员，以更多地了解这些员工如何体验工作环境。鉴于管理人员在维持医院财务健康以及有效履行管理职能以支持持续、高质量护理方面的关键作用，他们值得受到这样的关注。具体而言，我们调查了加拿大一个大城市一家医院行政人员在工作场所遭受的不当对待。不当对待的三个维度——言语虐待、工作阻碍和情感忽视——与幸福感降低、工作满意度和组织承诺下降以及更强的离职意愿相关。在本文中，我们为将这三个维度解释为不当对待提供了更多支持，并报告了它们在我们样本中的出现频率。然后，我们考虑对政策制定的影响（例如，沟通和冲突解决技能培训、指导计划、工作场所尊重政策），以使这些被忽视但重要的医疗保健专业人员的工作场所更健康。
