Rodwell John, Noblet Andrew, Demir Defne, Steane Peter
Deakin Business School, Deakin University, Burwood, Victoria, Australia.
Health Care Manage Rev. 2009 Jul-Sep;34(3):273-83. doi: 10.1097/HMR.0b013e31819e76da.
Allied health professionals are integral to the effective delivery of hospital-based health care, yet little is known about the working conditions associated with the attitudinal and health outcomes of these employees.
The purpose of this study was to investigate the extent to which the demand-control-support model, in combination with organizational justice variables, predicts the employee-level outcomes of allied health professionals.
METHODOLOGY/APPROACH: Allied health professionals from an Australian health care organization were surveyed, with 113 (52.6%) participating. The survey included measures of job demands, job control, social support, organizational justice, satisfaction, commitment and psychological distress.
Multiple regression analyses reveal that the additive demand-control-support model predicts the outcome variables of job satisfaction, organizational commitment and psychological distress, whereas the organizational justice variables predicted organizational commitment and psychological distress. Further, both work and nonwork sources of support, in addition to specific justice dimensions, were closely associated with employee-level outcomes.
When coupled with previous research involving social support and organizational justice, the findings from this study suggest that initiatives aimed at strengthening supervisor and nonwork support, while enhancing perceptions of organizational fairness, may offer useful avenues for increasing the levels of satisfaction, commitment and well-being experienced by allied health professionals.
辅助医疗专业人员对于有效提供医院医疗服务至关重要，但对于与这些员工的态度和健康结果相关的工作条件却知之甚少。
本研究的目的是调查需求 - 控制 - 支持模型与组织公正变量相结合在多大程度上能够预测辅助医疗专业人员的员工层面结果。
方法/途径：对澳大利亚一家医疗保健机构的辅助医疗专业人员进行了调查，113人（52.6%）参与。调查包括工作需求、工作控制、社会支持、组织公正、满意度、承诺和心理困扰等方面的测量。
多元回归分析表明，需求 - 控制 - 支持加法模型能够预测工作满意度、组织承诺和心理困扰等结果变量，而组织公正变量能够预测组织承诺和心理困扰。此外，工作和非工作支持来源以及特定的公正维度都与员工层面结果密切相关。
结合先前涉及社会支持和组织公正的研究，本研究结果表明，旨在加强上级和非工作支持，同时增强对组织公平性的认知的举措，可能为提高辅助医疗专业人员的满意度、承诺度和幸福感提供有益途径。
