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结构完善的团队与医院员工压力的缓冲

Well-structured teams and the buffering of hospital employees from stress.

作者信息

Buttigieg Sandra C, West Michael A, Dawson Jeremy F

机构信息

Department of Health Services Management, Faculty of Health Sciences, University of Malta, Msida, Malta.

出版信息

Health Serv Manage Res. 2011 Nov;24(4):203-12. doi: 10.1258/hsmr.2011.011013.

Abstract

Membership in well-structured teams, which show clarity in team and individual goals, meet regularly, and recognize diverse skills of their members, is known to reduce stress. This study examined how membership of well-structured teams was associated with lower levels of strain, when testing a work stressors-to-strains relationship model across the three levels of team structure, namely well-structured, poorly structured (do not fulfill all the criteria of well-structured teams) and no team. The work stressors tested, were quantitative overload and hostile environment, whereas strains were measured through job satisfaction and intention to leave job. This investigation was carried out on a random sample of 65,142 respondents in acute/specialist National Health Service hospitals across the UK. Using multivariate analysis of variance, statistically significant differences between means across the three groups of team structure, with mostly moderate effect sizes, were found for the study variables. Those in well-structured teams have the highest levels of job satisfaction and the least intention to leave job. Multigroup structural equation modelling confirmed the model's robustness across the three groups of team structure. Work stressors explained 45%, 50% and 65% of the variance of strains for well-structured, poorly structured and no team membership, respectively. An increase of one standard deviation in work stressors, resulted in an increase in 0.67, 0.70 and 0.81 standard deviations in strains for well-structured, poorly structured and no team membership, respectively. This investigation is an eye-opener for hospitals to work towards achieving well-structured teams, as this study shows weaker stressor-to-strain relationships for members of these teams.

摘要

众所周知,加入结构良好的团队能够减轻压力。这种团队目标明确、成员分工清晰,成员定期会面,并认可成员的各种技能。本研究检验了在跨越团队结构的三个层次(即结构良好、结构不佳(未满足结构良好团队的所有标准)和无团队)测试工作压力源与压力关系模型时,加入结构良好的团队如何与较低水平的压力相关联。所测试的工作压力源为工作量过载和恶劣环境,而压力则通过工作满意度和离职意愿来衡量。这项调查是对英国国家医疗服务体系急性病/专科医院的65142名受访者进行随机抽样得出的。使用多变量方差分析,研究变量在团队结构的三组均值之间发现了具有统计学意义的差异,大多数效应量适中。结构良好的团队成员工作满意度最高,离职意愿最低。多组结构方程模型证实了该模型在三组团队结构中的稳健性。工作压力源分别解释了结构良好、结构不佳和无团队成员情况下压力方差的45%、50%和65%。工作压力源增加一个标准差,分别导致结构良好、结构不佳和无团队成员情况下的压力增加0.67、0.70和0.81个标准差。这项调查为医院努力打造结构良好的团队提供了启示,因为这项研究表明这些团队成员的压力源与压力之间的关系较弱。

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