Fleury Marie-Josée, Grenier Guy, Bamvita Jean-Marie
Department of Psychiatry, McGill University, Montreal, Canada.
Douglas Mental Health University Institute Research Centre, 6875 LaSalle Blvd. Montreal, Quebec, H4H 1R3 Canada.
BMC Nurs. 2017 Nov 15;16:62. doi: 10.1186/s12912-017-0255-x. eCollection 2017.
This study identified multiple socio-professional and team effectiveness variables, based on the Input-Mediator-Output-Input (IMOI) model, and tested their associations with job satisfaction for three categories of mental health professionals (nurses, psychologists/psychotherapists, and social workers).
Job satisfaction was assessed with the Job Satisfaction Survey. Independent variables were classified into four categories: 1) Socio-professional Characteristics; 2) Team Attributes; 3) Team Processes; and 4) Team Emergent States. Variables were entered successively, by category, into a hierarchical regression model.
Team Processes contributed the greatest number of variables to job satisfaction among all professional groups, including team support which was the only significant variable common to all three types of professionals. Greater involvement in the decision-making process, and lower levels of team conflict (Team Processes) were associated with job satisfaction among nurses and social workers. Lower seniority on team (Socio-professional Characteristics), and team collaboration (Team Processes) were associated with job satisfaction among nurses, as was belief in the advantages of interdisciplinary collaboration (Team Emergent States) among psychologists. Knowledge sharing (Team Processes) and affective commitment to the team (Team Emergent States) were associated with job satisfaction among social workers.
Results suggest the need for mental health decision-makers and team managers to offer adequate support to mental health professionals, to involve nurses and social workers in the decision-making process, and implement procedures and mechanisms favourable to the prevention or resolution of team conflict with a view toward increasing job satisfaction among mental health professionals.
本研究基于输入-中介-输出-输入（IMOI）模型确定了多个社会职业和团队效能变量，并测试了它们与三类心理健康专业人员（护士、心理学家/心理治疗师和社会工作者）工作满意度之间的关联。
使用工作满意度调查评估工作满意度。自变量分为四类：1）社会职业特征；2）团队属性；3）团队过程；4）团队涌现状态。变量按类别依次纳入分层回归模型。
在所有专业群体中，团队过程对工作满意度的变量贡献最大，其中团队支持是所有三类专业人员唯一共同的显著变量。更多地参与决策过程以及较低水平的团队冲突（团队过程）与护士和社会工作者的工作满意度相关。护士团队中较低的资历（社会职业特征）以及团队协作（团队过程）与护士的工作满意度相关，心理学家对跨学科协作优势的信念（团队涌现状态）也与护士的工作满意度相关。知识共享（团队过程）和对团队的情感承诺（团队涌现状态）与社会工作者的工作满意度相关。
结果表明，心理健康决策者和团队管理者需要为心理健康专业人员提供充分支持，让护士和社会工作者参与决策过程，并实施有利于预防或解决团队冲突的程序和机制，以提高心理健康专业人员的工作满意度。
