Urbini Flavio, Callea Antonino, Chirumbolo Antonio, Talamo Alessandra, Ingusci Emanuela, Ciavolino Enrico
Department of Human Science, Libera Universita Maria Santissima Assunta , Rome, Italy.
Department of Psychology, Sapienza University of Rome , Rome, Italy.
J Health Organ Manag. 2018 Apr 9;32(2):190-205. doi: 10.1108/JHOM-07-2017-0180. Epub 2018 Mar 13.
Purpose The purpose of this paper is twofold: first, to investigate the goodness of the input-process-output (IPO) model in order to evaluate work team performance within the Italian National Health Care System (NHS); and second, to test the mediating role of reflexivity as an overarching process factor between input and output. Design/methodology/approach The Italian version of the Aston Team Performance Inventory was administered to 351 employees working in teams in the Italian NHS. Mediation analyses with latent variables were performed via structural equation modeling (SEM); the significance of total, direct, and indirect effect was tested via bootstrapping. Findings Underpinned by the IPO framework, the results of SEM supported mediational hypotheses. First, the application of the IPO model in the Italian NHS showed adequate fit indices, showing that the process mediates the relationship between input and output factors. Second, reflexivity mediated the relationship between input and output, influencing some aspects of team performance. Practical implications The results provide useful information for HRM policies improving process dimensions of the IPO model via the mediating role of reflexivity as a key role in team performance. Originality/value This study is one of a limited number of studies that applied the IPO model in the Italian NHS. Moreover, no study has yet examined the role of reflexivity as a mediator between input and output factors in the IPO model.
目的 本文目的有二：其一，调查投入-过程-产出（IPO）模型的适用性，以评估意大利国家医疗保健系统（NHS）内工作团队的绩效；其二，检验反思性作为投入与产出之间的总体过程因素的中介作用。 设计/方法/途径 对意大利NHS中团队工作的351名员工进行了意大利版的阿斯顿团队绩效量表测试。通过结构方程模型（SEM）进行了潜变量中介分析；通过自抽样检验了总效应、直接效应和间接效应的显著性。 研究结果 在IPO框架的支持下，SEM结果支持中介假设。首先，IPO模型在意大利NHS中的应用显示出足够的拟合指数，表明该过程介导了投入与产出因素之间的关系。其次，反思性介导了投入与产出之间的关系，影响了团队绩效的某些方面。 实践意义 研究结果为人力资源管理政策提供了有用信息，即通过反思性作为团队绩效关键作用的中介作用，改善IPO模型的过程维度。 原创性/价值 本研究是在意大利NHS中应用IPO模型的少数研究之一。此外，尚无研究考察反思性在IPO模型中作为投入与产出因素之间中介的作用。
