López-Cabarcos M Ángeles, López-Carballeira Analía, Ferro-Soto Carlos
Department of Management and Marketing, Universidade de Santiago de Compostela , Santiago de Compostela, Spain.
Department of Management and Marketing, Facultad de Ciencias Economicas y Empresariales, Universidade de Vigo , Vigo, Spain.
J Health Organ Manag. 2019 Sep 5;33(6):649-655. doi: 10.1108/JHOM-04-2019-0091. Epub 2019 Oct 2.
The nature of public healthcare highlights not only the need of understanding the role of emotional exhaustion in the relationship between employees' job demands and desirable employees' job attitudes, but also to adequate the combination of certain job resources and other organisational variables to moderate the employees' feelings of emotional exhaustion. The paper aims to discuss this issue.
DESIGN/METHODOLOGY/APPROACH: This viewpoint designs the theoretical approach that aims to understand the mediating role of emotional exhaustion among healthcare professionals and the capacity of certain variables to moderate it. The nature of the variables considered and the design of the theoretical model proposed highlights structural equation modelling as an optimal methodology to be used among a sample of European healthcare professionals.
Managers should be able to design strategies to mitigate, eliminate and prevent the causes of emotional exhaustion in public healthcare with the objective to improve the health and quality of life of healthcare professionals, and consequently the quality of the service provided to patients and their families.
ORIGINALITY/VALUE: This viewpoint highlights the importance of analysing the influence of employees' emotional exhaustion on their attitudes in public healthcare. Direct relationships between emotional exhaustion and certain antecedents or consequences have been studied previously; however, studies analysing the mediating role of emotional exhaustion are very scarce and show mixed results. There are also few studies analysing the moderating role of certain job resources and other organisational variables in the relationships between employees' job demands, employees' emotional exhaustion and employees' job attitudes.
公共医疗保健的性质不仅凸显了理解员工工作需求与理想工作态度之间关系中情绪耗竭作用的必要性，还强调了要使某些工作资源与其他组织变量相结合，以调节员工的情绪耗竭感。本文旨在探讨这一问题。
设计/方法/途径：该观点设计了一种理论方法，旨在理解医疗保健专业人员中情绪耗竭的中介作用以及某些变量对其进行调节的能力。所考虑变量的性质以及所提出理论模型的设计凸显了结构方程模型是欧洲医疗保健专业人员样本中可采用的最优方法。
管理者应能够设计策略来减轻、消除和预防公共医疗保健中情绪耗竭的成因，以改善医疗保健专业人员的健康和生活质量，进而提高为患者及其家属提供的服务质量。
原创性/价值：该观点强调了分析员工情绪耗竭对其在公共医疗保健中态度影响的重要性。此前已研究了情绪耗竭与某些前因或后果之间的直接关系；然而，分析情绪耗竭中介作用的研究非常稀少且结果不一。分析某些工作资源和其他组织变量在员工工作需求、员工情绪耗竭和员工工作态度之间关系中调节作用的研究也很少。
