Health Care Manage Rev. 2022;47(3):180-187. doi: 10.1097/HMR.0000000000000314. Epub 2021 May 7.
Social ties between health care workers may be an important driver of job satisfaction; however, research on this topic is limited.
We used social network methods to collect data describing two types of social ties, (a) instrumental ties (i.e., exchange of advice that enables work) and (b) expressive ties (i.e., exchange of social support), and related those ties to workers' job satisfaction.
We surveyed 456 clinicians and staff at 23 primary care practices about their social networks and workplace attitudes. We used multivariable linear regression to estimate the relationship between an individual's job satisfaction and two network properties: (a) eigenvector centrality (a measure of the importance of an individual in a network) and (b) ego network density (a measure of the cohesiveness of an individual's network). We examined this relationship for both instrumental and expressive ties.
Individuals who were more central in the expressive network were less satisfied in their job, b = -0.40 (0.19), p < .05, whereas individuals who had denser instrumental networks were more satisfied in their job, b = 0.49 (0.21), p < .05.
Workplace relationships affect worker well-being. Centrality in an expressive network may require greater emotional labor, increasing workers' risk for job dissatisfaction. On the other hand, a dense instrumental network may promote job satisfaction by strengthening workers' access to full information, supporting competence and confidence.
Efforts to increase job satisfaction should consider both the positive and negative effects of social networks on workers' sense of well-being.
医护人员之间的社会关系可能是工作满意度的重要驱动因素；然而，关于这个主题的研究有限。
我们使用社会网络方法收集了描述两种社会关系的数据，（a）工具关系（即交换有助于工作的建议）和（b）表达关系（即交换社会支持），并将这些关系与工作人员的工作满意度相关联。
我们调查了 23 个初级保健诊所的 456 名临床医生和工作人员的社会网络和工作场所态度。我们使用多变量线性回归来估计个体工作满意度与两个网络属性之间的关系：（a）特征向量中心度（衡量个体在网络中的重要性的指标）和（b）自我网络密度（衡量个体网络凝聚力的指标）。我们检查了工具关系和表达关系的这种关系。
在表达网络中更为中心的个体对其工作的满意度较低，b = -0.40（0.19），p <.05，而具有更密集的工具网络的个体对其工作的满意度更高，b = 0.49（0.21），p <.05。
工作场所关系影响工人的幸福感。在表达网络中的中心地位可能需要更多的情感劳动，从而增加工人对工作不满的风险。另一方面，密集的工具网络可能通过增强工人获得完整信息的能力，支持能力和信心，从而提高工作满意度。
提高工作满意度的努力应考虑社会网络对工人幸福感的积极和消极影响。
