Department of Physical Activity and Sports Sciences, Applied Intelligent Systems Research Group, University of Castilla-La Mancha, Av. Carlos III, s/n, 45071 Toledo, Spain.
Department of Nursing, Physiotherapy and Occupational Therapy, Faculty of Physiotherapy and Nursing, University of Castilla-La Mancha, 45004 Toledo, Spain.
Int J Environ Res Public Health. 2021 May 25;18(11):5671. doi: 10.3390/ijerph18115671.
The evaluation of the work performance of health professionals has focused the interest of scientific research in recent decades as a basis for improving the quality of health services. The global COVID-19 pandemic has pushed countries' health systems to the limit and had previously unknown consequences on the job performance of health professionals. In this context, what are the determinants of performance? There are numerous studies that link job performance with other variables that directly affect it, such as leadership, job satisfaction, organizational commitment, and work environment. However, there are no studies that jointly relate all these variables, and even less in the field of health. The main objective of this work is to analyse how these variables are configured together to generate a good level of performance of health professionals during the times of COVID-19. To do this, a fuzzy set qualitative comparative analysis (fsQCA) is carried out, an appropriate method that will allow finding the joint causal effects of key variables in human resources to ensure a good level of job performance in health organizations. The study reveals that leadership and commitment are the two key drivers of performance. The data confirm that the "recipe" to achieve a good level of performance consists of the combination of leadership, commitment, and a good work environment. Additionally, in the case of less satisfied workers, linking leadership and commitment is a sufficient condition.
近几十年来，对卫生专业人员工作绩效的评估一直是科学研究的关注点，这是提高卫生服务质量的基础。全球 COVID-19 大流行使各国的卫生系统承受了前所未有的压力，对卫生专业人员的工作绩效产生了未知的影响。在这种情况下，绩效的决定因素是什么？有许多研究将工作绩效与其他直接影响绩效的变量联系起来，例如领导力、工作满意度、组织承诺和工作环境。然而，没有研究将所有这些变量联合起来进行研究，在卫生领域更是如此。这项工作的主要目的是分析在 COVID-19 期间，这些变量是如何共同配置以产生卫生专业人员的良好绩效水平的。为此，进行了模糊集定性比较分析（fsQCA），这是一种合适的方法，可以发现人力资源中关键变量的联合因果效应，以确保卫生组织的工作绩效达到良好水平。研究表明，领导力和承诺是绩效的两个关键驱动因素。数据证实，实现良好绩效水平的“秘诀”包括领导力、承诺和良好的工作环境的结合。此外，在员工满意度较低的情况下，将领导力和承诺联系起来是充分条件。
