Chak Choiwai M, Carminati Lara, Wilderom Celeste P M
Health Care Manage Rev. 2022;47(3):208-217. doi: 10.1097/HMR.0000000000000320. Epub 2021 Jul 26.
Community-academic health partnerships (CAHPs) have become increasingly common to bridge the knowledge-to-practice gap in health care. Because working in such partnerships can be excessively challenging, insights into the individual-level enablers of high performance will enable better management of CAHPs.
Steered by the goal-setting theory, this study examined the relations between goal clarity, goal stress, goal importance, and their interactions on perceived project performance among individuals working in CAHPs' constituting projects.
Using a convergent mixed-method research design, online survey data were collected from 268 participants working in a variety of CAHP projects in three German-speaking countries. We tested the hypotheses using structural equation modeling, after which thematic analysis was carried out on the 209 open-ended responses.
CAHP project performance was positively associated with goal clarity and negatively associated with goal stress. A three-way interaction analysis showed that when goal importance was high, the relationship between goal clarity and project performance remained positive regardless of the level of goal stress. The qualitative data corroborate this finding.
In CAHP projects, high goal importance offsets the negative effect of goal stress on project performance, indicating that workers who perceive the project goals as important can manage the stress associated with demanding goals better.
To achieve high project performance in CAHPs, organizational and project leaders should (a) set clear project goals, (b) facilitate project workers in dealing with stress resulting from overly demanding goals, and (c) emphasize the importance of the project goals, especially when goal stress is high.
社区-学术健康伙伴关系（CAHPs）已日益普遍，以弥合医疗保健领域知识与实践之间的差距。由于在这种伙伴关系中工作可能极具挑战性，深入了解个人层面实现高绩效的促成因素将有助于更好地管理CAHPs。
以目标设定理论为指导，本研究考察了在CAHPs组成项目中工作的个体的目标清晰度、目标压力、目标重要性之间的关系，以及它们对感知到的项目绩效的相互作用。
采用收敛性混合方法研究设计，从三个德语国家参与各种CAHP项目的268名参与者中收集在线调查数据。我们使用结构方程模型检验假设，之后对209份开放式回答进行了主题分析。
CAHP项目绩效与目标清晰度呈正相关，与目标压力呈负相关。三向交互分析表明，当目标重要性较高时，无论目标压力水平如何，目标清晰度与项目绩效之间的关系仍为正相关。定性数据证实了这一发现。
在CAHP项目中，高目标重要性抵消了目标压力对项目绩效的负面影响，这表明将项目目标视为重要的员工能够更好地应对与高要求目标相关的压力。
为了在CAHPs中实现高项目绩效，组织和项目领导者应（a）设定明确的项目目标，（b）帮助项目员工应对因目标要求过高而产生的压力，以及（c）强调项目目标的重要性，尤其是在目标压力较高时。
