UCD Centre for Interdisciplinary Research, Education, and Innovation in Health Systems (UCD IRIS), Health Sciences Centre, School of Nursing, Midwifery & Health Systems, University College Dublin, D04 V1W8 Dublin, Ireland.
Int J Environ Res Public Health. 2021 Oct 1;18(19):10371. doi: 10.3390/ijerph181910371.
The widespread impact of COVID-19 on healthcare has demanded new ways of working across many organisation types and many forms of healthcare delivery while at the same time endeavouring to place minimal, or no, additional burden on already strained healthcare teams. This is a cross-sectional mixed-method study which captured the experiences of teamwork during the COVID-19 pandemic contributing to successful collaboration. We hypothesised that work engagement and psychological safety separately contribute to collective leadership and organisational citizenship behaviours. Participants were healthcare staff on active duty during the COVID-19 pandemic in Ireland ( = 152) who responded to our social media (Twitter) invitation to participate in this study. Survey and free-text responses were collected through an online platform. Structural equation modelling examined the relationships between work engagement and psychological safety, and collective leadership and OCBs. Open text responses relating to experiences of teamworking during the pandemic were analysed for latent themes. From the survey data, the structural model demonstrated excellent statistical fit indicating that psychological safety, but not work engagement, was predictive of collective leadership and OCBs. From the qualitative data, two key themes were generated: (1) Contrasting experiences of working in a team during the pandemic; and (2) The pandemic response: a tipping point for burnout. This study offers a valuable starting point to explore the factors driving change and the shift to more collective ways of working observed in response to COVID-19. Future studies should use longitudinal data to capture the temporal relationship of these variables which could be moderated by prolonged pressure to healthcare staff during the pandemic.
COVID-19 对医疗保健的广泛影响要求许多组织类型和多种医疗保健提供形式采用新的工作方式，同时努力将最小或无额外负担施加到已经紧张的医疗保健团队上。这是一项横断面混合方法研究，旨在捕捉 COVID-19 大流行期间团队合作的经验，以促成成功的协作。我们假设工作投入和心理安全感分别有助于集体领导和组织公民行为。参与者是爱尔兰 COVID-19 大流行期间现役的医疗保健人员（n=152），他们响应了我们在社交媒体（Twitter）上的邀请，参与了这项研究。通过在线平台收集了调查和自由文本回复。结构方程模型检验了工作投入和心理安全感与集体领导和 OCB 之间的关系。与大流行期间团队合作经验相关的开放文本回复进行了潜在主题分析。从调查数据来看，结构模型显示出极好的统计拟合度，表明心理安全感而不是工作投入可以预测集体领导和 OCB。从定性数据中，生成了两个关键主题：（1）大流行期间团队合作的不同体验；（2）大流行应对：倦怠的转折点。这项研究为探索推动变革的因素以及为应对 COVID-19 而观察到的向更集体的工作方式转变提供了一个有价值的起点。未来的研究应该使用纵向数据来捕捉这些变量的时间关系，这些关系可能会受到大流行期间对医疗保健人员的长期压力的调节。
