Gifford Rachel E, van de Baan Frank C, Westra Daan, Ruwaard Dirk, Zijlstra Fred R H, Poesen Lieze T, Fleuren Bram P I
Department of Health Services Research, Care and Public Health Research Institute(CAPHRI), Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, the Netherlands.
Department of Work and Social Psychology, Faculty of Psychology and Neuroscience,Maastricht University, Maastricht, the Netherlands.
SSM Qual Res Health. 2022 Dec;2:100053. doi: 10.1016/j.ssmqr.2022.100053. Epub 2022 Feb 3.
To effectively function and adapt in crises, healthcare organizations rely on the skills and commitment of their workforce. Yet, our current understanding of how employees' workplace commitment is affected by and evolves throughout the course of a crisis remains limited. In this paper, we explore the commitment of hospital staff to an important workplace target, the COVID-19 crisis response, and show how this commitment develops over time. We report on an exploratory case study of hospital staff in a heavily hit region of the Netherlands. We conducted interviews with hospital executives, management, medical and support staff to uncover the issues hospitals faced in recruiting staff to provide COVID-19 care throughout the first and second wave of the crisis. Our findings suggest that while staff initially exhibited high levels of commitment to aiding in the crisis effort, staff were perceived to exhibit lower levels of commitment in the second wave, complicating the provision of COVID-19 care. We unveil three contributing factors to this shift, namely: competing demands, energy depletion and a lack of support and appreciation. Our findings suggest that while staff were initially willing to dedicate themselves and take responsibility for the crisis effort, as their other more stable commitments became more salient in the second wave, their willingness to dedicate limited resources to the crisis effort decreased. In our discussion, we examine the implications of our findings for the literature on workplace commitment, and advance our understanding of employee workplace commitment during crises.
为了在危机中有效运作并适应危机，医疗保健组织依赖其员工的技能和奉献精神。然而，我们目前对员工的工作场所承诺如何在危机过程中受到影响以及如何演变的理解仍然有限。在本文中，我们探讨了医院工作人员对一个重要工作场所目标——应对新冠疫情危机的承诺，并展示了这种承诺如何随时间发展。我们报告了对荷兰一个受重创地区医院工作人员的探索性案例研究。我们采访了医院管理人员、管理层、医疗和辅助人员，以揭示医院在危机的第一波和第二波期间招募工作人员提供新冠护理时所面临的问题。我们的研究结果表明，虽然工作人员最初表现出高度的意愿来协助应对危机，但在第二波疫情中，工作人员的承诺水平被认为有所下降，这给提供新冠护理带来了复杂性。我们揭示了导致这种转变的三个因素，即：相互竞争的需求、精力耗尽以及缺乏支持和认可。我们的研究结果表明，虽然工作人员最初愿意全身心投入并为应对危机承担责任，但随着他们其他更稳定的责任在第二波疫情中变得更加突出，他们将有限资源投入到应对危机的意愿降低了。在我们的讨论中，我们研究了我们的研究结果对工作场所承诺文献的影响，并增进了我们对危机期间员工工作场所承诺的理解。
