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理解工作场所侵犯后的健康结果:社会交换视角。

Understanding health outcomes following workplace aggression: A social exchange perspective.

机构信息

School of Business Administration, University of Haifa, Haifa, Israel.

School of Social Work, University of Haifa, Israel.

出版信息

Health Soc Care Community. 2022 Nov;30(6):e3995-e4005. doi: 10.1111/hsc.13793. Epub 2022 Mar 14.

DOI:10.1111/hsc.13793
PMID:35285997
Abstract

This study explored health outcomes following workplace aggression among social workers in Israel. Grounded in the social exchange theory, a relationship-based perspective was used to explain the mechanism through which exposure to workplace aggression results in employee outcomes. Reports of employees and managers were analysed with respect to the impact of varied forms of aggressive behaviours perpetrated by clients and co-workers on posttraumatic stress and somatic symptoms. The intervening effects on symptoms of two forms of perceived organisational support, organisational procedural support and interpersonal co-worker support operationalised as team trust were examined. Overall, 548 employees and 89 managers in 31 social services departments completed self-report questionnaires. Results revealed positive associations between exposure to both co-worker and client aggression, and posttraumatic stress and somatic symptoms. Importantly, while perceived organisational support is often equated with social support, this study found that two elements, organisational procedural support and team trust, had differing impacts on somatic and posttraumatic stress symptoms following WPA. Specifically, team trust was negatively associated with symptoms, while organisational procedural support showed no effect. This study has important implications for timely prevention measures to deal with workplace aggressions and valuable directions for future studies.

摘要

本研究探讨了以色列社会工作者遭受工作场所侵犯后的健康结果。本研究基于社会交换理论,采用基于关系的视角来解释工作场所侵犯导致员工结果的机制。对员工和管理者的报告进行了分析,以了解客户和同事实施的各种形式的侵犯行为对创伤后应激和躯体症状的影响。还研究了两种形式的感知组织支持(组织程序性支持和人际同事支持,表现为团队信任)对症状的干预作用。总体而言,31 个社会服务部门的 548 名员工和 89 名经理完成了自我报告问卷。结果表明,暴露于同事和客户侵犯以及创伤后应激和躯体症状之间存在正相关关系。重要的是,虽然感知到的组织支持通常等同于社会支持,但本研究发现,组织程序性支持和团队信任这两个因素对 WPA 后的躯体和创伤后应激症状有不同的影响。具体而言,团队信任与症状呈负相关,而组织程序性支持则没有影响。本研究对及时采取预防措施应对工作场所侵犯具有重要意义,并为未来的研究提供了有价值的方向。

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