Ellethiey Nancy Sabry, Ashour Heba Mohamed Al-Anwer Ali, Awad Nadia Hassan Ali
Nursing Administration Department, Faculty of Nursing, Alexandria University, Alexandria, Egypt.
Faculty of Nursing, 9 Edmon Fremon St. Smouha, Alexandria, Egypt.
BMC Nurs. 2024 Dec 3;23(1):883. doi: 10.1186/s12912-024-02506-7.
The VUCA in the healthcare environment requires combating volatility, uncertainty, complexity, and ambiguity through highly talented employees and implementing a talent management strategy. This encompasses a range of operations designed to find, attract, nurture, and utilize competent workers that impact how well nurses fulfill their psychological contracts. However, as the researchers had anticipated, several factors, such as cordial relationships and generation differences, may mediate or influence this correlation.
For a cross-sectional study, a non-probability convenience sampling technique was used to include n = 375 nurses from among the 600 total nurses at three private hospitals in Alexandria, Egypt. Three validated measures were used to measure the study variables and develop a mediation-moderation structural equation model.
The result of this study revealed that nurses perceived a moderate level of talent management with a mean score of (48.91 ± 18.15), a low mean score (8.89 ± 3.93) of psychological contract fulfillment, and a moderate mean score (185.11 ± 27.02) of cordial relation. Additionally, more than half of the participants were in the Gen Z. Also, this study concluded that there is a positive mediation role of cordial relation and a negative moderation role of Gen between talent management and psychological contract fulfillment.
Using Gen as a moderating variable and cordial relations as a mediating factor, a moderating mediating structural equation model is created and validates the important influence of talent management on nurses' psychological fulfillment, confirming the mediating effect of cordial relations and the moderating effect of genes in this relationship. GEN negatively predicted psychological contract fulfillment, meaning baby boomers predicted more psychological contract fulfillment than Z gen. Furthermore, talent management could positively predict cordial relations and psychological contract fulfillment, and cordial relations partially mediated the relationship between talent management and psychological contract fulfillment. Nurse mangers should be aware of and implement effective and talent management strategies with respecting gen difference, and apply tailored strategies for fostering nurses' cordial relation and psychological contract fulfillment to deal with the VUCA challenging healthcare environment.
医疗环境中的易变性、不确定性、复杂性和模糊性(VUCA)要求通过高技能员工应对波动性、不确定性、复杂性和模糊性,并实施人才管理战略。这包括一系列旨在寻找、吸引、培养和利用有能力的员工的行动,这些行动会影响护士履行心理契约的程度。然而,正如研究人员所预期的那样,一些因素,如融洽的关系和代际差异,可能会调节或影响这种相关性。
在一项横断面研究中,采用非概率便利抽样技术,从埃及亚历山大市三家私立医院的600名护士中纳入了n = 375名护士。使用三项经过验证的测量方法来测量研究变量,并建立一个中介调节结构方程模型。
本研究结果显示,护士对人才管理的感知水平中等,平均得分为(48.91±18.15),心理契约履行的平均得分较低(8.89±3.93),融洽关系的平均得分中等(185.11±27.02)。此外,超过一半的参与者属于Z世代。而且,本研究得出结论,融洽关系在人才管理与心理契约履行之间具有正向中介作用,而代际差异具有负向调节作用。
以代际差异为调节变量,融洽关系为中介因素,创建了一个调节中介结构方程模型,验证了人才管理对护士心理契约履行的重要影响,证实了融洽关系的中介作用和代际差异在这种关系中的调节作用。代际差异对心理契约履行有负向预测作用,这意味着婴儿潮一代比Z世代预测的心理契约履行程度更高。此外,人才管理可以正向预测融洽关系和心理契约履行,融洽关系部分中介了人才管理与心理契约履行之间的关系。护士管理者应意识到并实施有效的人才管理战略,尊重代际差异,并应用量身定制的战略来促进护士的融洽关系和心理契约履行,以应对VUCA带来挑战的医疗环境。