Why do Stayers Stay? Perceptions of White and Black Long-Term Employees in a Community Mental Health Center.

Emily Bass, Michelle P Salyers, Ashton Hall, Jennifer Garabrant, Gary Morse, Eric Kyere, Nathaniel Dell, Jaime Greenfield, Sadaaki Fukui
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Abstract

Previous research has focused on factors influencing turnover of employees in the mental health workforce, yet little research has explored reasons why employees stay. To facilitate retaining a diverse mental health workforce, the current study aimed to elucidate factors that contributed to employees' tenure at a community mental health center (CHMC) as well as compare these perceptions between Black and White employees. Long-term employees (7 years or more) from one urban CMHC (n = 22) completed semi-structured stayer interviews. Using emergent thematic analysis, stayer interviews revealed four major themes for why they have stayed at the organization for 7 years or more: (1) work as a calling, (2) supportive relationships, (3) opportunities for growth or meaningful contribution, and (4) organization mission's alignment with personal attributes or values. Comparison between Black and White stayer narratives revealed differences in their perceptions with work as a calling and opportunities for growth and meaningful contribution. Guided by themes derived from stayer interviews, the current study discusses theoretical (e.g., job embeddedness theory, theory of racialized organizations, self-determination theory) and practical implications (e.g., supporting job autonomy, Black voices in leadership) in an effort to improve employee retention and address structural racism within a mental health organization.

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留守者为何留守?社区心理健康中心白人和黑人长期雇员的看法。
以往的研究主要关注影响心理健康员工流失的因素,但很少有研究探讨员工留任的原因。为了促进留住多元化的心理健康员工,本研究旨在阐明促使员工在社区心理健康中心(CHMC)任职的因素,并比较黑人和白人员工对这些因素的看法。一家城市社区精神健康中心的长期员工(7 年或以上)(n = 22)完成了半结构化的在职访谈。通过新兴主题分析,留任者访谈揭示了他们为何在机构留任 7 年或以上的四大主题:(1)工作是一种召唤,(2)支持性关系,(3)成长或有意义贡献的机会,以及(4)机构使命与个人特质或价值观的一致性。通过比较黑人和白人留职者的叙述,发现他们对工作的使命感以及成长和有意义的贡献机会的看法存在差异。在留职者访谈主题的指导下,本研究讨论了理论(如工作嵌入理论、种族化组织理论、自我决定理论)和实践意义(如支持工作自主权、领导层中的黑人声音),以努力提高员工留任率,解决心理健康组织中的结构性种族主义问题。
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来源期刊
CiteScore
5.20
自引率
7.70%
发文量
50
期刊介绍: The aim of Administration and Policy in Mental Health and Mental Health Services is to improve mental health services through research. This journal primarily publishes peer-reviewed, original empirical research articles.  The journal also welcomes systematic reviews. Please contact the editor if you have suggestions for special issues or sections focusing on important contemporary issues.  The journal usually does not publish articles on drug or alcohol addiction unless it focuses on persons who are dually diagnosed. Manuscripts on children and adults are equally welcome. Topics for articles may include, but need not be limited to, effectiveness of services, measure development, economics of mental health services, managed mental health care, implementation of services, staffing, leadership, organizational relations and policy, and the like.  Please review previously published articles for fit with our journal before submitting your manuscript.
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