{"title":"Structurational divergence, safety climate, and intentions to leave: An examination of health care workers’ experiences of abuse","authors":"Jessica L. Ford, Yaguang Zhu, Ashley K. Barrett","doi":"10.1080/03637751.2021.1900886","DOIUrl":null,"url":null,"abstract":"ABSTRACT Guided by structurational divergence (SD) theory, this study examined the presence and impact of unresolved tensions surrounding safety issues among hospital workers. Using a two-study design, data were gathered for Study 1 from focus groups and interviews involving 40 hospital employees at two hospitals. Thematic analysis indicated workers experienced SD-cycles marked by unresolved conflict, immobilization, and erosion of development. Study 2 surveyed (N = 303) workers within the same hospital network to examine the impact of unresolvable safety issues as both the outcome of SD and the antecedent to workers’ intent to leave. The conceptual model tested shows the destructive outcomes of SD on safety climate, where higher levels of SD lead to lower perceptions of safety climate.","PeriodicalId":48176,"journal":{"name":"Communication Monographs","volume":null,"pages":null},"PeriodicalIF":3.1000,"publicationDate":"2021-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/03637751.2021.1900886","citationCount":"6","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Communication Monographs","FirstCategoryId":"98","ListUrlMain":"https://doi.org/10.1080/03637751.2021.1900886","RegionNum":2,"RegionCategory":"文学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"COMMUNICATION","Score":null,"Total":0}
引用次数: 6
Abstract
ABSTRACT Guided by structurational divergence (SD) theory, this study examined the presence and impact of unresolved tensions surrounding safety issues among hospital workers. Using a two-study design, data were gathered for Study 1 from focus groups and interviews involving 40 hospital employees at two hospitals. Thematic analysis indicated workers experienced SD-cycles marked by unresolved conflict, immobilization, and erosion of development. Study 2 surveyed (N = 303) workers within the same hospital network to examine the impact of unresolvable safety issues as both the outcome of SD and the antecedent to workers’ intent to leave. The conceptual model tested shows the destructive outcomes of SD on safety climate, where higher levels of SD lead to lower perceptions of safety climate.
期刊介绍：
Communication Monographs, published in March, June, September & December, reports original, theoretically grounded research dealing with human symbolic exchange across the broad spectrum of interpersonal, group, organizational, cultural and mediated contexts in which such activities occur. The scholarship reflects diverse modes of inquiry and methodologies that bear on the ways in which communication is shaped and functions in human interaction. The journal endeavours to publish the highest quality communication social science manuscripts that are grounded theoretically. The manuscripts aim to expand, qualify or integrate existing theory or additionally advance new theory. The journal is not restricted to particular theoretical or methodological perspectives.
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