Hebatallah Naim Ali, Jody Hoffer Gittell, Sien Deng, Cheryl D Stults, Meghan Martinez, Suzanne Pertsch, Lauren Weger, Ellis C Dillon
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引用次数: 1
摘要
背景:2019冠状病毒病大流行是一场异常全面的危机，对人们在工作和家庭中的角色造成了损害，形成了一种新常态。目的:关系协调理论展示了以任务整合为目的的沟通和联系如何为工人、他们的客户和雇主带来积极的结果。工作-家庭溢出的生态理论显示了从工作溢出到家庭生活的关系动力学，反之亦然。我们以这两个理论为基础来理解工作关系如何影响工作与生活的平衡和员工的幸福感，尤其是在危机时期。方法:本研究基于对COVID-19大流行期间加州大型卫生系统附属临床医生的调查。运用中介模型和多水平逻辑回归模型来评估同事关系协调如何通过对工作与生活平衡(日程控制和个人时间)的影响来影响幸福感(工作满意度和职业倦怠)。结果:关系协调每增加1点，临床医生控制日程安排的几率就增加了两倍(OR = 3.33, p < .001)，拥有充足个人时间的几率几乎增加了一倍(OR = 1.83, p < .001)。人际关系协调能力每提高1点，工作满意度就增加近4倍(OR = 3.92, p < 0.001)，工作倦怠率降低64% (OR = 0.36, p < 0.001)。关系协调对员工幸福感的影响是通过更大的日程控制和个人时间来中介的。结论:同事之间的关系协调影响员工的幸福感，使员工能够更好地控制自己的时间表和更多的个人时间，从而在危机时刻从工作到家庭产生积极的溢出效应。实践启示:在危机时刻，领导者应该优先考虑同事之间的关系协调，以支持他们在工作和家庭中的弹性。
Relationships and resilience at work and at home: Impact of relational coordination on clinician work-life balance and well-being in times of crisis.
Background: The COVID-19 pandemic has been an unusually comprehensive crisis that has taken a toll on people in their roles both at work and at home, giving rise to a new normal.
Purpose: Relational coordination theory shows how communicating and relating for the purpose of task integration drives positive outcomes for workers, their clients, and their employers. The ecological theory of work-family spillover shows how relational dynamics from work spillover into family life, and vice versa. We build upon these two theories to understand how relationships at work impact work-life balance and worker well-being, especially in times of crisis.
Methodology: This study was based on surveys of clinicians affiliated with a large California health system during the COVID-19 pandemic. Mediation and multilevel logistic regression models were used to assess how relational coordination among colleagues impacts well-being (job satisfaction and lack of burnout) through its effects on work-life balance (schedule control and personal time).
Results: A 1-point increase in relational coordination tripled clinician odds of having schedule control ( OR = 3.33, p < .001) and nearly doubled the odds of having adequate personal time ( OR = 1.83, p < .001). A 1-point increase in relational coordination nearly quadrupled odds of being satisfied with their job ( OR = 3.92, p < .001) and decreased odds of burnout by 64% ( OR = 0.36, p < .001). The impact of relational coordination on worker well-being was mediated by greater schedule control and personal time.
Conclusion: Relational coordination among colleagues impacts worker well-being by enabling greater control over one's schedule and more personal time, thus creating a positive spillover from work to home in times of crisis.
Practice implications: In times of crisis, leaders should prioritize relational coordination among colleagues in order to support their resilience both at work and at home.
期刊介绍：
Health Care Management Review (HCMR) disseminates state-of-the-art knowledge about management, leadership, and administration of health care systems, organizations, and agencies. Multidisciplinary and international in scope, articles present completed research relevant to health care management, leadership, and administration, as well report on rigorous evaluations of health care management innovations, or provide a synthesis of prior research that results in evidence-based health care management practice recommendations. Articles are theory-driven and translate findings into implications and recommendations for health care administrators, researchers, and faculty.
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