在社区-学术卫生伙伴关系中,明确、苛刻和重要的项目绩效目标之间的相互作用。

IF 1.7 3区 医学 Q3 HEALTH POLICY & SERVICES Health Care Management Review Pub Date : 2022-07-01 Epub Date: 2021-07-26 DOI:10.1097/HMR.0000000000000320
Choiwai M Chak, Lara Carminati, Celeste P M Wilderom
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引用次数: 0

摘要

背景:社区学术卫生伙伴关系(CAHPs)在弥合卫生保健知识与实践之间的差距方面变得越来越普遍。由于在这样的合作伙伴关系中工作可能具有极大的挑战性,因此深入了解个人层面的高性能促成因素将有助于更好地管理cahp。目的:在目标设定理论的指导下,本研究考察了目标清晰度、目标压力、目标重要性对项目绩效感知的关系及其相互作用。方法:采用融合混合方法研究设计,从三个德语国家的各种CAHP项目的268名参与者中收集在线调查数据。我们使用结构方程模型对假设进行检验,然后对209份开放式问卷进行专题分析。结果:CAHP项目绩效与目标清晰度呈正相关,与目标压力负相关。三向交互分析表明,当目标重要性高时,无论目标压力水平如何,目标清晰度与项目绩效之间的关系仍然是正的。定性数据证实了这一发现。结论:在CAHP项目中,高目标重要性抵消了目标压力对项目绩效的负面影响,表明认为项目目标重要的员工可以更好地管理与苛刻目标相关的压力。实践启示:为了在CAHPs中实现高项目绩效,组织和项目领导者应该(a)设定明确的项目目标,(b)帮助项目工作者处理因目标要求过高而产生的压力,以及(c)强调项目目标的重要性,特别是在目标压力很高的情况下。
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Interplay of clear, demanding, and important goals on project performance in community-academic health partnerships.

Background: Community-academic health partnerships (CAHPs) have become increasingly common to bridge the knowledge-to-practice gap in health care. Because working in such partnerships can be excessively challenging, insights into the individual-level enablers of high performance will enable better management of CAHPs.

Purpose: Steered by the goal-setting theory, this study examined the relations between goal clarity, goal stress, goal importance, and their interactions on perceived project performance among individuals working in CAHPs' constituting projects.

Methodology: Using a convergent mixed-method research design, online survey data were collected from 268 participants working in a variety of CAHP projects in three German-speaking countries. We tested the hypotheses using structural equation modeling, after which thematic analysis was carried out on the 209 open-ended responses.

Results: CAHP project performance was positively associated with goal clarity and negatively associated with goal stress. A three-way interaction analysis showed that when goal importance was high, the relationship between goal clarity and project performance remained positive regardless of the level of goal stress. The qualitative data corroborate this finding.

Conclusion: In CAHP projects, high goal importance offsets the negative effect of goal stress on project performance, indicating that workers who perceive the project goals as important can manage the stress associated with demanding goals better.

Practice implications: To achieve high project performance in CAHPs, organizational and project leaders should (a) set clear project goals, (b) facilitate project workers in dealing with stress resulting from overly demanding goals, and (c) emphasize the importance of the project goals, especially when goal stress is high.

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来源期刊
Health Care Management Review
Health Care Management Review HEALTH POLICY & SERVICES-
CiteScore
4.70
自引率
8.00%
发文量
48
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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