Hospital downsizing,individual resources,and occupational stressors in nurses

Abstract

Restructuring and downsizing are occurring increasingly throughout the workplace. As a result, many individuals are losing their jobs. Many others experience job insecurity as a result of the threat of downsizing. As with most other work spheres, several hospitals are closing, resulting in thousands of layoffs. Since nurses constitute one of the main groups employed in hospitals, they are faced with increasing job shortages. This study examines psychological reactions of nurses in response to stressors resulting from hospital downsizing. Individual resources, particularly coping strategies and self-efficacy, can affect the extent to which individuals experience distress as a result of downsizing. A self-report, anonymous questionnaire was filled out and returned by 1363 nurses employed in hospitals in Canada. Results of this study show that amount of work was a consistent and significant stressor in nurses. The greater the nurse's workload, the greater her emotional exhaustion, cynicism, depression and anxiety. Further results reported here indicated that control coping and self-efficacy lessened distress on the job and increased job satisfaction, while escape coping was associated with greater psychological distress and less job security.     

Hospital restructuring and nursing staff well-being: The role of perceived hospital and union support

Abstract

This research examined the effects of perceived hospital and union support on work satisfaction and psychological well-being of nursing staff during a period of hospital restructuring and downsizing. Data were collected from 1363 hospital-based nurses using anonymous questionnaires. Respondents reported receiving moderate levels of both hospital and union support during this period. However nursing staff reporting higher levels of perceived hospital support indicated greater job satisfaction, more job security, lower levels of psychological burnout and fewer psychosomatic symptoms, controlling for personal and work situation factors and extent of restructuring and downsizing initiatives. Implications for organizational management during downsizing and reorganization are drawn.     

Occupational stress,job satisfaction and physical health in teachers

IntroductionChanges within the teaching profession have been blamed for the high levels of stress reported by teachers. In recent decades, Italian schools have been characterised by continuous change, as a result of profound transitions that have affected political, social and economic development.ObjectiveThis paper investigated the relationship between occupational stress, job satisfaction and physical health in Italian teachers. Specifically, our aim is to study the role of job satisfaction as a possible mediation role between work stressors and its effects on teachers’ physical health (physical symptoms). In addition, we were interested in studying the direct effects of work stressors on the hypothetical outcomes (physical symptoms).MethodData were collected via a questionnaire from a sample of 565 teachers working in different upper secondary schools in Italy. The booklet filled by the teachers consisted of 32 items that measure perceived occupational difficulties, job satisfaction and physical symptoms.ResultsThe results showed that workload, perception of work environment, teachers’ perceptions of senior management and attitude towards change are specific perceived occupational difficulties of the Italian teachers involved in our research. In particular, workload and attitude towards change have significant direct effects on physical symptoms, and indirect effects on physical symptoms through job satisfaction. Also, job satisfaction decreases physical symptoms.ConclusionThe results suggest important implications for stress prevention in teachers. In fact, the level of stress and its consequences can be reduced and prevented through an accurate identification of its sources, with a positive effect on individual and organisational health.     

Productivity,counterproductivity and creativity: The ups and downs of job insecurity

Organizations frequently downsize in the hopes of creating a ‘lean and mean’ company able to be flexible and quick to adapt to changing environmental needs. The purpose of the current research was to assess the effects of job insecurity on productivity, counterproductivity, and creativity in a simulated organizational environment and a field setting. In the first study, 104 non‐traditional undergraduate students (M = 30.48 years) participated in a laboratory experiment that manipulated the threat of lay‐offs (job insecurity) and measured creativity and productivity over two time periods. Compared to control group participants, results indicate that participant productivity increased in the condition of higher levels of job insecurity, whereas creative problem solving decreased. In the second study, 144 employees in five organizations completed a survey measuring their job insecurity perceptions, enactment of counterproductive work behaviours, and creative problem‐solving ability. Regression analyses indicate that job insecurity predicted lower creativity scores, yet was also related to lower numbers of counterproductive work behaviours. Taken together, these studies suggest that job insecurity may have adverse effects on creativity, yet moderately beneficial effects on productivity. Results are interpreted in light of the increasing prevalence of job insecurity and organizational downsizing in today's workplace.     

Human Costs of Organizational Downsizing: Comparing Health Trends Between Leavers and Stayers

We studied health-related selection and consequences of an organizational downsizing among 886 municipal employees. Measurements of health indicators were conducted before any rumor of the downsizing and immediately after the downsizing 3 years later. Results of predownsizing health showed that those who did not find employment after the staff reductions were older employees with high preexisting morbidity. Those getting a new job elsewhere were younger and had better health already before the downsizing than the stayers. After the downsizing, deterioration of health was most likely in the stayers working in groups of major staff reductions and among the nonemployed leavers. In the reemployed leavers, the risk of increased health problems was lower than in others including employees working in no or minor downsizing groups.     

Work‐Group Membership (In)Stability and Survivors' Reactions to Organizational Downsizing1

This longitudinal panel study investigated the interactive effect of work‐group membership stability and time on survivors' reactions to organizational downsizing. The participants were 159 nonmanagement employees of a federal government department. Survivors in moderate‐change work groups did not react more negatively to the downsizing. In fact, they reported a significant increase in job satisfaction, job security, job performance, and employee morale. Survivors who changed to different work groups expressed the least positive attitudes in the initial phase of the downsizing, but the most positive attitudes at the completion of the downsizing. Work‐group membership (in)stability was more likely to affect survivors' reactions to various aspects of their job over time than factors related to the work group itself.     

Job insecurity in Finland: Antecedents and consequences

Abstract

Trends towards more unpredictable and flexible labour markets are often presumed to fuel feelings of job insecurity among employees, especially the threat of losing one's job. The aim of the study was to examine the prevalence, antecedents, and consequences of job insecurity in a representative sample of Finnish wage and salary earners (N = 3503) gathered in 1990. One out of ten respondents felt the threat of lay-off, dismissal, or unemployment. According to hierarchical regression analysis, perceived job insecurity was best explained by positional factors, especially earlier unemployment experiences and the temporary nature of the employment relationship. The role of demographic factors predicting job insecurity was strikingly minor. Variance and regression analysis confirmed the negative effects of perceived insecurity on work and health behaviour found in previous studies. Social support was found to have a light moderating effect in alleviating the negative effects of job insecurity. Thus, job insecurity was a psychological stressor with adverse effects for a sizeable proportion of the employees.     

Daily fluctuations in teachers' well-being: a diary study using the Job Demands–Resources model

Abstract

The study tests the dynamic nature of the Job Demands–Resources model with regard to both motivational and health impairment processes. It does so by examining whether daily fluctuations in co-workers' support (i.e., a typical job resource) and daily fluctuations in work/family conflict (i.e., a typical job demand) predict day-levels of job satisfaction and mental health through work engagement and exhaustion, respectively. A total of 61 schoolteachers completed a general questionnaire and a daily survey over a period of five consecutive work days. Multilevel analyses provided evidence for both the above processes. Consistently with the hypotheses, our results showed that day-level work engagement mediated the impact of day-level co-workers' support on day-level job satisfaction and day-level mental health, after general levels of work engagement and outcome variables had been controlled for. Moreover, day-level exhaustion mediated the relationship between day-level work/family conflict and day-level job satisfaction and day-level mental health after general levels of exhaustion and outcome variables had been controlled for. These findings provide new insights into the dynamic psychological processes that determine daily fluctuations in employee well-being. Such insights may be transformed into job redesign strategies and other interventions designed to enhance work-related psychological well-being on a daily level.     

The Importance of Career Insecurity for Turnover Intentions in the Dutch Military

The effects of two dimensions of job insecurity (job loss insecurity and career insecurity) on turnover intentions were tested in a sample from the Dutch armed forces (N = 3,580) after a major downsizing operation was announced. Results suggested that especially perceptions of career insecurity increased turnover intentions. Next to this direct effect, career insecurity was also associated with lowered affective organizational commitment which in turn increased turnover intentions as well. Our results imply that, at least during downsizing operations, a multidimensional conceptualization of job insecurity helps to predict important organizational outcomes in the military. Both perceptions of the risk of losing one’s job and perceptions of possible future career opportunities are important for employee retention.     

The relationship between abusive supervision,distributive justice and job satisfaction: A substitutes for leadership approach

IntroductionRecently, interest in abusive supervision has grown (Tepper, 2007). However, little is still known about organizational factors that can reduce the adverse effects of abusive supervision.ObjectiveBased on a substitute for leadership perspective (Kerr & Jermier, 1978), we predict that job resources adequacy and role clarity act as buffers in the negative relationship between abusive supervision, distributive justice and job satisfaction.MethodA sample of 253 employees from a City Hall was used to test our hypotheses.ResultsWe found that abusive supervision was significant and negatively related to distributive justice when job resources adequacy and role clarity were low, but not when job resources adequacy and role clarity were high, with consequences for job satisfaction.ConclusionsThese findings suggest that job resources adequacy and role clarity can reduce the negative impact of abusive supervision, which then lessens distributive unfairness perceptions and job dissatisfaction.     

The impact of job demands,climate, and optimism on well-being and distress at work: What are the mediating effects of basic psychological need satisfaction?

IntroductionPsychological health at work, a multidimensional concept grasped by the absence of negative states and by the presence of positive states, is here approximated in terms of distress and well-being.ObjectiveThis study was aimed at examining the extent to which job demands, individual resources (optimism), and organizational resources (climate) are linked to well-being and distress at work. We looked at whether these links are mediated in satisfaction of the three basic psychological needs posited in self-determination theory (competence, relatedness, and autonomy).MethodThe participants were 298 French elementary, middle, and high school teachers who were asked to answer a questionnaire. The data was analyzed using Hayes and Preacher's method for testing multiple mediations.ResultsSatisfaction of the psychological needs for competence and relatedness fully mediated the links between job climate and psychological health at work (well-being and distress). Optimism turned out to be an important factor of health, not only because it had a strong impact on well-being and distress, but also because its effects were partially mediated by satisfaction of the need for competence.ConclusionThe present results confirm the relevance of the variables used to predict psychological health (particularly optimism). Job demands directly affected well-being and distress levels. The climate — by way of satisfaction of the need for competence and for relatedness — plays a critical role in matters of occupational health.     

The role of workaholism in the job demands-resources model

Background and Objectives: The present study tries to gain more insight in workaholism by investigating its antecedents and consequences using the job demands-resources model. Design: We hypothesized that job demands would be positively related to workaholism, particularly when job resources are low. In addition, we hypothesized that workaholism would be positively related to negative outcomes in three important life domains: health, family, and work. Methods: The research involved 617 Italian workers (employees and self-employed). To test the hypotheses we applied structural equation modeling (SEM) and moderated structural equation modeling (MSEM) using Mplus 6. Results: The results of SEM showed a good model where workload, cognitive demands, emotional demands, and customer-related social stressors were positively related to workaholism and work–family conflict (WFC) (partial mediation). Additionally, workaholism was indirectly related to exhaustion and intentions to change jobs through WFC. Moreover, MSEM analyses confirmed that job resources (job security and opportunities for development) buffered the relationship between job demands and workaholism. Particularly, the interaction effects were statistically significant in five out of eight combinations. Conclusions: These findings suggest that workaholism is a function of a suboptimal work environment and predicts unfavorable employee outcomes. We discuss the theoretical and practical implications of these findings.     

Hospital restructuring,work-family conflict and psychological burnout among nursing staff

Abstract

This study examined work-family conflict, family-work conflict and psychological burnout among nursing staff during a time of hospital restructuring and downsizing. Data were collected from 686 hospital-based nurses, the vast majority women. Nurses reported significantly greater work-family conflict than family-work conflict. Personal demographics but not downsizing and restructuring stressors predicted family-work conflict; downsizing and restructuring stressors but not personal demographics predicted work-family conflict. Restructuring stressors and both work-family conflict and family-work conflict were associated with higher levels of psychological burnout.     

Assessment of job stress factors in a context of organizational change

IntroductionResearch consistently showed that stress and organizational change are closely related.ObjectiveThis study was conducted to identify the psychosocial job characteristics that are responsible for psychological stress in a context of organizational change.MethodAn expanded 30-item version of the Job Content Questionnaire was used to measure psychological demands, decision latitude, supervisor support, coworker support, and organizational difficulties. Online survey responses from 973 employees from the university of Strasbourg were analyzed.ResultsConfirmatory Factor Analyses indicated a poor fit of the five-factor model based on 30 items but an acceptable to good fit of a reduced five-factor model based on 26 items. Results from a stepwise regression showed that the organizational difficulties dimension was the second most important predictor of psychological stress.ConclusionThe implications of these findings for further work on health outcomes of organizational changes closed this study.     

A Longitudinal Study of Factors Influencing Occupational Therapy Students' Practice Preference from Pre-Admission Through Job Selection

Abstract

The number of occupational therapists and students choosing to practice in the area of mental health continues to decline. A longitudinal comparative study was conducted using a class of 27 Bachelor's and 20 Master's students, to examine the factors that influence the students' practice area preference at three points from pre-admission to job selection. The major influential factors were similar for both groups. At pre-admission, observation, volunteer work or a job in OT or a related field was reported to be the most influential factor in choosing a practice area preference. At level II fieldwork, positive influences on practice area preference were generally higher for physical disabilities, and negative influences were higher for mental health. At job selection, availability of a job and patient population were the most important influencing factors. Pre-admission experiences, level II fieldwork, and professionally challenging aspects of the practice area preference were the most important retrospective experiences influencing preference for practice area. In order to maintain or increase a presence in mental health the profession may need to expand OT students' pre-admission experiential expectations, professional mental health supports, and job opportunities in mental health.     

Fireman's job stress: Integrating work/non-work conflict with Job Demand-Control-Support model

IntroductionHeavy working load and uncontrollable schedule often lead firemen to face to conflict between work and non-work life.ObjectiveThis study aims to examine the mediating role of work/non-work conflict between firemen's job stress and job demand, job control, job support and family support.MethodQuestionnaire survey was used for data collection. Four hundred and twenty-two firemen returned completed questionnaires. Structure equation modelling was employed for data analysis.ResultsWork/leisure conflict (WLC) and work/family conflict (WFC) mediate partially the relationship between job demand and job control, job support and job stress. The relationship between family support and job stress is fully mediated by WLC and WFC.ConclusionWFC and WLC are integrated into Job Demand-Control-Support model model in current research to narrow the gap of job stress theory.     

Downsizing in britain and its effects on survivors and their organizations

Abstract

In this paper, we examine the psychological effects of downsizing and redundancy on those remaining within organizations after large-scale redundancy programs. While there have been a number of studies of this type in the recent past, our task is to explore two separate studies which have investigated this phenomena. The first study explores the impact of redundancy in a recently privatized organization in the UK. This, we argue, is a particularly fertile area of study given the radical changes that have affected organizations in the UK that have been subjected to privatization. The results stem from an exploratory and qualitative case study which takes an individual perspective. The second study discussed in this paper explores the results of a survey conducted in the UK that examines the implications of change in both the public and private sector organizations. This survey takes a quantitative look at the implications of redundancy from an organizational perspective. By investigating these two studies, our research explores the impact of redundancy on two levels—the individual level and the organizational level. First, we examine the emotional, attitudinal and behavioral effects of redundancy on survivors and the resultant implications for management: in particular the changing role of line managers where delayering and redundancy has taken place. Second, we explore the impact of redundancy on the organization in terms of organizational morale, motivation, organizational loyalty and job security where redundancy has and has not been used as a method of downsizing.     

Critical issues confronting the advancement of applied sport psychology

Abstract

Despite considerable progress over the last 10 years, applied sport psychology confronts several persistent issues that continue to limit the growth and development of the field. Specifically, issues requiring more comprehensive and proactive attention and initiatives include: the training of graduate students, the accreditation of graduate programs, the job market, and the establishment of systematic educational outreach programs. Suggestions are offered regarding how enhancements in each of the aforementioned issues can be initiated, and potential benefits gained by students, faculty, and the general public are identified and discussed. Given the climate in many academic institutions emphasizing program downsizing, sport psychology may be approaching and confronting one of the most crucial crossroads in its existence. Without direct efforts to assure academic credibility and public confidence in the standards of training and practice, sport psychology may fail to actualize a meaningful future role in the competitive field of allied health service provision.     

Emotional job demands and burnout among oncology care providers

Abstract

Recent studies by Söderfeldt et al. (1996) and de Jonge et al. (1999) have demonstrated that Karasek's operationalization of job demands in his well-known Job Demands-Control (JD-C) Model (Karasek, 1979), i.e. quantitative demands, cannot capture the complexities of working with patients or clients in health care work. In the current study on burnout among 816 Dutch oncology care providers, the “traditional” JD-C Model was extended by including two types of emotional job demands. Moreover, “susceptibility to emotional contagion” was included as a potential moderator of the relationship between emotional job demands and burnout. Emotional job demands significantly contributed to the prediction of burnout, after controlling for quantitative job demands and job control. In addition, care providers' susceptibility to emotional contagion moderated the relationship between “confrontation with death and dying” and burnout. Care providers high in susceptibility to emotional contagion were more “vulnerable” to the stress associated with high emotional demands than their counterparts.     

Work Values Among Lebanese Workers

Abstract

On the basis of a review of the existing literature, the authors tested 4 hypotheses to determine the applicability of work values in Arab societies to employees in Lebanese organizations. Only 1 hypothesis was supported: Organizational policies that ran counter to the worker's religious values had an adverse effect on job satisfaction. There was no support for the hypotheses (a) that workers' religiosity is inversely related to positive attitudes toward women's involvement at work, (b) that employee satisfaction is related to a mechanistic organizational design, or (c) that workers with an internal locus of control experience higher job satisfaction. The Lebanese workers, thus, did not appear to share some of the attributes claimed to exist in Arab societies.