scholarly journals Value-Based Healthcare From the Perspective of the Healthcare Professional: A Systematic Literature Review

2022 ◽  
Vol 9 ◽  
Author(s):  
Veerle van Engen ◽  
Igna Bonfrer ◽  
Kees Ahaus ◽  
Martina Buljac-Samardzic
Keyword(s):  
Healthcare Professional ◽  
Psychosocial Factors ◽  
Thematic Analysis ◽  
Organizational Support ◽  
Healthcare Professionals ◽  
Job Strain ◽  
Job Demands ◽  
Well Being ◽  
Use Of Resources ◽  
Job Demands And Resources

Introduction: Healthcare systems increasingly move toward “value-based healthcare” (VBHC), aiming to further improve quality and performance of care as well as the sustainable use of resources. Evidence about healthcare professionals' contributions to VBHC, experienced job demands and resources as well as employee well-being in VBHC is scattered. This systematic review synthesizes this evidence by exploring how VBHC relates to the healthcare professional, and vice versa.Method: Seven databases were systematically searched for relevant studies. The search yielded 3,782 records, of which 45 were eligible for inclusion based on a two-step screening process using exclusion criteria performed by two authors independently. The quality of the included studies was appraised using the Mixed Methods Appraisal Tool (MMAT). Based on inductive thematic analysis, the Job Demands-Resources (JD-R) model was modified. Subsequently, this modified model was applied deductively for a second round of thematic analysis.Results: Ten behaviors of healthcare professionals to enhance value in care were identified. These behaviors and associated changes in professionals' work content and work environment impacted the experienced job demands and resources and, in turn, employee well-being and job strain. This review revealed 16 constructs as job demand and/or job resource. Examples of these include role strain, workload and meaning in work. Four constructs related to employee well-being, including engagement and job satisfaction, and five constructs related to job strain, including exhaustion and concerns, were identified. A distinction was made between job demands and resources that were a pure characteristic of VBHC, and job demands and resources that resulted from environmental factors such as how care organizations shaped VBHC.Conclusion and Discussion: This review shows that professionals experience substantial job demands and resources resulting from the move toward VBHC and their active role therein. Several job demands are triggered by an unsupportive organizational environment. Hence, increased organizational support may contribute to mitigating or avoiding adverse psychosocial factors and enhance positive psychosocial factors in a VBHC context. Further research to estimate the effects of VBHC on healthcare professionals is warranted.

scholarly journals Sometimes It Drains, Sometimes It Sustains: The Dual Role of the Relationship with Students for University Professors

2019 ◽  
Vol 2019 ◽  
pp. 1-8 ◽  
Author(s):  
Mara Martini ◽  
Gloria Guidetti ◽  
Sara Viotti ◽  
Barbara Loera ◽  
Daniela Converso
Keyword(s):  
Emotional Exhaustion ◽  
Work Engagement ◽  
Psychological Health ◽  
Job Demands ◽  
Well Being ◽  
University Teachers ◽  
Work Meaning ◽  
The Relationship ◽  
Job Demands And Resources

University organizational contexts have been changing significantly in recent years, and academic staff are expected to manage larger workloads at an increased pace. This can threaten their well-being and exacerbate work-related stress—possibly creating negative impacts on their mental and physical states. Surprisingly, academic occupational psychological health is still rarely studied. By referring to the Job Demands-Resources (JD-R) conceptual model, this study aimed to analyze the relationship between university teachers’ well-being and job demands and resources, with a particular focus on the role of the relationship with students. Specifically, 550 associate and full professors were studied to determine the impact of job characteristics, quality of relationships in the work environment, and negative and positive relations with students regarding emotional exhaustion and work engagement. Hierarchical multiple regression models allowed us to highlight the fact that emotional exhaustion was positively and significantly associated with workload, conflicts with colleagues, and requests from students, and it was negatively associated with work meaning. Work engagement was positively and significantly associated with work meaning and social support from students. Our study points out that the flexible and renowned JD-R model can successfully be used to analyze the occupational psychological health of academics. Further, our study underscores the fact that, among job demands and resources, the often-neglected relations with external users (the students) can play an important role in university teachers’ perceptions of exhaustion and engagement.

Well-being in open space offices: The role of office features and psychosocial working conditions

Work ◽  
2021 ◽  
pp. 1-16
Author(s):  
Sarah S. Lütke Lanfer ◽  
Cathrin Becker ◽  
Anja S. Göritz
Keyword(s):  
Working Conditions ◽  
Open Space ◽  
Job Demands ◽  
Well Being ◽  
Subjective Well Being ◽  
Cross Sectional ◽  
Psychosocial Working Conditions ◽  
Office Size ◽  
Job Demands And Resources

BACKGROUND: There has been a trend to implement open space offices: wide-spread office floors with modern and colourful furniture. However, there is limited scientific knowledge on the effects of Open Space Offices (OSO). Studies are scare and show heterogeneous results. OBJECTIVE: By using the Job Demands-Resources model as a conceptual framework, the present study aimed at investigating the influence of subjective and objective features of the OSO (i.e., office size, desk-sharing, openness) next to classical psychosocial working conditions (i.e., demands, resources) on irritation and subjective well-being. METHODS: Cross-sectional and longitudinal data out of four different organisations (490 participants, 43.73 years of age, SD = 12.02) were used. RESULTS: Results showed that both features of the OSO and working conditions play a role in well-being at work. In line with current studies, job demands and resources contributed more to irritation and subjective well-being than features of the OSO. CONCLUSION: The influence of traditional psychosocial working conditions has so far been neglected in research on OSOs. However, their contribution to employees’ well-being next to features of the OSO could explain the heterogeneous findings of the existing research on well-being in OSOs. Thus, when implementing OSOs, employees’ well-being can only be enhanced if working conditions are targeted in parallel.

scholarly journals Job demands, resources and work-related well-being in UK firefighters

2019 ◽  
Vol 69 (8-9) ◽  
pp. 604-609
Author(s):  
N Payne ◽  
G Kinman
Keyword(s):  
Problem Solving ◽  
Job Demands ◽  
Well Being ◽  
Working Environment ◽  
Role Clarity ◽  
Work Related ◽  
Recovery Strategies ◽  
Relationship Conflicts ◽  
The Impact ◽  
Job Demands And Resources

Abstract Background There is evidence that firefighters are at risk of work-related stress and mental health problems, but little is known about the organizational hazards they experience. Insight is needed into the work-related factors that are most likely to threaten or protect their work-related well-being. Aims To identify levels of job demands and resources (including demands relating to workload, work patterns and the working environment, relationship conflicts, control, support, role clarity and change management) among firefighters, and to use a job demands–resources framework to examine their impacts on work-related well-being. The role played by recovery strategies in predicting work-related well-being was also considered. Methods Job demands and resources were assessed by the Health & Safety Executive (HSE) Management Standards Indicator Tool. Validated scales measured recovery strategies (detachment, affective rumination and problem-solving pondering) and work-related well-being (anxiety–contentment and depression–enthusiasm). The impact of job demands, resources and recovery strategies was tested by multiple linear regression. Results The sample comprised 909 firefighters across seven Fire and Rescue Services in the UK (85% male). Levels of job demands and resources did not meet HSE benchmarks. The main risk factors for poor work-related well-being were relationship conflicts and affective rumination, but resources such as role clarity and job control and the use of problem-solving pondering and detachment were beneficial. Conclusions Interventions that aim to reduce relationship conflicts at work and promote problem-solving rather than affective rumination, and detachment from work when off-duty, are likely to improve work-related well-being. Attention to enhancing job resources may also be beneficial.

scholarly journals A Dual Path Model of Work-Related Well-Being in Healthcare and Social Work Settings: The Interweaving Between Trait Emotional Intelligence, End-User Job Demands, Coworkers Related Job Resources, Burnout, and Work Engagement

2021 ◽  
Vol 12 ◽  
Author(s):  
Alessio Tesi
Keyword(s):  
Emotional Intelligence ◽  
Work Engagement ◽  
Healthcare Professionals ◽  
Job Demands ◽  
Well Being ◽  
Job Resources ◽  
Equation Modeling ◽  
Trait Emotional Intelligence ◽  
End User ◽  
Work Related

Framing the job demands-resources (JD-R) model, the present study deepened how trait emotional intelligence (TEI, i.e., perception about one's own emotional realm) contributes to the work-related well-being of healthcare professionals. A total of 302 healthcare professionals were involved in the study and completed an anonymous self-report questionnaire. The results of the structural equation modeling revealed that TEI was directly and indirectly—mediated by end-user job demands—negatively associated with burnout, and directly and indirectly—mediated by coworkers related job resources— associated with work engagement. According to the health impairment and motivational processes of JD-R, the present study highlights that TEI could targets burnout and work engagement through different paths. The first path revealed that TEI would reduce burnout protecting by the insurgence harmful relationships with service end-users and the second showed that TEI would support work engagement sustaining the development of positive relationship with coworkers.

Psychological capital as a personal resource in the JD-R model

2018 ◽  
Vol 47 (4) ◽  
pp. 968-984 ◽  
Author(s):  
Steven L. Grover ◽  
Stephen T.T. Teo ◽  
David Pick ◽  
Maree Roche ◽  
Cameron J. Newton
Keyword(s):  
Psychological Capital ◽  
Job Demands ◽  
Well Being ◽  
Job Resources ◽  
Healthcare Sector ◽  
Personal Resources ◽  
Content Type ◽  
Personal Resource ◽  
The Impact ◽  
Job Demands And Resources

Purpose The purpose of this paper is to demystify the role of the personal resource of psychological capital (PsyCap) in the job demands-resources model. The theory suggests that personal resources directly influence perceptions of job demands, job resources, and outcomes. Alternatively, personal resources may moderate the impact of job demands and job resources on outcomes. Design/methodology/approach A survey of 401 nurses working in the Australian healthcare sector explores the relations among PsyCap, job demands and resources, and psychological well-being and work engagement. Findings The results suggest that PsyCap directly influences perceptions of job demands and resources and that it directly influences the outcomes of well-being and engagement. Furthermore, job demands and job resources mediate the relation of PsyCap with well-being and engagement, respectively. Research limitations/implications The moderation effect of PsyCap was not supported, which suggests that PsyCap relates to perceptions as opposed to being a coping mechanism. This finding therefore narrows the scope of personal resources in this important model. Originality/value The importance of this study lies in its exploration of various ways that personal resources can influence this dominant model and in analyzing the global construct of PsyCap as opposed to some of its constituent parts.

scholarly journals Organizational and Personal Factors That Boost Innovation: The Case of Nurses during COVID-19 Pandemic Based on Job Demands-Resources Model

2022 ◽  
Vol 14 (1) ◽  
pp. 458
Author(s):  
Ariana Moreno Cunha ◽  
Carla Susana Marques ◽  
Gina Santos
Keyword(s):  
Work Engagement ◽  
Organizational Support ◽  
Healthcare Professionals ◽  
Job Demands ◽  
Measurement Instrument ◽  
Personal Factors ◽  
Healthcare Organizations ◽  
The World ◽  
Innovative Behaviour ◽  
Positive Effect

Since 2019, the world has been experiencing a pandemic period due to the COVID-19 virus, which has brought the need for organizations in general, healthcare organizations and their professionals in particular, to focus on innovation as a way to fight an utterly unknown virus. Thus, this study aims to understand how nurses and their personal factors (stress, anxiety, work engagement, organizational support) impact their innovative behaviour and innovation outputs, contributing to innovation in the current pandemic period through changes in thoughts, values, behaviours and relationships among healthcare professionals and their organizations. For this purpose, the Job Demands-Resources model was used as a reference, and the measurement instrument was applied to 738 nurses working in healthcare units in Portugal. Therefore, it was found that the nurses’ personal factors have a positive effect on the nurses’ innovative behaviour and innovation outputs, with the innovative behaviour having the most significant impact on innovation outputs, which will benefit healthcare organizations and the healthcare provided to patients during the pandemic, through innovative behaviours and products. It is also possible to understand how the available resources and the demands imposed on nurses interfere with their innovative behaviour (Job Demands-Resources model).

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