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Title |
Why Some Employees Adopt or Resist Reorganization of Work
Practices in Health Care: Associations between Perceived Loss
of Resources, Burnout, and Attitudes to Change |
Author(s) |
Carl-Ardy Dubois, Kathleen Bentein, Jamal Ben Mansour,et al - Personal Name
|
Subject |
Health Care Management |
Publisher |
mdpi |
Publishing Year |
2014 |
Specific Detail Info |
In recent years, successive work reorganization initiatives have been implemented
in many healthcare settings. The failure of many of these change efforts has often been
attributed in the prominent management discourse to change resistance. Few studies have
paid attention to the temporal process of workers’ resource depletion/accumulation over time
and its links with workers’ psychological states and reactions to change. Drawing upon the
conservation of resources theory, this study examines associations between workers’
perceptions of loss of resources, burnout, and attitudes to change. The study was conducted
in five health and social service centres in Quebec, in units where a work reorganization
project was initiated. A prospective longitudinal design was used to assess workers’
perceptions at two time points 12 months apart. Our findings are consistent with the
conservation of resources theory. The analysis of latent differences scores between times
1 and 2 showed that the perceived loss of resources was associated with emotional
exhaustion, which, in turn, was negatively correlated with commitment to change and
positively correlated with cynicism. In confirming the temporal relationship between
perceived loss of resources, occupational burnout, and attitude to change, this research offers
a new perspective to explain negative and positive reactions to change implementation. |
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