Modeling Organizational Justice Improvements in a Pediatric Health Service
Autor: | Linda Kostrzewa, Heather Rimas, Alida Bowman, Ken Deal, Charles E. Cunningham, Don H. Buchanan, Barbara Jennings, Randy Calvert, Yvonne Chen, Susan Blatz |
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Rok vydání: | 2013 |
Předmět: |
Adult
Male Canada Attitude of Health Personnel Child Health Services Applied psychology Procedural justice Nursing Staff Hospital Social Environment Job Satisfaction Health administration Young Adult Social Justice Surveys and Questionnaires Organizational justice Humans Child Distributive justice Ontario Service (business) business.industry Community Participation Middle Aged Service provider Public relations Hospitals Pediatric Focus group Organizational Policy Patient Satisfaction Models Organizational Interactional justice Female Psychology business |
Zdroj: | The Patient - Patient-Centered Outcomes Research. 6:45-59 |
ISSN: | 1178-1661 1178-1653 |
Popis: | Patients value health service teams that function effectively. Organizational justice is linked to the performance, health, and emotional adjustment of the members of these teams. We used a discrete-choice conjoint experiment to study the organizational justice improvement preferences of pediatric health service providers. Using themes from a focus group with 22 staff, we composed 14 four-level organizational justice improvement attributes. A sample of 652 staff (76 % return) completed 30 choice tasks, each presenting three hospitals defined by experimentally varying the attribute levels. Latent class analysis yielded three segments. Procedural justice attributes were more important to the Decision Sensitive segment, 50.6 % of the sample. They preferred to contribute to and understand how all decisions were made and expected management to act promptly on more staff suggestions. Interactional justice attributes were more important to the Conduct Sensitive segment (38.5 %). A universal code of respectful conduct, consequences encouraging respectful interaction, and management’s response when staff disagreed with them were more important to this segment. Distributive justice attributes were more important to the Benefit Sensitive segment, 10.9 % of the sample. Simulations predicted that, while Decision Sensitive (74.9 %) participants preferred procedural justice improvements, Conduct (74.6 %) and Benefit Sensitive (50.3 %) participants preferred interactional justice improvements. Overall, 97.4 % of participants would prefer an approach combining procedural and interactional justice improvements. Efforts to create the health service environments that patients value need to be comprehensive enough to address the preferences of segments of staff who are sensitive to different dimensions of organizational justice. |
Databáze: | OpenAIRE |
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