Staff security and work pressure: Contrasting patterns of stability and change across five dialysis units
| Autor: | Illuminado Cruz, Sylvan Alleyne, David Reiss, Kimberly Jeffries Leonard, Jocelyn Turner-Musa, Samuel J. Simmens, Paul L. Kimmel, Sidney Kobrin, Barbara Holder, Barry M. Wagner |
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| Rok vydání: | 1996 |
| Předmět: |
Adult
Male Gerontology Health (social science) Attitude of Health Personnel Interprofessional Relations media_common.quotation_subject Ethnic group Workload Job Satisfaction Security Measures Unit (housing) Developmental psychology History and Philosophy of Science Institution Humans Medicine Social organization media_common business.industry Middle Aged Black or African American Social dynamics Hemodialysis Units Hospital Work (electrical) Patient Satisfaction District of Columbia Well-being Female business |
| Zdroj: | Social Science & Medicine. 43:525-535 |
| ISSN: | 0277-9536 |
| DOI: | 10.1016/0277-9536(95)00433-5 |
| Popis: | Differences among clinical care units in social dynamics and social organization are associated with differences in the clinical course of patients with a range of chronic illness. These differences are also associated with well-being of staff members. Recent attention has focused on understanding these differences among units with an eye towards correcting deficiencies and enhancing strengths of clinical care units. The current study sought to delineate the effect of social and organizational dynamics unique to each unit on staff perceptions of the security of their relationships with other staff and their perceived work pressure. The unit as a major source of differences among staff subjects was compared with the impact of ethnic identity, of work in the morning shift vs other shifts, and of professional role. Results confirmed that unit membership was, by far, the most important correlate of staff perceptions of the unit, particularly those concerning security of relationships with others and perceived work pressure. Moreover, the results suggested that unit differences in perceived security were due to differences among units in long standing turmoil within the unit or long standing problematic ties between the unit and the larger institution which controls it. However, perceived work pressure seems more transient and may reflect the challenge of shorter-term fluctuations in the demands of patient care. |
| Databáze: | OpenAIRE |
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