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Effects of ethical climate in association with tenure on work addiction, quality of care and staff retention: a cross-sectional study.
Maisonneuve, Francis; Groulx, Patrick; Chênevert, Denis; Grady, Colleen; Coderre-Ball, Angela.
Afiliación
  • Maisonneuve F; Human Resource Management, HEC Montreal, Montreal, Quebec, Canada francis.maisonneuve@hec.ca.
  • Groulx P; Management, HEC Montreal, Montreal, Quebec, Canada.
  • Chênevert D; Human Resource Management, HEC Montreal, Montreal, Quebec, Canada.
  • Grady C; Family Medecine, Queen's University, Kingston, Ontario, Canada.
  • Coderre-Ball A; Family Medecine, Queen's University, Kingston, Ontario, Canada.
BMJ Qual Saf ; 33(1): 24-32, 2023 12 14.
Article en En | MEDLINE | ID: mdl-37193593
OBJECTIVES: Work addiction is not contingent on personality alone; it is also impacted by social contextual factors. Work addiction influences the perceived quality of care and intention to remain in healthcare sector. The current study seeks to understand the role of ethical climate as a potential organisational lever to reduce such addiction, especially among newcomers. DESIGN: We contacted a sample of Canadian healthcare organisations to collect quantitative data using an online questionnaire from November 2021 to February 2022. All constructs (ethical climate, work addiction, perceived quality of care, intention to quit the profession) were measured using validated psychometric scales. 860 respondents provided complete questionnaires. We analysed the data using structural equation modelling and regression analysis. RESULTS: Work addiction mediated the indirect relationship between ethical climate and the intention to quit the profession (ß=-0.053; 95% CI (-0.083 to -0.029); p<0.001) and with quality of care (ß=0.049; 95% CI (0.028, 0.077); p<0.001). For each increase of 1 SD of ethical climate, the total effects regarding the variations in the outcomes were more important at low rather than high levels of tenure for work addiction (-11%, -2%), perceived quality of care (23%, 11%) and intention to quit the profession (-30%, -23%), respectively. CONCLUSION: Ethical climate in healthcare organisations has a significant and beneficial relationship with healthcare workers' (HCWs) work addiction behaviours. In turn, this relationship is related to greater perceived quality of care and higher intention to remain, especially for HCWs with lower tenure.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Actitud del Personal de Salud / Personal de Salud Tipo de estudio: Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Aspecto: Ethics Límite: Humans País/Región como asunto: America do norte Idioma: En Revista: BMJ Qual Saf Año: 2023 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Actitud del Personal de Salud / Personal de Salud Tipo de estudio: Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Aspecto: Ethics Límite: Humans País/Región como asunto: America do norte Idioma: En Revista: BMJ Qual Saf Año: 2023 Tipo del documento: Article País de afiliación: Canadá Pais de publicación: Reino Unido