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1.
Int J Hosp Manag ; 90: 102600, 2020 Sep.
Article in English | MEDLINE | ID: mdl-32834349

ABSTRACT

Conventional studies have widely demonstrated that individuals' engagement at work depends on their personal resources, which are affected by environmental influences, especially those derived from the workplace and home domains. In this study, we examine whether a change in work engagement may be based on individuals' decisions in managing their personal resources. We use the conservation of resources (COR) theory to explain how personal resources and personal demands at home can influence work engagement through personal resources and personal demands at work. We conducted a daily diary study involving a group of 97 Chinese employees (N = 97) from a range of different service settings for 2 consecutive weeks (N = 1358) and evaluated their daily work engagement using manager ratings. The findings support the hypothesized mediating effects of personal resources and personal demands at work on personal resources and personal demands at home and work engagement.

2.
J Health Organ Manag ; 27(3): 330-49, 2013.
Article in English | MEDLINE | ID: mdl-23885397

ABSTRACT

PURPOSE: Against a backdrop of increased work intensification within maternity hospitals, the purpose of this paper is to examine the role of work engagement in the quality of care delivered to patients and in general health of the midwives delivering care, as reported by midwives and nurses. DESIGN/METHODOLOGY/APPROACH: Quantitative questionnaires consisting of standardised measures were distributed to midwives in two large maternity hospitals. These questionnaires assessed levels of work engagement, supervisor and colleague support, general health and quality of care. FINDINGS: Structural equation modelling analysis revealed a best-fit model that demonstrated work engagement to be a significant partial mediator between organisational and supervisor support and quality of care, and as a significant predictor of self-reported general health. Together, supervisor support, social support and organisational resources, mediated by work engagement, explained 38 per cent of the variance in quality of care at the unit level and 23 per cent of variance in general health among midwives (chi2(67) = 113; p < 0.01, CFI = 0.961, RMSEA = 0.06). RESEARCH LIMITATIONS/IMPLICATIONS: The study is limited in that it uses self-report measures of quality of care and lacks objective indicators of patient outcomes. The cross-sectional design also does not allow for causal inferences to be drawn from the data. PRACTICAL IMPLICATIONS: This study provides evidence for the links between individual levels of work engagement and both health and self-reports of unit level quality of care. The results support the importance of health services organisations and managers deploying organisational resources to foster employee work engagement. The results also highlight the significant role of the immediate nurse manager and suggest training and development for such roles is a valuable investment. ORIGINALITY/VALUE: These results are the first to link work engagement and performance in health care contexts and point to the value of work engagement for both unit performance and for individual employee well-being in health organisations.


Subject(s)
Job Satisfaction , Midwifery/standards , Nurse Midwives/psychology , Quality of Health Care , Attitude of Health Personnel , Cross-Sectional Studies , Humans , Ireland , Nurse Midwives/standards , Organizational Culture , Outcome Assessment, Health Care , Self Report , Social Support , Surveys and Questionnaires
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