Online Program
Session Type: Paper Session
Program Session: 1100 | Submission: 20756 | Sponsor(s): (HCM)
Scheduled: Monday, Aug 12 2019 11:30AM - 1:00PM at Sheraton Boston Hotel in Liberty Ballroom C
 
Workforce Issues in Health Care Management
Workforce Issues
Research

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Chair: Amber Stephenson, The David D. Reh School of Business, Clarkson U.
HCM: Systematic Review: Patient-Nurse Ratio and Nurse Outcomes in Acute Care Hospitals
Author: Herlinde Wynendaele, Ghent U.
Author: Jeroen Trybou, Ghent U.
Author: Ruben Willems, Ghent U.
Aims: To evaluate the current evidence base and provide a systematic overview of this evidence on the relationship between the patient-nurse ratio and nurse employee outcomes. Background: The ongoing shortage of qualified nursing staff has resulted in the introduction of different staff-related interventions. As a consequence, evidence-based decision-making linking nurse staffing with staff-related outcomes is a much needed research area. Although multiple studies have investigated this phenomenon, the evidence is mixed and fragmented. Evaluation: Thirty studies were identified, analysing the following outcomes: job (dis)satisfaction, emotional exhaustion, job stress, intent to leave, needle stick injuries, nurses’ perception of quality of care, safety of patients and care left undone. Key issue(s): Several studies confirm that a higher patient-nurse ratio can be associated to adverse nurse outcomes. Future research should incorporate other methodologies (e.g. longitudinal designs) and unit-level data. Conclusion: A relationship between the patient-nurse ratio and specific staff-related outcomes is confirmed by various studies. Implications for Nursing Management: Staffing alone is not enough to ensure quality of care. Other variables have to be taken into consideration (e.g. skill mix and the work environment). Hospital management should systematically start tracking data on the work environment and convert this information into policy guidelines.
Paper is No Longer Available Online: Please contact the author(s).
HCM: An Alter-Centric Interpretation of Social Network Centrality in Health Care Organizations
Author: Stefano Tasselli, Rotterdam School of Management, Erasmus U.
Author: Balint Neray, U.' della Svizzera Italiana
Author: Alessandro Lomi, U. of Italian Switzerland
  HCM Division Best Global Paper  
  Carolyn Dexter Award Nominee  
Tracking social network dynamics among professionals in a hospital department, we investigate the role of alters’ motivation in explaining change in ego’s network position over time. Motivational orientations affect the kind of co-workers with whom health care professionals preferentially interact in the hospital, such that professionals high in communal motives prefer to establish ties with co-workers occupying central positions in organizational social networks. This effect driven by motivation results in a systematic network centrality bias: the personal network of central professionals (i.e. individuals with many incoming ties from colleagues) contains more supportive and altruistic people than the personal network of professionals who are less central (individuals with fewer incoming ties). Our findings contribute to a better understanding of the alter-centric psychological foundations of professionals’ network centrality and call for further empirical research on how alters’ motives affect the development of an individual’s social networks in health care organizations.
Paper is No Longer Available Online: Please contact the author(s).
HCM: Identifying Individual and Job-Related Determinants of Rating Distortion in Performance Appraisal
Author: Federica Morandi, Catholic U. of Rome
Author: Daria Angelozzi, G. D'Annunzio U. of Chieti-Pescara
Author: Fausto Di Vincenzo, G. D'Annunzio U. of Chieti-Pescara
The introduction of “Accountable care” in recent years have profoundly changed the skills required for doctors who hold managerial positions. HR practices and performance management tools are increasingly used within healthcare organizations in order to motivate, evaluate, direct, reward individuals' efforts and align their goals with those of organizations. In this paper, an empirical analysis on the individual and organizational determinants of performance appraisal misfit has been conducted through the matching of primary and secondary data referable to a population of doctors- managers within the Italian NHS. We found that within the individual dimensions analyzed the level of engagement and the perceived managerial support perceived by the Head of Ward Units matter in explaining the decreasing of performance appraisal misfit. In addition, we found that the level of planned activities within the units and the diversity of the tasks performed tend to increase the degree of misfit between the objective evaluation of the performance achieved by a unit and the individual evaluation on that operated by its chief. Implications for healthcare managers and policy makers are discussed.
Paper is No Longer Available Online: Please contact the author(s).
HCM: Generational Differences in Nursing: A Bridge Too Far? Generational Stereotypes and Self-Stereotypes
Author: Annick Van Rossem, KU Leuven
A lot of research attention has been devoted to reveal generational differences in general and in the nursing workforce in particular. However, findings are fractured, and research is incomplete regarding methodology and theoretical background. Notwithstanding, it has been stated that generational differences are a real phenomenon, if only in the perceptions of employees and managers, suggesting that perceptions of generational differences exist, even if those differences are not always supported empirically. Adopting a social identity perspective concerning groups and self-conception and employing a cognitive mapping method (repertory grid technique, mixed methods), the present study taps into three generations nurses’ minds (Baby-boomers, Generation X and Generation Y) to reveal the perceptions or generational stereotypes that different generations of nurses hold the other generations and about the own generation. Our research reveals that perceptions of nurses’ other and own generations may direct social categorization and generational stereotypes of the in-group and outgroup(s), that some of these stereotypes can be enacted leading to self-fulfilling prophecies, and that generational stereotypes do not necessarily coincide with age-based stereotypes. We show how especially Generation Y and Baby-boomer nurses are negatively stereotyped and how nurses deal with these negative stereotypes. Generation X nurses rather seem to be positively stereotyped.
Paper is No Longer Available Online: Please contact the author(s).
HCM: Doctorpreneurs: Salience of the Professional Logic in Healthcare Entrepreneurship
Author: Richard Scoresby, Ball State U.
An important critique of transaction cost theory has been a lack of consideration for social controls. Beyond purely economic rationality, sociological influences impact how, why, and with what effects organizations are created and managed. The institutional logics perspective provides a lens through which to explore this tension. Through a series of propositions drawing on both TCE and institutional logics, I propose that under particular conditions, professionals will leave established corporations to engage in entrepreneurship. I propose that a significant motivator of entrepreneurship within the professions is a focus on a professional logic without the constraints and disadvantages associated with administrative (corporate) oversight. I further consider the competitive effect of entrepreneurship founded in a professional logic. The primary contributions of this paper are that in industries requiring professional expertise, market forces may incite individuals to become entrepreneurs in order to focus on professional performance, and that motivated incumbent firms will improve their own adherence to a professional logic in response to the new threat.
Paper is No Longer Available Online: Please contact the author(s).
  
KEY TO SYMBOLS Teaching-oriented Teaching-oriented   Practice-oriented Practice-oriented   International-oriented International-oriented   Theme-oriented Theme-oriented   Research-oriented Research-oriented   Teaching-oriented Diversity-oriented
Selected as a Best Paper Selected as a Best Paper