Staff Turnover in Assertive Community Treatment (Act) Teams: The Role of Team Climate

被引:13
作者
Zhu, Xi [1 ]
Wholey, Douglas R. [2 ]
Cain, Cindy [3 ]
Natafgi, Nabil [4 ]
机构
[1] Univ Iowa, Coll Publ Hlth, Dept Hlth Management & Policy, N222 CPHB,145 N Riverside Dr, Iowa City, IA 52242 USA
[2] Univ Minnesota, Sch Publ Hlth, Div Hlth Policy & Management, MMC 729,420 Delaware St SE, Minneapolis, MN 55455 USA
[3] Univ Calif Los Angeles, Fielding Sch Publ Hlth, Dept Hlth Policy & Management, 31-253B CHS,650 Charles Young Dr S, Los Angeles, CA 90095 USA
[4] Univ Iowa, Coll Publ Hlth, Dept Hlth Management & Policy, N277 CPHB,145 N Riverside Dr, Iowa City, IA 52242 USA
基金
美国国家科学基金会;
关键词
Assertive community treatment; Staff turnover; Team climate; Job satisfaction; Burnout; ORGANIZATIONAL-CLIMATE; INTRAGROUP CONFLICT; VOLUNTARY TURNOVER; JOB-SATISFACTION; WORK-ENVIRONMENT; PROGRAM FIDELITY; BURNOUT; PERFORMANCE; ATTITUDES; MODEL;
D O I
10.1007/s10488-016-0740-7
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Staff turnover in Assertive Community Treatment (ACT) teams can result in interrupted services and diminished support for clients. This paper examines the effect of team climate, defined as team members' shared perceptions of their work environment, on turnover and individual outcomes that mediate the climate-turnover relationship. We focus on two climate dimensions: safety and quality climate and constructive conflict climate. Using survey data collected from 26 ACT teams, our analyses highlight the importance of safety and quality climate in reducing turnover, and job satisfaction as the main mediator linking team climate to turnover. The findings offer practical implications for team management.
引用
收藏
页码:258 / 268
页数:11
相关论文
共 67 条
[1]   Transformational and transactional leadership: Association with attitudes toward evidence-based practice [J].
Aarons, Gregory A. .
PSYCHIATRIC SERVICES, 2006, 57 (08) :1162-1169
[2]   Organizational climate partially mediates the effect of culture on work attitudes and staff turnover in mental health services [J].
Aarons, Gregory A. ;
Sawitzky, Angelina C. .
ADMINISTRATION AND POLICY IN MENTAL HEALTH AND MENTAL HEALTH SERVICES RESEARCH, 2006, 33 (03) :289-301
[3]  
[Anonymous], 2002, HIERARCHICAL LINEAR
[4]   THE MODERATOR MEDIATOR VARIABLE DISTINCTION IN SOCIAL PSYCHOLOGICAL-RESEARCH - CONCEPTUAL, STRATEGIC, AND STATISTICAL CONSIDERATIONS [J].
BARON, RM ;
KENNY, DA .
JOURNAL OF PERSONALITY AND SOCIAL PSYCHOLOGY, 1986, 51 (06) :1173-1182
[5]   Assertive community treatment for people with severe mental illness - Critical ingredients and impact on patients [J].
Bond, GR ;
Drake, RE ;
Mueser, KT ;
Latimer, E .
DISEASE MANAGEMENT & HEALTH OUTCOMES, 2001, 9 (03) :141-159
[6]  
Boyer S.L., 1999, Mental Health Services Research, V1, P31, DOI [DOI 10.1023/A:1021931201738#PAGE-1, DOI 10.1023/A:1021931201738]
[7]   Climate perceptions matter: A meta-analytic path analysis relating molar climate, cognitive and affective states, and individual level work outcomes [J].
Carr, JZ ;
Schmidt, AM ;
Ford, JK ;
DeShon, RP .
JOURNAL OF APPLIED PSYCHOLOGY, 2003, 88 (04) :605-619
[8]   Justice in teams: Antecedents and consequences of procedural justice climate [J].
Colquitt, JA ;
Noe, RA ;
Jackson, CL .
PERSONNEL PSYCHOLOGY, 2002, 55 (01) :83-109
[9]   Task versus relationship conflict, team performance, and team member satisfaction: A meta-analysis [J].
De Dreu, CKW ;
Weingart, LR .
JOURNAL OF APPLIED PSYCHOLOGY, 2003, 88 (04) :741-749
[10]   Conflict at work and individual well-being [J].
De Dreu, CKW ;
van Dierendonck, D ;
Maria, TM .
INTERNATIONAL JOURNAL OF CONFLICT MANAGEMENT, 2004, 15 (01) :6-26