Predicting healthcare employees' participation in an office redesign program: Attitudes, norms and behavioral control

Predicting healthcare employees' participation in an office redesign program: Attitudes, norms and behavioral control
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DOI:
10.1186/1748-5908-3-47
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发表时间:
2008-11-02
影响因子:
7.2
通讯作者:
Meterko, Mark
Meterko, Mark
中科院分区:
医学1区
文献类型:
--
作者:
Mohr, David C.;Lukas, Carol VanDeusen;Meterko, Mark

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背景资料:该研究检查了基于计划行为理论的修改版本的组件在多大程度上解释了员工参与一个新的临床办公室计划,旨在减少初级保健诊所的患者等待时间。方法:我们回归了员工参与的程度对计划的态度,团体规范,行为控制沿着与个体及临床特征的关系采用分层线性混合模型。感知群体规范是员工参与的最佳预测因子之一。对该计划的态度也很重要,但程度较轻。然而,行为控制不是一个重要的预测因素。至少有一年的诊所任期,或谁是团队领导者,一线主管,或经理的受访者有更大的参与率。在诊所水平的分析表明,在最高的四分位数的诊所分数组规范,态度和行为控制分数的分数显着高于诊所的整体participation.Conclusion水平:研究结果表明,建立强有力的规范和价值观可能会影响员工参与的变化计划在一组设置。监督级别也很重要,责任越大,参与越多。
Background: The study examined the extent to which components based on a modified version of the theory of planned behavior explained employee participation in a new clinical office program designed to reduce patient waiting times in primary care clinics.Methods: We regressed extent of employee participation on attitudes about the program, group norms, and perceived behavioral control along with individual and clinic characteristics using a hierarchical linear mixed model.Results: Perceived group norms were one of the best predictors of employee participation. Attitudes about the program were also significant, but to a lesser degree. Behavioral control, however, was not a significant predictor. Respondents with at least one year of clinic tenure, or who were team leaders, first line supervisor, or managers had greater participation rates. Analysis at the clinic level indicated clinics with scores in the highest quartile clinic scores on group norms, attitudes, and behavioral control scores were significantly higher on levels of overall participation than clinics in the lowest quartile.Conclusion: Findings suggest that establishing strong norms and values may influence employee participation in a change program in a group setting. Supervisory level was also significant with greater responsibility being associated with greater participation.