Organizational climate and employee mental health outcomes A systematic review of studies in health care organizations
Organizational climate and employee mental health outcomes A systematic review of studies in health care organizations
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DOI：
10.1097/hmr.0000000000000026
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发表时间：
2015-07-01
影响因子：
2.5
通讯作者：
Vijverberg, Dominique
中科院分区：
文献类型：
--
作者：
Bronkhorst, Babette;Tummers, Lars;Vijverberg, Dominique
背景：近年来，医护人员心理健康问题的高发率已引起人们的高度关注。学术文献表明，员工对工作环境的看法可以在解释心理健康结果方面发挥作用。目的：我们对文献进行了系统的回顾，以回答以下两个研究问题：（1）组织气候如何与在医疗机构工作的员工的心理健康结果相关;（2）在医疗机构工作的员工中，哪一个组织气候维度与心理健康结果最密切相关？方法/途径：采用四种检索策略加上纳入和质量评估标准来识别和选择合格的研究。因此，21项研究被纳入审查。从研究中提取数据，以创建结果数据库。研究的内容进行了分析和分类，根据共同的characteristics.Findings：一个良好的组织气氛的看法是显着相关的积极员工的心理健康结果，如较低水平的倦怠，抑郁和焦虑。更具体地说，我们的研究结果表明，同事之间的群体关系在解释医护人员的心理健康方面非常重要。也有证据表明，领导和监督方面影响心理健康的结果。沟通，或参与，和心理健康outcomes.Practical影响之间的关系不太清楚：如果医疗机构要解决他们的工作人员之间的心理健康问题，我们的研究结果表明，组织将受益于将组织气候因素在他们的健康和安全政策。在同事之间营造一种支持的氛围，发展以关系为导向的领导风格，似乎是朝着正确方向迈出的一步。
Background:In recent years, the high prevalence of mental health problems among health care workers has given rise to great concern. The academic literature suggests that employees' perceptions of their work environment can play a role in explaining mental health outcomes.Purposes:We conducted a systematic review of the literature in order to answer the following two research questions: (1) how does organizational climate relate to mental health outcomes among employees working in health care organizations and (2) which organizational climate dimension is most strongly related to mental health outcomes among employees working in health care organizations?Methodology/Approach:Four search strategies plus inclusion and quality assessment criteria were applied to identify and select eligible studies. As a result, 21 studies were included in the review. Data were extracted from the studies to create a findings database. The contents of the studies were analyzed and categorized according to common characteristics.Findings:Perceptions of a good organizational climate were significantly associated with positive employee mental health outcomes such as lower levels of burnout, depression, and anxiety. More specifically, our findings indicate that group relationships between coworkers are very important in explaining the mental health of health care workers. There is also evidence that aspects of leadership and supervision affect mental health outcomes. Relationships between communication, or participation, and mental health outcomes were less clear.Practical Implications:If health care organizations want to address mental health issues among their staff, our findings suggest that organizations will benefit from incorporating organizational climate factors in their health and safety policies. Stimulating a supportive atmosphere among coworkers and developing relationship-oriented leadership styles would seem to be steps in the right direction.