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Coping with Interpersonal Conflicts at Work: An Examination of the Goodness of Fit Hypothesis Among Nurses.

机译:应对工作中的人际冲突:对护士健康假设的良好性的检验。

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摘要

Increasingly, evidence indicates that workplace interpersonal conflicts (WIC) are the most upsetting/troublesome daily work stressors (Sulsky & Smith, 2007), and within the context of nursing, WIC is a problem of high prevalence and intensity (Baltimore, 2006; Farrell, 1999). In relation to coping with stressors such as WIC, Lazarus and Folkman (1984) established the transactional model of stress and coping, where cognitive appraisals of the stressor (e.g., perceived control) are central to coping and classified all coping behaviors as either problem-focused or emotion-focused. They also proposed the "goodness of fit hypothesis", which predicts that problem-focused coping efforts used to cope with stressors of high appraised control and emotion-focused coping paired with stressors of low appraised control will produce the most effective outcomes. Contrary to these predictions, the general literature has produced inconsistent results, suggesting that context, research method, and individual difference variables (i.e., occupational tenure) should be considered when testing this hypothesis, particularly in novel contexts such as the nursing workplace.;This research was part of a larger study to identify key factors in the retention of nurses in the workforce, including a weekly survey spanning 12 weeks. Across the 12 week study period, 148 nurse participants completed an online survey, which included questions regarding the most negative interpersonal conflict at work for that week, the appraised controllability of the event, how the participant coped across 8 coping strategies, and how effective the coping efforts were. I used hierarchical linear modeling to test the goodness of fit hypothesis with these data, where the interaction terms between coping frequency and control represented the key predictions of goodness of fit. Results revealed no support for the goodness of fit hypothesis, as the interactions were not significant. Consistent with goodness of fit, however, perceived control positively predicted problem-focused coping and negatively predicted emotion-focused coping for some nurses. This suggests that despite no improvement in coping outcomes, the underlying mechanisms for goodness of fit (i.e., matching perceived control with coping type) were in operation. Results also demonstrated no support of occupational tenure as a variable influential on the coping process. However, supplemental analyses revealed that as organizational tenure increased, nurses varied their coping strategies more, which then, in turn, produced more effective coping outcomes.;As the first effort to examine goodness of fit within the workplace to the best of my knowledge, these results suggest that the goodness of fit hypothesis may only have limited applicability to nursing, but should be examined in other nursing contexts and workplace conditions. Moreover, the length of time a nurse spends with an organization seems to influence one's coping style and the ability to match coping efforts with situational characteristics, producing more effective coping with interpersonal conflicts at work. These findings also imply that providing nurses with training about organization-specifics may improve efforts to cope with interpersonal conflicts that arise in the workplace.
机译:越来越多的证据表明,工作场所人际冲突(WIC)是最令人不安/最麻烦的日常工作压力(Sulsky&Smith,2007),在护理方面,WIC的患病率和强度都很高(Baltimore,2006; Farrell ,1999)。关于应对压力源,例如WIC,Lazarus和Folkman(1984)建立了压力与应对的交易模型,其中压力源的认知评估(例如,感知的控制)是应对的核心,并将所有应对行为归为以下两个问题之一:专注于或专注于情感。他们还提出了“拟合优度假说”,它预测用于解决高评估控制压力源的以问题为中心的应对方法以及用于低评估控制源的情绪关注的应对将产生最有效的结果。与这些预测相反,一般文献得出的结果不一致,表明在检验此假设时应考虑背景,研究方法和个体差异变量(即职业任期),尤其是在诸如护理工作场所之类的新型情况下。这项研究是一项大型研究的一部分,该研究旨在确定影响员工留任的关键因素,其中包括12周的每周调查。在为期12周的研究期内,148名护士参与者完成了一项在线调查,其中包括以下问题:当周工作中最负面的人际冲突,事件的可评估性,参与者如何应对8种应对策略以及如何有效地应对。应对的努力。我使用分层线性建模来使用这些数据测试拟合假设的优度,其中应对频率和控制之间的相互作用项代表了拟合优度的关键预测。由于相互作用不显着,结果表明不支持拟合假设的优点。然而,与拟合优度相一致,某些护士的感知控制积极预测了以问题为中心的应对,而消极预测了以情绪为中心的应对。这表明尽管应对结果没有任何改善,但拟合优度的基本机制(即将感知的控制与应对类型相匹配)仍在运行。结果还表明,职业任期不支持作为应对过程的变量。但是,补充分析显示,随着组织任期的增加,护士会更多地改变他们的应对策略,进而产生更有效的应对效果。;作为我尽我所能检查工作场所适合度的第一步,这些结果表明,拟合假设的优缺点可能仅对护理具有有限的适用性,而应在其他护理环境和工作场所条件下进行检查。此外,护士在组织工作的时间长短似乎会影响一个人的应对方式以及将应对工作与情境特征相匹配的能力,从而更有效地应对工作中的人际冲突。这些发现还暗示,为护士提供有关组织特定方面的培训可能会改善努力,以应对工作场所中出现的人际冲突。

著录项

  • 作者

    Wright, Robert Randon.;

  • 作者单位

    Portland State University.;

  • 授予单位 Portland State University.;
  • 学科 Psychology Social.;Health Sciences Occupational Health and Safety.;Health Sciences Nursing.;Psychology Industrial.
  • 学位 Ph.D.
  • 年度 2012
  • 页码 229 p.
  • 总页数 229
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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