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Psychological contract breach among allied health professionals: Fairness, individual differences and an aggravated breach effect

机译:相关医疗专业人员之间的心理契约违约:公平,个体差异和严重的违约效应

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Purpose - Allied health professionals are vital for effective healthcare yet there are continuing shortages of these employees. Building on work with other healthcare professionals, the purpose of this paper is to investigate the influence of psychological contract (PC) breach and types of organisational justice on variables important to retention among allied health professionals: mental health and organisational commitment. The potential effects of justice on the negative outcomes of breach were examined. Design/methodology/approach - Multiple regressions analysed data from 113 allied health professionals working in a medium-large Australian healthcare organisation. Findings - The main negative impacts on respondents' mental health and commitment were from high PC breach, low procedural and distributive justice and less respectful treatment from organisational representatives. The interaction between procedural justice and breach illustrates that breach may be forgivable if processes are fair. Surprisingly, a betrayal or "aggravated breach effect" may occur after a breach when interpersonal justice is high. Further, negative affectivity was negatively related to respondents' mental health (affective outcomes) but not commitment (work-related attitude). Practical implications - Healthcare organisations should ensure the fairness of decisions and avoid breaking promises within their control. If promises cannot reasonably be kept, transparency of processes behind the breach may allow allied health professionals to understand that the organisation did not purposefully fail to fulfil expectations. Originality/value - This study offers insights into how breach and four types of justice interact to influence employee mental health and work attitudes among allied health professionals.
机译:目的-专职医疗人员对于有效的医疗保健至关重要,但这些员工仍在持续短缺。本文以与其他卫生保健专业人员的合作为基础,旨在研究心理契约(PC)违规和组织公正类型对联盟健康专业人员中对于保留至关重要的变量的影响:精神卫生和组织承诺。审查了司法对违约行为负面后果的潜在影响。设计/方法/方法-多元回归分析了来自澳大利亚中型医疗机构的113名专职医疗专业人员的数据。调查结果-对受访者心理健康和承诺的主要负面影响是个人电脑违规率高,程序和分配公正性低以及组织代表对他人的尊重程度较低。程序正义与违约之间的相互作用说明,如果程序公正,则违约是可以原谅的。令人惊讶的是,当人际公正性很高时,背叛后可能会出现背叛或“严重违约效应”。此外,负面情感与受访者的心理健康(情感结果)负相关,而与承诺(与工作相关的态度)无关。实际意义-医疗保健组织应确保决策的公平性,并避免在其控制范围内违反诺言。如果无法合理地兑现承诺,则违规背后流程的透明性可能会使相关的医疗专业人员了解该组织并非有意未能实现期望。独创性/价值-这项研究提供洞察力,了解违约行为和四种司法类型如何相互作用,以影响相关医疗专业人员之间的员工心理健康和工作态度。

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