Skip to main content

Healthy Healthcare in Portugal: Empirical Studies of Relational Job Characteristics and Wellbeing Among Hospital Nurses

  • 233 Accesses

Abstract

This chapter builds on several studies about the relational job design (organizational practice) and nurses’ wellbeing from different healthcare organizations in Portugal. Altogether, studies demonstrate that the psychological effects of relational job characteristics (RJCs), namely affective commitment to patients, perceived social impact and social worth explain additional variance of nurses´ work engagement and burnout, even controlling for the effects of other well-studied job characteristics. Furthermore, these effects spillover to the life and the organizational domains. Indeed, we found that the psychological effects of RJCs affect nurses’ life satisfaction and perceived health, and nurses’ affective commitment to the organization through work engagement and burnout. With this set of studies, we explore the potential role of interactions with patients to improve nurses’ wellbeing, which is a less explored avenue when considering patients’ role in the Healthy Healthcare systems.

Keywords

  • Nurses
  • Engagement
  • Perceived social impact
  • Perceived social worth
  • Wellbeing
  • Affective organizational commitment
  • Burnout

This is a preview of subscription content, access via your institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • DOI: 10.1007/978-3-030-59467-1_17
  • Chapter length: 7 pages
  • Instant PDF download
  • Readable on all devices
  • Own it forever
  • Exclusive offer for individuals only
  • Tax calculation will be finalised during checkout
eBook
USD   129.00
Price excludes VAT (USA)
  • ISBN: 978-3-030-59467-1
  • Instant PDF download
  • Readable on all devices
  • Own it forever
  • Exclusive offer for individuals only
  • Tax calculation will be finalised during checkout
Softcover Book
USD   169.99
Price excludes VAT (USA)
Hardcover Book
USD   169.99
Price excludes VAT (USA)
Fig. 17.1

References

  • Aiken, L. H., Sloane, D., Griffiths, P., Rafferty, A. M., Bruyneel, L., McHugh, M., & Sermeus, W. (2017). Nursing skill mix in European hospitals: Cross-sectional study of the association with mortality, patient ratings, and quality of care. British Medical Journal Quality & Safety, 26, 559–568.

    CrossRef  Google Scholar 

  • Aiken, L. H., Sermeus, W., Van den Heede, K., Sloane, D. M., Busse, R., McKee, M., & Kutney-Lee, A. (2012). Patient safety, satisfaction and quality of hospital care: Cross sectional surveys of nurses and patients in 12 countries in Europe and in the United States. British Medical Journal, 344, e1717. https://doi.org/10.1136/bmj.e1717

    CrossRef  PubMed  Google Scholar 

  • Blau, P. M. (1964). Exchange and power in social life. New York: John Wiley.

    Google Scholar 

  • Carod-Artal, F. J., & Vázquez-Cabrera, C. (2013). Burnout syndrome in an international setting. In S. Bährer-Kohler (Ed.), Burnout for experts: Prevention in the context of living and working (pp. 15–35). New York: Springer. https://doi.org/10.1007/978-1-4614-4391-9_2

  • Castanheira, F. (2016). Perceived social impact, social worth, and job performance: Mediation by motivation. Journal of Organizational Behavior, 37(6), 789–803. https://doi.org/10.1002/job.2056

    CrossRef  Google Scholar 

  • Gouldner, A. W. (1960). The norm of reciprocity: A preliminary statement. American Sociological Review, 25, 161–178.

    CrossRef  Google Scholar 

  • Grant, A. M. (2007). Relational job design and the motivation to make a prosocial difference. Academy of Management Review, 32, 393–417. https://doi.org/10.5465/AMR.2007.24351328

    CrossRef  Google Scholar 

  • Grant, A. M. (2008). Designing jobs to do good: Dimensions and psychological consequences of prosocial job characteristics. The Journal of Positive Psychology, 3(1), 19–39. https://doi.org/10.1080/17439760701751012

    CrossRef  Google Scholar 

  • Griffiths, P., Ball, J., Bloor, K., Böhning, D., Briggs, J., Dall’Ora, C., Smith, G. (2018). Nurse staffing levels missed vital signs and mortality in hospitals: retrospective longitudinal observational study. Health Services and Delivery Research, 6(38). https://doi.org/10.3310/hsdr06380

  • Hackman, J. R., & Oldham, G. R. (1976). Motivation through the design of work: Test of a theory. Organizational Behavior and Human Performance, 16, 250–279. https://doi.org/10.1016/0030-5073(76)90016-7

    CrossRef  Google Scholar 

  • Hakanen, J. J., & Roodt, G. (2010). Using the job demands-resources model to predict engagement: Analysing a conceptual model. In A. B. Bakker (Ed.) & M. P. Leiter, Work engagement: A handbook of essential theory and research (pp. 85–101). New York, NY, US: Psychology Press.

    Google Scholar 

  • Meyer, J. P., & Allen, N. (1991). A three-component conceptualization of organizational commitment. Human Resource Management Review, 1, 61–89. https://doi.org/10.1016/1053-4822(91)90011-Z

    CrossRef  Google Scholar 

  • Millisen, K., Abraham, I., Siebens, K., & Dierckx de Casterlé, B. (2006). Work environment and workforce problems: A cross-sectional questionnaire survey of hospital nurses in Belgium. International Journal of Nursing Studies, 43(6), 745–754. https://doi.org/10.1016/j.ijnurstu.2005.10.008

    CrossRef  Google Scholar 

  • Morgeson, F. P., & Humphrey, S. E. (2006). The work design questionnaire (WDQ): Developing and validating a comprehensive measure for assessing job design and the nature of work. Journal of Applied Psychology, 91, 1321–1339. https://doi.org/10.1037/0021-9010.91.6.1321

    CrossRef  Google Scholar 

  • Needleman, J., & Hassmiller, S. (2009). The role of nurses in improving hospital quality and efficiency: Real-world results. Health Affairs, 28(4), 625–633. https://doi.org/10.1377/hlthaff.28.4.w625

    CrossRef  Google Scholar 

  • Pierce, J. L., Gardner, D. G., & Crowley, C. (2015). Organization-based self-esteem andwellbeing: Empirical examination of a spill over effect. European Journal of Work and Organizational Psychology, 25(2), 1–19. https://doi.org/10.1080/1359432X.2015.1028377

  • Santos, A., Castanheira, F., Chambel, M. J., Amarante, M. V., & Costa, C. (2017a). Psychological effects of relational job characteristics: Validation of the scale for hospital nurses. Journal of Nursing Management, 25(5), 329–338. https://doi.org/10.1111/jonm.12468

  • Santos, A., Castanheira, F., Chambel, M. J., Amarante, M. V., & Costa, C. (2017b). Relational job characteristics and well‐being: A study among Portuguese and Brazilian hospital nurses. Stress & Health, 33(4), 415–425. https://doi.org/10.1002/smi.2729

  • Schaufeli, W. B. (2006). The balance of give and take: Toward a social exchange model of burnout. International Review of Social Psychology, 19(1), 87–131

    Google Scholar 

  • Schaufeli, W. B., & Bakker, A. B. (2004). Job demands, job resources, and their relationship with burnout and engagement: A multi-sample study. Journal of Organizational Behavior, 25, 293–315. https://doi.org/10.1002/job.248

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Filipa Castanheira .

Editor information

Editors and Affiliations

Glossary

Affective organizational commitment:

emotional attachment to the organization, which is at the core of the worker’s desire to maintain organizational membership (Meyer & Allen, 1991).

Perceived social impact:

degree to which employees believe their actions have a positive impact on others (Grant, 2007).

Perceived social worth:

perception that one’s actions are valued by others (Grant, 2007).

Work engagement:

motivational, positive, fulfilling work-related state of mind that is characterized by vigour, dedication, and absorption (Schaufeli & Bakker, 2004).

Affective commitment to clients:

sense of emotional concern and dedication to the people impacted by one’s work (Grant, 2007)sense of emotional concern and dedication to the people impacted by one’s work (Grant, 2007).

Burnout

syndrome characterized by exhaustion (feeling depleted by work) and cynicism (distancing from others at work) as its core dimensions (Schaufeli & Bakker, 2004).

Rights and permissions

Reprints and Permissions

Copyright information

© 2020 Springer Nature Switzerland AG

About this chapter

Verify currency and authenticity via CrossMark

Cite this chapter

Castanheira, F., Chambel, M.J., Santos, A., Rodrigues, F.R. (2020). Healthy Healthcare in Portugal: Empirical Studies of Relational Job Characteristics and Wellbeing Among Hospital Nurses. In: Tevik Løvseth, L., de Lange, A.H. (eds) Integrating the Organization of Health Services, Worker Wellbeing and Quality of Care. Springer, Cham. https://doi.org/10.1007/978-3-030-59467-1_17

Download citation