Int. J. Environ. Res. Public Health 2014, 11(1), 187-201; doi:10.3390/ijerph110100187
Article

Why Some Employees Adopt or Resist Reorganization of Work Practices in Health Care: Associations between Perceived Loss of Resources, Burnout, and Attitudes to Change

1 Faculty of Nursing, University of Montreal, C.P. 6128, succ. Centre-ville, Montréal, QC H3C 3J7, Canada 2 Sciences de la Gestion, Université du Québec à Montréal, 315, Rue Sainte-Catherine Est, Montréal, QC H2X 3X2, Canada 3 Sciences de la Gestion, Université du Québec à Trois-Rivières, 3351, Boul. des Forges, C.P. 500, Trois-Rivières, QC G9A 5H7, Canada 4 Institut National de la Recherche Scientifique, Centre Urbanisation Culture Société, 385, Rue Sherbrooke Est, Montréal, QC H2X 1E3, Canada These authors contributed equally to this manuscript.
* Author to whom correspondence should be addressed.
Received: 5 August 2013; in revised form: 28 November 2013 / Accepted: 29 November 2013 / Published: 20 December 2013
(This article belongs to the Special Issue Job Stress and Health)
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Abstract: In recent years, successive work reorganization initiatives have been implemented in many healthcare settings. The failure of many of these change efforts has often been attributed in the prominent management discourse to change resistance. Few studies have paid attention to the temporal process of workers’ resource depletion/accumulation over time and its links with workers’ psychological states and reactions to change. Drawing upon the conservation of resources theory, this study examines associations between workers’ perceptions of loss of resources, burnout, and attitudes to change. The study was conducted in five health and social service centres in Quebec, in units where a work reorganization project was initiated. A prospective longitudinal design was used to assess workers’ perceptions at two time points 12 months apart. Our findings are consistent with the conservation of resources theory. The analysis of latent differences scores between times 1 and 2 showed that the perceived loss of resources was associated with emotional exhaustion, which, in turn, was negatively correlated with commitment to change and positively correlated with cynicism. In confirming the temporal relationship between perceived loss of resources, occupational burnout, and attitude to change, this research offers a new perspective to explain negative and positive reactions to change implementation.
Keywords: work organization; burnout; change management; conservation of resources theory

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MDPI and ACS Style

Dubois, C.-A.; Bentein, K.; Mansour, J.B.; Gilbert, F.; Bédard, J.-L. Why Some Employees Adopt or Resist Reorganization of Work Practices in Health Care: Associations between Perceived Loss of Resources, Burnout, and Attitudes to Change. Int. J. Environ. Res. Public Health 2014, 11, 187-201.

AMA Style

Dubois C-A, Bentein K, Mansour JB, Gilbert F, Bédard J-L. Why Some Employees Adopt or Resist Reorganization of Work Practices in Health Care: Associations between Perceived Loss of Resources, Burnout, and Attitudes to Change. International Journal of Environmental Research and Public Health. 2014; 11(1):187-201.

Chicago/Turabian Style

Dubois, Carl-Ardy; Bentein, Kathleen; Mansour, Jamal B.; Gilbert, Frédéric; Bédard, Jean-Luc. 2014. "Why Some Employees Adopt or Resist Reorganization of Work Practices in Health Care: Associations between Perceived Loss of Resources, Burnout, and Attitudes to Change." Int. J. Environ. Res. Public Health 11, no. 1: 187-201.

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