PMID- 22224858
OWN - NLM
STAT- MEDLINE
DCOM- 20120920
LR  - 20211021
IS  - 1475-6773 (Electronic)
IS  - 0017-9124 (Print)
IS  - 0017-9124 (Linking)
VI  - 47
IP  - 4
DP  - 2012 Aug
TI  - A configurational approach to the relationship between high-performance work 
      practices and frontline health care worker outcomes.
PG  - 1460-81
LID - 10.1111/j.1475-6773.2011.01366.x [doi]
AB  - OBJECTIVE: To identify high-performance work practices (HPWP) associated with 
      high frontline health care worker (FLW) job satisfaction and perceived quality of 
      care. METHODS: Cross-sectional survey data from 661 FLWs in 13 large health care 
      employers were collected between 2007 and 2008 and analyzed using both regression 
      and fuzzy-set qualitative comparative analysis. PRINCIPAL FINDINGS: Supervisor 
      support and team-based work practices were identified as necessary for high job 
      satisfaction and high quality of care but not sufficient to achieve these 
      outcomes unless implemented in tandem with other HPWP. Several configurations of 
      HPWP were associated with either high job satisfaction or high quality of care. 
      However, only one configuration of HPWP was sufficient for both: the combination 
      of supervisor support, performance-based incentives, team-based work, and 
      flexible work. These findings were consistent even after controlling for FLW 
      demographics and employer type. Additional research is needed to clarify whether 
      HPWP have differential effects on quality of care in direct care versus 
      administrative workers. CONCLUSIONS: High-performance work practices that 
      integrate FLWs in health care teams and provide FLWs with opportunities for 
      participative decision making can positively influence job satisfaction and 
      perceived quality of care, but only when implemented as bundles of complementary 
      policies and practices.
CI  - (c) Health Research and Educational Trust.
FAU - Chuang, Emmeline
AU  - Chuang E
AD  - Division of Health Management and Policy, Graduate School of Public Health, San 
      Diego State University, 5500 Campanile Dr., San Diego, CA 92182-4162, USA. 
      echuang@mail.sdsu.edu
FAU - Dill, Janette
AU  - Dill J
FAU - Morgan, Jennifer Craft
AU  - Morgan JC
FAU - Konrad, Thomas R
AU  - Konrad TR
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PT  - Research Support, U.S. Gov't, Non-P.H.S.
DEP - 20120106
PL  - United States
TA  - Health Serv Res
JT  - Health services research
JID - 0053006
SB  - IM
MH  - *Allied Health Personnel
MH  - Cross-Sectional Studies
MH  - Efficiency, Organizational
MH  - Fuzzy Logic
MH  - Health Services Research
MH  - Humans
MH  - *Job Satisfaction
MH  - Organizational Culture
MH  - Organizational Policy
MH  - Patient Care Team/*organization & administration
MH  - Professional Autonomy
MH  - Quality Assurance, Health Care
MH  - Regression Analysis
MH  - Surveys and Questionnaires
MH  - United States
MH  - Workload
PMC - PMC3401394
EDAT- 2012/01/10 06:00
MHDA- 2012/09/21 06:00
PMCR- 2014/08/01
CRDT- 2012/01/10 06:00
PHST- 2012/01/10 06:00 [entrez]
PHST- 2012/01/10 06:00 [pubmed]
PHST- 2012/09/21 06:00 [medline]
PHST- 2014/08/01 00:00 [pmc-release]
AID - 10.1111/j.1475-6773.2011.01366.x [doi]
PST - ppublish
SO  - Health Serv Res. 2012 Aug;47(4):1460-81. doi: 10.1111/j.1475-6773.2011.01366.x. 
      Epub 2012 Jan 6.