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Measuring social capital of healthcare organizations reported by employees for creating positive workplaces - validation of the SOCAPO-E instrument
BMC Health Services Research ( IF 2.8 ) Pub Date : 2020-03-31 , DOI: 10.1186/s12913-020-05105-9
Lena Ansmann , Kira Isabel Hower , Markus Antonius Wirtz , Christoph Kowalski , Nicole Ernstmann , Lorna McKee , Holger Pfaff

In highly segmented and complex healthcare organizations social capital is assumed to be of high relevance for the coordination of tasks in healthcare. So far, comprehensively validated instruments on social capital in healthcare organizations are lacking. The aim of this work is to validate an instrument measuring social capital in healthcare organizations. This validation study is based on a cross-sectional survey of 1050 hospital employees from 49 German hospitals which specialize in breast cancer care. Social capital was assessed by a six-item scale. Reliability analyses and confirmatory factor analyses were conducted to determine the content validity of items within the theory-driven one-dimensional scale structure. The scale’s associations with measures of the social aspects of the work environment (identification, social support, open communication climate) were estimated to test convergent validity. Criterion-related validity was evaluated by conducting structural equation modelling to examine the predictive validity of the scale with measures of work engagement, well-being and burnout. A one-dimensional structure of the instrument could be identified (CFI = .99; RMSEA = .06). Convergent validity was shown by hypothesis-consistent correlations with social support offered by supervisors and colleagues, a climate of open communication, and employee commitment to the organization. Criterion-related validity of the social capital scale was proved by its prediction of employee work engagement (R2 = .10–.13 for the three subscales), well-being (R2 = .13), and burnout (R2 = .06–.11 for the three subscales). The confirmed associations between social capital and work engagement, burnout as well as well-being stress the importance of social capital as a vital resource for employee health and performance in healthcare organizations. In healthcare organizations this short instrument can be used as an efficient instrument to measure the organizations’ social capital.

中文翻译:

衡量员工报告的医疗机构的社会资本,以创造积极的工作场所-SOCAPO-E工具的验证

在高度细分和复杂的医疗保健组织中,社会资本被认为与医疗保健任务的协调高度相关。迄今为止,缺乏医疗机构中有关社会资本的经过全面验证的工具。这项工作的目的是验证一种衡量医疗机构中社会资本的工具。这项验证研究是基于对49家德国专门从事乳腺癌护理的医院的1050名医院员工进行的横断面调查。社会资本通过六个项目的量表进行评估。进行可靠性分析和确认性因素分析,以确定理论驱动的一维规模结构内项目的内容有效性。量表与工作环境的社会方面(识别,社会支持,评估开放式通讯环境)以检验收敛效度。通过进行结构方程模型评估,评估与标准相关的有效性,以量度工作投入,幸福感和倦怠程度,以评估量表的预测有效性。可以确定该仪器的一维结构(CFI = .99; RMSEA = .06)。假设与主管和同事提供的社会支持的一致性,开放式交流的氛围以及员工对组织的承诺,都表明了聚合效度。社会资本量表与准则相关的有效性通过其对员工工作投入的预测(三个子量表的R2 = .10–.13),幸福感(R2 = .13)和倦怠(R2 = .06– .11(三个分量表)。社会资本与工作投入之间已确定的联系,职业倦怠和幸福感强调了社会资本作为医疗保健组织中员工健康和绩效的重要资源的重要性。在医疗保健组织中,这种简短的工具可以用作衡量组织的社会资本的有效工具。
更新日期:2020-03-31
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