ABSTRACT

Background: In healthcare, employees are exposed to continuous change when new methods are implemented to optimize care. Such changes may result in qualitative job insecurity (QJI), i.e., a fear concerning the potential loss of important job features. QJI is an individual experience; however, it may be shared within a team to a varying extent. This study examines how QJI perceptual (in)congruence between individuals and their teammates relates to individuals’ well-being.

Method: Healthcare employees (N = 305) from 30 healthcare units completed questionnaires measuring QJI, work engagement, and recovery.

Results: Multi-level polynomial regression analyses showed that QJI congruence had a curvilinear relationship with well-being: employees reported higher work engagement when QJI perceptions were in agreement, both when QJI was low and high. We observed a negative relationship between QJI congruence and recovery. Recovery was lower when perceptions of QJI were in agreement and were high (vs. low). Finally, we found support for the effects of perceptual incongruence: when employees reported higher QJI than their teammates, they experienced lower recovery and engagement.

Conclusions: To understand how employees’ QJI relates to their well-being, it is essential to consider their teammates’ perceptions. The social context can augment or reduce individuals’ stress reactions to job insecurity.

摘要

背景：在医疗保健领域，当实施新方法以优化护理时，员工会面临持续变化。这种变化可能会导致定性的工作不安全感（QJI），即担心可能失去重要的工作特征。QJI 是一种个人体验；但是，它可能会在不同程度上在团队内共享。本研究探讨了个人与其队友之间的 QJI 感知（不一致）一致性与个人幸福感的关系。

方法：来自 30 个医疗保健单位的医疗保健员工 ( N  = 305) 完成了测量 QJI、工作投入和恢复的问卷。

结果：多层次多项式回归分析表明，QJI 一致性与幸福感呈曲线关系：当 QJI 感知一致时，无论是在 QJI 低还是高时，员工都报告了更高的工作投入。我们观察到 QJI 一致性与恢复之间存在负相关关系。当对 QJI 的看法一致且高（相对于低）时，恢复率较低。最后，我们发现了对感知不一致的影响的支持：当员工报告的 QJI 高于他们的队友时，他们的恢复和参与度较低。

结论：要了解员工的 QJI 如何与他们的幸福感相关，必须考虑其队友的看法。社会背景可以增加或减少个人对工作不安全的压力反应。