Alan D. Boss

Is burnout static or dynamic? A career transition perspective of employee burnout trajectories

Despite decades of theory and empirical research on employee burnout, its temporal and developmental aspects are still not fully understood. This lack of understanding is problematic because burnout is a dynamic phenomenon and burnout interventions may be improved by a greater understanding of who is likely to experience changes in burnout and when these changes occur. In this article, we advance existing burnout theory by articulating how the 3 burnout dimensions should differ in their pattern of change over time as a result of career transition type: organizational newcomers, internal job changers (e.g., promotions or lateral moves), and organizational insiders (i.e., job incumbents). We tested our model in a broad sample of 2,089 health care employees, with 5 measurement points over 2 years. Using random coefficient modeling, we found that burnout was relatively stable for organizational insiders but slightly dynamic for organizational newcomers and internal job changers. We also found that the dimensions of emotional exhaustion and depersonalization were more sensitive to career transition type than reduced personal accomplishment. Finding some differences among different types of employees as well as the dimensions of burnout may begin to explain longstanding inconsistencies between theory and research regarding the dynamics of burnout, offering directions for future research that address both dynamism and stability.

The impact of participative management perceptions on customer service, medical errors, burnout, and turnover intentions.

&NA; Numerous challenges confront managers in the healthcare industry, making it increasingly difficult for healthcare organizations to gain and sustain a competitive advantage. Contemporary management challenges in the industry have many different origins (e.g., economic, financial, clinical, and legal), but there is growing recognition that some of managements greatest problems have organizational roots. Thus, healthcare organizations must examine their personnel management strategies to ensure that they are optimized for fostering a highly committed and productive workforce. Drawing on a sample of 2,522 employees spread across 312 departments within a large U.S. healthcare organization, this article examines the impact of a participative management climate on four employee‐level outcomes that represent some of the greatest challenges in the healthcare industry: customer service, medical errors, burnout, and turnover intentions. This study provides clear evidence that employee perceptions of the extent to which their work climate is participative rather than authoritarian have important implications for critical work attitudes and behavior. Specifically, employees in highly participative work climates provided 14 percent better customer service, committed 26 percent fewer clinical errors, demonstrated 79 percent lower burnout, and felt 61 percent lower likelihood of leaving the organization than employees in more authoritarian work climates. These findings suggest that participative management initiatives have a significant impact on the commitment and productivity of individual employees, likely improving the patient care and effectiveness of healthcare organizations as a whole.

Minimizing deviant behavior in healthcare organizations: the effects of supportive leadership and job design.

EXECUTIVE SUMMARY In an era when healthcare organizations are beset by intense competition, lawsuits, and increased administrative costs, it is essential that employees perform their jobs efficiently and without distraction. Deviant workplace behavior among healthcare employees is especially threatening to organizational effectiveness, and healthcare managers must understand the antecedents of such behavior to minimize its prevalence. Deviant employee behavior has been categorized into two major types, individual and organizational, according to the intended target of the behavior. Behavior directed at the individual includes such acts as harassment and aggression, whereas behavior directed at the organization includes such acts as theft, sabotage, and voluntary absenteeism, to name a few (Robinson and Bennett 1995). Drawing on theory from organizational behavior, we examined two important features of supportive leadership, leader‐member exchange (LMX) and perceived organizational support (POS), and two important features of job design, intrinsic motivation and depersonalization, as predictors of subsequent deviant behavior in a sample of over 1,900 employees within a large US healthcare organization. Employees who reported weaker perceptions of LMX and greater perceptions of depersonalization were more likely to engage in deviant behavior directed at the individual, whereas employees who reported weaker perceptions of POS and intrinsic motivation were more likely to engage in deviant behavior directed at the organization. These findings give rise to specific prescriptions for healthcare managers to prevent or minimize the frequency of deviant behavior in the workplace.

Sustainable Change in the Public Sector: The Longitudinal Benefits of Organization Development

This article examines the impact over a 30-year period of a 4-year organization development project in the Metro County Sheriff’s Department. Interventions included confrontation team-building sessions, management training, process consultation, survey feedback, third-party consultation, technological interventions, implementation of methods for increasing accountability, and changes in the organization structure, the physical setting, and the policy formulation procedures. Results include improved organization climate and leader effectiveness; decreased employee turnover, jail breaks, and citizen complaints; increased resources allocated to the organization; and improved organizational effectiveness, as measured by criminal justice leaders in the community. This research becomes the longest longitudinal study of the effects of organization development interventions in the behavioral science literature.

Resolving Intractable Conflicts Through Third-Party Facilitation: A 14-Year Study

Intractable conflicts between two individuals within an organization can be particularly detrimental, exerting ripple effects that affect other individuals, entire units, or the organization as a whole. This study extends previous research on third-party consultation interventions by exploring trust and other variables that facilitate intractable conflict resolution, while examining several outcomes over time. Data for this 14-year study in an operating room came from self-reports by the participants, behavioral observations by hospital administrators, and hospital records. Results include statistically significant improvement in trust measures, individual and group effectiveness, increased availability of surgical supplies and equipment, reduced physician abuse of scheduling privileges, decreased verbal abuse of nurses by physicians, the elimination of nursing turnover, and a decision by the surgeons to not build an outpatient surgical center. From a methodological standpoint, our quasi-experimental design using longitudinal panel data provide strong evidence for the effectiveness of organization development interventions on intractable conflicts, including not only how resolutions and positive outcomes occur but also how they can endure over time.