The Impact of Hospital Amalgamation on the Job Attitudes of Nurses
Bibliographic record
Abstract
Abstract In this longitudinal panel study we examined nurses' reactions to hospital amalgamation in both the hospitals being acquired and the acquiring hospitals. Data were collected in 1992, two years prior to the amalgamation announcement; in 1995, in the initial phase of the hospital amalgamation; and in 1997, during the amalgamation implementation. Compared with the pre‐amalgamation period, nurses in both the acquiring and the acquired hospitals reported a significant decrease in job satisfaction, organizational commitment, and organizational trust, and a significant increase in turnover intentions. Except for organizational commitment, nurses in the acquiring hospitals reported a greater deterioration in job attitudes indicating that they were more adversely affected by the amalgamation than nurses in the hospitals being acquired. Perceived organizational support and, to a lesser extent, immediate supervisor support played an instrumental role in promoting successful adjustment to the amalgamation. There was only limited evidence that perceived job insecurity and control‐oriented coping mediated the relationship between the support variables and job attitudes. Résumé Dans cette étude de panel, nous examinons les réactions des infirmières aux fusions des hôpitaux, à la fois dans les établissements acquéreurs et acquis. Les données ont été recueillies en 1992, deux ans avant l'annonce des fusions; ensuite en 1995, lors de leur annonce; et enfin en 1997, pendant leur mise en oeuvre. Les infirmières, tant dans les hôpitaux acquéreurs que dans les hôpitaux acquis, ont éprouvé une baisse considérable de leur satisfaction professionnelle, de leur engagement envers leur employeurs, et de leur confiance en leurs gestionnaires, de même qu'un désir accru d'abandon du métier ou de l'insitutiton en question. En particulier, la détérioration des attitudes a été plus marquée dans les hôpitaux acquéreurs, ce qui indique que ces infirmières se sont senties davantage mises à l'épreuve que celles dans les hôpitaux acquis. Cependant, l'adaptation à la fusion a été minimisée lorsque le soutien de l'établissement était bien perçu et, à un moindre degré, lors d'une constatation de soutien réel provenant de leurs supérieurs immédiats. Nous n'avons pas trouvé de preuve concluante que la perception de l'insécurité dans le travail, et les stratégies pour garder celle‐ci sous contrôle, aient influencé le rapport entre les paramètres du soutien et les attitudes envers le travail.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.002 | 0.007 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.001 | 0.000 |
| Scholarly communication | 0.001 | 0.000 |
| Open science | 0.000 | 0.001 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.002 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".