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  • 1
    Online Resource
    Online Resource
    Exploring burnout and job stressors among advanced practice providers
    Elsevier BV ; 2020
    In:  Nursing Outlook Vol. 68, No. 2 ( 2020-03), p. 145-154
    Details
    In: Nursing Outlook, Elsevier BV, Vol. 68, No. 2 ( 2020-03), p. 145-154
    Type of Medium: Online Resource
    ISSN: 0029-6554
    URL: Article
    DOI: 10.1016/j.outlook.2019.09.005
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2020
    detail.hit.zdb_id: 2048805-1
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  • 2
    Online Resource
    Online Resource
    A Q&A primer and systematic review of meta-analytic reporting in organizational frontline service research
    Emerald ; 2023
    In:  Journal of Service Management Vol. 34, No. 5 ( 2023-12-01), p. 995-1020
    Details
    In: Journal of Service Management, Emerald, Vol. 34, No. 5 ( 2023-12-01), p. 995-1020
    Abstract: The purpose of this manuscript is to provide a step-by-step primer on systematic and meta-analytic reviews across the service field, to systematically analyze the quality of meta-analytic reporting in the service domain, to provide detailed protocols authors may follow when conducting and reporting these analyses and to offer recommendations for future service meta-analyses. Design/methodology/approach Eligible frontline service-related meta-analyses published through May 2021 were identified for inclusion (k = 33) through a systematic search of Academic Search Complete, PsycINFO, Business Source Complete, Web of Science, Google Scholar and specific service journals using search terms related to service and meta-analyses. Findings An analysis of the existing meta-analyses within the service field, while often providing high-quality results, revealed that the quality of the reporting can be improved in several ways to enhance the replicability of published meta-analyses in the service domain. Practical implications This research employs a question-and-answer approach to provide a substantive guide for both properly conducting and properly reporting high-quality meta-analytic research in the service field for scholars at various levels of experience. Originality/value This work aggregates best practices from diverse disciplines to create a comprehensive checklist of protocols for conducting and reporting high-quality service meta-analyses while providing additional resources for further exploration.
    Type of Medium: Online Resource
    ISSN: 1757-5818
    URL: Article
    DOI: 10.1108/JOSM-07-2022-0229
    Language: English
    Publisher: Emerald
    Publication Date: 2023
    detail.hit.zdb_id: 2495133-X
    SSG: 3,2
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  • 3
    Online Resource
    Online Resource
    Advanced Practice Provider Perspectives on Organizational Strategies for Work Stress Reduction
    SAGE Publications ; 2020
    In:  Western Journal of Nursing Research Vol. 42, No. 9 ( 2020-09), p. 708-717
    Details
    In: Western Journal of Nursing Research, SAGE Publications, Vol. 42, No. 9 ( 2020-09), p. 708-717
    Abstract: Unresolved work stress contributes to burnout, compassion fatigue, disengagement, and other work-contextualized factors. The impact of occupational stressors extends to the organization in a negative fashion as well. In 2017, advanced practice providers (APPs) from four health systems, including nurse practitioners, clinical nurse specialists, nurse midwives, nurse anesthetists, and physician assistants, participated in a quantitative online cross-sectional survey; 754 participants responded to a free-text question related to work stress and work–family balance. Suggested organizational strategies were ordered into 29 codes, 10 subthemes, and four main themes: “reduce job stressors,” “improve leadership and operations,” “promote APP well-being,” and “maintain the status quo.” Findings are consistent with other research related to occupational stress with many of the reported strategies considered as evidence-based. Targeted interventions for reducing job stress will need to include improved autonomy for APPs, role delineation, support for work–family balance, and better communication as part of management practices.
    Type of Medium: Online Resource
    ISSN: 0193-9459 , 1552-8456
    URL: Article
    DOI: 10.1177/0193945919896606
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2020
    detail.hit.zdb_id: 2067773-X
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  • 4
    Online Resource
    Online Resource
    Bridging two tales of engagement: a meta-analytic review of employee engagement and customer engagement in service contexts
    Emerald ; 2023
    In:  Journal of Service Management Vol. 34, No. 5 ( 2023-12-01), p. 843-866
    Details
    In: Journal of Service Management, Emerald, Vol. 34, No. 5 ( 2023-12-01), p. 843-866
    Abstract: Employing a service-profit chain (S-PC) framework, this manuscript investigates the relationship between employee engagement (EE) and customer engagement (CE) within service contexts and explores how a mediating mechanism, service employee work performance (SEWP), links EE with CE. Design/methodology/approach Meta-analytic procedures ascertain the magnitude of the relationship between EE and SEWP ( k  = 102, ρ ^  = 0.45) and between SEWP and three dimensions of CE: customer purchases ( k  = 42, ρ ^  = 0.47), customer knowledge ( k  = 4, ρ ^  = 0.33) and customer influence ( k  = 7, ρ ^  = 0.42). The current meta-analysis reports an effect size for the EE-overall SEWP relationship nearly 1.50 times greater than related extant meta-analyses. Findings Results suggest SEWP, consisting of service employee task performance and contextual performance, serves as an important intervening mechanism between EE and CE by considering nine dimensions of SEWP. Such findings suggest that to maximize SEWP, service employees must go beyond simply being satisfied in their work roles; instead, service employees must feel energized, find fulfillment and meaning and be engrossed in their work to maximize the service they provide to customers. Originality/value This research extends previous meta-analytic efforts, bridges the multi-disciplinary gap between EE and CE research, provides an empirical link allowing for informed decision-making for managers and stakeholders, underscores the importance of service employees surpassing required job responsibilities to meet and exceed customer needs and suggests an agenda for future service research integrating EE and CE.
    Type of Medium: Online Resource
    ISSN: 1757-5818
    URL: Article
    DOI: 10.1108/JOSM-06-2019-0171
    Language: English
    Publisher: Emerald
    Publication Date: 2023
    detail.hit.zdb_id: 2495133-X
    SSG: 3,2
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  • 5
    Online Resource
    Online Resource
    Investigating practice-level and individual factors of advanced practice registered nurses and physician assistants and their relationship to resilience
    Ovid Technologies (Wolters Kluwer Health) ; 2021
    In:  Journal of the American Association of Nurse Practitioners Vol. 34, No. 2 ( 2021-07-29), p. 310-321
    Details
    In: Journal of the American Association of Nurse Practitioners, Ovid Technologies (Wolters Kluwer Health), Vol. 34, No. 2 ( 2021-07-29), p. 310-321
    Abstract: Gaps in research persist related to practitioners' resilience, although much has been written about the need for strategies to strengthen personal resilience. Purpose: The study's purpose was to examine practice-level (quality of physician relationship, physician presence, and autonomy) and individual factors and how they affect resilience. Methodology: An online survey invited advanced practice registered nurses (APRNs) and physician assistants (PAs) from four states to participate in a cross-sectional study. Hierarchical ordinary least squares regression was used to test the impact of main effect variables in the context of identified control variables. Sample: A sample of 1,138 APRNs and PAs completed the survey questions. Results: Findings from the covariate model (model 1) and the main effect model (model 2) show that both models were significant at the p 〈 .01 level, with the adjusted R 2 differing from 0.02 to 0.13, respectively. Regression results show a significant positive association between quality of the physician relationship and APRN/PA resilience ( b = 0.09, p 〈 .01). A negative association between the lack of autonomy and higher levels of resilience ( b = −0.14, p 〈 .01) was also demonstrated. Conclusions: Advanced practice registered nurse/PA resilience is affected by both practice-level and personal factors, suggesting that workplace interventions could increase resilience. Implications for practice: Work environments allowing APRNs and PAs to function autonomously and with professional support from physician colleagues are favorable contributors to their resilience. Future studies need to investigate the meaning of physician presence/availability and organizational interventions that extend beyond individual resilience.
    Type of Medium: Online Resource
    ISSN: 2327-6924
    URL: Article
    DOI: 10.1097/JXX.0000000000000639
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 2021
    detail.hit.zdb_id: 2716325-8
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  • 6
    Online Resource
    Online Resource
    The nature of entrepreneurial orientation strength: the impact of shared values on firm performance
    Cambridge University Press (CUP) ; 2021
    In:  Journal of Management & Organization
    Details
    In: Journal of Management & Organization, Cambridge University Press (CUP)
    Abstract: Drawing on Wales, Monsen, and McKelvie's (2011, Entrepreneurship Theory and Practice, 35 (5), 895–923) model of entrepreneurial orientation pervasiveness and the strong culture hypothesis (Denison, 1984, Organization Dynamics, 13 , 4–22), this study investigates how entrepreneurial orientation (EO) strength , defined as the level of agreement in the shared perceptions of EO, serves as a boundary condition of the EO–firm performance relationship. Four field studies provide evidence for a valid and reliable 10-item multidimensional measure of entrepreneurial orientation, the EO-10, which in turn, may be used to assess EO strength. We establish content and construct validity of the EO-10 (study 1; n = 447 employees), criterion-related validity with revenue growth and sales growth (study 2; n = 412 employees in 43 profit centers), and convergent validity with Covin and Slevin's (1989, Strategic Management Journal, 10 , 75–87) 9-item measure (study 3; n = 291 employees). Finally, in study 4 ( n = 853 employees nested in 22 organizations), we demonstrate the interactive effects of EO and EO strength on profit growth and revenue growth. In sum, this study provides conceptual and empirical evidence for the importance of EO strength as a moderator of the EO–firm performance relationship.
    Type of Medium: Online Resource
    ISSN: 1833-3672 , 1839-3527
    URL: Article
    DOI: 10.1017/jmo.2021.37
    Language: English
    Publisher: Cambridge University Press (CUP)
    Publication Date: 2021
    detail.hit.zdb_id: 2375897-1
    SSG: 3,2
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  • 7
    Online Resource
    Online Resource
    Medicaid expansion and accessibility to healthcare: The Illinois experience
    Wiley ; 2021
    In:  Public Health Nursing Vol. 38, No. 5 ( 2021-09), p. 720-729
    Details
    In: Public Health Nursing, Wiley, Vol. 38, No. 5 ( 2021-09), p. 720-729
    Abstract: The study examined the impact that the Medicaid expansion in Illinois had upon insurance rates, access to medical care, dental care, pharmaceuticals, and mental‐health counseling between rural and urban counties. Design and Sample A serial cross‐sectional design was used to assess the health perceptions of adults living in Illinois. Measures Survey data were collected in 2012 ( n  = 6,149) before the Medicaid expansion in Illinois and in 2015 ( n  = 3,532) after the expansion from rural ( n  = 4) and urban counties ( n  = 4). Intervention Medicaid expansion reduced the uninsured rate in both rural (16.39%–4.87%) and urban counties (17.05%–5.2%) and improved self‐reported health. It also increased access to all types of healthcare, with the biggest increase in dental coverage. Results Path analysis indicated that the Medicaid expansion β  = −1.03 ( p   〈  .01) and poor versus not poor β  = −1.50 ( p   〈  .01) were a significant predictor to no healthcare access. Rural verses urban location was not significant ( β  = 0.04); however, race/ethnicity was significantly different ( p   〈  .01). Conclusion Findings suggest that although the expansion has increased access to care overall, those who are the most vulnerable are still not benefiting equally from the expansion. Therefore, strategies to assist high‐risk adults in enrolling and using their Medicaid coverage need to developed and implemented.
    Type of Medium: Online Resource
    ISSN: 0737-1209 , 1525-1446
    URL: Issue
    URL: Article
    DOI: 10.1111/phn.v38.5
    DOI: 10.1111/phn.12899
    Language: English
    Publisher: Wiley
    Publication Date: 2021
    detail.hit.zdb_id: 2010328-1
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  • 8
    Online Resource
    Online Resource
    Auto-assignment of providers in Medicaid Managed Care and factors influencing seasonal flu vaccine uptake: a retrospective analysis
    Oxford University Press (OUP) ; 2021
    In:  Journal of Pharmaceutical Health Services Research Vol. 12, No. 2 ( 2021-05-10), p. 303-305
    Details
    In: Journal of Pharmaceutical Health Services Research, Oxford University Press (OUP), Vol. 12, No. 2 ( 2021-05-10), p. 303-305
    Abstract: Over 50 million people in the USA are enrolled in a Medicaid Managed Care plan. If they do not select a primary care provider, they are auto-assigned to one. The impact of auto-assignment has largely been understudied outside the context of patient satisfaction with the insurance plan. The purpose of the study was to explore the association between auto-assignment and flu vaccination use, which will contribute to our understanding of factors influencing the COVID-19 vaccine uptake. Methods Retrospective data from the Enterprise Data Warehouse of a health system were obtained for adult Medicaid enrolees assigned to a Midwestern health system in 2019. Descriptive statistics, independent t-tests and tetrachoric correlations were used to explore the relationship between auto-assignment and flu vaccine receipt among a large sample of Illinois residents (N = 7224). The sample was then divided into those who chose their provider (n = 6027) and those who were auto-assigned (n = 1197). Key findings Individuals who selected their provider were deemed to have flu vaccine coverage over those who were auto-assigned (33.2% vs. 6.6%). Furthermore, among those who were auto-assigned, age, number of office visits and having chronic morbidities, including chronic obstructive pulmonary disease (P & lt; 0.01), diabetes (P & lt; 0.01) and heart failure (P & lt; 0.01), were positively associated with flu vaccine receipt. Conclusions Individuals who are auto-assigned to a primary care provider are less likely to be flu vaccine recipients than those who choose their provider. This suggests that auto-assignment is a risk factor that influences vaccine receipt. This research provides perspectives for outreach efforts that target individuals who are auto-assigned to a provider.
    Type of Medium: Online Resource
    ISSN: 1759-8893
    URL: Article
    DOI: 10.1093/jphsr/rmab012
    Language: English
    Publisher: Oxford University Press (OUP)
    Publication Date: 2021
    detail.hit.zdb_id: 2558609-9
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  • 9
    Online Resource
    Online Resource
    The relationship between access to mental health counseling and interest in rural telehealth.
    American Psychological Association (APA) ; 2021
    In:  Journal of Rural Mental Health Vol. 45, No. 3 ( 2021-07), p. 219-228
    Details
    In: Journal of Rural Mental Health, American Psychological Association (APA), Vol. 45, No. 3 ( 2021-07), p. 219-228
    Type of Medium: Online Resource
    ISSN: 2163-8969 , 1935-942X
    URL: Article
    DOI: 10.1037/rmh0000179
    Language: English
    Publisher: American Psychological Association (APA)
    Publication Date: 2021
    detail.hit.zdb_id: 2653571-3
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  • 10
    Online Resource
    Online Resource
    Strategies of Advanced Practice Providers to Reduce Stress at Work
    SAGE Publications ; 2020
    In:  Workplace Health & Safety Vol. 68, No. 9 ( 2020-09), p. 432-442
    Details
    In: Workplace Health & Safety, SAGE Publications, Vol. 68, No. 9 ( 2020-09), p. 432-442
    Abstract: Background: High levels of stress and burnout, documented among healthcare professionals, result in high levels of job turnover. However, little is known about personal strategies employed by advanced practice providers (APPs) to mitigate stress. Methods: 3,939 APPs were invited to complete an online, anonymous, cross-sectional survey to examine work stress and burnout among APPs using quantitative and qualitative analyses. The Maslach Burnout Inventory (MBI) served as the measure for burnout. Work-stress reduction strategies were identified by an open-ended question. Findings: 854 APPs (70% of 1,218 respondents) (nurse practitioners, physician assistants, nurse midwives, anesthetists, and clinical nurse specialists) from four different United States health systems completed the free text portion of the survey. Qualitative analyses revealed that almost all of the APPs (94%) reported at least one stress reduction strategy. Four main themes were derived from the free-text responses: “Self-focused” (67.5%), “relational-focused”(16.1%), “job-focused” (11.5%) and “nothing” (4.9%). Quantitative results from the MBI revealed high levels of burnout among APPs with insignificant differences between those who provided a response to the qualitative question and those who did not: emotional exhaustion ( p = .188); depersonalization ( p = .265); personal accomplishment ( p = .213). Conclusion/Application to Practice: Qualitative results highlighted strategies, many evidence-based, that APPs use to mitigate stress. Further research is needed to determine the frequency and consistency of APPs’ enactment of personal strategies. These initial findings provide insights for occupational health practitioners and researchers planning primary prevention and secondary interventions for improving workplace health, enhancing personal wellness, and reducing job-related stressors.
    Type of Medium: Online Resource
    ISSN: 2165-0799 , 2165-0969
    URL: Article
    DOI: 10.1177/2165079920924060
    Language: English
    Publisher: SAGE Publications
    Publication Date: 2020
    detail.hit.zdb_id: 2649522-3
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