Dans le contexte actuel de crise des ressources humaines en Afrique sub-saharienne, il est important de comprendre comment les professionnels de santé vivent leur travail et comment cela les affecte. Cette étude longitudinale se focalise sur les sages-femmes du Sénégal en raison de leur rôle stratégique dans la réduction de la mortalité maternelle et infantile dans le pays. Une cohorte de 226 sages-femmes de 22 hôpitaux au Sénégal a participé à l’étude. Leur satisfaction au travail a été mesurée en 2007-8 avec un instrument multidimensionnel développé en Afrique de l’Ouest. Trois effets attendus : le « burnout, » l’intention de quitter et la mobilité professionnelle ont été mesurés deux ans plus tard. Des statistiques descriptives ont comparé celles qui ont quitté leur poste à celles qui sont restées, et une série de régressions multiples a modélisé les liens entre les facettes de la satisfaction au travail et les variables d’effet, en contrôlant pour les caractéristiques individuelles et institutionnelles. Les résultats ont montré un taux relativement faible de « turnover » sur 2 ans (18%), malgré une forte intention de quitter son poste (58.9%), surtout pour faire une nouvelle formation professionnelle. Les départs étaient majoritairement volontaires (92%) et entièrement intra-nationaux. Les sages-femmes se disaient le moins satisfaites avec leur rémunération et leur environnent de travail, et une forte proportion éprouvait des niveaux élevés d’épuisement émotionnel (80.0%) et de dépersonnalisation (57.8%). Toutefois, elles rapportaient être satisfaites de leur moral et de la stabilité de leur travail, et seulement 12% avaient des niveaux faibles d’accomplissement personnel. L’épuisement émotionnel était associé avec l’insatisfaction vis-à-vis de la rémunération et des tâches, la recherche active d’emplois était liée avec être insatisfaite de la stabilité du travail et avoir quitté son poste était associé avec une insatisfaction avec la formation continue. Cette étude montre que les sages-femmes semblent souffrir de « burnout », mais qu’elles se sentent toujours confiantes et accomplies au travail. Les résultats suggèrent que promouvoir la formation continue pourrait aider à retenir les sages-femmes dans leurs postes et dans la profession. / In the context of a health workforce crisis in sub-Saharan Africa, a better understanding of how health professionals are experiencing their work and how it is affecting them is needed. This longitudinal study focuses specifically on Senegalese midwives, given their strategic role in the promotion of mother and child health in the country. A cohort of 226 midwives from 22 hospitals across Senegal participated in the study. Their job satisfaction was measured in 2007-8 using a multifaceted instrument developed in West Africa. Three purported effects were measured two years later: burnout, intention to quit and turnover. Descriptive statistics compared the midwives who stayed and left their posts during the study period, and a series of exploratory regressions investigated the correlations between the 9 facets of job satisfaction and each effect variable, while controlling for individual and institutional characteristics. Relatively low turnover was found over 2 years (18%) despite high levels of intention to quit within a year (58.9%), particularly in pursuit of a new professional specialty. Departures were largely voluntary (92%) and entirely domestic. The midwives reported themselves least satisfied with their remuneration and work environment, and a large proportion experienced “high” levels of emotional exhaustion (80.0%) and depersonalization (57.8%). However, they were found to be satisfied with their morale and the stability of their work, and only 12.4% reported diminished personal accomplishment. Emotional exhaustion was related to being dissatisfied with remuneration and job tasks, actively searching for jobs was associated with dissatisfaction with job stability and voluntary quitting was associated with being unhappy with continuing education. This study shows that although midwives seem to be burned-out and unhappy with their working conditions, they retain a strong sense of confidence and accomplishment in their work. It also suggests that strategies to retain them in their positions and in the profession should emphasize continuing education.

The research objective was to develop, through two phases involving development and validation, a measure of the psychological work contract for managerial level employees. The psychological contract is the unwritten implicit contract that forms in the minds of employees and contains the obligations and expectations that they believe exists between themselves and the organization. In the first and qualitative phase of the study, a structured interview procedure resulted in the collection of 651 responses from a convenience sample of 35 managers from seven New Zealand organizations. Responses related to what these managers believed they were obligated to provide the organization (perceived organizational expectations), and what they believed the organization was obligated to provide them (their expectations). Content analysis of these 651 statements resulted in the development of two initial measures of the psychological contract (employee obligations, organization obligations). The employee obligations measure (perceived organizational expectations of the employee) contained 16 items, and the organization obligations measure (employee expectations of the organization) contained 23 items. In the second and quantitative phase of the study, and using the same criteria for participation as for phase one, a convenience sample of 124 managers from 13 New Zealand organizations completed questionnaires. The questionnaires included the measures of psychological contract content developed in phase one of the study, and 8 organizational psychology variables to be included in a nomological network. The nomological network included intention to quit, perceived organizational support, work and job involvement, job satisfaction, career plateau, organizational commitment, person-organization fit, and 2 performance measures. A separate questionnaire covering job performance and organizational citizenship behaviour was completed by 94 of the participants' managers. Of the 54 relationships predicted in the nomological network, 41 were significant. Of the 13 non-significant relationships, 10 involved relationships with the two performance measures. The measures of the psychological contract were subjected to a construct validation process involving two steps. The first step involved item and factor analysis. Factor analysis of the two measures of the psychological contract revealed two factors in each. One factor, termed relational obligations and reflecting a collective interest between the employee and the organization, included the items that were believed to influence more directly the relationship between managers and the organization. This factor included items such as be committed to the job (an employee obligation) and provide a physically and socially safe environment (an organizational obligation). The other factor, termed transactional obligations and reflecting a self/other interest on the part of the employee, included the items that were believed to be of a more direct employment transactions nature. This factor included items such as stay true to your own values and beliefs (an employee obligation) and provide professional and personal support (an organizational obligation). In the second step of the validation process, the measures of the psychological contract were embedded into the nomological network and their relationships with the ten variables in that network were tested. Of the ten hypothesised relationships, only one emerged as significant, that being the relationship between the organization obligations component of the psychological contract and person-organization fit. Minimal support for construct validity of the measures of the psychological contract was provided confirming that further effort will be required before complete construct validity may be claimed for the measured. Although the contribution the research makes to the field of knowledge may be limited, it does provide some validation of existing measures of the psychological contract, developed in other studies using different samples. The present findings increase our knowledge of the content of the psychological contract for managers. Additionally, a methodological framework has been established for continuing research into the content of psychological contracts, including an exploration of the relationship between content and fulfilment, along with a structure for comparing the psychological contract of disparate occupational groups. The most likely explanation for the hypotheses not being fully supported is that it is fulfilment (or conversely breach or violation) of the psychological contract, rather than the content of the contract per se, that is related to the variables in the nomological network. Whilst the hypotheses were based on research that considered fulfilment of the contract, this study focussed on the content of psychological contracts. The reasons for basing the hypotheses on research that considered fulfilment, the influence of this decision on hypothesis testing, and other possible explanations for the hypotheses not finding greater support, are explored. The limitations of the study, and possible directions for future research, are discussed.

Dans le contexte actuel de crise des ressources humaines en Afrique sub-saharienne, il est important de comprendre comment les professionnels de santé vivent leur travail et comment cela les affecte. Cette étude longitudinale se focalise sur les sages-femmes du Sénégal en raison de leur rôle stratégique dans la réduction de la mortalité maternelle et infantile dans le pays. Une cohorte de 226 sages-femmes de 22 hôpitaux au Sénégal a participé à l’étude. Leur satisfaction au travail a été mesurée en 2007-8 avec un instrument multidimensionnel développé en Afrique de l’Ouest. Trois effets attendus : le « burnout, » l’intention de quitter et la mobilité professionnelle ont été mesurés deux ans plus tard. Des statistiques descriptives ont comparé celles qui ont quitté leur poste à celles qui sont restées, et une série de régressions multiples a modélisé les liens entre les facettes de la satisfaction au travail et les variables d’effet, en contrôlant pour les caractéristiques individuelles et institutionnelles. Les résultats ont montré un taux relativement faible de « turnover » sur 2 ans (18%), malgré une forte intention de quitter son poste (58.9%), surtout pour faire une nouvelle formation professionnelle. Les départs étaient majoritairement volontaires (92%) et entièrement intra-nationaux. Les sages-femmes se disaient le moins satisfaites avec leur rémunération et leur environnent de travail, et une forte proportion éprouvait des niveaux élevés d’épuisement émotionnel (80.0%) et de dépersonnalisation (57.8%). Toutefois, elles rapportaient être satisfaites de leur moral et de la stabilité de leur travail, et seulement 12% avaient des niveaux faibles d’accomplissement personnel. L’épuisement émotionnel était associé avec l’insatisfaction vis-à-vis de la rémunération et des tâches, la recherche active d’emplois était liée avec être insatisfaite de la stabilité du travail et avoir quitté son poste était associé avec une insatisfaction avec la formation continue. Cette étude montre que les sages-femmes semblent souffrir de « burnout », mais qu’elles se sentent toujours confiantes et accomplies au travail. Les résultats suggèrent que promouvoir la formation continue pourrait aider à retenir les sages-femmes dans leurs postes et dans la profession. / In the context of a health workforce crisis in sub-Saharan Africa, a better understanding of how health professionals are experiencing their work and how it is affecting them is needed. This longitudinal study focuses specifically on Senegalese midwives, given their strategic role in the promotion of mother and child health in the country. A cohort of 226 midwives from 22 hospitals across Senegal participated in the study. Their job satisfaction was measured in 2007-8 using a multifaceted instrument developed in West Africa. Three purported effects were measured two years later: burnout, intention to quit and turnover. Descriptive statistics compared the midwives who stayed and left their posts during the study period, and a series of exploratory regressions investigated the correlations between the 9 facets of job satisfaction and each effect variable, while controlling for individual and institutional characteristics. Relatively low turnover was found over 2 years (18%) despite high levels of intention to quit within a year (58.9%), particularly in pursuit of a new professional specialty. Departures were largely voluntary (92%) and entirely domestic. The midwives reported themselves least satisfied with their remuneration and work environment, and a large proportion experienced “high” levels of emotional exhaustion (80.0%) and depersonalization (57.8%). However, they were found to be satisfied with their morale and the stability of their work, and only 12.4% reported diminished personal accomplishment. Emotional exhaustion was related to being dissatisfied with remuneration and job tasks, actively searching for jobs was associated with dissatisfaction with job stability and voluntary quitting was associated with being unhappy with continuing education. This study shows that although midwives seem to be burned-out and unhappy with their working conditions, they retain a strong sense of confidence and accomplishment in their work. It also suggests that strategies to retain them in their positions and in the profession should emphasize continuing education.

Thesis (MComm)--Stellenbosch University, 2014. / ENGLISH ABSTRACT: In response to globalisation and competition, today’s organisations are changing at an accelerating and radical pace. A review of the literature revealed that the demanding and often repetitive nature of work increases employees’ turnover intention. This is generally attributed to a lack of employee engagement. This trend is especially evident within the South African financial services industry. Without a functional workforce, no organisation can survive. Therefore organisations within this sector need to establish a balance between the provision of meaningful work, and profitability. The primary objective of this research study was to develop and empirically test a structural model that elucidates the antecedents of variance in turnover intention and employee engagement among employees employed by audit firms operating in the South African financial services industry. In addition, this research study investigated whether employees employed by these audit firms engage in job crafting to modify their work environment (i.e. job resources, personal resources and job demands, as illustrated in the Job Demands-Resources model) (Demerouti, Bakker, Nachreiner & Schaufeli, 2001) to cultivate meaningful work that decreases turnover intentions while increasing employee engagement. In this research study, an ex post facto correlational design was used to test the formulated hypotheses. Quantitative data was collected from 391 employees employed by audit firms operating in the South African financial services industry. Data was collected specifically for the purpose of this research study. Participation was voluntary. A self-administered web-based survey was distributed electronically to the participants. The data collected was strictly confidential and anonymous. The survey comprised seven sections. The first two sections measured the participants’ biographical and employment information. Subsequent sections measured specific latent variables using valid and reliable measuring instruments. These instruments include the Utrecht Work Engagement Scale (UWES-9) (Schaufeli, Bakker & Salanova, 2006), the Turnover Intention Scale (Moore, 2000), the Psychological Meaningfulness Scale (May, Gilson & Harter, 2004), the Job Crafting Scale (Tims, Bakker & Derks, 2012), and the six-item Proactive Personality Scale (Claes, Beheydt & Lemmens, 2005). Data was subjected to a range of statistical analyses. The findings shed light on the seriousness of turnover intention and the lack of employee engagement among employees employed by audit firms operating in the South African financial services industry. It provides South African industrial psychologists with much needed insight into the presenting problem. With reference to the highlighted managerial implications of the research findings and the recommended interventions, industrial psychologists can ensure the retention and engagement of employees. / AFRIKAANSE OPSOMMING: Globalisering en mededinging veroorsaak dat hedendaagse organisasies al hoe vinniger en ook ingrypend verander. ’n Oorsig van die literatuur het getoon dat werknemers se voorneme om van werkplek te verander al hoe meer toeneem weens die veeleisende en dikwels herhalende aard van die werk wat hulle doen. Hierdie voorneme is veral in die Suid-Afrikaanse finansiële diensbedryf sigbaar en kan toegeskryf word aan ’n gebrek aan werknemerbegeestering. Geen organisasie kan egter sonder ’n funksionele werksmag oorleef nie. Gevolglik moet organisasies in hierdie bedryf sorg dat hulle ’n balans tussen betekenisvolle werk en winsgewendheid skep. Die hoofdoel van hierdie studie was om ’n strukturele model te ontwikkel en empiries te toets wat lig werp op die voorkoms van verskille in die voorneme om van werkplek te verander en werknemerbegeestering onder werknemers in diens van ouditeursfirmas in die Suid-Afrikaanse finansiële diensbedryf. Daarbenewens het hierdie studie ook ondersoek of werknemers in hierdie ouditeursfirmas betrokke is by werksfatsoenering om hulle werkomgewing aan te pas (m.a.w. werkshulpbronne, persoonlike hulpbronne en taakeise, soos in die Job Demands-Resources model aangedui) (Demerouti, Bakker, Nachreiner & Schaufeli, 2001) om betekenisvolle werk te skep wat hulle voorneme om van werk te verander, kan verminder en terselfdertyd werknemerbegeestering kan aanvul. ‘n Ex post facto korrelasie-ontwerp is gebruik om die geformuleerde hipoteses te toets. Kwantitatiewe data is by 391 werknemers in diens van ouditeursfirmas in die Suid-Afrikaanse finansiële diensbedryf ingesamel. Die data is spesifiek vir hierdie studie ingesamel. Deelname was vrywillig. ’n Selftoegepaste webgebaseerde opname is elektronies onder die deelnemers versprei. Die dataversameling was streng vertroulik en anoniem. Die opname het uit sewe afdelings bestaan. Die eerste twee afdelings het die biografiese en werksinligtiging van die deelnemers ingesamel. Die daaropvolgende afdelings het spesifieke latente veranderlikes met behulp van geldige en betroubare instrumente gemeet. Hierdie instrumente was die Utrecht Work Engagement Scale, UWES-9 (Schaufeli, Bakker & Salanova, 2006), die Turnover Intention Scale (Moore, 2000), die Psychological Meaningfulness Scale (May, Gilson & Harter, 2004), die Job Crafting Scale (Tims, Bakker & Derks, 2012), en die ses-item Proactive Personality Scale (Claes, Beheydt & Lemmens, 2005). Die data is aan ’n reeks statistiese analises onderwerp. Die bevindinge werp lig op die erns van voorneme om van werkplek te verander en die gebrek aan werkenemerbetrokkenheid onder werknemers in diens van ouditeursfirmas in die Suid-Afrikaanse finansiële diensbedryf. Dit bied aan Suid-Afrikaanse bedryfsielkundiges belangrike insae in die tersaaklike probleem. Bedryfsielkundiges kan, met verwysing na die aangeduide bestuursimplikasies van die bevindinge en aanbevelings van hierdie studie, die behoud en begeestering van werknemers verseker.

Dans un contexte mondial où les taux de roulement des effectifs infirmiers oscillent entre 5% et 17% (Heinen et al., 2013) et où l’OCDE (2016) souligne plus que jamais l’importance de s’attarder à la rétention des infirmières et à la diminution de leur départ de la profession, la présente thèse vise à comprendre plus en profondeur les effets différentiels du leadership tyrannique et authentique, du climat psychologique de travail ainsi que du bien-être et de la détresse psychologique sur l’intention de quitter – son unité, son organisation ou sa profession. Appuyé en partie sur les travaux de Hayes et al. (2012) et de Blau (1964), un cadre d’analyse comprenant les éléments suivants a été conceptualisé : 1) les facteurs organisationnels – regroupant le climat psychologique de travail ainsi que le style de leadership, 2) les facteurs individuels – comprenant la santé psychologique et 3) les facteurs externes touchant aux caractéristiques personnelles et démographiques que sont l’âge, le sexe et le niveau d’éducation. Le climat psychologique de travail et le style de leadership sont positionnés en amont au sein du modèle conceptuel alors que la santé psychologique est en aval. L’intention de quitter l’unité, l’organisation et la profession sont les variables prédites. Il est proposé que le style de leadership lorsqu’authentique influence positivement le climat psychologique de travail de même que la santé psychologique, ce qui en retour diminue l’intention de quitter. Parallèlement, il est proposé que le style de leadership tyrannique influence négativement le climat psychologique de travail ce qui génère en outre de la détresse psychologique et de l’intention de quitter. Un échantillon de 903 infirmiers et infirmières québécois d’une multitude de secteurs a complété un questionnaire en ligne traitant du style de leadership de leur supérieur immédiat, du climat psychologique de travail ainsi que du niveau de santé psychologique et de l’intention de quitter. Les relations entre les variables indépendantes et dépendantes ont été analysées à l’aide d’analyses acheminatoires par équations structurelles. Les relations statistiques observées permettent d’expliquer plus du tiers du phénomène de l’intention de quitter, tous niveaux confondus, de même qu’autant du bien-être psychologique et de la détresse psychologique au travail. Les facteurs organisationnels sont instrumentaux dans la compréhension et le redressement de la santé psychologique de même que de l’intention de quitter. Cette thèse identifie le supérieur immédiat comme un acteur clé ayant une contribution directe sur le climat psychologique de travail, la santé psychologique ainsi que l’intention de quitter. Davantage de résultats ainsi que les implications théoriques et pratiques sont discutés. / In a global context where turnover rates among the nurse workforce vary between 5% and 17% and where the OECD (2016) stresses more than ever the importance of understanding nurse retention and acting on their intent to quit, this thesis aims to understand the differential effects of tyrannical and authentic leadership, psychological work climate and well-being and/or psychological distress on one’s intention to quit. Based in part on the works of Hayes et al. (2012) and Blau (1964), an analysis framework that includes the following was conceptualized: 1) organizational factors –that is psychological work climate and style of leadership, 2) individual factors, including psychological health, and 3) external factors, that is the personal and demographic characteristics such as age, sex and education level. Intent to quit is the variable which we aim to predict and explain by the organizational and individual factors. Specifically, it is hypothesized that the style of leadership when authentic will positively influence psychological work climate as well as psychological health, which will in turn diminish one’s intent to quit. Conversely, it is hypothesized that when the style of leadership is tyrannical it will reflect negatively on psychological work climate, which will in turn augment psychological distress as well as one’s intent to quit. Considering this, a Quebec sample of 903 nurses from a multitude of healthcare sectors completed an online questionnaire in which they were asked about their current immediate superior, the psychological work climate in their organization, their degree of psychological health as well as their intention to quit. The statistical relationships between the independent as well as the dependent variables were analyzed using structural equation modelling. The results show that the variables targeted explain more than a third of the variance in intention to quit across all at all levels (quit one’s unit, one’s organization, one’s profession) as well as both the psychological well-being and the psychological distress. Organizational factors are instrumental in understanding and acting on psychological health as well as intent to quit. This study identifies the immediate superior as a key contributor to psychological work climate, psychological well-being and/or distress as well as intent to quit. Practical implications of the study, as well as further research are discussed accordingly.

The personnel are said to be the most valuable asset of the Swedish Armed Forces. The efficiency of the organisation is nevertheless challenged by lack of personnel. This in times of deteriorating stability in the Baltic region and one of renaissance of the mission of national defence. In order to meet these challenges, it is imperative to attract, develop and to keep the personnel. This study aims to answer the question of what the main causes of turnover focusing on the officers and non-commissioned officers. The methodical approach has been that of a qualitative interview study, using Frederick Herzberg´s Two-Factor theory as a theoretical lens. The main factors emerging in this study are those of the impact of family-work conflict, uncertainty of the career development and the lack of a leadership to manage these factors to a positive outcome. As of this it is recommended by the authors of this study to more strongly emphasize the role of the employer in the training and the profession of the modern officer. This in order to cope more efficiently with the above challenges in order to maintain the most valuable asset of the armed forces, namely the officers, non-commissioned officers, and last but not least, the rank and file.