De nombreux constats contemporains s’alarment du malaise récurrent des ressources humaines hospitalières, particulièrement à l’endroit des médecins et des soignants, et par conséquent du risque de mauvaise qualité de prise en charge des patients. Adoptant une approche plus optimiste, des chercheurs américains en soins infirmiers ont mis en évidence depuis le début des années 1980 l’existence d’hôpitaux dits magnétiques, parce qu’attractifs et fidélisateurs, et où il ferait bon travailler et se faire soigner. Cette thèse vise à approfondir le concept de Magnet Hospital, à éclairer sa définition et sa portée pour la gestion des ressources humaines hospitalières en France. Suivant une démarche hypothético-déductive, la conceptualisation, fondée sur un état de l’art, débute par une appropriation du modèle synthétique du Magnet Hospital. Empruntant une perspective psychosociale, notre modèle original de recherche se focalise sur la perception, à l’échelle des unités de soins, des attributs managériaux du magnétisme hospitalier (leadership transformationnel, empowerment perçu de la participation et climat relationnel collégial entre médecins et soignants) et ses conséquences attitudinales positives (satisfaction, implication, intention de rester, équilibre émotionnel travail/hors travail et efficacité collective perçue). Une méthodologie quantitative interroge au moyen de 8 échelles ad hoc un échantillon représentatif de 133 médecins, 361 infirmières et 362 aides-soignantes de 36 services de médecine polyvalente français. Une série de modélisations par équations structurelles, selon l’algorithme Partial Least Squares, teste la nature et l’intensité des relations directes et indirectes du magnétisme managérial perçu. Les résultats statistiques indiquent une bonne qualité des construits et d’ajustement des modèles. Un contexte managérial magnétique produit son principal effet positif sur l’efficacité collective perçue. Des différences catégorielles existent quant à la perception de sa composition et à la transmission de ses effets par la médiation de l’efficacité collective perçue, signalant le caractère contingent du magnétisme. Ces résultats ouvrent des perspectives managériales et scientifiques, en soulignant l’intérêt des approches positives de l’organisation hospitalière. / Many contemporary findings are alarmed of the recurring discomfort of hospital human resources, especially against doctors and nurses, and consequently against risk of poor quality of care for patients. Adopting a more optimistic approach, American nursing scholars have highlighted since the 1980s, some magnet hospitals, able to attract and retain, and with good working and care conditions. This thesis aims to explore Magnet Hospital concept, to inform its definition and scope for hospital human resource management in France. According to a hypothetico-deductive approach, based on a review of the literature, the conceptualization begins with appropriation of synthetic Magnet Hospital model. Under a psychosocial perspective, our original research model focuses on perception of managerial magnetic attributes (transformational leadership, perceived empowerment of participation, collegial climate between doctors and nurses) and their consequences on positive job attitudes (satisfaction, commitment, intent to rest, emotional equilibrium work/family, perceived collective efficacy), at wards level. A quantitative methodology proceeds by a questionnaire of 8 ad hoc scales and interviews 133 doctors, 361 nurses, 362, auxiliary nurses, in 36 French medicine units. A set of structural equations modeling, according to Partial Least Squares, tests nature and intensity of direct and indirect relationships of perceived managerial magnetism. The statistical results show a good validity of constructs and a good fit of models. The major positive effect of magnetic managerial context is on perceived collective efficacy. Some professional differences exist about perceptions of composition and transmission of magnetic effects (via mediation of perceived collective efficacy), indicating the contingency of magnetism. These findings open managerial and scientific opportunities, emphasizing the interest for positive organizational approach of hospital.

Indiana University-Purdue University Indianapolis (IUPUI) / Caring relationships established between nurse managers and staff nurses promote positive work environments. However, research about staff nurses' perceptions of nurse manager caring behaviors is limited. A 94-item Caring Assessment Tool-Administration (CAT-adm©) was developed to measure staff nurses' perceptions of nurse managers' caring behaviors; however, it lacked robust psychometric testing. This study was undertaken to establish the CAT-adm© survey as a reliable and valid tool to measure staff nurses' perceptions of nurse managers' caring behaviors. The Quality-Caring Model® (QCM®) served as the theoretical framework. Specific aims were to 1) evaluate construct validity of the CAT-adm© survey by describing factors that account for variance in staff nurses' perceptions of nurse manager caring, 2) estimate internal consistency, and 3) conduct item reduction analysis. Four research questions were: 1) Will the factor structure of observed data fit an 8-factor solution? 2) What is the internal consistency reliability of the CAT- adm©? 3) What items can be reduced while maintaining an acceptable factor structure? and 4) What are staff nurses' perceptions of nurse manager caring behaviors? A cross-sectional descriptive design was used. A sample of 703 staff nurses from Midwestern, Midatlantic and Southern Regions of the U.S. completed the CAT-adm© survey electronically. Analysis included Confirmatory Factor Analysis (CFA), Exploratory Factor Analysis (EFA), univariate analysis, and descriptive statistics. CFA did not support an 8-factor solution. EFA supported a two-factor solution and demonstrated significant shared variance between the two factors. This shared variance supported a one-factor solution that could conceptually be labeled Caring Behaviors. Random selection reduced the scale to 25-items while maintaining a Cronbach's Alpha of .98. Using the new 25-item scale, the composite score mean of staff nurses' perceptions of nurse manager caring behaviors indicated a moderately high level of caring. Suggestions for nursing administration, nurse manager practice, leadership, education and for future research were given. The new 25-item CAT-adm© survey has acceptable reliability and validity. The 25-item CAT-adm© survey provides hospital administrators, nurse managers, and researchers with an instrument to collect valuable information about the caring behaviors used by nurse managers in relationship with staff nurses.

The research was conducted from the perspective of a positive psychological paradigm and investigated the interrelationship dynamics between the psychological constructs of resistance to change, work engagement and psychological capital which have been under-researched in the rapidly changing open distance learning work environment of academics. A quantitative survey was conducted on a probability sample of 423 (N=423) academics at a South African open distance learning higher education institution. Confirmatory- and exploratory factor analysis, in the absence of goodness of fit, revealed a four-construct measurement model for resistance to change, a two-factor measurement model for work engagement and a four-construct measurement model for psychological capital. A correlational analysis revealed significant relationships between resistance to change, work engagement and psychological capital and structural equation modelling indicated an adequate fit of the conceptual structural model. Tests for statistically significant mean differences revealed no differences between male and female academics, or between the educational levels of groups of academics, with regard to levels of resistance to change, work engagement and psychological capital. At a theoretical level, the research provided insight into the different concepts and theoretical models that lead to the development of positive psychological functioning, such as understanding of the notion of resistance to change in the work environment. At an empirical level, the new knowledge and insights derived from the results may add to a broader perspective on interrelationships between the psychological behavioural constructs of resistance to change, work engagement and psychological capital. This research has also added to the body of knowledge on how academics’ positive psychological behaviour can contribute to a positive organisation as well as to individual well-being in a changing open distance learning work environment. / Industrial and Organisational Psychology / D. Com. (Industrial and Organisational Psychology)

Employee engagement has been conceived as one of the “hottest topics in management” (De Cieri, Holmes, Abbott, & Pettit, 2002; Saks, 2006). Therefore, the need to further understand factors that enhance the level of employee engagement is of utmost importance if organisations are to successfully increase their competitive edge. The purpose of the present study was to develop a model of personality traits and work-life balance as determinants of employee engagement among employees in the various industries in South Africa. In particular, the present study investigated relationships between personality traits adapted by Martins (2000) which include five robust factors: agreeableness, extraversion, conscientiousness, resourcefulness and emotional stability and work-life balance as measured by the Survey Work-home Interaction/NijmeGen (SWING) which consists of four dimensions, namely, negative work-home interaction, positive work-home interaction negative home-work interaction and positive home-work interaction. The study utilised Schaufeli’s (2002) Utrecth Work Engagement Scale (UWES) which consists of three interrelated dimensions: vigour, dedication and absorption. A quantitative cross-sectional survey was followed and the data was collected from a population of 1 063 working adults through a Web-based survey. The results revealed significant relationships between the variables. Specifically, the results revealed that positive work-home interaction and positive home-work interaction appeared to be stronger correlated to engagement than the five dimensions of personality traits. For instance, a Pearson correlation analysis revealed that positive work-home interaction (r = .33) and positive home-work interaction (r = .30) had the highest correlation with employee engagement. In the same vein, the canonical correlation analysis revealed that positive work-home interaction, positive home-work interaction, agreeableness, conscientiousness and emotional stability exhibited the highest correlation with the canonical employee engagement construct variate. The results of the structural equation modelling further confirmed that the interaction of three personality traits, namely, agreeableness, conscientiousness and emotional stability and two of the work-life balance constructs, which are positive work-home interaction and positive home-work interaction, significantly and positively predicted employee engagement. The outcomes can be useful in informing employee engagement strategies, particularly in the recruitment, selection and retaining of highly skilful talents. Specifically, the study provided practical recommendations for employee engagement practices, based on the literature review and empirical results. This study highlighted the manner in which the personality traits and work-life balance variables impacted on employee engagement behavior. / Industrial and Organisational Psychology / D. Litt. et. Phil. (Industrial and Organisational Psychology)