Flexibility in change practices and job outcomes for nurses: exploring the role of subjective fit

J Adv Nurs. 2013 Dec;69(12):2800-11. doi: 10.1111/jan.12198. Epub 2013 Jun 23.

Abstract

Aims: To integrate existing theoretical perspectives on change management, subjective fit and occupational stress to better understand the effects of change on employee adjustment.

Background: Although subjective fit with organizational goals and objectives has been shown to have positive effects on employee adjustment, its role in the organizational change-occupational stress context is not understood. This represents a caveat in research when considering the notion that those who feel that they fit with the organization's goals may be better equipped to reconcile and deal with change.

Design: A cross-sectional survey of nurses from public and non-profit sector hospitals was conducted.

Method: Data were collected from 252 public and non-profit sector nurses via online surveys. Data were collected from June-October in 2010. Structural equation modelling was used to test the direct and indirect effects among the focal variables.

Results: The results showed that public and non-profit nurses experience flexibility-limiting and flexibility-promoting change initiatives and that these are differentially related to the perception of administrative stressors and adjustment with these relationships directly and indirectly influenced by perceptions of subjective fit. Flexibility-limiting change initiatives led to lower levels of subjective fit, higher levels of administrative stressors and less favourable adjustment. On the other hand, flexibility-promoting change practices led to higher levels of subjective fit, lower levels of administrative stressors and ultimately better adjustment.

Conclusion: The results further the theoretical understanding of the role of subjective fit in organizational change and occupational stress theories.

Keywords: administrative stressors; job satisfaction; nursing; organizational change; organizational commitment; psychological health; subjective fit.

MeSH terms

  • Cross-Sectional Studies
  • Humans
  • Nurse's Role*
  • Nursing Staff / psychology
  • Organizational Innovation*
  • Private Sector
  • Public Sector