We Are All in This Together, or Are We? Job Strain and Coping in the Context of an E-Healthcare System Implementation

• 成果类型: Article
• 署名作者: Sykes, Tracy Ann; Aljafari, Ruba
• 署名单位: University of Arkansas System; University of Arkansas Fayetteville; Virginia Polytechnic Institute & State University
• 刊物名称: JOURNAL OF MANAGEMENT INFORMATION SYSTEMS
• ISSN/ISSBN: 0742-1222
• DOI: 10.1080/07421222.2022.2127450
• 发表日期: 2022
• 页码: 1215-1247
• 关键词: mixed-methods research; information-systems; OCCUPATIONAL STRESS; LONGITUDINAL-FIELD; Knowledge transfer; support structures; social networks; TECHNOLOGY; technostress; performance

摘要

Doctors and paraprofessionals operate in stressful environments that jeopardize their well-being and quality of care. E-healthcare systems have been promoted by government initiatives (e.g., HITECH act) to support healthcare services. Recent evidence suggests, however, that these systems contribute to job strain. Drawing on findings from a qualitative study and proximity and homophily theories, we integrate the healthcare context to develop and test a research model of friendship network ties among and between doctors and paraprofessionals as a coping mechanism for alleviating job strain. We test our model in a year-long field study in a hospital that implemented a new e-healthcare system, with two waves of data collected from 152 doctors and 731 paraprofessionals. Our findings move beyond the classical view of friendship as a conduit of coping by suggesting that the source of friendship network ties could reduce or aggravate strain as doctors and paraprofessionals continue to interact with the system over time.