Abstract

In taking a goal pursuit perspective into account, the present study examined associations between the context, process and outcome evaluation of an organizational health intervention (OHI) implemented within 29 teams in a hospital setting. In doing so, team climate for innovation as a context factor was measured at baseline (N = 529). Four to six weeks after baseline, N = 250 team representatives participated in a 4-day workshop. During the workshop employees formulated collective goals as action plans to be implemented in the nursing wards. Goal pursuit as a process factor was differentiated into (a) a motivational “goal setting” and (b) a volitional “goal striving” phase. The scale of outcome expectancy (measured after the fourth day of the workshop) was used as an indicator for the goal setting phase. For the operationalization of the goal striving phase, action plans were coded with regard to the proportion of formulated implementation intentions (“if-then plans”). After 6 months, the outcome of the intervention was measured on a retrospective impact scale (N = 385). The results of the multiple regression analysis and of the multilevel analysis show that both team climate and goal pursuit (outcome expectancy and the proportion of if-then plans) were positively related to the perceived impact of the intervention. Furthermore, the results show that the relationship between team climate and the impact of the intervention was mediated by outcome expectancy. The results highlight the contribution of goal theory within context-process-outcome research that leads to a better understanding of when and why OHIs are effective.

Highlights

  • Organizational health interventions (OHIs) aim to tackle organizational issues at their source by changing how work is designed, organized and managed

  • In taking a goal pursuit perspective into account, this study aims to explore the influence of contextual conditions on the impact of an OHI that is mediated by the intervention process

  • Besides team climate as a context factor, this study focused on the process of the intervention in referring to the psychology of action (Lewin et al, 1944) as a theoretical framework for goal pursuit that differentiates between a goal setting and a goal striving phase

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Summary

Introduction

Organizational health interventions (OHIs) aim to tackle organizational issues at their source by changing how work is designed, organized and managed. Shows inconsistent effects regarding these interventions, due to the complexity of social systems that are difficult to control. This means that some subsystems within the organization addressed by the intervention may support change whereas others may inhibit it (Semmer, 2006). Several researchers have developed frameworks for process evaluation that focus on the implementation of the intervention and how it influences the outcomes (e.g., Nielsen et al, 2010; Biron and Karanika-Murray, 2013; Nielsen and Abildgaard, 2013). Despite the availability of these frameworks, a recent review still claims that lack of theory within process research hinders further progress in intervention evaluation development (Havermans et al, 2016)

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