Abstract
Recent mental health (MH) reforms have had a sharp impact on practices among MH professionals. A deeper understanding of factors contributing to their job satisfaction, in this context, may help improve quality and continuity of care. The purpose of this study was to identify variables associated with job satisfaction for 315 MH professionals in Quebec (Canada) after implementation of wide-ranging MH reforms. Job satisfaction was measured with the Job Satisfaction Survey. Independent variables were conceptualized within five domains: 1) Professional Characteristics, 2) Team Attributes, 3) Team Processes, 4) Team Emergent States, and 5) Organizational Culture. Univariate, bivariate and multivariate analyses were performed. Job satisfaction was significantly associated with absence of team conflict, stronger team support, better team collaboration, greater member involvement in the decision-making process (Team Processes), Affective commitment toward the team (Team Emergent States), as well as lack of a market/rational culture (Organizational Culture). Job satisfaction was strongly related to team processes and, to a lesser extent, team emergent states.
Highlights
The renewal of mental health (MH) systems, with a goal of improving quality and continuity of care, has been on the agenda in several countries since the 2000s
This study aimed to identify variables linked to job satisfaction among 315 MH professionals in Quebec (Canada) following the implementation of a major MH reform
This cross-sectional study stems from a comprehensive evaluation of the 2005 Quebec MH reform [1], which set up 95 local health services networks, and merged general hospitals, nursing homes, and local community service centers to create a health and social service center (HSSC) within each network
Summary
The renewal of mental health (MH) systems, with a goal of improving quality and continuity of care, has been on the agenda in several countries since the 2000s. The province of Quebec (Canada) exemplifies this international trend: the 2005 Quebec MH reform aimed to strengthen primary care MH services, and improve collaboration among psychiatrists and general practitioners through shared care initiatives in order to improve the integration of primary care and specialized MH services [1]. These changes had considerable impact on the practices of MH professionals. Those transferred from specialized services to primary care settings faced increased resource scarcity, for example. While client satisfaction was the central focus of MH reform [2], job satisfaction among MH professionals was, and remains, a major consideration
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