Objective: This study aims to analyze the relationship between individual resilience and several occupational health indicators in a sample of health care workers, as well as exploring the moderating role of organizational resilience and sociodemographic attributes on this relationship. Methodology: This PhD Thesis is composed of two studies. In the first study, the short version of the Benchmark Resilience Tool (BRT-13B) was validated in the Spanish context, to obtain a tool for the evaluation of organizational resilience in the field of High Reliability Organizations (HRO). The total sample (N = 388) conformed by workers of sanitary (N = 174) and nuclear organizations (N = 212). We evaluated the factorial structure of the questionnaire, the internal consistency of the items, the stability of the responses over time and the concurrent validity, based on their association with the safety climate. In the second study, a sample of 325 workers from hospitals in Barcelona was obtained. The impact of individual resilience on several indicators of occupational health was evaluated. Subsequently, we explored the moderating role of organizational resilience and some sociodemographic variables (sex, age and work role) in this relationship. Results: In the first study, the results confirmed that bi-factorial structure presented the best adjustment indexes. The analysis of the invariance showed that this structure was also maintained according to sex and type of organization. Optimal levels of internal consistency of the items and stability of the responses over time were obtained. Organizational resilience scores correlated directly with the safety climate. In the second study, individual resilience was associated with all indicators of occupational health. Age moderated the impact of individual resilience on perceived stress and medical leave. In addition, organizational resilience proved to be an important adjustment variable in the relationship between individual resilience and two indicators of occupational health: perceived stress and job satisfaction. Conclusions: The findings indicate that the questionnaire is reliable and valid in the Spanish context. The application of the short version of the Benchmark Resilience Tool (BRT-13B) allows the evaluation of organizational resilience in a quick and practical way, which would provide a starting point to improve resilience within health care organizations. On the other hand, the importance of taking into account both individual and organizational resilience, to improve the occupational health and well-being of health workers, is highlighted. The theoretical knowledge provided in this study represents relevant inputs for the design of intervention plans in health care organizations.
Resiliencia en organizaciones de salud.
Gonçalves Oliveira, L. (Author). 26 Nov 2019
Student thesis: Doctoral thesis
Student thesis: Doctoral thesis