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Title: Employee well-being in the NHS: the work environment, organisational climate, and value-congruence
Author: Jeffrey, Theresa B.
ISNI:       0000 0001 3589 8154
Awarding Body: University of Warwick and University of Coventry
Current Institution: University of Warwick
Date of Award: 2007
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This thesis includes a literature review, empirical paper, and reflective paper which explore different aspects of employee well-being in the NBS. Chapter one reports a conceptual literature review. In this review [mdings from studies linking employee perceptions ofthe work environment and well-being were mapped onto the concept oforganisational climate, as measured by the'Work Environment Scale. This was conducted to investigate the comparability ofmeasuring perceptions of the work environment and measuring climate, because the two concepts appear to overlap. The findings ofstudies were compared and critically appraised, follo'.Â¥ed by a discussion ofthe utility ofthe conceptual approach adopted for the review. The review highlighted gaps in knowledge and understanding with regard to the interaction between employees and their work environment. Further research was specifically recommended to clarify the boundaries between employee perceptions oftheir work environment, their perceptions oforganisational climate, and the relation ofthese two concepts to employee well-being. Qualitative research methodology was recommended to pursue these'aims. I Chapter two reports the findings ofan empirical paper. This paper explored the status of value-congruence in clinical psychologists, with the use ofa grounded theory approach to methodology. The emergent theory highlighted three types ofvalue-congruence and indicated that clinical psychologists express more congruence with the values oftheir profession than with other professional groups or the organisation. A three phase model was proposed to explain the way that clinical psychologists manage the valueincongruence they experience within the NBS and some contributory factors were highlighted. The three phase model indicated that the affects ofvalue-congruence on clinical psychologists' well-being were tempered by experience, because over time . psychologists adapted to value-incongruence by finding new ways ofworking which were more congruentwith their professional values. Nevertheless value-incongruence was a destabilising experience, especially when first encountered early in ones career. Recommendations were made to incorporate discussions, in clinical training, about values and the potential for experiencing value-incongruence in the NBS, as well as endorsing the importance of self-care practices. Chapter three reports a reflective paper which considers how the findings of chapter one and two may be conceptualised under the broad headings of organisational climate and culture, or person-environment fit. It also brings together the findings ofthe two chapters to highlight learning about employee well-being more generally and considers what the NBS could do to help prevent and manage reduced well-being in NBS employees. Clinical psychologists were reported to have a significant role to play in advocating for and aiding employee well-being in the NBS. Recommendations were made for psychologists to utilise the congruence they experience between their personal and professional values to help others to prevent and mange value-incongruence and work related stress. It was proposed that clinical psychologists were well placed to facilitate teams within the NBS; to encourage a more congruent NBS climate consisting ofopenly shared values, support, and training in management ofvalue-incongruence and work related stress. Finally, personal reflections were shared and the author consid,ered what she had learnt from the findings. The author concluded that the [mdings had helped to prepare her somewhat for entering the NBS and the profession of clinical psychology.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (D.Clin.Psy.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available