Sunday, May 10, 2009

The effect of formal versus informal job security on employee involvement programs.

The effect of formal versus informal job security on employee involvement programs.
By Lautsch, Brenda A.
Publication: Relations Industrielles/Industrial Relations
Date: Saturday, June 22 2002
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This study examines the effect of employee involvement and job insecurity on employee satisfaction and commitment. A data set incorporating information from employees, managers and government sources in fifteen hospitals in a single metropolitan region in the United States is used to test these
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issues. In contrast to previous research, we find that workers' satisfaction and commitment persist as long as the form of employee involvement in place increases worker input and control in their jobs and as long as management is perceived to be making clear efforts to enhance the future security of workers' jobs. Employee perception of management effort to maintain employment security, however, is based on past downsizing within the organization, thus raising the potential that continued downsizing will increase insecurity and therefore will decrease both employee desire to participate in decision-making, as well as employee satisfaction and Employee involvement (EI) benefits both employees and firms. For employees, greater autonomy and participation in decision-making leads to more interesting work and greater job satisfaction (Kochan, Katz, and Mower 1984). For firms, the capacity to involve employees in ongoing organizational decisions is seen as a critical driver of organizational success. Through the incorporation of the ideas and information from employees, organizational flexibility, product quality, and productivity may improve (Adler 1993; Kochan and Osterman 1994). As a result of these benefits, employee involvement has diffused throughout firms in the United States so that some form of involvement is present in most large U.S. firms (Levine 1995).

 While the benefits of employee participation are well documented, particularly the benefits to employees, a question exists as to whether or not job security is an essential complement to involvement programs, and thus whether EI programs are vulnerable to failure in the current environment of rising insecurity. Past studies of EI suggest that insecurity undermines the positive effects of involvement, leading ultimately to employee withdrawal from participation in EI programs and eventual program demise (Levine 1995; Lawler, Ledford and Mohrman 1989; Kochan, McKersie and Katz 1985; Bluestone and Bluestone 1992; Pfeffer 1998).

However, formal job security may no longer be required for employee involvement programs to be successful. Psychological contract theorists argue that workers' expectations of security have changed over the past ten years; workers may no longer expect unconditional job security since the existing volatility in competitive environments places complete security outside management control (Rousseau and Tijoriwala 1998). Instead, workers may now expect only that management will engage in good faith efforts to secure jobs. The implication of this view is that, where employees perceive management to be making such efforts, workers will participate in EI programs and the positive effects of these programs will be maintained even in the midst of restructuring and downsizing. Thus, we investigate whether formal job security is still necessary for EI programs to be effective and to deliver beneficial outcomes to workers, or whether informal job security that arises from employer good intentions and efforts is all that is now required.


 We use a data set incorporating information from multiple sources to examine this issue and to explore the outcomes of employee involvement for workers in the context of insecurity. First, information from employees and managers in fifteen hospitals in a single U.S. metropolitan region is integrated to examine the impact of employee involvement and job insecurity on key outcomes for workers. We focus on satisfaction and commitment because these are important outcomes for workers in their own right. These outcomes also have critical implications for organizations because more-satisfied and committed workers are likely to generate better ideas, exert extra effort and ultimately contribute more to firm performance.

Second, we include data from seven different occupational groups within the hospitals including a broad array of skills and task responsibilities ranging from housekeeping workers to registered nurses to radiological technologists. This is unique among existing studies and enhances our capacity to generalize across occupations within firms. Third, we examine a broad array of employee involvement forms including both direct and indirect forms of participation as well as involvement within the unit (online), and involvement in quality improvement teams (off-line). Finally, these data are gathered from employees in hospitals that have adopted El programs in the midst of efforts to restructure health care delivery through hospital mergers, closures, and restructuring. As hospitals have sought to develop more efficient and effective means for delivering care, administrators have adopted employee involvement programs concurrent with restructuring and downsizing. This combination provides an opportunity to understan d how these initiatives within organizations affect important outcomes.

EMPLOYEE INVOLVEMENT IN A CONTEXT OF INSECURITY

Employee involvement (El) has a long history, dating back to multiple experiments and initiatives in the 1 920s, which showed productivity increases where work groups were given control over the work process (Jacoby 1983; Levine 1995). Job enrichment, socio-technical systems, quality of work life, and high involvement work systems have followed these early organizational efforts to increase employee involvement and boost employee and organizational outcomes. El programs typically arise from the premise that employees who are performing the work are able to contribute useful insights into how to improve their jobs and the operations of the firm. The emergence of El programs also reflects the enduring interest workers have shown in greater involvement in the workplace. For example, studies such as the Worker Representation and Participation Survey (WRPS) in 1994-95 documented continued desire for greater levels of participation in workplace decision making (Freeman and Rogers 1999). El programs have emerged in various forms to meet these interests. In particular, employee involvement programs take both individual and collective forms, including direct involvement of workers in decision-making on their jobs or in teams, as well as involvement through union-management committees.


 While studies of the performance effects of employee involvement programs have yielded mixed results, the positive effect of these practices on many employee outcomes, such as satisfaction, has been strongly supported (Gershenfeld 1987; Marks et al. 1986; Kochan, Katz and Mower 1984). Freeman and Kleiner (2000), for example, conclude that the effect of employee involvement programs on productivity and profitability is slight, while these programs do significantly improve worker well-being. Though worker commitment to their jobs and the organization has been less studied, it too is assumed to be an important part of new high-involvement work practices and a contributor to better organizational performance (Osterman 1995; Meyer and Allen 1997). The link between employee involvement and commitment is particularly important because, even more than satisfaction, commitment fosters organizational citizenship and higher job performance (Bolon 1997; Iaffaldano and Muchinsky 1985). In sum, by increasing employee resp onsibility over decisions, broadening employee jobs, and providing opportunities for engaging in organizational processes, employees experience greater job satisfaction and express higher commitment to the organization.

While involvement in organizational processes increases employee satisfaction and commitment, job insecurity is expected to reduce these employee outcomes. Previous research has found a consistent negative relationship between perceived job insecurity and both employee satisfaction and commitment (Ashford, Lee and Bobko 1989; Steers 1977; Forbes 1985; Oldham et al. 1986). The negative outcomes of insecurity are particularly important because job insecurity is growing, and because, as outlined above, insecurity may undermine the viability of EI programs.


 Management has both formal and informal means of reducing the threats of growing insecurity for EI programs. Past research and theory suggests that formal security policies are necessary for participation programs to be effective. Levine (1995), for example, argues that formal security guarantees are essential to reduce worker fears that their input into improving firm operations will lead to layoffs. These fears reflect the fact that, where EI is successful in increasing productivity but without expanding market share, EI programs are likely to lead to a declining workforce. That these concerns are justified is evident in the recent finding that EI in high performance work organization practices is linked with greater incidence of layoffs (Osterman 2000). Further, longer-term employment relationships are necessary to support involvement programs so firms can recoup associated selection and training costs. This is consistent with the fact that, in previous generations of EI, workers and their unions often de manded unconditional job security before they would agree to participation programs (Eaton 1990).

According to these arguments, explicit job security, whether contained in union-management contracts or personnel policies, should be associated with the success of EI programs. The precise nature of this link, however, is less clear. The arguments of past scholars of El imply that security operates indirectly by enhancing the positive effects of participation programs. Most simply, security gains worker compliance with EI initiatives and ensures the viability of such programs. Where jobs are secure and workers agree to take part in EI, productivity, satisfaction and commitment may also be enhanced. In this way, security strengthens the satisfaction and commitment of workers arising from El, as workers who are secure in their jobs can be more innovative in their suggestions, and have the potential to make more-meaningful contributions and gain a greater sense of control and participation in more interesting work. A direct (or main) effect for security is also possible. As the research on worker reactions to insecurity outlined above shows, job security may also directly impact worker attitudinal outcomes.



 Hypothesis 1a: Explicit employee job security will increase worker satisfaction and organizational commitment.

Hypothesis 1b: Explicit employment security will interact with employee involvement to increase employee satisfaction and commitment.

Alternatively, such formal and unconditional pledges of job security may be unlikely to be upheld, or may lack credibility in the current volatile economic environment. Consequently, these security guarantees may now have little impact on worker attitudes. What may be more powerful are employee perceptions of management intentions. (1)

As with formal job security pledges, managerial "best efforts" to secure jobs may directly and indirectly shape the outcomes of El programs. Where workers perceive that managers will make good faith attempts to secure jobs in the firm, workers satisfaction and commitment to the firm are likely to increase, making participatory programs more sustainable. Further, workers may react to perceptions of managerial efforts to secure their jobs with more creative participation in an EI program, enhancing its benefits in the same way as outlined above for formal security pledges. This mechanism is similar to arguments in the literature on trust, in which it is maintained that trust--or positive beliefs about intentions or future behaviour of another--allow one to accept vulnerability, and to take greater risks that may generate superior results (Rousseau et al. 1998; Dirks and Ferrin 2001).

Hypothesis 2a: Where employees perceive that management will make good faith efforts to ensure future job security, satisfaction and commitment will increase.


 Hypothesis 2b: Employee assessment of management good faith efforts to ensure future job security will interact with employee involvement to increase employee satisfaction and commitment.

Overall, the present study seeks to expand our understanding of employee involvement programs within a context of employment insecurity. It examines whether formal and informal efforts on the part of managers to secure jobs directly influence worker attitudes and whether these security-guarantees also enhance the effects of participation programs. These issues are important because the capacity to maintain employee involvement may rest on whether or not these programs are able to increase worker satisfaction and commitment in an insecure environment.

METHODS

Context and Sample

This research is conducted among employees in fifteen hospitals in a single U.S. metropolitan region. The health care industry in this region has undergone dramatic changes over the past twenty years as managed care has grown and as competitive pressures among hospitals have increased (OTA 1994). Over that time, managed care providers not only reduced reimbursements to hospitals but also demanded improvements in the quality of care. As a result, hospital managers have searched for ways to improve quality and efficiency. With employee wages comprising 40-45 percent of total hospital patient costs, savings from staffing reductions and work reorganization could dramatically improve organization financial performance.




 This pressure facing hospital administrators has resulted in two competing sets of initiatives adopted within the hospitals. First, many hospital administrators developed union-management committees and direct employee involvement as a way to improve organizational performance and flexibility. Formal cooperation between unions and hospital administrators arose in the mid 1980s in response to growing pressure to restructure. Over time, cooperative efforts expanded to most local hospitals with many adopting formal committees for several unions during this time. In addition, hospitals sought to integrate employee ideas and initiative directly into the work process through the adoption of total quality management and greater employee involvement in direct work decisions. For example, one hospital developed a cost cutting and quality improvement team of plant maintenance workers to address employee training and outsourcing. Through this process, the team provided specific recommendations that yielded multi-million dollar savings to the hospital.

At the same time that employee involvement was increasing within the hospitals, the local health care market also faced demands for broad consolidation. During the 1980s and 1990s, nearly one third of all local hospitals either closed or merged with other facilities. Whereas there were over 30 hospitals in the metropolitan region in the 1970s, fewer than 20 hospitals serve the same region today. Moreover, hospital administrators have restructured work processes and role responsibilities in an effort to increase flexibility and reduce costs. Within this sample, nearly 30 percent of the survey respondents have had to change their job location, shift, or title due to reorganization during the previous three years.



 Data for this study were gathered in 1995 and 1996 from 15 out of a total population of 17 hospitals in the Minneapolis / St. Paul area. The analyses in this article are conducted on a data set developed by integrating data from two distinct sources. Data on perceived job security, employee involvement, and outcomes were collected from approximately 1,700 employees in seven occupational groups: registered nurses, licensed practical nurses, nursing assistants, dietary workers, housekeeping aides, radiological technologists, and plant maintenance workers. These occupational groups extend across a wide range of job responsibilities and educational requirements as well as union and non-union employees. The collection of data from multiple occupational groups in multiple organizations within a single region is rare among existing studies. Overall, the response rate on the survey exceeded 64 percent, an excellent response rate for such a large and diverse survey population.

The second source of data is the vice-presidents of human resources at the participating hospitals. These officials provided data on past downsizing in the hospital and the presence of a formal job security commitment. These are provided for each of the seven occupational groups.

Measures

Dependent Variables

Job satisfaction. Job satisfaction addresses employee reaction and perceptions of the nature of work, pay, and promotion (Locke 1983; Price and Mueller 1986). Job satisfaction was measured with a scale composed of respondent's overall satisfaction with the following items: "the fairness of your pay," "your overall work," "your opportunities to get a better job in this hospital," "your involvement in decisions that affect your job," and "opportunities to develop new skills or deepen existing skills at this hospital." Responses were on a Likert scale (1 = very satisfied, 5 = very dissatisfied). The responses to all measures were reversed scored so that higher scores reflect greater satisfaction and averaged to create a single measure of job satisfaction. The Cronbach's alpha for this scale is .69.



 Organizational commitment. Organizational commitment focuses on the idea that committed employees are loyal to the organization, identify with its goals, and wish to work hard to retain membership in it (Blau and Boal 1997). Organizational commitment is measured with 4 items: (1) "in general, the administration treats employees fairly at this hospital," (2) "I am willing to work harder than I have to in order to help this hospital succeed," (3) "I feel very little loyalty to this hospital," and (4) "I find that my values and this hospital's values are very similar." Responses were on a Likert scale (1 = strongly agree, 5 = strongly disagree). The responses to items 1, 2, and 4 were reverse scored and all four averaged together to create a single measure of organizational commitment. The Cronbach's alpha for this scale is .66.

Independent and Control Variables


 This study examines the effect of employee involvement and job insecurity on employee satisfaction and commitment. A data set incorporating information from employees, managers and government sources in fifteen hospitals in a single metropolitan region in the United States is used to test these
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issues. In contrast to previous research, we find that workers' satisfaction and commitment persist as long as the form of employee involvement in place increases worker input and control in their jobs and as long as management is perceived to be making clear efforts to enhance the future security of workers' jobs. Employee perception of management effort to maintain employment security, however, is based on past downsizing within the organization, thus raising the potential that continued downsizing will increase insecurity and therefore will decrease both employee desire to participate in decision-making, as well as employee satisfaction and commitment to the organization.

Este estudio exanuna los efectos de la implicacion y de la estabilidad laboral sobre la satisfaccion y la implicacion. Los resultados se basan en tests efectuados a partir de un conjunto de datos incluyendo informaciones de los empleados, directivos y gobierno provenientes de 15 hospitales de una region metropolitana de los Estados Unidos. En contraste con otras investigaciones, nuestros resultados indican que la satisfaccion y la implicacion de los trabajadores persiste siempre y cuando la forma de participacion laboral implantada incremente el aporte y el control de los trabajadores respecto a su trabajo y siempre y cuando los empleados perciban que la empresa hace esfuerzos netos por asegurar la esabilidad laboral de sus trabajadores. Sin embargo, la percepcion de los empleados respecto al esfuerzo de la direccion por mantener un empleo seguro esta basado en las reducciones anteriores de personal dentro de la organizacion; por consiguiente, la posibilidad de continuas reducciones incrementera la inestabili dad y disminuira, por ende, la voluntad de los empleados a participar en el proceso de decisiones y reducira tambien el nivel de satisfaccion y su implicacion en la organizacion.

**********

Employee involvement (EI) benefits both employees and firms. For employees, greater autonomy and participation in decision-making leads to more interesting work and greater job satisfaction (Kochan, Katz, and Mower 1984). For firms, the capacity to involve employees in ongoing organizational decisions is seen as a critical driver of organizational success. Through the incorporation of the ideas and information from employees, organizational flexibility, product quality, and productivity may improve (Adler 1993; Kochan and Osterman 1994). As a result of these benefits, employee involvement has diffused throughout firms in the United States so that some form of involvement is present in most large U.S. firms (Levine 1995).

While the benefits of employee participation are well documented, particularly the benefits to employees, a question exists as to whether or not job security is an essential complement to involvement programs, and thus whether EI programs are vulnerable to failure in the current environment of rising insecurity. Past studies of EI suggest that insecurity undermines the positive effects of involvement, leading ultimately to employee withdrawal from participation in EI programs and eventual program demise (Levine 1995; Lawler, Ledford and Mohrman 1989; Kochan, McKersie and Katz 1985; Bluestone and Bluestone 1992; Pfeffer 1998).

However, formal job security may no longer be required for employee involvement programs to be successful. Psychological contract theorists argue that workers' expectations of security have changed over the past ten years; workers may no longer expect unconditional job security since the existing volatility in competitive environments places complete security outside management control (Rousseau and Tijoriwala 1998). Instead, workers may now expect only that management will engage in good faith efforts to secure jobs. The implication of this view is that, where employees perceive management to be making such efforts, workers will participate in EI programs and the positive effects of these programs will be maintained even in the midst of restructuring and downsizing. Thus, we investigate whether formal job security is still necessary for EI programs to be effective and to deliver beneficial outcomes to workers, or whether informal job security that arises from employer good intentions and efforts is all that is now required.

We use a data set incorporating information from multiple sources to examine this issue and to explore the outcomes of employee involvement for workers in the context of insecurity. First, information from employees and managers in fifteen hospitals in a single U.S. metropolitan region is integrated to examine the impact of employee involvement and job insecurity on key outcomes for workers. We focus on satisfaction and commitment because these are important outcomes for workers in their own right. These outcomes also have critical implications for organizations because more-satisfied and committed workers are likely to generate better ideas, exert extra effort and ultimately contribute more to firm performance.

Second, we include data from seven different occupational groups within the hospitals including a broad array of skills and task responsibilities ranging from housekeeping workers to registered nurses to radiological technologists. This is unique among existing studies and enhances our capacity to generalize across occupations within firms. Third, we examine a broad array of employee involvement forms including both direct and indirect forms of participation as well as involvement within the unit (online), and involvement in quality improvement teams (off-line). Finally, these data are gathered from employees in hospitals that have adopted El programs in the midst of efforts to restructure health care delivery through hospital mergers, closures, and restructuring. As hospitals have sought to develop more efficient and effective means for delivering care, administrators have adopted employee involvement programs concurrent with restructuring and downsizing. This combination provides an opportunity to understan d how these initiatives within organizations affect important outcomes.

EMPLOYEE INVOLVEMENT IN A CONTEXT OF INSECURITY

Employee involvement (El) has a long history, dating back to multiple experiments and initiatives in the 1 920s, which showed productivity increases where work groups were given control over the work process (Jacoby 1983; Levine 1995). Job enrichment, socio-technical systems, quality of work life, and high involvement work systems have followed these early organizational efforts to increase employee involvement and boost employee and organizational outcomes. El programs typically arise from the premise that employees who are performing the work are able to contribute useful insights into how to improve their jobs and the operations of the firm. The emergence of El programs also reflects the enduring interest workers have shown in greater involvement in the workplace. For example, studies such as the Worker Representation and Participation Survey (WRPS) in 1994-95 documented continued desire for greater levels of participation in workplace decision making (Freeman and Rogers 1999). El programs have emerged in various forms to meet these interests. In particular, employee involvement programs take both individual and collective forms, including direct involvement of workers in decision-making on their jobs or in teams, as well as involvement through union-management committees.

While studies of the performance effects of employee involvement programs have yielded mixed results, the positive effect of these practices on many employee outcomes, such as satisfaction, has been strongly supported (Gershenfeld 1987; Marks et al. 1986; Kochan, Katz and Mower 1984). Freeman and Kleiner (2000), for example, conclude that the effect of employee involvement programs on productivity and profitability is slight, while these programs do significantly improve worker well-being. Though worker commitment to their jobs and the organization has been less studied, it too is assumed to be an important part of new high-involvement work practices and a contributor to better organizational performance (Osterman 1995; Meyer and Allen 1997). The link between employee involvement and commitment is particularly important because, even more than satisfaction, commitment fosters organizational citizenship and higher job performance (Bolon 1997; Iaffaldano and Muchinsky 1985). In sum, by increasing employee resp onsibility over decisions, broadening employee jobs, and providing opportunities for engaging in organizational processes, employees experience greater job satisfaction and express higher commitment to the organization.

While involvement in organizational processes increases employee satisfaction and commitment, job insecurity is expected to reduce these employee outcomes. Previous research has found a consistent negative relationship between perceived job insecurity and both employee satisfaction and commitment (Ashford, Lee and Bobko 1989; Steers 1977; Forbes 1985; Oldham et al. 1986). The negative outcomes of insecurity are particularly important because job insecurity is growing, and because, as outlined above, insecurity may undermine the viability of EI programs.

Management has both formal and informal means of reducing the threats of growing insecurity for EI programs. Past research and theory suggests that formal security policies are necessary for participation programs to be effective. Levine (1995), for example, argues that formal security guarantees are essential to reduce worker fears that their input into improving firm operations will lead to layoffs. These fears reflect the fact that, where EI is successful in increasing productivity but without expanding market share, EI programs are likely to lead to a declining workforce. That these concerns are justified is evident in the recent finding that EI in high performance work organization practices is linked with greater incidence of layoffs (Osterman 2000). Further, longer-term employment relationships are necessary to support involvement programs so firms can recoup associated selection and training costs. This is consistent with the fact that, in previous generations of EI, workers and their unions often de manded unconditional job security before they would agree to participation programs (Eaton 1990).

According to these arguments, explicit job security, whether contained in union-management contracts or personnel policies, should be associated with the success of EI programs. The precise nature of this link, however, is less clear. The arguments of past scholars of El imply that security operates indirectly by enhancing the positive effects of participation programs. Most simply, security gains worker compliance with EI initiatives and ensures the viability of such programs. Where jobs are secure and workers agree to take part in EI, productivity, satisfaction and commitment may also be enhanced. In this way, security strengthens the satisfaction and commitment of workers arising from El, as workers who are secure in their jobs can be more innovative in their suggestions, and have the potential to make more-meaningful contributions and gain a greater sense of control and participation in more interesting work. A direct (or main) effect for security is also possible. As the research on worker reactions to insecurity outlined above shows, job security may also directly impact worker attitudinal outcomes.

Hypothesis 1a: Explicit employee job security will increase worker satisfaction and organizational commitment.

Hypothesis 1b: Explicit employment security will interact with employee involvement to increase employee satisfaction and commitment.

Alternatively, such formal and unconditional pledges of job security may be unlikely to be upheld, or may lack credibility in the current volatile economic environment. Consequently, these security guarantees may now have little impact on worker attitudes. What may be more powerful are employee perceptions of management intentions. (1)

As with formal job security pledges, managerial "best efforts" to secure jobs may directly and indirectly shape the outcomes of El programs. Where workers perceive that managers will make good faith attempts to secure jobs in the firm, workers satisfaction and commitment to the firm are likely to increase, making participatory programs more sustainable. Further, workers may react to perceptions of managerial efforts to secure their jobs with more creative participation in an EI program, enhancing its benefits in the same way as outlined above for formal security pledges. This mechanism is similar to arguments in the literature on trust, in which it is maintained that trust--or positive beliefs about intentions or future behaviour of another--allow one to accept vulnerability, and to take greater risks that may generate superior results (Rousseau et al. 1998; Dirks and Ferrin 2001).

Hypothesis 2a: Where employees perceive that management will make good faith efforts to ensure future job security, satisfaction and commitment will increase.

Hypothesis 2b: Employee assessment of management good faith efforts to ensure future job security will interact with employee involvement to increase employee satisfaction and commitment.

Overall, the present study seeks to expand our understanding of employee involvement programs within a context of employment insecurity. It examines whether formal and informal efforts on the part of managers to secure jobs directly influence worker attitudes and whether these security-guarantees also enhance the effects of participation programs. These issues are important because the capacity to maintain employee involvement may rest on whether or not these programs are able to increase worker satisfaction and commitment in an insecure environment.

METHODS

Context and Sample

This research is conducted among employees in fifteen hospitals in a single U.S. metropolitan region. The health care industry in this region has undergone dramatic changes over the past twenty years as managed care has grown and as competitive pressures among hospitals have increased (OTA 1994). Over that time, managed care providers not only reduced reimbursements to hospitals but also demanded improvements in the quality of care. As a result, hospital managers have searched for ways to improve quality and efficiency. With employee wages comprising 40-45 percent of total hospital patient costs, savings from staffing reductions and work reorganization could dramatically improve organization financial performance.

This pressure facing hospital administrators has resulted in two competing sets of initiatives adopted within the hospitals. First, many hospital administrators developed union-management committees and direct employee involvement as a way to improve organizational performance and flexibility. Formal cooperation between unions and hospital administrators arose in the mid 1980s in response to growing pressure to restructure. Over time, cooperative efforts expanded to most local hospitals with many adopting formal committees for several unions during this time. In addition, hospitals sought to integrate employee ideas and initiative directly into the work process through the adoption of total quality management and greater employee involvement in direct work decisions. For example, one hospital developed a cost cutting and quality improvement team of plant maintenance workers to address employee training and outsourcing. Through this process, the team provided specific recommendations that yielded multi-million dollar savings to the hospital.

At the same time that employee involvement was increasing within the hospitals, the local health care market also faced demands for broad consolidation. During the 1980s and 1990s, nearly one third of all local hospitals either closed or merged with other facilities. Whereas there were over 30 hospitals in the metropolitan region in the 1970s, fewer than 20 hospitals serve the same region today. Moreover, hospital administrators have restructured work processes and role responsibilities in an effort to increase flexibility and reduce costs. Within this sample, nearly 30 percent of the survey respondents have had to change their job location, shift, or title due to reorganization during the previous three years.

Data for this study were gathered in 1995 and 1996 from 15 out of a total population of 17 hospitals in the Minneapolis / St. Paul area. The analyses in this article are conducted on a data set developed by integrating data from two distinct sources. Data on perceived job security, employee involvement, and outcomes were collected from approximately 1,700 employees in seven occupational groups: registered nurses, licensed practical nurses, nursing assistants, dietary workers, housekeeping aides, radiological technologists, and plant maintenance workers. These occupational groups extend across a wide range of job responsibilities and educational requirements as well as union and non-union employees. The collection of data from multiple occupational groups in multiple organizations within a single region is rare among existing studies. Overall, the response rate on the survey exceeded 64 percent, an excellent response rate for such a large and diverse survey population.

The second source of data is the vice-presidents of human resources at the participating hospitals. These officials provided data on past downsizing in the hospital and the presence of a formal job security commitment. These are provided for each of the seven occupational groups.

Measures

Dependent Variables

Job satisfaction. Job satisfaction addresses employee reaction and perceptions of the nature of work, pay, and promotion (Locke 1983; Price and Mueller 1986). Job satisfaction was measured with a scale composed of respondent's overall satisfaction with the following items: "the fairness of your pay," "your overall work," "your opportunities to get a better job in this hospital," "your involvement in decisions that affect your job," and "opportunities to develop new skills or deepen existing skills at this hospital." Responses were on a Likert scale (1 = very satisfied, 5 = very dissatisfied). The responses to all measures were reversed scored so that higher scores reflect greater satisfaction and averaged to create a single measure of job satisfaction. The Cronbach's alpha for this scale is .69.

Organizational commitment. Organizational commitment focuses on the idea that committed employees are loyal to the organization, identify with its goals, and wish to work hard to retain membership in it (Blau and Boal 1997). Organizational commitment is measured with 4 items: (1) "in general, the administration treats employees fairly at this hospital," (2) "I am willing to work harder than I have to in order to help this hospital succeed," (3) "I feel very little loyalty to this hospital," and (4) "I find that my values and this hospital's values are very similar." Responses were on a Likert scale (1 = strongly agree, 5 = strongly disagree). The responses to items 1, 2, and 4 were reverse scored and all four averaged together to create a single measure of organizational commitment. The Cronbach's alpha for this scale is .66.

Independent and Control Variables


Employee involvement. Employee involvement has taken many distinct forms within firms including direct participation as part of the work process and "off-line" participation where employees are involved in teams focusing on quality improvement or cost cutting. Employees can also participate indirectly through representatives in union-management committees (Appelbaum et al. 2000; Rubinstein 2000). To address the array of mechanisms for employee involvement within hospitals, we include three distinct measures of involvement. First, we measure employee involvement in unit decision-making by asking employees the extent to which they participate in several forms of decision making in their work area. Specifically, employees were asked: "To what extent do you participate in decision making over the. following issues: (1) setting work schedules, (2) training unit employees, and (3) defining appropriate work methods." Responses ranged from "never" to "a lot" on a four-point scale. Responses to the three statements we re combined to create a single measure of employee involvement in unit decision-making (Cronbach's alpha = .62). Second, we asked employees two questions regarding their participation on teams in the hospital: (1) "Have you ever participated on a cost cutting team within this hospital?", and (2) "Have you ever participated on a quality improvement team within this hospital?" (0 = no, 1 = yes). These teams have typically been adopted as part of a total quality management initiative within this group of hospitals. Responses to these two questions were averaged to create a measure of employee involvement in off-line teams. Third, we asked union leaders and hospital human resource managers when they first initiated a union-management committee at the hospital. Whereas some unions in some hospitals first initiated this form of involvement in decision making in the early to mid 1980s, others were only adopting unionmanagement committees in the early 1990s. This measure is distinct for each occupation / hospital rel ationship and equal to the number of years a formal union-management committee has been in place. These three measures of employee involvement are kept separate in the analyses, rather than combined in an index since past research has documented that different forms of EI may have different effects (for a review see Cotton et al. 1988).



 Security policies and expectations. To measure formal security policies, we asked the human resources vice-presidents at each hospital whether they have adopted a formal job security policy for each of the seven occupational groups (0 = no, 1 = yes). A second measure of job security, managerial security efforts, gauges workers' assessment of management behaviour in maintaining jobs even in the face of financial pressure. To measure this we asked employees: "Will the hospital make an effort to avoid layoffs in a situation where patient occupancy decreases in the hospital?" (0 no, 1 = yes). These two measures address the role of formal job security guarantees versus a belief that management will seek to ensure security.

Control variables. Past research has shown that work attitudes are influenced by situational and demographic characteristics (Mowday, Porter and Steers 1982). Accordingly, we include control variables in our analysis to limit the possibilities of spurious relationships. We include tenure in the employee's present job title, race (0 = white, 1 = nonwhite), sex (0 = male, 1 = female), and education (1 = some high school, 7 = Masters degree or higher), as well as indicator variables for the occupational groups in our sample with registered nurses as the base category (nursing assistant, licensed practical nurse, dietary workers, housekeeping, radiological technologists, and plant maintenance workers). We also control for hospital size through the log of the total number of patient days in the hospital. We control for unionization with a variable that measures whether or not a union represents the employee's occupational group within the hospital (0 = no, 1 = yes).


 Finally, given that we are highlighting the role of formal and informal security guarantees, it is important to control for threats to workers' jobs that might make such guarantees more meaningful. We include three measures of insecurity to account for this. First, we ask the human resources vice-presidents whether or not there have been occupational layoffs for the different groups arising from downsizing during the previous three years (0 = no, 1 = yes). Second, individual experience with restructuring is measured by asking employees whether "in the last three years, have you had to change your location, shift, or job title due to reorganization?" (0 = no, 1 = yes). Finally, we ask employees to assess their own perceived job insecurity by asking them: "How likely is it that you will lose your job due to hospital downsizing in the next 12 months?" (1 = highly unlikely, 5 = highly likely).

RESULTS

The correlation matrix and descriptive statistics are presented in Tables 1 and 2, and regression results in Table 3. We address below the results for both employee satisfaction and organizational commitment




Table 3). Hypotheses 1 and 2 suggested that the capacity to maintain employee involvement over time arises from management formal job security practices and employee perceptions that management will seek to avoid layoffs even in the face of decreased patient levels. We find that formal job security does not significantly predict employee attitudes. (2) In contrast, employee perceptions that management will seek to avoid layoffs strongly predicts employee job satisfaction and commitment thus supporting hypothesis 2a. The final hypotheses (1b and 2b) address the interaction between employee involvement and these formal and informal security measures. Overall, we find very little support for the hypothesized interaction between employee involvement and job security. Apparently, employees do not perceive a contradiction between their level of job security and efforts to increase participation in decision making. The only interaction that is significant suggests that employees within an occupational group with a f ormal job security arrangement and longer running union-management committees exhibit higher levels of commitment to the organization. Consistent with past research on El, the effect of long-standing union-management committees is enhanced by formal security measures. However, no other forms of participation appear to be influenced by the presence or absence of security guarantees. It is possible that only within a context of long-standing union-based participation will employees believe formal security statements made by management. Overall, however, the effect of EI on satisfaction and commitment seems separate to a great extent from security-related practices and perceptions.




 Finally, results for the control variables show that job satisfaction is higher for non-white workers, for workers with lower tenure, and for workers with lower educational levels. This supports historical characteristics of employment within hospitals as very good entry level jobs for people with low human capital. Organizational commitment is higher for workers with lower educational levels and for employees not represented by a union. Controlling for the nature of union-management relations, unionization predicts lower employee commitment to the organization. Occupational group also significantly predicts the observed level of job satisfaction and organizational commitment with licensed practical nurses and radiological technologists all exhibiting lower job satisfaction than registered nurses, while nursing assistants, housekeeping aides, and plant maintenance workers exhibit higher organizational commitment.

Consistent with past research, we also find a significant negative effect of perceived insecurity on both satisfaction and commitment. Moreover, we find that explicit personal experience with restructuring exerts a significant negative impact on employee satisfaction and commitment to the organization. In contrast, past layoffs within an employee's occupational group do not have a significant effect on either outcome.

Overall, the



 Overall, the results on employee attitudes raise an important issue. It is clear that employee assessment that hospital managers will seek to avoid future layoffs is critical in shaping satisfaction and commitment. However, within a context of downsizing and restructuring, what shapes this perception among employees? To explore this question, we examine the impact of EI, formal job security policies, and past employee experience on employee perception that hospital administrators will seek to avoid layoffs. With the adoption of employee involvement, hospital administrators may convey the message that employees and managers must work together to remain successful. This message may be interpreted as a signal to employees that the hospital administration will seek to protect worker interests and to avoid layoffs. The presence of a formal job security policy may also suggest to employees that management is committed to maintaining employment. Finally, past experiences with restructuring or layoffs in the hospital would reduce employee assessment that management seeks to maintain employment. Overall, employees may interpret management intentions through specific experiences or management policies.

Table 4 shows the results of a Probit analysis examining the influences on employee assessments that management will seek to avoid layoffs even in the face of decreasing patient admissions. Past layoffs within the employee's occupational group and overall perceived job insecurity both shape future expectations about management behaviour. Where layoffs previously occurred within their occupational group, employees do not expect hospital administrators to try to avoid future layoffs. In addition, employees who feel less secure in their job also feel that managers will be less likely to try to avoid future layoffs. Overall, these results suggest that while past downsizing does not directly affect employee satisfaction and commitment, it may shape these outcomes through its effect on employee assessment of future management behaviour. In addition, employees represented by unions have a lower expectation that management will seek to avoid layoffs. In contrast, employees directly involved in decision-making on thei r unit believe that management is more likely to avoid layoffs even if patient occupancy decreases. This suggests that El has not only direct positive effects on job satisfaction and commitment (as shown in Table 3 above), but it also indirectly improves worker attitudes through its influence on employee perceptions of managements' informal security efforts.





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