Engagement and exhaustion in healthcare: a network approach

Abstract

Purpose

Taking a network approach, the purpose of this paper is to investigate the social antecedents of work-related engagement and exhaustion in a sample of Dutch healthcare workers, examining how employees’ structural position in the team (i.e. their centrality in the network) is associated with their engagement and exhaustion. Distinctions are made between instrumental networks (i.e. structural dependencies) and expressive networks (i.e. emotional connectedness through friendships).

Design/methodology/approach

Associations between job characteristics (quantitative demands, emotional demands and influence) and employees’ centrality in the instrumental and expressive networks at work with their self-reported engagement and exhaustion were examined. Network centrality was assessed though a sociometric survey by the total number of nominations each employee received (in-degree centrality) or gave (out-degree centrality) and for both networks separately.

Findings

The results show that whereas job characteristics but not network centrality were associated with exhaustion, network centrality in the expressive network but not job characteristics was associated with engagement. In-degree centrality (being nominated by many co-workers as a friend) was positively associated with engagement, whereas out-degree centrality (nominating many co-workers as a friend) was negatively associated with engagement.

Originality/value

The results support recent findings concerning more multifaceted antecedents of engagement and exhaustion, and underline the importance considering social network characteristics in investigations of work engagement. On a methodological level, the differing results for in-degree and out-degree centrality underline the importance of not only relying on self-reported social relationships but to also capture other-reported data.

Citation

Kowalewski, T. and Ruschoff, B. (2019), "Engagement and exhaustion in healthcare: a network approach", Career Development International, Vol. 24 No. 4, pp. 383-394. https://doi.org/10.1108/CDI-01-2019-0021