ÖRGÜTSEL ADALETİN DUYGUSAL TÜKENMİŞLİK ÜZERİNDEKİ ETKİSİ: SAĞLIK ÇALIŞANLARI ÖRNEĞİ

Öz

Pandemi ile birlikte iş yükleri ve işle ilgili sorunları daha da belirgin hâle gelen sağlık çalışanlarının Türkiye’de maddi ve manevi haklarını elde edememeleri ve karşılaştıkları fiziksel ve psikolojik şiddet olaylarının da etkisiyle sağlık sektöründeki adalet ve tükenmişlik konularına işaret edilmeye çalışılacaktır. Bu bağlamda araştırmanın amacı örgütsel adalet algısının duygusal tükenmişlik üzerindeki etkisini incelemektir. Bu amaç doğrultusunda gerekli olan araştırma verileri Ankara'da bulunan bir araştırma hastanesinde görev yapmakta olan 141 sağlık memurundan yüz yüze anket yöntemi ile 2022 Kasım-Aralık aylarında elde edilmiştir. Çalışanların örgütsel adalet algısı üzerine değerlendirmede bulunabilmek adına literatürde oldukça fazla bir kullanıma sahip olan Niehoff ve Moorman (1993) tarafından geliştirilen dağıtımsal, etkileşimsel ve işlemsel adalet olmak üzere 3 boyuttan oluşan ve 20 madde içeren örgütsel adalet algısı ölçeğinin Yıldırım (2007) tarafından yapılan Türkçe uyarlaması kullanılmıştır. Çalışanların duygusal tükenmişlik algılarını değerlendirebilmek için Maslach ve Jackson (1981) tarafından geliştirilen 3 boyut ve 22 maddeden oluşan ve Maslach Tükenmişlik Envanteri olarak literatürde yer alan ölçekten duygusal tükenme boyutuna ilişkin Türkçe uyarlaması Ergin (1992) tarafından yapılan 9 madde kullanılmıştır. Veri toplamak amacıyla kullanılan ölçekler öncelikli olarak MPlus 7 paket programı kullanılarak doğrulayıcı faktör analizlerine (DFA) tabi tutulmuştur. Bu analizler sonucunda ölçeklere ait uyum iyiliği değerlerinin sağlanmasıyla birlikte örgütsel adalet algısının duygusal tükenmişlik üzerindeki etkisi YEM (yapısal eşitlik modeli) analizi ile teste tabi tutulmuştur. Ulaşılan sonuç, örgütsel adaletin duygusal tükenmişliği anlamlı biçimde ve negatif yönde etkilediğini ortaya koymuştur. Araştırma sonuçları sağlık sektöründeki örgütsel adalet ve tükenmişlik arasındaki ilişkiyi keşfetmenin yararlılığını ortaya koymaktadır. Bu bağlamda, araştırma sektördeki çalışanları anlama ve sektörün öznel iyiliği açılarından önemlidir.

Anahtar Kelimeler

• Örgütsel Adalet
• Tükenmişlik
• Duygusal Tükenmişlik
• Sağlık Çalışanları

THE EFFECT OF ORGANIZATIONAL JUSTICE ON EMOTIONAL EXHAUSTION: THE CASE OF HEALTH EMPLOYEES

Öz

It will be tried to point out the issues of justice and burnout in the health sector, due to the inability of healthcare workers to obtain their material and moral rights in Türkiye, whose workload and work-related problems have become more evident with the pandemic, and the impact of the physical and psychological violence they encounter. In this context, purpose of the research is to examine the effect of organizational justice perception on emotional burnout. The research data required for this purpose was obtained from 141 health officers working in a research hospital in Ankara by face-to-face survey method in November-December 2022. Turkish adaptation made by Yıldırım (2007) of the organizational justice perception scale, which consists of 3 dimensions: distributive, interactional and procedural justice and contains 20 items, developed by Niehoff and Moorman (1993), which has been widely used in the literature in order to evaluate employees’ perception of organizational justice, was used. In order to evaluate employees’ perceptions of emotional exhaustion, 9 items from the scale published in the literature as the Maslach Burnout Inventory, which consists of 3 dimensions and 22 items developed by Maslach and Jackson (1981), were used and the Turkish adaptation of the emotional exhaustion dimension was made by Ergin (1992). The scales used to collect data were primarily subjected to confirmatory factor analysis (CFA) using the MPlus 7 package program. After the CFA along with the goodness of the scales’ fit values, effect of organizational justice on emotional burnout was tested with SEM (structural equation model) analysis. The result revealed that the perception of organizational justice affects emotional burnout in a significant and negative way. Research results reveal the benefit of investigating relation between organizational justice and burnout in the healthcare sector. In this context, the research is important in terms of understanding the employees in the sector and the subjective well-being of the sector.

Anahtar Kelimeler

• Organizational Justice
• Burnout
• Emotional Exhaustion
• Health Employees

Kaynakça

1. Acker, G. (2011). Burnout among mental health care providers. Journal of Social Work, 22(5), 475-490. https://doi.org/10.1177/1468017310392418
2. Adams, J. S. (1963). Toward an understanding of inequity. Journal of Abnormal and Social Psychology, 67, 422-436. https://doi.org/10.1037/h0040968
3. Adams, J. S. (1965). Inequity in social exchange. L. Berkowitz (Ed.), In (Advances in Experimental Social Psychology), (pp. 267-299). New York: Academic Press. https://doi.org/10.1016/S0065-2601(08)60108-2
4. Alarcon, G. (2011). A meta-analysis of burnout with job demands, resources, and attitudes. Journal of Vocational Behavior, 79, 549-562. https://doi.org/10.1016/j.jvb.2011.03.007
5. Al-Zahrani, A. (2011). The impact of organizational justice on job burnout: A study in private hospitals in Riyadh, Saudi Arabia. Interdisciplinary Journal of Contemporary Research in Business, 3(6), 627-637.
6. Aryee, S., Budhwar, P. S., & Chen, Z. X. (2002). Trust as a mediator of the relationship between organizational justice and work outcomes: Test of a social exchange model. Journal of Organizational Behavior, 23(3), 267-286. https://doi.org/10.1002/job.138
7. Bakker, A. B., Schaufeli, W. B., Sixma, H. J., Bosveld, W., & van Dierendonck, D. (2000). Patient demands, lack of reciprocity, and burnout: A five-year longitudinal study among general practitioners. Journal of Organizational Behavior, 21, 425-441. https://doi.org/10.1002/(SICI)1099-1379(200006)21:4<425::AID-JOB21>3.0.CO;2-%23
8. Bakker, A. B., Schaufeli, W., Sixma, H. J., & Bosveld, W. (2001). Burnout contagion among general practitioners. Journal of Social and Clinical Psychology, 20, 82-98. https://doi.org/10.1521/jscp.20.1.82.22251

9. Bies, R. J. & Moag, J. F. (1986). Interactional justice: Communication criteria of fairness. R. J. Lewicki, B. H. Sheppard, and M. H. Bazerman (Eds.), In (Research on Negotiations in Organizations), (pp. 43-55). Greenwich, CT: JAI Press.
10. Blau, P. M. (1964). Exchange and power in social life. New York, NY: Wiley.
11. Brotheridge, C. M. (2003). The role of fairness in mediating the effects of voice and justification on stress and other outcomes in a climate of organizational change. International Journal of Stress Management, 10, 253-268. https://doi.org/10.1037/1072-5245.10.3.253
12. Chenevert, D., Jourdain, G., Cole, N., & Banville, B. (2013). The role of organisational justice, burnout and commitment in the understanding of absenteeism in the Canadian healthcare sector. Journal of Health Organization and Management, 27(3), 350-367. https://doi.org/10.1108/JHOM-06-2012-0116
13. Cohen, J. (2013). Statistical power analysis for the behavioral sciences (Revised Edition), Academic Press.
14. Cohen-Charash, Y., & Spector, P. E. (2002). The role of justice in organizations: A meta-analysis. Organizational Behavior and Human Decision Processes, 86(2), 278-321. https://doi.org/10.1006/obhd.2001.2958
15. Cole, M. S., Bernerth, J. B., Walter, F. & Holt, D. T. (2010). Organizational justice and individuals’ withdrawal: Unlocking the influence of emotional exhaustion. Journal of Management Studies, 47(3), 367-390. https://doi.org/10.1111/j.1467-6486.2009.00864.x
16. Colquitt, J. A. (2001). On the dimensionality of organizational justice: A construct validation of a measure. Journal of Applied Psychology, 86(3), 386-400. https://doi.org/10.1037/0021-9010.86.3.386
17. Colquitt, J. A., Conlon, D. E., Wesson, M. J., Porter, C. O. L. H., & Ng, K. Y. (2001). Justice at the millennium: A meta-analytic review of 25 years of organizational justice research. Journal of Applied Psychology, 86(3), 425-445. https://doi.org/10.1037/0021-9010.86.3.425
18. Cropanzano, R., Bowen, D. E., & Gilliland, S. W. (2007). The management of organizational justice. The Academy of Management Perspectives, 21(4), 34-48. https://doi.org/10.5465/AMP.2007.27895338
19. Cropanzano, R., Prehar, C. A., & Chen, P. Y. (2002). Using social exchange theory to distinguish procedural from interactional justice. Group & Organization Management, 27(3), 324-351. https://doi.org/10.1177/1059601102027003002
20. Cropanzano, R., Slaughter, J. E., & Bachiochi, P. D. (2005). Organizational justice and black applicants’ reactions to affirmative action. Journal of Applied Psychology, 90(6), 1168-1184. https://doi.org/10.1037/0021-9010.90.6.1168
21. Çam, O. (1992). Tükenmişlik envanterinin geçerlik ve güvenirliğinin araştırılması. VII. Ulusal Psikoloji Kongresi (Kongre Kitabı). Ankara. 22-25 Eylül, 155-160.
22. Çam, O., & Yıldırım, S. (2010). Akademisyen hemşirelerde işe ve kuruma yönelik tutum. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi, 13(2), 76-80.
23. DeConinck, J. B. (2010). The effect of organizational justice, perceived organizational support, and perceived supervisor support on marketing employees' level of trust. Journal of Business Research, 63(12), 1349-1355. https://doi.org/10.1016/j.jbusres.2010.01.003
24. Dishon-Berkovits, M. (2018). The role of organizational justice and stress in predicting job burnout. Journal of Career Development, 45(5), 411-424. https://doi.org/10.1177/0894845317705469
25. Elovainio, M., Kivimäki, M., & Vahtera, J. (2002). Organizational justice: Evidence of a new psychosocial predictor of health. American Journal of Public Health, 92(1), 105-108. https://doi.org/10.2105/AJPH.92.1.105
26. Ergin, C. (1992). Doktor ve hemşirelerde tükenmişlik ve Maslach tükenmişlik ölçeğinin uyarlanması. VII. Ulusal Psikoloji Kongresi, 22-25 Eylül 1992 Hacettepe Üniversitesi, Ankara. 143-154.
27. Felton, J.S. (1998). Burnout as a clinical entity-its importance in health care workers. Occupational Medicine, 48(4), 237-250.
28. Flint, D., Haley, L. M., & McNally, J. J. (2013). Individual and organizational determinants of turnover intent. Personnel Review, 42, 552-572. https://doi.org/10.1108/PR-03-2012-0051
29. Freudenberger, H. (1974). Staff burnout. Journal of Social Issues, 30, 159-165. http://dx.doi.org/10.1111/j.1540-4560.1974.tb00706.x
30. Golembiewski, R. T., Munzenrider, R. F., & Stevenson, J. G. (1986). Phases of burnout: Developments in concepts and applications, New York, NY: Praeger.
31. Greenberg, J. (1986). Determinants of perceived fairness of performance evaluations. Journal of Applied Psychology, 71(2), 340-342. https://doi.org/10.1037/0021-9010.71.2.340
32. Greenberg, J. (1993). Stealing in the name of justice: Informational and interpersonal moderators of theft reactions to underpayment inequity. Organizational Behavior and Human Decision Processes, 54, 81-103. https://doi.org/10.1006/obhd.1993.1004
33. Gürbüz, S. & Şahin, F. (2017). Sosyal bilimlerde araştırma yöntemleri. Ankara: Seçkin Yayıncılık.
34. Halbesleben, J. R. B. (2006). Sources of social support and burnout: A meta-analytic test of the conservation of resources model. Journal of Applied Psychology, 91, 1134-1145. https://doi.org/10.1037/0021-9010.91.5.1134
35. Heffernan, M. & Dundon, T. (2016) Cross-level effects of high-performance work systems (hpws) and employee well-being: The mediating effect of organizational justice. Human Resource Management Journal, 26(2), 211-231. http://dx.doi.org/10.1111/1748-8583.12095
36. Jackson, S. E., & Maslach, C. (1982). After-effects of job-related stress: Families as victims. Journal of Organizational Behavior, 3, 63-77. https://doi.org/10.1002/job.4030030106
37. Jones, D. A., & Skarlicki, D. P. (2005). The effects of overhearing peers discuss an authority's fairness reputation on reactions to subsequent treatment. Journal of Applied Psychology, 90(2), 363-372. https://doi.org/10.1037/0021-9010.90.2.363
38. Kaçmaz, N. (2011). Tükenmişlik (burnout) sendromu. Journal of Istanbul Faculty of Medicine, 68(1), 29-32.
39. Kaya, U., & Özhan, Ç. K. (2012). Duygusal emek ve tükenmişlik ilişkisi: Turist rehberleri üzerine bir araştırma. Çalışma İlişkileri Dergisi, 3(2), 109-130.
40. Kılıç, T., & Aytemiz Seymen, O. (2011). Sağlık sektöründe, tükenmişlik sendromuna etki eden faktörlerin analizi ve bir araştırma. Journal of Management and Economics Research, 9(16), 47-67.
41. Lambert, E. G., Hogan, N. L., Jiang, S., Elechi, O. O., Benjamin, B., Morris, A., Laux, J. M. & Dupuy, P. (2010). The relationship among distributive and procedural justice and correctional life satisfaction, burnout, and turnover intent: An exploratory study. Journal of Criminal Justice, 38, 7-16. https://doi.org/10.1016/j.jcrimjus.2009.11.002
42. Lee, R. T., & Ashforth, B. E. (1993). A further examination of managerial burnout: Toward an integrated model. Journal of Organizational Behavior, 14, 3-20. https://doi.org/10.1002/job.4030140103
43. Lee, R. T., & Ashforth, B. E. (1996). A meta-analytic examination of the correlates of the three dimensions of job burnout. Journal of Applied Psychology, 81, 123-133. https://doi.org/10.1037/0021-9010.81.2.123
44. Leiter, M. P., & Maslach, C. (1988). The impact of interpersonal environment on burnout and organizational commitment. Journal of Organizational Behavior, 9, 297-308. https://doi.org/10.1002/job.4030090402
45. Leventhal, G. S. (1976). The distribution of rewards and resources in groups and organizations. L. Berkowitz and W. Walster (Eds.), In (Advances In Experimental Social Psychology), (pp. 9-131). New York, NY: Academic Press. https://doi.org/10.1016/S0065-2601(08)60059-3
46. Leventhal, G. S. (1980). What should be done with equity theory? New approaches and organizations. K. Gergen, M. Greenberg and R. Willis (Eds.), In (Social Exchange Advances in Theory and Research), (pp. 27-55). New York: Plenum. https://doi.org/10.1007/978-1-4613-3087-5_2
47. Li, Y. (2014). Building affective commitment to organization among Chinese university teachers: The roles of organizational justice and job burnout. Educational Assessment, Evaluation and Accountability, 26, 135-152. https://doi.org/10.1007/s11092-014-9192-3
48. Maslach, C. (1998). A multidimensional theory of burnout. C. L. Cooper (Ed.), In (Theories Of Organizational Stress), (pp. 68-85). Oxford University Press.
49. Maslach, C., & Jackson, S. E. (1981). The measurement of experienced burnout. Journal of Occupational Behavior, 2, 99-113. https://doi.org/10.1002/job.4030020205
50. Maslach, C., & Leiter, M. P. (2008). Early predictors of job burnout and engagement. Journal of Applied Psychology, 93(3), 498-512. https://doi.org/10.1037/0021-9010.93.3.498
51. Maslach, C., Schaufeli, W. B., & Leiter, M. P. (2001). Job burnout. Annual Review of Psychology, 52, 397-422. https://doi.org/10.1146/annurev.psych.52.1.397
52. Moliner, C., Martinez-Tur, V., Peiro, J., Ramos, J. & Cropanzano, R. (2005). Relationships between organizational justice and burnout at the work-unit level. International Journal of Stress Management, 12, 99-116. https://doi.org/10.1037/1072-5245.12.2.99
53. Moorman, R. H. (1991). Relationship between organizational justice and organizational citizenship behaviors: Do fairness perceptions influence employee citizenship? Journal of Applied Psychology, 76(6), 845-855. https://doi.org/10.1037/0021-9010.76.6.845
54. Moorman, R. H., Blakely, G. L., & Niehoff, B. P. (1998). Does perceived organizational support mediate the relationship between procedural justice and organizational citizenship behavior? The Academy of Management Journal, 41(3), 351–357. https://doi.org/10.2307/256913
55. Niehoff, B. P., & Moorman, R. H. (1993). Justice as a mediator of the relationship between methods of monitoring and organizational citizenship behavior. Academy of Management Journal, 36(3), 527-556. https://doi.org/10.2307/256591
56. Oral, A., & Köse, P. (2011). Hekimlerin duygusal emek kullanımı ile iş doyumu ve tükenmişlik düzeyleri arasındaki ilişkiler üzerine bir araştırma. Süleyman Demirel Üniversitesi İktisadi ve İdari Bilimler Fakültesi Dergisi, 16(2), 463-492.
57. Reed, T. (1981). Burn-out: Stages of disillusionment in the helping professions. By Jerry Edelwhich and Archie Brodsky. New York: Human Sciences Press, 1980. NASSP Bulletin, 65(445), 106-106. https://doi.org/10.1177/019263658106544520
58. Robbins, J. M., Ford, M. T., & Tetrick, L. E. (2012). Perceived unfairness and employee health: A meta-analytic integration. Journal of Applied Psychology, 97, 235-272. https://doi.org/10.1037/a0025408
59. Şen, S. (2020). Mplus ile yapısal eşitlik modellemesi uygulamaları. Ankara: Nobel Yayınları.
60. Şeşen, H. (2011). The effect of justice perception on burnout: Testing the mediator role of job satisfaction with structural equation modelling. Kara Harp Okulu Savunma Bilimleri Dergisi, 9(2), 67-90.
61. Thibaut, J., & Walker, L. (1975). Procedural justice: A psychological analysis. Hillsdale, NJ: Lawrence Erlbaum Associates, Inc.
62. Treviño, L. K., & Weaver, G. R. (2001). Organizational justice and ethics program follow-through: Influences on employees' harmful and helpful behavior. Business Ethics Quarterly, 11, 651-671. https://doi.org/10.2307/3857765
63. Tutan, A., & Kökalan, Ö. (2024). The mediation role of work-family conflict in the effect of workplace violence on job satisfaction and intention to leave: A study on health care workers in Turkey. Frontiers in Psychology, 15(1322503). Doi: 10.3389/fpsyg.2024.1322503
64. Uğurlu, N., & Polat, H. (2000). Hemşirelerin tükenmişlik (burnout) düzeyleri ile çeşitli değişkenler arasındaki ilişkinin belirlenmesi. Ege Üniversitesi Hemşirelik Fakültesi Dergisi, 16(2), 59-73.
65. Ünal, G. Ö., İşcan, G., & Ünal, O. (2022). The occurrence and consequences of violence against healthcare workers in Turkey: Before and during the COVID-19 pandemic, Family Practice, 39(6), 1001-1008. https://doi.org/10.1093/fampra/cmac024
66. Westman, M., & Etzion, D. (1995). Crossover of stress, strain and resources from one spouse to another. Journal of Organizational Behavior, 16, 169-181. https://doi.org/10.1002/job.4030160207
67. Witt, L. A., Andrews, M. C., & Carlson, D. S. (2004). When conscientiousness isn't enough: Emotional exhaustion and performance among call center customer service representatives. Journal of Management, 30(1), 149–160. https://doi.org/10.1016/j.jm.2003.01.007
68. Wright, T. A., & Cropanzano, R. (1998). Emotional exhaustion as a predictor of job performance and voluntary turnover. Journal of Applied Psychology, 83(3), 486-493. https://doi.org/10.1037/0021-9010.83.3.486
69. Yıldırım, F. (2007). İş doyumu ile örgütsel adalet ilişkisi. Ankara Üniversitesi SBF Dergisi, 62(1), 253-278. https://doi.org/10.1501/SBFder_0000002016
70. Zhang, A. Q., Li, Z. Y., & Wu, M. Z. (2012). The mediating effect of psychology capital between organizational justice and job burnout among rural primary and secondary school teachers. Chinese Mental Health Journal, 26(8), 635-636.