Gratitude, or the Positive Side of the Relationship with Patients. Development and First Validation of New Instruments: A Scale of Gratitude Perceived by Operators and a Scale of Support Offered by the Gratitude Expressed by Their Patients

Abstract

The relationship with patients/users is a crucial dimension for helping professionals. It is nevertheless mostly analyzed in its negative connotation, that’s to say as a possible cause, for example, of the burnout syndrome, while very few are research works that take into account the positive side of the relationship, as a resource more than a problem, and even fewer are the instruments to measure it. The aim of the present work is the development and the analysis of the characteristics of a scale to measure the gratitude expressed by patients perceived by operators and of a scale to measure the perception of support that gratitude by patients/customers offers to relieve the fatigue of daily commitment and return significance to their work. The two scales were developed and then integrated into a questionnaire including items regarding the negative side of the relationship (exceeding requests from patients) and the Customer-initiated support scale (Zimmermann et al., 2011). The questionnaire was filled in by 267 nurses in Piedmont, Italy. Descriptive analyses on each item, exploratory factor analysis, Cronbach’s alpha, analysis of variance, and bivariate correlations were conducted. Both scales show a one-factor solution. The independent sample t-tests highlighted differences between men and women and between people who have families to care for and people who do not. Bivariate correlations signalled a positive relationship between both the gratitude scales and the Customer-initiated support; no relationships are evident with the scale of exceeding request from patients. A limitation of the work is the dimension of the sample: a more extensive administration of the questionnaire is currently in progress that will also permit to more deeply investigate the factorial structure of the scales. The scales will allow filling a gap in measuring a central work issue for helping professions.

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Martini, M. & Converso, D. (2014). Gratitude, or the Positive Side of the Relationship with Patients. Development and First Validation of New Instruments: A Scale of Gratitude Perceived by Operators and a Scale of Support Offered by the Gratitude Expressed by Their Patients. Psychology, 5, 572-580. doi: 10.4236/psych.2014.56067.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] Balbo, L. (1982). Crazy Quilts, la riproduzione sociale ed il lavoro di servizio [Crazy Quilts, Social Reproduction and the Work of Service]. In G. Statera (Ed.), Consenso e conflitto nella societa contemporanea [Consensus and Conflict in Contemporary Society] (pp. 47-51). Milano: Franco Angeli.
[2] Bakker, A. B., Demerouti, E., & Schaufeli, W. B. (2003). Dual Processes at Work in a Call Centre: An Application of the Job Demands a Resources Model. European Journal of Work and Organizational Psychology, 12, 393-417.
http://dx.doi.org/10.1080/13594320344000165
[3] Campbell, D. T., & Fiske, D. W. (1959). Convergent and Discriminant Validation by the Multitrait-Multimethod Matrix. Psychological Bulletin, 56, 81-105. http://dx.doi.org/10.1037/h0046016
[4] Colombo, L., Zito, M., & Ghislieri, C. (2012). Influenza lavoro-famiglia e supporti sociali: La soddisfazione lavorativa in un’azienda sanitaria del Nord Italia. Differenze tra personale sanitario e amministrativo [Work-to-Family Influence and Social Supports: Job Satisfaction in a North-Italy Public Health Organization. Differences between Medical and Administrative Staff]. Giornale Italiano di Medicina del Lavoro ed Ergonomia. Supplemento di Psicologia Applicata alla Medicina del Lavoro e della Riabilitazione, 34, A25-A33.
[5] Converso, D., Gattino, S., & Loera, B. (2009). Antecedenti della sindrome di burnout nella Sanita pubblica: Fattori interpersonali e organizzativi [Organizational Justice, Social Support and Burnout amongst Health Care Workers: Direct and Moderating Effects of Social Support]. Risorsa Uomo, 15, 241-258.
[6] Cox, T., Kuk, G., & Leiter, M. P. (1993). Burnout, Health, Work Stress, and Organizational Healthiness. In W. B. Schaufeli, C. Maslach, & T. Marek (Eds.), Professional Burnout: Recent Developments in Theory and Research. Series in Applied Psychology: Social Issues and Questions (pp. 177-193). Philadelphia: Taylor & Francis.
[7] Dormann, C., & Zapf, D. (2004). Customer-Related Social Stressors and Burnout. Journal of Occupational Health Psychology, 9, 61-82. http://dx.doi.org/10.1037/1076-8998.9.1.61
[8] Emmons, R. A. (2007). Thanks!: How the New Science of Gratitude Can Make You Happier. New York: Houghton Mifflin Company.
[9] Ferrara, M., Converso, D., & Viotti, S. (2013). Patient Satisfaction and Occupational Health of Workers in Hospital Care Setting: Associations and Reciprocity. Health, 5, 1622-1628. http://dx.doi.org/10.4236/health.2013.510218
[10] Grandey, A. A., Fisk, G. M., & Steiner, D. D. (2005). Must “Service with a Smile” Be Stressful? The Moderate Role of Personal Control for American and French Employees. Journal of Applied Psychology, 90, 893-904.
http://dx.doi.org/10.1037/0021-9010.90.5.893
[11] Hasselhorn, H. M., Conway, P. M., Widerszal-Bazyl, M., Simon, M., Tackenberg, P., Schmidt, S., Camerino, D., Müller, B. H., & NEXT Study Group (2008). Contribution of Job Strain to Nurses’ Consideration of Leaving the Profession-Results from the Longitudinal European Nurses’ Early Exit Study. Scandinavian Journal of Work, Environment & Health Supplement, 6, 75-82.
[12] Hinkin, T. R. (1998). A Brief Tutorial on the Development of Measures for Use in Survey Questionnaires. Organizational Research Methods, 1, 104-121. http://dx.doi.org/10.1177/109442819800100106
[13] Homburg, C., & Stock, R. (2004). The Link between Salespeople’s Job Satisfaction and Customer Satisfaction in a Business-to-Business Context: A Dyadic Analysis. Journal of the Academy of Marketing Science, 32, 144-158.
http://dx.doi.org/10.1177/109442819800100106
[14] Jourdain, G., & Chênevert, D. (2010). Job Demands—Resources, Burnout and Intention to Leave the Nursing Profession: A Questionnaire Survey. International Journal of Nursing Studies, 47, 709-722.
http://dx.doi.org/10.1016/j.ijnurstu.2009.11.007
[15] Lazarus, R., & Lazarus, B. (1994). Passion and Reason. Making Sense of Our Emotions. New York: Oxford University Press.
[16] 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. http://dx.doi.org/10.1037/0021-9010.81.2.123
[17] Lo Presti, A. (2013). Una valutazione del modello Job Demands-Resources su un campione di operatori della salute [An Evaluation of the Job Demands-Resources Model on a Sample of Health Care Workers]. Psicologia della Salute, 3, 51-74. http://dx.doi.org/10.3280/PDS2013-003003
[18] Martini, M., & Converso, D. (2012). Lo studio del burnout in sanita: Rapporto coi pazienti e relazione lavoro-famiglia come richieste e risorse. [Studying Burnout in the Healthcare: Relationship with the Patients and Work-Family Connection as Requests and Resources]. Giornale Italiano di Medicina del Lavoro ed Ergonomia. Supplemento di Psicologia Applicata alla Medicina del Lavoro e della Riabilitazione, 34, A41-A50.
[19] Maslach, C. (1982). Burnout: The Cost of Caring. Englewood Cliffs, NJ: Prentice-Hall.
[20] McCullough, M. E., Emmons, R. A., & Tsang, J. (2002). The Grateful Disposition: A Conceptual and Empirical Topography. Journal of Personality and Social Psychology, 82, 112-127. http://dx.doi.org/10.1037/0022-3514.82.1.112
[21] McCullough, M. E., Kilpatrick, S. D., Emmons, R. A., & Larson, D. B. (2001). Is Gratitude a Moral Affect? Psychological Bulletin, 127, 249-266. http://dx.doi.org/10.1037/0033-2909.127.2.249
[22] Mills, M. J., Fleck, C. R., & Kozikowski, A. (2013). Positive Psychology at Work: A Conceptual Review, State-of-Practice Assessment, and a Look Ahead. The Journal of Positive Psychology, 8, 153-164.
http://dx.doi.org/10.1080/17439760.2013.776622
[23] Muthén, B., & Kaplan, D. (1985). A Comparison of Some Methodologies for the Factor Analysis of Non-Normal Likert Variables. British Journal of Mathematical and Statistical Psychology, 38, 171-189.
http://dx.doi.org/10.1111/j.2044-8317.1985.tb00832.x
[24] Peterson, C., & Seligman, M. E. P. (2004). Character Strengths and Virtues: A Handbook and Classification. New York: Oxford University Press and Washington DC: American Psychological Association. http://www.viacharacter.org
[25] Rattray, J., & Jones, M. C. (2005). Essential Elements of Questionnaire Design and Development. Journal of Clinical Nursing, 16, 234-243. http://dx.doi.org/10.1111/j.1365-2702.2006.01573.x
[26] Razali, N. M., & Wah, Y. B. (2011). Power Comparisons of Shapiro-Wilk, Kolmogorov-Smirnov, Lilliefors and Anderson-Darling Tests. Journal of Statistical Modeling and Anlytics, 2, 21-33.
[27] Selye, H. (1956). Stress of Life. New York: McGraw-Hill.
[28] Taddei, S., & Vanni, D. (2008). Customer-Related Social Stress and Burnout. A Contribution to the Italian Adaptation of the Customer-Related Social Stress Scale. Bollettino di Psicologia Applicata, 256, 41-53.
[29] Toussaint, L., & Friedman, P. (2008). Forgiveness, Gratitude, and Well-Being: The Mediating Role of Affect and Beliefs. Journal of Happiness Studies, 10, 635-654. http://dx.doi.org/10.1007/s10902-008-9111-8
[30] Wright, B. E., & Pandey, S. K. (2008). Public Service Motivation and the Assumption of Person—Organization Fit: Testing the Mediating Effect of Value Congruence. Administration & Society, 40, 502-521.
http://dx.doi.org/10.1177/0095399708320187
[31] Zimmermann, B. K., Dormann, C., & Dollard, M. F. (2011). On the Positive Aspects of Customers: Customer-Initiated Support and Affective Crossover in Employee-Customer Dyads. Journal of Occupational and Organizational Psychology, 84, 31-57. http://dx.doi.org/10.1111/j.2044-8325.2010.02011.x

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