title: The progressive impact of psychological climate: a prognosis of health care providers' subjective powerlessness in reform legislation.
abstract: This study explores the impact of psychological climate variables on the perceived powerlessness of health care providers with regard to their contribution in reform initiatives. It is proposed that perceptions of powerlessness in intra-organizational settings can and do extend to subjective powerlessness in the socio-political arena. A conceptual framework for the theoretical arguments is provided. The hypotheses were tested on survey data from health care providers employed in a major US primary metropolitan statistical area. Several highly significant relationships were observed. Since the actions of health care administrators are primarily responsible for shaping their institutions' psychological climate, recommendations regarding how administrators can foster psychological climates that induce more provider involvement in reform are offered.
authors.affiliation: University of Southwestern Louisiana, Department of Marketing, Lafayette 70508, USA.
authors.forename: D
authors.initials: D
authors.lastname: Strutton
authors.forename: J
authors.initials: J
authors.lastname: Chowdhury
authors.forename: L E
authors.initials: LE
authors.lastname: Pelton
mesh_terms: D003625:Data Collection; D003659:Decision Making, Organizational; D018166:Health Care Reform / Q000458:organization & administration; D058016:Health Facility Administration; D006270:Health Facility Administrators / Q000523:psychology*; D006801:Humans; D017146:Models, Organizational; D015279:Organizational Culture; D010465:Perception; D011057:Politics; D011209:Power, Psychological; D011590:Psychology, Industrial; D014481:United States; D014505:Urban Population