title: Ownership type and team climate in elderly care facilities: the moderating effect of stress factors.
abstract: OBJECTIVE
  This paper is a report of a study examining the association between ownership type and perceived team climate among older people care staff. In addition, we examined whether work stress factors (time pressure, resident-related stress, role conflicts and role ambiguity) mediated or moderated the above mentioned association.
  
  
  BACKGROUND
  There has been a trend towards contracting out in older people care facilities in Finland and the number of private for-profit firms has increased. Studies suggest that there may be differences in employee well-being and quality of care according to the ownership type of older people care.
  
  
  METHODS
  Cross-sectional survey data was collected during the autumn of 2007 from 1084 Finnish female older people care staff aged 18-69 years were used. Team Climate Inventory was used to measure team climate. Ownership type was divided into four categories: for-profit sheltered homes, not-for-profit sheltered homes, public sheltered homes and not-for-profit nursing homes. Analyses of covariance were used to examine the associations.
  
  
  RESULTS
  Team climate dimensions participative safety, vision and support for innovation were higher in not-for-profit organizations (both sheltered homes and nursing homes) compared to for-profit sheltered homes and public sheltered homes. Stress factors did not account for these associations but acted as moderators in a way that in terms of task orientation and participative safety employees working in for-profit organizations seemed to be slightly more sensitive to work-related stress than others.
  
  
  CONCLUSIONS
  Our results suggest that for-profit organizations and public organizations may have difficulties in maintaining their team climate. In consequence, these organizations should focus more effort on improving their team climate.
authors: National Institute for Health and Welfare, Helsinki, Finland. tarja.heponiemi@thl.fi
authors: Tarja
authors: T
authors: Heponiemi
authors: Marko
authors: M
authors: Elovainio
authors: Anne
authors: A
authors: Kouvonen
authors: Anja
authors: A
authors: Noro
authors: Harriet
authors: H
authors: Finne-Soveri
authors: Timo
authors: T
authors: Sinervo
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000704:Analysis of Variance; D001291:Attitude of Health Personnel; D003430:Cross-Sectional Studies; D005260:Female; D005387:Finland; D006269:Health Facilities, Proprietary / Q000458:organization & administration*; D006801:Humans; D007400:Interprofessional Relations; D007588:Job Satisfaction; D008134:Long-Term Care / Q000458:organization & administration* / Q000523:psychology; D008875:Middle Aged; D015279:Organizational Culture; D010067:Ownership; D011787:Quality of Health Care; D012380:Role; D013315:Stress, Psychological / Q000523:psychology*; D017132:Workplace / Q000458:organization & administration / Q000523:psychology; D055815:Young Adult