title: Staff Turnover in Assertive Community Treatment (Act) Teams: The Role of Team Climate.
abstract: Staff turnover in Assertive Community Treatment (ACT) teams can result in interrupted services and diminished support for clients. This paper examines the effect of team climate, defined as team members' shared perceptions of their work environment, on turnover and individual outcomes that mediate the climate-turnover relationship. We focus on two climate dimensions: safety and quality climate and constructive conflict climate. Using survey data collected from 26 ACT teams, our analyses highlight the importance of safety and quality climate in reducing turnover, and job satisfaction as the main mediator linking team climate to turnover. The findings offer practical implications for team management.
authors.affiliation: Department of Health Management and Policy, College of Public Health, University of Iowa, N222 CPHB, 145 N Riverside Dr, Iowa City, IA, 52242, USA. xi-zhu@uiowa.edu.
authors.forename: Xi
authors.initials: X
authors.lastname: Zhu
authors.affiliation: Division of Health Policy and Management, School of Public Health, University of Minnesota, MMC 729, 420 Delaware St SE, Minneapolis, MN, 55455, USA.
authors.forename: Douglas R
authors.initials: DR
authors.lastname: Wholey
authors.affiliation: Department of Health Policy and Management, Fielding School of Public Health, University of California Los Angeles, 31-253B CHS, 650 Charles Young Dr S, Los Angeles, CA, 90095, USA.
authors.forename: Cindy
authors.initials: C
authors.lastname: Cain
authors.affiliation: Department of Health Management and Policy, College of Public Health, University of Iowa, N277 CPHB, 145 N Riverside Dr, Iowa City, IA, 52242, USA.
authors.forename: Nabil
authors.initials: N
authors.lastname: Natafgi
mesh_terms: D000328:Adult; D002055:Burnout, Professional / Q000523:psychology*; D003156:Community Mental Health Services / Q000458:organization & administration*; D005260:Female; D006801:Humans; D007588:Job Satisfaction; D008297:Male; D008875:Middle Aged; D015279:Organizational Culture; D010348:Patient Care Team / Q000458:organization & administration*; D010563:Personnel Turnover / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires
keywords: Assertive community treatment; Burnout; Job satisfaction; Staff turnover; Team climate