Introduction
The present study seeks to explain the effect of organizational change on employees' mental health with respect to the moderating role of job support and control.
Materials and Methods
This method is descriptive and correlational. The statistical population of the study was the staff of Farshchian Sina Hospital in Hamadan, Iran, a total number of 200 people. Sample size was determined based on Morgan table to be 132 people which were randomly selected. Standard questionnaires of organizational change, general health, job support and job control were used to measure the variables. Data analysis was performed using SPSS 23 (SPSS Inc., Chicago, IL., USA) and smart SPLS version 2.
Table 1. Relationship between questions and research variables
Variables related to research hypotheses |
Number of questions |
Organizational change
|
Role ambiguity |
6 |
Role overload |
5 |
Role conflict |
4 |
Mental health
|
Physical symptoms |
7 |
Anxiety |
7 |
Social dysfunction |
7 |
Depression |
7 |
Job support |
Job support |
12 |
Job control |
Method control |
6 |
Time control |
4 |
Table 2. Results of confirmatory factor analysis of organizational change variable
Variable |
Question |
Factor load |
t-value |
Role ambiguity |
1 |
0.797305 |
41.712533 |
2 |
0.682799 |
23.262664 |
3 |
0.766956 |
23.2477835 |
4 |
0.767309 |
27.969965 |
5 |
0.797427 |
2.997247 |
6 |
0.681619 |
17.908940 |
Role overload |
7 |
0.843860 |
56.609431 |
8 |
0.458643 |
8.097183 |
9 |
0.797305 |
41.712533 |
10 |
0.682799 |
23.262664 |
11 |
0.841400 |
70.363659 |
Role conflict |
12 |
0,574569 |
8,428771 |
13 |
0.830210 |
47.8086667 |
14 |
0.604326 |
14.855353 |
15 |
0.427505 |
7.001188 |
Table 3. Results of confirmatory factor analysis of employees' mental health variables
Variable |
Question |
Confirmatory factor analysis |
Factor load |
t-value |
Physical symptoms |
1 |
0.742250 |
22.040073 |
2 |
0.744642 |
25.254819 |
3 |
0.719317 |
25.899302 |
4 |
0.803937 |
34.427805 |
5 |
0.734821 |
22.706431 |
6 |
0.718706 |
20.270336 |
7 |
0,796139 |
29.768499 |
Anxiety |
8 |
0.817178 |
29.109483 |
9 |
0.659137 |
15.526103 |
10 |
0.701754 |
23.903422 |
11 |
0.786341 |
31.895035 |
12 |
0,572292 |
9.620482 |
13 |
0.678115 |
16.471636 |
14 |
0.778164 |
28.659707 |
Social dysfunction |
15 |
0.663711 |
16.621076 |
16 |
0.451349 |
6.940837 |
17 |
0.634138 |
16.707859 |
18 |
0.808368 |
21.697196 |
19 |
0.7778237 |
18.143658 |
20 |
0.729472 |
8.344141 |
21 |
0.681734 |
5.989715 |
Depression |
22 |
0.809227 |
18.208271 |
23 |
0.810273 |
56.744033 |
24 |
0.733172 |
23.016021 |
25 |
0.767309 |
27.969965 |
26 |
0.790372 |
44.007901 |
27 |
0.681619 |
17.908940 |
28 |
0.843860 |
56.609431 |
Table 4. Results of Job Support Confirmation Factor Analysis
Variable |
Question |
Confirmatory factor analysis |
Factor load |
t-value |
Job Support
|
1 |
0.482082 |
7.212963 |
2 |
0.821875 |
22.392775 |
3 |
0.921731 |
51.329237 |
4 |
0.761358 |
21.344967 |
5 |
0.797305 |
41.712533 |
6 |
0.682799 |
23.262664 |
7 |
0.841400 |
70.363659 |
8 |
0.489733 |
2.402602 |
9 |
0.830210 |
47.8086667 |
10 |
0.604326 |
14.855353 |
11 |
0.427505 |
7.001188 |
12 |
0.820840 |
2.900672 |
Table 5. Results of confirmatory factor analysis of job control
Variable |
Question |
Factor load |
t-value |
Method control
|
1 |
0,542335 |
8.484827 |
2 |
0,530446 |
7.277789 |
3 |
0.622422 |
12.877774 |
4 |
0,522924 |
7,268,978 |
5 |
0.714360 |
18.204314 |
6 |
0.722263 |
21.383358 |
Time control |
7 |
0.654392 |
13.344105 |
8 |
0.726812 |
19.303254 |
9 |
0.763042 |
22.343314 |
10 |
0.680807 |
13.987477 |
Table 6. Convergent validity values
Variable |
Convergent validity |
Role ambiguity |
0.409745 |
Role overload |
0.724587 |
Role conflict |
0.701578 |
Physical symptoms |
0.513046 |
Anxiety |
0.766121 |
Social dysfunction |
0,579232 |
Depression |
0.451055 |
Job support |
0.683233 |
Method control |
0,598404 |
Time control |
0.786761 |
Table 7. Cronbach's alpha coefficients
Variable |
Cronbach's alpha coefficients |
Role ambiguity |
0.620210 |
Role overload |
0.797973 |
Role conflict |
0.773871 |
Physical symptoms |
0.849509 |
Anxiety |
0.710934 |
Social dysfunction |
0.883460 |
Depression |
0.754793 |
Job support |
0.760838 |
Method control |
0.729892 |
Time control |
0.797973 |
Table 8. Composite reliability values
Variable |
Combined reliability |
Role ambiguity |
0.865170 |
Role overload |
0.844951 |
Role conflict |
0.880628 |
Physical symptoms |
0.840284 |
Anxiety |
0.875139 |
Social dysfunction |
0.865170 |
Depression |
0.844951 |
Job support |
0.840284 |
Method control |
0.875139 |
Time control |
0.739101 |
Table 9. Demographic information of the participants
Variable |
|
N (%) |
Age
|
Older than 30 years |
34 (25.8) |
31 to 40 years |
58 (43.9) |
41 to 50 years |
40 (30.3) |
Education
|
Diploma |
4 (3.0) |
Associate Degree |
12 (9.1) |
Bachelor |
99 (75.0) |
Master's degree and higher |
27 (12.9) |
Responsibilities of the respondents |
Less than 5 years |
32 (24.2) |
6 to 10 years |
32 (24.2) |
11 to 15 years |
22 (16.7) |
16 to 20 years |
30 (22.7) |
More than 21 years |
16 (12.1) |
Table 10. Significance factors Z (t-values) for endogenous latent variables
Path |
Significance coefficients Z |
confidence level |
Organizational change on employees' mental health |
11.145 |
95%د |
Organizational change considering the moderating effect of job support on employees' mental health |
2.86 |
95% |
Organizational change considering the moderating effect of job control on employee burnout |
10.02 |
95% |
Table 11. Determination coefficient values for endogenous latent variables
Dimensions and components |
The coefficient of determination |
Mental health of employees |
0.926 |
Table 12. Redundancy criteria
Dimensions and components |
Excess values |
Mental health of employees |
0.154 |
Table 13. Q2 Predictor Relationship Table
Dimensions and components |
Predictive criteria |
Predictive power |
Organizational change |
0.223 |
medium |
Mental health |
0.11 |
medium |
Job support |
0.17 |
medium |
Job control |
0.38 |
Strong |
Results
Findings indicated that 43% of employees' mental health changes are explained by organizational change. Organizational change, considering the moderating effect of job support, has a positive effect on employees' mental health. The standardized coefficient between the two variables showed that 24% of mental health changes are explained by organizational change, taking into account the adjustment effect of job support. Organizational change, considering the moderating effect of job control, also has a positive effect on the mental health of employees. The standardized coefficient between the two variables also showed that 29% of mental health changes are explained by organizational change, considering the moderating effect of job control. Therefore, organizational change has a positive effect on the mental health of Farshchian Hospital staff in Hamadan.
Table 14. Structural path coefficients
Path coefficients |
Path coefficients |
Organizational change on employees' mental health |
-0.436 |
Organizational change considering the moderating effect of job support on employees' mental health |
0.243 |
Organizational change considering the moderating effect of job control on employees' mental health |
0.297 |
Discussion
According to the research findings, it can be said that organizational change was effective on the mental health of the staff of Farshchian Hospital (Sina) in Hamadan.
Organizational change was effective considering the moderating effect of job support on the mental health of Farshchian Hospital (Sina) staff in Hamadan. Disrupting the status quo and eliminating the forces that individually and collectively resist the phenomenon of change, and moving towards a new situation that means organizational change, can cause anxiety and stress and, consequently, reduce the mental health of employees.
It can be said that organizational change was effective in considering the effect of job control moderator on the mental health of the staff of Farshchian Hospital (Sina) in Hamadan. Lack of control over working conditions is one of the factors that, along with stress, is psychologically effective in exacerbating illness or predisposing to burnout and other destructive factors. If a person's job is stressful. However, if a person has the freedom and ability to make decisions about working conditions, his/her mental health will be higher.
Conclusion
The results of the research indicated that making organizational changes in Farshchian Hospital in Hamadan, considering the supportive role and control of managers, improves the mental health of employees.
Acknowledgements
The present study was taken from a dissertation entitled "The effect of organizational change on employees' mental health by examining the moderating role of job support and job control (Case study: staff of Farshchian Hospital (Sina) Hamadan)" which was approved by the Research Council of Alvand Higher Education Institute. We would like to thank the Research Council and the Graduate Studies Office of Alvand Higher Education Institute and all the staff who assisted the research team in carrying out this research. It goes without saying that in this research, ethical principles and conscious satisfaction and trustworthiness were considered.
Conflicts of Interest
The authors declared no conflict of interest.