A Configurational Approach to the Relationship Between High-Performance Work Practices and Frontline Health Care Worker Outcomes

Frontline health care workers—a category that includes nursing assistants and several types of technicians—are more satisfied at work when they receive supervisor support and participate in team-based work practices.

Health care organizations traditionally see their frontline workers (FLWs) as expendable. However, as the U.S. population ages and demand for health services climbs, FLWs’ cost-effectiveness makes them increasingly valuable.

High-performance work practices (HPWP) are bundles of mutually reinforcing work policies that promote worker satisfaction and increase organizational performance. The study presented here examined two “subsystems” of HPWP: staff motivation and frontline empowerment. Specifically, the authors hypothesized that when health care organizations instituted the two subsystems, there wo