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Copyright (c) 2024 Elaine Beardsley, Joshua S. Yudkin
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Abstract
The development of the concept of “belonging” in the workplace is still in its early stages and requires to be clearly defined and operationalized. Different authors have interpreted the term “belonging” differently, and without a clear and standardized definition, research measuring the impact of belonging as a concept has seen limited success. However, belonging is increasingly recognized as essential to organizational culture to promote effective communication, safety, team member well-being, and engagement. Pediatric healthcare organizations are unique work environments that may necessitate a tailored definition of belonging. Within a Conservation of Resources Theory framework, this manuscript explores the evolution of belonging. It proposes an integrated definition tailored for pediatric healthcare settings with recommendations for practice and future research. The proposed definition of belonging for pediatric healthcare settings is where individuals within the team have a collective mindset and behaviors to help each other feel supported, valued, safe, supported, and accepted.Total views 75 [Abstract: 43 | PDF: 32 ]
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Declaration of Conflicting Interest
The authors declare no conflicts of interest related to this work.
Acknowledgment
We want to thank Kim Besse, Tammy Webb, Tom Burt, Queen Greene, Brennan Lewis, and Kristin Cummins for their leadership in advancing collaborative efforts to enhance awareness and establish systematic structures that support the well-being of healthcare team members through belonging.
Authors’ Contributions
Each author contributed significantly to the development and writing of this manuscript, and both authors meet the four criteria outlined by the ICMJE.
Data Availability Statement
Not applicable.
Ethical Consideration
Not applicable.
Declaration of the Use of AI in Scientific Writing
None.
References
Aker, S., & Şahin, M. K. (2022). The relationship between school burnout, sense of school belonging and academic achievement in preclinical medical students. Advances in Health Sciences Education, 27(4), 949-963. https://doi.org/10.1007/s10459-022-10121-x
Aljondi, R., Alghamdi, S. S., Alyanbawi, S., Alghamdi, A., Alshomrani, B., Awan, Z., Alsafi, K., Tajaldeen, A., Mattar, E., & Khazindar, A. R. (2022). Job belonging among healthcare workers in radiology departments in Saudi Arabia. Journal of Radiation Research and Applied Sciences, 15(3), 103-108. https://doi.org/10.1016/j.jrras.2022.06.014
Allen, K.-A., Kern, M. L., Rozek, C. S., McInerney, D. M., & Slavich, G. M. (2021). Belonging: A review of conceptual issues, an integrative framework, and directions for future research. Australian Journal of Psychology, 73(1), 87-102. https://doi.org/10.1080/00049530.2021.1883409
Anderson, B. (1983). Imagined communities: Reflections on the origin and spread of nationalism. Rawat Publications. https://books.google.com.sg/books?id=4mmoZFtCpuoC
Anderson, B. (2005). 4. Imagined communities. In Nations and Nationalism (pp. 48-60). Edinburgh University Press. https://doi.org/10.1515/9781474472777-006
Burrowes, S. A. B., Casey, S. M., Pierre-Joseph, N., Talbot, S. G., Hall, T., Christian-Brathwaite, N., Del-Carmen, M., Garofalo, C., Lundberg, B., & Mehta, P. K. (2023). COVID-19 pandemic impacts on mental health, burnout, and longevity in the workplace among healthcare workers: A mixed methods study. Journal of Interprofessional Education & Practice, 32, 100661. https://doi.org/10.1016/j.xjep.2023.100661
Chin, C. (2019). The concept of belonging: Critical, normative and multicultural. Ethnicities, 19(5), 715-739. https://doi.org/10.1177/1468796819827406
Clark, C. M., Gorton, K. L., & Bentley, A. L. (2022). Civility: A concept analysis revisited. Nursing Outlook, 70(2), 259-270. https://doi.org/10.1016/j.outlook.2021.11.001
Cohen, C., Pignata, S., Bezak, E., Tie, M., & Childs, J. (2023). Workplace interventions to improve well-being and reduce burnout for nurses, physicians and allied healthcare professionals: A systematic review. BMJ Open, 13(6), e071203. https://doi.org/10.1136/bmjopen-2022-071203
Crowe, L., Young, J., Smith, A. C., & Haydon, H. M. (2023). Factors that may threaten or protect the wellbeing of staff working in paediatric intensive care environments. Intensive and Critical Care Nursing, 78, 103476. https://doi.org/10.1016/j.iccn.2023.103476
Damschroder, L. J., Aron, D. C., Keith, R. E., Kirsh, S. R., Alexander, J. A., & Lowery, J. C. (2009). Fostering implementation of health services research findings into practice: A consolidated framework for advancing implementation science. Implementation Science, 4, 50. https://doi.org/10.1186/1748-5908-4-50
Esaki, N., Reddy, M., & Bishop, C. T. (2022). Next steps: Applying a trauma-informed model to create an anti-racist organizational culture. Behavioral Sciences, 12(2), 41. https://doi.org/10.3390/bs12020041
Goodenow, C., & Grady, K. E. (1993). The relationship of school belonging and friends' values to academic motivation among urban adolescent students. The Journal of Experimental Education, 62(1), 60-71. https://doi.org/10.1080/00220973.1993.9943831
Gordon, D., Achuck, K., Kempner, D., Jaffe, R., & Papanagnou, D. (2022). Toward unity and inclusion in the clinical workplace: An evaluation of healthcare workforce belonging during the COVID-19 pandemic. Cureus, 14(9), e29454. https://doi.org/10.7759/cureus.29454
Green, H. E. (2014). Use of theoretical and conceptual frameworks in qualitative research. Nurse Researcher, 21(6), 34-38. https://doi.org/10.7748/nr.21.6.34.e1252
Hagerty, B. M., Williams, R. A., Coyne, J. C., & Early, M. R. (1996). Sense of belonging and indicators of social and psychological functioning. Archives of Psychiatric Nursing, 10(4), 235-244. https://doi.org/10.1016/S0883-9417(96)80029-X
Hamama Raz, Y., Hamama, L., Pat‐Horenczyk, R., Stokar, Y. N., Zilberstein, T., & Bron‐Harlev, E. (2021). Posttraumatic growth and burnout in pediatric nurses: The mediating role of secondary traumatization and the moderating role of meaning in work. Stress and Health, 37(3), 442-453. https://doi.org/10.1002/smi.3007
Hansel, T. C., Saltzman, L. Y., & Melton, P. A. (2024). Work environment and health care workforce well-being: Mental health and burnout in medically underserved communities prone to disaster. American Journal of Public Health, 114(S2), 156-161. https://doi.org/10.2105/AJPH.2023.307478
Hoare, J. (2023). The power of connected clinical teams: From loneliness to belonging. Philosophy, Ethics, and Humanities in Medicine, 18(1), 16. https://doi.org/10.1186/s13010-023-00143-7
Hobfoll, S. (2014). Resource caravans and resource caravan passageways: A new paradigm for trauma responding. Intervention: Journal of Mental Health and Psychosocial Support in Conflict Affected Areas, 12(4), 21-32. https://doi.org/10.1097/WTF.0000000000000067
Hobfoll, S. E. (1989). Conservation of resources: A new attempt at conceptualizing stress. American Psychologist, 44(3), 513-524. https://doi.org/10.1037/0003-066x.44.3.513
Huang, L. N., Flatow, R., Biggs, T., Afayee, S., Smith, K., Clark, T., & Blake, M. (2014). SAMHSA's concept of truama and guidance for a trauma-informed approach.
Huang, S.-S., Jen, H.-F., Tsay, S.-L., Wang, Y.-J., & Tung, H.-H. (2024). Organizational culture and trust affect the team-based practice and job satisfaction of nurse practitioners in acute care hospitals: A national survey. Journal of Nursing Management, 2024(1), 2049627. https://doi.org/10.1155/2024/2049627
Kilanowski, J. F. (2017). Breadth of the socio-ecological model. Journal of Agromedicine, 22(4), 295-297. https://doi.org/10.1080/1059924X.2017.1358971
Kohnen, D., De Witte, H., Schaufeli, W. B., Dello, S., Bruyneel, L., & Sermeus, W. (2024). Engaging leadership and nurse well-being: The role of the work environment and work motivation—a cross-sectional study. Human Resources for Health, 22(1), 8. https://doi.org/10.1186/s12960-023-00886-6
Lampinen, M.-S., Konu, A. I., Kettunen, T., & Suutala, E. A. (2018). Factors that foster or prevent sense of belonging among social and health care managers. Leadership in Health Services, 31(4), 468-480. https://doi.org/10.1108/LHS-09-2017-0054
M. Rusdi, Z., & Wibowo, A. (2022). Team mindfulness, team commitment and team respectful engagement: The lens of the conservation of resources theory and the broaden-and-build theory. Organization Management Journal, 19(5), 189-199. https://doi.org/10.1108/OMJ-09-2021-1336
Mahar, A. L., Cobigo, V., & Stuart, H. (2013). Conceptualizing belonging. Disability and Rehabilitation, 35(12), 1026-1032. https://doi.org/10.3109/09638288.2012.717584
Matsuishi, Y., Mathis, B. J., Masuzawa, Y., Okubo, N., Shimojo, N., Hoshino, H., Enomoto, Y., & Inoue, Y. (2021). Severity and prevalence of burnout syndrome in paediatric intensive care nurses: A systematic review. Intensive and Critical Care Nursing, 67, 103082. https://doi.org/10.1016/j.iccn.2021.103082
McClintock, A. H., & Fainstad, T. (2022). Growth, engagement, and belonging in the clinical learning environment: The role of psychological safety and the work ahead. Journal of General Internal Medicine, 37(9), 2291-2296. https://doi.org/10.1007/s11606-022-07493-6
McClunie-Trust, P., Jarden, R., Marriott, P., Winnington, R., Dewar, J., Shannon, K., Jones, S., Jones, V., Turner, R., & Cochrane, L. (2024). Graduate entry nursing students' development of professional nursing self: A scoping review. International Journal of Nursing Studies, 151, 104670. https://doi.org/10.1016/j.ijnurstu.2023.104670
McEwen, B. S. (2012). Brain on stress: How the social environment gets under the skin. Proceedings of the National Academy of Sciences, 109(supplement_2), 17180-17185. https://doi.org/10.1073/pnas.1121254109
Miranda, A. C. R., Fernandes, S. D., Ramos, S., Nunes, E., Fabri, J., & Caldeira, S. (2024). Moral distress of nurses working in pediatric healthcare settings. Healthcare, 12, 1364. https://doi.org/10.3390/healthcare12131364
Neta, G., Brownson, R. C., & Chambers, D. A. (2018). Opportunities for epidemiologists in implementation science: A primer. American Journal of Epidemiology, 187(5), 899-910. https://doi.org/10.1093/aje/kwx323
Pardede, S., & Kovač, V. B. (2023). Distinguishing the need to belong and sense of belongingness: The relation between need to belong and personal appraisals under two different belongingness–conditions. European Journal of Investigation in Health, Psychology and Education, 13(2), 331-344. https://doi.org/10.3390/ejihpe13020025
Poon, Y.-S. R., Lin, Y. P., Griffiths, P., Yong, K. K., Seah, B., & Liaw, S. Y. (2022). A global overview of healthcare workers’ turnover intention amid COVID-19 pandemic: A systematic review with future directions. Human Resources for Health, 20(1), 70. https://doi.org/10.1186/s12960-022-00764-7
Porges, S. W. (2001). The polyvagal theory: Phylogenetic substrates of a social nervous system. International Journal of Psychophysiology, 42(2), 123-146. https://doi.org/10.1016/S0167-8760(01)00162-3
Porges, S. W. (2021). Polyvagal theory: A biobehavioral journey to sociality. Comprehensive Psychoneuroendocrinology, 7, 100069. https://doi.org/10.1016/j.cpnec.2021.100069
Rehder, K., Adair, K. C., & Sexton, J. B. (2021). The science of health care worker burnout: Assessing and improving health care worker well-being. Archives of Pathology & Laboratory Medicine, 145(9), 1095-1109. https://doi.org/10.5858/arpa.2020-0557-RA
Ryan, R. M., & Deci, E. L. (2020). Intrinsic and extrinsic motivation from a self-determination theory perspective: Definitions, theory, practices, and future directions. Contemporary Educational Psychology, 61, 101860. https://doi.org/10.1016/j.cedpsych.2020.101860
Schabram, K., & Heng, Y. T. (2022). How other-and self-compassion reduce burnout through resource replenishment. Academy of Management Journal, 65(2), 453-478. https://doi.org/10.5465/amj.2019.0493
Schaechter, J. D., Goldstein, R., Zafonte, R. D., & Silver, J. K. (2023). Workplace belonging of women healthcare professionals relates to likelihood of leaving. Journal of Healthcare Leadership, 15, 273-284. https://doi.org/10.2147/JHL.S431157
Slepian, M. L., & Jacoby-Senghor, D. S. (2021). Identity threats in everyday life: Distinguishing belonging from inclusion. Social Psychological and Personality Science, 12(3), 392-406. https://doi.org/10.1177/1948550619895008
Stanley, I. H., Hom, M. A., Chu, C., Dougherty, S. P., Gallyer, A. J., Spencer-Thomas, S., Shelef, L., Fruchter, E., Comtois, K. A., & Gutierrez, P. M. (2019). Perceptions of belongingness and social support attenuate PTSD symptom severity among firefighters: A multistudy investigation. Psychological Services, 16(4), 543-555. https://doi.org/10.1037/ser0000240
Sun, J., Sarfraz, M., Ivascu, L., & Ozturk, I. (2023). How does organizational culture affect employees’ mental health during COVID-19? The mediating role of transparent communication. Work, 76(2), 473-488. https://doi.org/10.3233/WOR-220365
Tate, K., Penconek, T., Dias, B. M., Cummings, G. G., & Bernardes, A. (2023). Authentic leadership, organizational culture and the effects of hospital quality management practices on quality of care and patient satisfaction. Journal of Advanced Nursing, 79(8), 3102-3114. https://doi.org/10.1111/jan.15663
Thapa, D. R., Subedi, M., Ekström-Bergström, A., Areskoug Josefsson, K., & Krettek, A. (2022). Facilitators for and barriers to nurses’ work-related health-a qualitative study. BMC Nursing, 21(1), 218. https://doi.org/10.1186/s12912-022-01003-z
Udoudo, D. A., Agu, C. F., Lawrence, E. S., Woolcock, A. M. M., Emanuel-Frith, M., & Kahwa, E. (2023). Factors influencing nurses' self care practices. Journal of Holistic Nursing, 41(3), 285-293. https://doi.org/10.1177/08980101221119776
Ulrich-Lai, Y. M., & Herman, J. P. (2009). Neural regulation of endocrine and autonomic stress responses. Nature Reviews Neuroscience, 10(6), 397-409. https://doi.org/10.1038/nrn2647
van Stralen, D., McKay, S. D., & Mercer, T. A. (2023). Engagement in High Reliability Organizing (HRO): The individual matters. Neonatology Today, 18(2), 30-45.
Yudkin, J. (2021). A renewed call to safeguard public health epistemology. International Journal of Public Health, 66, 1604009. https://doi.org/10.3389/ijph.2021.1604009
Yudkin, J. S., Koym, K., Hamad, Y., Malthaner, L. Q., Burgess, R. M., Ortiz, L. N., Dhurjati, N., Mitha, S., Calvi, G., & Hill, K. (2024). Family-based pediatric weight management interventions in US primary care settings targeting children ages 6–12 years old: A systematic review guided by the RE-AIM framework. Translational Behavioral Medicine, 14(1), 34-44. https://doi.org/10.1093/tbm/ibad051
Zaidi, S. (2022). Integrating psychological safety: Using the all-in method to cultivate belonging and understanding in diversity and inclusion. AI Practitioner, 24(37-42). https://doi.org/10.12781/978-1-907549-53-3-7
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