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While the population in the United States ages and the life expectancy of individuals increases, the need to quality of health care is also increased. It is a strategic concern, however, the cost of health care needed in order to help maintain or increase health care services. In a way to help lower costs, many health care organization will reduce staffing levels while impacting the quality of health care services. In order to help achieve cost-containment strategies, research was conducted to investigate the collaboration between health resource management and facility design (Sadatsfavi, 2015). This is one of few studies in which look at the interaction between both. The study of human resource management focused on the changes and behaviors of employees and changes in attitudes (Sadatsfavi, 2015).


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            Studies of the health care environment further suggest designing a physical setting will increase effectiveness of those providing care while helping to improve job satisfaction. Furthermore, overall stress and “burn out” feeling felt by health care providers and employee was reduced in an improved health care environment decision (Sadatsfavi, 2015). When an organization pays attention to employee needs, the employees, in return, instill more care into the organization and increase motivation to achieve goals. To understand the relationship between employee attitudes and health care management, the following main hypothesis were established: perceived organizational support will help mediate the relationship between human resource practices and job attitudes in an organization (Sadatsfavi, 2015). Job satisfaction, anxiety related to the job, and overall organizational commitment are variables that are focused on in the study.



            Several various hospitals were examined, both nongovernment and nonprofit hospitals were included. Nearly 3,000 individuals were included and surveyed with those participating being mostly women. In terms of the human resource management, roughly 11 differences covered various staff engagement which included the following: communicating the mission and the vision of the organization, sharing of information, employees being involved in decision making, staff acquisition, development of employees, expensive training of staff, career development, frontline empowerment, further decentralizing decision making, employment safety, and selective hiring (Sadatsfavi, 2015).

            The study used a multivariable path analysis to further estimate the connection and relationships that occur between human resource and physical work environment as well as perceived organizational support as well as outcome variables. Research was conducted with a strict confirmatory approach due to the main objective of the overall analysis being focused around evaluating the potential of physical work environment and human resource and its influence outcome variables.



            During the preliminary analysis, researchers examined the distinctiveness of variables representing the employee evaluations of human resource practices from perceived organizational support, organizational commitment, employee job satisfaction, and job-related anxiety. A single-factor model was used to conduct a five-factor model to evaluate using a chi-square difference test (Sadatsfavi, 2015). The overall model measurement had an acceptable fit and was reliable. Collinearity between human resource and physical work environment was accounted for by use of direct modeling to understand the covariance in the path analysis.

In order to verify the indirect effects of human resource and physical work environment on the outcome of the variables through perceived organizational support are statistically significant, testing was conducted and found all indirect paths were significant statistically at p <.05 (Sadatsfavi, 2015). Human resources, overall, had a more predictive capability. There is a relationship between human resource, physical work environment and attitudes of health caregivers. It was also determined human resource has a larger indirect effect on all outcome variables except for the variable of job-related anxiety. Discussion                 With the relatively new health care reform, the health care workforce is expected to expand and grow. Health caregivers' feelings and attitudes have been shown to play a significant influence on the quality of care they deliver. Human resource management should regularly examine the factors that influence health care providers' feelings and attitudes in order to help understand and make plans to make necessary changes. The overall study conducted focused on the underlying processes in which will affect attitudes related to the employees' job as well as the interaction between human resource management with the facility design and operation. The study focused on finding a synergy that was fixed between those two factors for helping to improve the overall job satisfaction of employees and enhancing organizational commitment by all employees (Sadatsfavi, 2015). It was determined perceived organizational support helps mediate the relationship that occurs with participation in decision making and developmental experiences. The physical work environment has a positive affiliation with perceived organizational support.             The evaluations submitted by employees indicated their physical work environment and human resource practices further support the overall importance of an adequate facility design and operation. The positive trend between human resource management and physical work environment will increase employee satisfaction. This study indicates the satisfaction of facility design and operation, satisfaction with human resource practices is both affiliated with bringing a greater improvement to perceived organizational support. It is important to consider providing information of operation practices in order to help address employee health and safety concerns. The study indicates, preliminarily, there is a correlation between a well-designed working environment and the feeling of benefits from employees regarding their efforts. Employees feeling the sense of "care" from human resource management is important in health care settings. The study, one of few, was designed to investigate the overall interaction that occurs between health care facility design and human resource management (Sadatsfavi, 2015). The study did a successful job at proving the important connection between variables as well open up ideas for future studies. 

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