Déterminants managériaux et organisationnels, santé psychologique au travail des soignants et qualité de prise en charge des enfants en oncologie pédiatrique

Psychological health at work for health care providers is an important issue since they are directly involved in quality of patients care. Several indicators are used to evaluate psychological health at work. They are influenced by managerial and organizational factors. In adult onco-hematology, it has been shown that participative management improves quality of life of health care providers. On the other hand, in pediatric oncology, no study had been reported between managerial and organizational factors in psychological health at work of health care providers and quality of patients care. Our study points out that psychological health of health care providers in pediatric oncology is linked to organizational factors (organizational justice, perceived organizational support) and managerial factors (perceived autonomy support, transformational leadership). Moreover, some of these factors have been associated with quality of care perceived by health care providers. No relation between dimensions of quality of care perceived by children and psychological health at work has been found. This study shows an association between participative management and psychological health at work. Some dimensions of participative management has been linked with satisfaction perceived by children. These results emphasize the important role of managers, of participative management and of organization in the psychological health at work of health care providers but, also, in the children's quality of care.