Voice bundles in healthcare: the reciprocal relationship between worker and patient-focused voice

Abstract

This chapter calls for a contextualized study of voice as a way to increase disciplinary integration. In doing so, the authors propose a framework for assessing voice in the healthcare setting. Seeking to better understand voice in a specific and well-defined context highlights the need for more comprehensive frameworks that build on a wide array of disciplinary insights. The authors sketch out the potential of integrating some of the disparate literature to examine the issue of employee voice, using the hospital setting and drawing on the healthcare, human resource management (HRM), employment relations (ER) and organizational behaviour (OB) voice research. A broader approach to the study of voice in a specific context allows them to highlight missing conceptual linkages. They also use the hospital context to explore a new avenue for integration: one that encapsulates employee voice associated with patient care, that tends to be associated with the HRM and OB conceptualizations of voice; and voice associated with working conditions, that is more closely aligned with the ER conceptualization of voice. The authors discuss the reciprocal relationship between these two forms of voice, and their influence over employee well-being and patient care outcomes.

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