Amar Shah, S. Akhtar, Tom Ayers, Rosanna Bevan, E. Cannon, Matthew Milarski, R. Souza, Ros Warby
In 2021, 38 healthcare teams across England and Wales took part in the national enjoying work quality improvement collaborative, which aimed to enhance staff wellbeing and create joy in work. Participating teams were supported to use quality improvement methodology and tools as part of a national learning network. At the end of the programme, 16 teams saw an improvement in at least one outcome measure, while 17 teams saw a sustained deterioration in at least one outcome measure. Aggregate data from all teams demonstrated improvements from baseline in all three outcome measures, with a 51% average improvement in the percentage of people who frequently enjoyed being at work, a 41% average improvement in the percentage of people experiencing no symptoms of burnout and a 42% average improvement in the percentage of people who were extremely likely to recommend their team as a place to work. As the first programme on this topic at a national scale, these findings provide ideas for change that can be adapted or replicated by clinical and non-clinical teams to improve their joy and wellbeing at work, and build their understanding of the barriers they may face and what is needed to overcome them. From the ideas tested and the learning from across the collaborative, a theory of change for enhancing staff wellbeing and joy in work has been created to inform future work in this area.
{"title":"Increasing joy in work in UK healthcare teams: a national quality improvement collaborative","authors":"Amar Shah, S. Akhtar, Tom Ayers, Rosanna Bevan, E. Cannon, Matthew Milarski, R. Souza, Ros Warby","doi":"10.12968/bjhc.2022.0139","DOIUrl":"https://doi.org/10.12968/bjhc.2022.0139","url":null,"abstract":"In 2021, 38 healthcare teams across England and Wales took part in the national enjoying work quality improvement collaborative, which aimed to enhance staff wellbeing and create joy in work. Participating teams were supported to use quality improvement methodology and tools as part of a national learning network. At the end of the programme, 16 teams saw an improvement in at least one outcome measure, while 17 teams saw a sustained deterioration in at least one outcome measure. Aggregate data from all teams demonstrated improvements from baseline in all three outcome measures, with a 51% average improvement in the percentage of people who frequently enjoyed being at work, a 41% average improvement in the percentage of people experiencing no symptoms of burnout and a 42% average improvement in the percentage of people who were extremely likely to recommend their team as a place to work. As the first programme on this topic at a national scale, these findings provide ideas for change that can be adapted or replicated by clinical and non-clinical teams to improve their joy and wellbeing at work, and build their understanding of the barriers they may face and what is needed to overcome them. From the ideas tested and the learning from across the collaborative, a theory of change for enhancing staff wellbeing and joy in work has been created to inform future work in this area.","PeriodicalId":35342,"journal":{"name":"British Journal of Health Care Management","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45612592","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Neal, Andrew Cooper, Benna Waites, N. Bell, Adam Race, Martin Collinson
Recent incidents have raised awareness about how corporate decisions and behaviour can negatively affect the health and wellbeing of healthcare professionals. This article uses a case study to explore the harm that failing to follow human resources procedures can cause to individuals, organisational culture and effectiveness, and make recommendations to improve practice. Seven experts from a range of professional backgrounds offered opinions on an individual case study involving the misapplication of a human resources policy, considering how it may have deviated from lawful practice and the potential impact this had on both the individual and the organisation. Thematic analysis was carried out on this qualitative feedback to identify superordinate and subordinate themes. The thematic analysis identified four superordinate themes: failure to follow organisational policies; impact on the individual; impact on the organisation; and failure to learn. Poor application of human resources procedures can cause harm to individuals and organisations in a number of different ways. Human resources departments need to actively protect the health and wellbeing of the individual/s involved in investigative procedures, rather than focusing solely on executing the process.
{"title":"The impact of poorly applied human resources policies on individuals and organisations","authors":"A. Neal, Andrew Cooper, Benna Waites, N. Bell, Adam Race, Martin Collinson","doi":"10.12968/bjhc.2022.0130","DOIUrl":"https://doi.org/10.12968/bjhc.2022.0130","url":null,"abstract":"Recent incidents have raised awareness about how corporate decisions and behaviour can negatively affect the health and wellbeing of healthcare professionals. This article uses a case study to explore the harm that failing to follow human resources procedures can cause to individuals, organisational culture and effectiveness, and make recommendations to improve practice. Seven experts from a range of professional backgrounds offered opinions on an individual case study involving the misapplication of a human resources policy, considering how it may have deviated from lawful practice and the potential impact this had on both the individual and the organisation. Thematic analysis was carried out on this qualitative feedback to identify superordinate and subordinate themes. The thematic analysis identified four superordinate themes: failure to follow organisational policies; impact on the individual; impact on the organisation; and failure to learn. Poor application of human resources procedures can cause harm to individuals and organisations in a number of different ways. Human resources departments need to actively protect the health and wellbeing of the individual/s involved in investigative procedures, rather than focusing solely on executing the process.","PeriodicalId":35342,"journal":{"name":"British Journal of Health Care Management","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49214930","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The National Eye Health Strategy Bill calls for more equitable access to eye care in the UK. Authors from the national charity Vision Care for Homeless People explain how and why reform is needed to ensure access to eye care for people experiencing homelessness.
{"title":"Homelessness and equity of access to NHS eye care: the urgent need for reform","authors":"David Brown, E. Styles, S. Burridge","doi":"10.12968/bjhc.2023.0029","DOIUrl":"https://doi.org/10.12968/bjhc.2023.0029","url":null,"abstract":"The National Eye Health Strategy Bill calls for more equitable access to eye care in the UK. Authors from the national charity Vision Care for Homeless People explain how and why reform is needed to ensure access to eye care for people experiencing homelessness.","PeriodicalId":35342,"journal":{"name":"British Journal of Health Care Management","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45757517","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The COVID-19 pandemic accelerated the implementation of telehealth and virtual care services. Clinicians must be comfortable using this technology in order for it to be developed effectively and implemented consistently. This study evaluated the influence of various factors, including those theorised in the technology acceptance model, on physicians' intention to use teleconsultations in their clinical practice in Chennai, India. A snowball sampling method was used to distribute an online survey to physicians in Chennai, India. The survey measured respondents' intention to use teleconsultations (dependent variable), along seven independent variables relating to this technology (perceived usefulness, perceived ease of use, physicians' attitudes, social influences, facilitating conditions, perceived compatibility with the clinical area and trust). A total of 165 responses were collected. Results were analysed using descriptive and correlational statistics, along with multiple linear regression. All seven independent variables were found to be significantly associated with the dependent variable (P<0.01). Multiple linear regression analysis indicated that the independent variables accounted for 67.8% of the variance in respondents' intention to use teleconsultations. Physicians' intention to use teleconsultations is complex and multi-faceted. Although the factors theorised by the technology acceptance model were significantly associated with intention to use telemedicine, other factors were also found to be important, including social influences, external facilitating factors, perceived compatibility with the clinical area and personal trust in technology.
{"title":"The technology acceptance model and beyond: factors influencing physicians' intention to use teleconsultations","authors":"S. Ranjeni, P. Vasumathi, J. Arun","doi":"10.12968/bjhc.2021.0154","DOIUrl":"https://doi.org/10.12968/bjhc.2021.0154","url":null,"abstract":"The COVID-19 pandemic accelerated the implementation of telehealth and virtual care services. Clinicians must be comfortable using this technology in order for it to be developed effectively and implemented consistently. This study evaluated the influence of various factors, including those theorised in the technology acceptance model, on physicians' intention to use teleconsultations in their clinical practice in Chennai, India. A snowball sampling method was used to distribute an online survey to physicians in Chennai, India. The survey measured respondents' intention to use teleconsultations (dependent variable), along seven independent variables relating to this technology (perceived usefulness, perceived ease of use, physicians' attitudes, social influences, facilitating conditions, perceived compatibility with the clinical area and trust). A total of 165 responses were collected. Results were analysed using descriptive and correlational statistics, along with multiple linear regression. All seven independent variables were found to be significantly associated with the dependent variable (P<0.01). Multiple linear regression analysis indicated that the independent variables accounted for 67.8% of the variance in respondents' intention to use teleconsultations. Physicians' intention to use teleconsultations is complex and multi-faceted. Although the factors theorised by the technology acceptance model were significantly associated with intention to use telemedicine, other factors were also found to be important, including social influences, external facilitating factors, perceived compatibility with the clinical area and personal trust in technology.","PeriodicalId":35342,"journal":{"name":"British Journal of Health Care Management","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49254218","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Partnering to transform healthcare with artificial intelligence","authors":"","doi":"10.12968/bjhc.2023.0048","DOIUrl":"https://doi.org/10.12968/bjhc.2023.0048","url":null,"abstract":"","PeriodicalId":35342,"journal":{"name":"British Journal of Health Care Management","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47117406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This systematic literature review and meta-synthesis aimed to explore the impact of regionalisation of hospital services on healthcare costs. The authors searched PubMed, Scopus, EMBASE, EBSCO, Google Scholar, Web of Science and Cochrane Library databases to identify relevant studies, with no limits based on year of publication or country. Search terms included the key words ‘regionalisation’, ‘hospital’ and ‘cost’, along with related terms. Of the 310 identified studies, 37 were included in the final review. A meta-synthesis was carried out to assess the primary outcome measure of costs in regional hospitals, as well as the secondary outcome measures of patient mortality rates, length of stay and accessibility. A total of 28 studies suggested that regional hospitals had lower long-term costs than non-regional hospitals, largely because of the skills and experience of the clinical teams, as well as investment in specialist medical equipment. Other identified benefits were reduced length of stay and lower patient mortality rates. However, some studies indicated that regionalisation did not entirely eliminate problems relating to patient access, with implications for further study and policy considerations.
本系统的文献综述和元综合旨在探讨医院服务区域化对医疗保健成本的影响。作者检索了PubMed、Scopus、EMBASE、EBSCO、b谷歌Scholar、Web of Science和Cochrane Library数据库，以确定相关研究，没有基于出版年份或国家的限制。搜索词包括关键词“区域化”、“医院”和“成本”，以及相关术语。在确定的310项研究中，有37项纳入了最终审查。进行了一项综合评估，以评估区域医院成本的主要结果指标，以及患者死亡率、住院时间和可及性的次要结果指标。共有28项研究表明，区域医院的长期费用低于非区域医院，这主要是由于临床团队的技能和经验，以及对专业医疗设备的投资。其他确定的好处是缩短住院时间和降低患者死亡率。然而，一些研究表明，区域化并没有完全消除与患者获取有关的问题，这意味着需要进一步的研究和政策考虑。
{"title":"The impact of hospital regionalisation policies on treatment costs: a systematic literature review","authors":"S. Hekmat, Ali Sadatmoosavi, Z. Zare","doi":"10.12968/bjhc.2021.0121","DOIUrl":"https://doi.org/10.12968/bjhc.2021.0121","url":null,"abstract":"This systematic literature review and meta-synthesis aimed to explore the impact of regionalisation of hospital services on healthcare costs. The authors searched PubMed, Scopus, EMBASE, EBSCO, Google Scholar, Web of Science and Cochrane Library databases to identify relevant studies, with no limits based on year of publication or country. Search terms included the key words ‘regionalisation’, ‘hospital’ and ‘cost’, along with related terms. Of the 310 identified studies, 37 were included in the final review. A meta-synthesis was carried out to assess the primary outcome measure of costs in regional hospitals, as well as the secondary outcome measures of patient mortality rates, length of stay and accessibility. A total of 28 studies suggested that regional hospitals had lower long-term costs than non-regional hospitals, largely because of the skills and experience of the clinical teams, as well as investment in specialist medical equipment. Other identified benefits were reduced length of stay and lower patient mortality rates. However, some studies indicated that regionalisation did not entirely eliminate problems relating to patient access, with implications for further study and policy considerations.","PeriodicalId":35342,"journal":{"name":"British Journal of Health Care Management","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47969432","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Maria José Reyes Ramos, Joan M Ferrer Tarrés, S. Costa Abós
Patient safety culture is the product of values, beliefs, attitudes, perceptions, competencies and individual and collective behaviour patterns. Nurses often have the most contact with patients, so their perceptions of patient safety are crucial. This study aimed to assess perceptions of patient safety culture among nurses at a hospital in Spain. A cross-sectional study was conducted using an adapted version of the Hospital Survey on Patient Safety Culture questionnaire. All 244 nurses working in a hospital in Spain took part. Respondents reported their perceptions of patient safety culture in their department in 12 domains using a 5-point Likert scale, with additional questions measuring overall perceptions of patient safety culture, personal and professional characteristics, and the proportion of respondents who had reported a patient safety incident in the previous year. Univariate and bivariate data analysis was performed using Jamovi software to identify relationships between variables. None of the 12 domains had a positive response rate (over 75%), indicating a generally weak patient safety culture. Perceptions of patient safety culture varied between departments, and were also affected by respondents' professional characteristics, such as their years of experience and whether they held a managerial role. Further research and intervention is needed to improve patient safety cultures. It may be useful to assess patient safety culture and tailor strategies for improvement according to the specific needs of individual departments.
{"title":"Nurses' perceptions of patient safety culture: a local phenomenon?","authors":"Maria José Reyes Ramos, Joan M Ferrer Tarrés, S. Costa Abós","doi":"10.12968/bjhc.2021.0133","DOIUrl":"https://doi.org/10.12968/bjhc.2021.0133","url":null,"abstract":"Patient safety culture is the product of values, beliefs, attitudes, perceptions, competencies and individual and collective behaviour patterns. Nurses often have the most contact with patients, so their perceptions of patient safety are crucial. This study aimed to assess perceptions of patient safety culture among nurses at a hospital in Spain. A cross-sectional study was conducted using an adapted version of the Hospital Survey on Patient Safety Culture questionnaire. All 244 nurses working in a hospital in Spain took part. Respondents reported their perceptions of patient safety culture in their department in 12 domains using a 5-point Likert scale, with additional questions measuring overall perceptions of patient safety culture, personal and professional characteristics, and the proportion of respondents who had reported a patient safety incident in the previous year. Univariate and bivariate data analysis was performed using Jamovi software to identify relationships between variables. None of the 12 domains had a positive response rate (over 75%), indicating a generally weak patient safety culture. Perceptions of patient safety culture varied between departments, and were also affected by respondents' professional characteristics, such as their years of experience and whether they held a managerial role. Further research and intervention is needed to improve patient safety cultures. It may be useful to assess patient safety culture and tailor strategies for improvement according to the specific needs of individual departments.","PeriodicalId":35342,"journal":{"name":"British Journal of Health Care Management","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46834216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Bringing creativity into healthcare leadership","authors":"M. Naidoo","doi":"10.12968/bjhc.2023.0047","DOIUrl":"https://doi.org/10.12968/bjhc.2023.0047","url":null,"abstract":"","PeriodicalId":35342,"journal":{"name":"British Journal of Health Care Management","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46839373","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The association between work environment and job satisfaction has not been not clearly established among nurses in Jordan. This systematic literature review was carried out to examine the relationship between Jordanian nurses' job satisfaction and their working environment. The following databases were searched: Cumulative Index of Nursing and Allied Health Literature (CINAHL), Medline, Embase, Ovid and PubMed. Relevant studies that were published in English in a peer-reviewed journal between 2000 and 2021 were eligible for inclusion. The initial search identified 1243 studies, of which five were included in the final review, involving a total of 1489 nurse participants. The results indicated a direct or indirect association between a positive work environment and job satisfaction among nurses in Jordan. This provides further evidence that nurses are more likely to feel satisfied in their jobs if they work in healthy environments, which has implications for staff retention and performance.
{"title":"Work environment and job satisfaction among nurses in Jordan: a systematic literature review","authors":"Rania Wa'el Mohammad Alabed Hasan","doi":"10.12968/bjhc.2021.0128","DOIUrl":"https://doi.org/10.12968/bjhc.2021.0128","url":null,"abstract":"The association between work environment and job satisfaction has not been not clearly established among nurses in Jordan. This systematic literature review was carried out to examine the relationship between Jordanian nurses' job satisfaction and their working environment. The following databases were searched: Cumulative Index of Nursing and Allied Health Literature (CINAHL), Medline, Embase, Ovid and PubMed. Relevant studies that were published in English in a peer-reviewed journal between 2000 and 2021 were eligible for inclusion. The initial search identified 1243 studies, of which five were included in the final review, involving a total of 1489 nurse participants. The results indicated a direct or indirect association between a positive work environment and job satisfaction among nurses in Jordan. This provides further evidence that nurses are more likely to feel satisfied in their jobs if they work in healthy environments, which has implications for staff retention and performance.","PeriodicalId":35342,"journal":{"name":"British Journal of Health Care Management","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44827076","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This article examines the issue of non-consultant hospital doctor (or junior doctor) retention in the Irish healthcare system. It explores factors relating to the mass emigration of junior doctors, and proposes local and organisational solutions to improve training and working conditions, enhance staff engagement and ensure a sustainable workforce.
{"title":"Workforce retention of junior doctors in Ireland: what can be learnt from the literature and international experience?","authors":"","doi":"10.12968/bjhc.2023.0013","DOIUrl":"https://doi.org/10.12968/bjhc.2023.0013","url":null,"abstract":"This article examines the issue of non-consultant hospital doctor (or junior doctor) retention in the Irish healthcare system. It explores factors relating to the mass emigration of junior doctors, and proposes local and organisational solutions to improve training and working conditions, enhance staff engagement and ensure a sustainable workforce.","PeriodicalId":35342,"journal":{"name":"British Journal of Health Care Management","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46873284","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：