医院员工的参与度、满意度、职业倦怠以及对患者死亡率的影响:英国国家医疗服务人员调查的结果。

IF 1.6 Q3 HEALTH POLICY & SERVICES Health Services Management Research Pub Date : 2024-05-01 Epub Date: 2023-05-25 DOI:10.1177/09514848231179175
Robert E Boyle, Leon Jonker, Sudha Xirasagar, Hayrettin Okut, Robert G Badgett
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引用次数: 0

摘要

以往对医疗机构员工及其绩效的研究主要集中在职业倦怠及其对医疗服务的影响上。本研究的目的是在此基础上进行扩展,研究积极的组织状态、参与度以及将雇主推荐为工作场所与职业倦怠相比对医院绩效的影响。研究方法这是一项针对英国国家卫生服务系统(NHS)医院信托基金 2012-2019 年度员工调查受访者的小组研究,医院绩效以调整后的住院病人医院级死亡率汇总指标(SHMI)来衡量。研究结果在单变量回归中,所有三种组织状态都与 SHMI 呈显著负相关,其中推荐和参与呈现非线性效应。在多变量分析中,所有三种状态仍然是 SHMI 的重要预测因素。敬业度和推荐度相互关联,敬业度比推荐度更普遍。结论:我们的研究表明,在优化组织绩效的同时,组织可以通过监控多个劳动力变量来维护或提高劳动力的福利。令人惊讶的发现是,较高的职业倦怠与短期绩效的提高相关联,这一发现需要进一步调查,与员工对工作的参与度相比,员工对工作的建议频率较低这一发现也需要进一步调查。
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Hospital workforce engagement, satisfaction, burnout and effects on patient mortality: Findings from the English national health service staff surveys.

Previous studies of healthcare organizations' workforces and their performance have focused on burnout and its impact on care. The aim of this research is to expand on this and examine the association of positive organizational states, engagement and recommendation of employer as a place to work, in comparison to burnout on Hospital performance. Methods: This was a panel study of the respondents to the 2012-2019 yearly Staff Surveys of the English National Health Service (NHS) hospital Trusts with hospital performance measured by the adjusted inpatient Summary Hospital-level Mortality Indicator (SHMI). Results: In univariable regression, all three organizational states significantly and negatively correlated with SHMI, with recommendation and engagement showing a nonlinear effect. In multivariable analysis, all three states remained significant predictors of SHMI. Engagement and recommendation showed mutual correlation, with engagement being a more prevalent state than recommendation. Conclusion: Our study indicates that organizations could benefit from monitoring multiple workforce variables to preserve or enhance workforce well-being, while optimizing organizational performance. The surprising finding that higher burnout was associated with improved short-term performance requires further investigation, as does the finding of less frequent staff recommendation of work compared to staff engagement with their work.

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来源期刊
Health Services Management Research
Health Services Management Research HEALTH POLICY & SERVICES-
CiteScore
4.00
自引率
4.80%
发文量
33
期刊介绍: Health Services Management Research (HSMR) is an authoritative international peer-reviewed journal which publishes theoretically and empirically rigorous research on questions of enduring interest to health-care organizations and systems throughout the world. Examining the real issues confronting health services management, it provides an independent view and cutting edge evidence-based research to guide policy-making and management decision-making. HSMR aims to be a forum serving an international community of academics and researchers on the one hand and healthcare managers, executives, policymakers and clinicians and all health professionals on the other. HSMR wants to make a substantial contribution to both research and managerial practice, with particular emphasis placed on publishing studies which offer actionable findings and on promoting knowledge mobilisation toward theoretical advances.
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