How to Engage Health Care Workers in the Evaluation of Hospitals: Development and Validation of BSC-HCW1—A Cross-Sectional Study

Abstract

Organizations worldwide utilize the balanced scorecard (BSC) for their performance evaluation (PE). This research aims to provide a tool that engages health care workers (HCWs) in BSC implementation (BSC-HCW1). Additionally, it seeks to translate and validate it at Palestinian hospitals. In a cross-sectional study, 454 questionnaires were retrieved from 14 hospitals. The composite reliability (CR), interitem correlation (IIC), and corrected item total correlation (CITC) were evaluated. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were used. In both EFA and CFA, the scale demonstrated a good level of model fit. All the items had loadings greater than 0.50. All factors passed the discriminant validity. Although certain factors’ convergent validity was less than 0.50, their CR, IIC, and CITC were adequate. The final best fit model had nine factors and 28 items in CFA. The BSC-HCW1 is the first self-administered questionnaire to engage HCWs in assessing the BSC dimensions following all applicable rules and regulations. The findings revealed that this instrument’s psychometric characteristics were adequate. Therefore, the BSC-HCW1 can be utilized to evaluate BSC perspectives and dimensions. It will help managers highlight which BSC dimension predicts HCW satisfaction and loyalty and examine differences depending on HCWs’ and hospital characteristics.

Patient engagement in balanced scorecard and the influence of patient experiences on their attitudes- An implication at Palestinian hospitals

“…This cross-sectional multisite design study is a part of a broad project [16,22,29,49]. This project aims to strategically develop Palestinian hospital performance via the use of BSC perspectives and dimensions.…”

Engaging physicians and nurses in balanced scorecard evaluation - An implication at Palestinian hospitals and recommendations for policy makers

“…This cross-sectional design is a subset of a broad multisite project (15,(18)(19)(20)(21). The project's overall aim is to use BSC perspectives and dimensions to include a wide range of stakeholders in the strategic improvement of Palestinian hospitals' performance.…”

An Empirical Framework for Assessing the Balanced Scorecard Impact on Sustainable Development in Healthcare Performance Measurement

“…Strategic human resources management (SHRM) primarily influences the learning and development dimension within the BSC and the internal process dimension of a firm’s organizational performance [ 32 , 88 ]. Findikli et al [ 89 ] and Amer et al [ 90 ] show that SHRM can improve ‘employees’ motivation by ensuring performance increases. In addition, human resource strategies significantly positively impact organizational performance [ 91 ], affecting the organization’s customer relations and financial results [ 92 , 93 ].…”

“…The potential of digital technologies must be harnessed through the involvement and engagement of human resources in healthcare, particularly of young professionals who are more open to using technologies in any activity [ 16 , 20 , 90 ]. Furthermore, only through an SHRM can organizations integrate digital strategies with human resources strategies and contribute to optimal BSC implementation [ 90 , 93 ].…”

“…Amer et al [ 90 ] consider that the engagement of healthcare staff in implementing BSC could solve the problem of reluctance regarding digital transformation, increasing the satisfaction levels of employees. At the same time, Amer et al [ 90 ] find that the involvement of health personnel in BSC implementation will improve all BSC dimensions.…”