Promoting patient care: work engagement as a mediator between ward service climate and patient‐centred care

Abdelhadi, Nasra; Drach‐Zahavy, Anat

doi:10.1111/j.1365-2648.2011.05834.x

Cited by 103 publications

(92 citation statements)

References 60 publications

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“…Studies on nurses in foreign countries have reported that there is no relation between job-demands and work engagement. [19,27,28] Our research showed a negative correlation, although weak, between job-demands and work engagement. The "critical degree of the patient" had a negative influence on work engagement, although there was not sufficient evidence to fully support this relation.…”

Section: Discussionmentioning

confidence: 95%

“…[11,[14][15][16][17][18] Research conducted on nurses in foreign countries have shown that high levels of work engagement lead to contributions to causes outside of nursing, higher quality of care for nursing patients, and motivation to voice opinions in conferences. [19,20] Research conducted in Japan concerning work engagement in nurses has shown the relation towards age, marital status, years of experience, employment/work status, desire to separate from job, role in the workplace, and support from superiors. [21][22][23][24] However, previous studies conducted in Japan have not shown the relation between work engagement and job demands and outcomes, or the role of work engagement in the relationship between job-resources and outcomes.…”

Section: Factors Related To Work Engagement and Their Outcomesmentioning

confidence: 99%

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A study on work engagement among nurses in Japan: the relationship to job-demands, job-resources, and nursing competence

Hontake

Ariyoshi

2016

JNEP

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Objective: This study reviewed the state of work engagement among nurses in Japan, and the relationship to job demands and job resources. Additionally, our research attempted to clarify the role of work engagement on the effects that job-resources have on nursing competence.Methods: A questionnaire composed of the Utrecht Work-Engagement Scale the Brief Scales for Job Stress-Nurse and the Clinical Nursing Competence Self-Assessment Scale was distributed to 917 nurses working in hospitals in Japan.Results: A negative correlation, although slight, was found between job-demands and work engagement. There was a positive correlation between job-resources and work engagement, however, work engagement was only found to be significantly affected by job fulfillment. Work engagement seems to mediate the relationship between job-resources and job-demands however the results from the path analysis did not fully support this model. Conclusions:Our study did not sufficiently explain the relationships between variables. It can be suggested that the correlations between job-resources, job-demands, and work engagement are bidirectional or circulatory, rather than unidirectional.

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Section: Discussionmentioning

confidence: 95%

Section: Factors Related To Work Engagement and Their Outcomesmentioning

confidence: 99%

A study on work engagement among nurses in Japan: the relationship to job-demands, job-resources, and nursing competence

Hontake

Ariyoshi

2016

JNEP

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“…All of them used the UWES and all were cross-sectional self-report questionnaire surveys, except for one study which used a longitudinal design 235 and one that used a combination of methods: structured observations and survey data. 234 The inference of causality from most of the studies is therefore problematic. The most persuasive study, that of Abdelhadi and Drach-Zahavy 234 in Israel, showed that, among a sample of 158 nurses, engagement was positively associated with nurses' patient-centred care measured by structured observations, and that engagement mediated the relationship between service climate and patient-centred care.…”

Section: Synthesis Of Findings For Research Question 22: What Evidenmentioning

confidence: 99%

“…Four studies used the 9-item version, one used the 17-item version and one 234 used an adapted 16-item version without explaining the rationale for the removal of one item.…”

Section: Measurement and Analysis Considerationsmentioning

confidence: 99%

Evaluating the evidence on employee engagement and its potential benefits to NHS staff: a narrative synthesis of the literature

Bailey

Madden

Alfes

et al. 2015

Health Services and Delivery Research

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BackgroundRecent studies have suggested engagement is linked with beneficial outcomes for individuals and organisations. Despite growing demand for resources and advice on engagement within the NHS, there has been no systematic evaluation of how engagement strategies can be developed and operationalised within the NHS.Objectives and research questionsTo evaluate evidence and theories of employee engagement within the NHS and the general workforce to inform policy and practice. Four research questions focused on definitions and models of engagement; the evidence of links between engagement and staff morale and performance; approaches and interventions that have the greatest potential to create and embed high levels of engagement within the NHS; and the most useful tools and resources for NHS managers in order to improve engagement.Review methodsEvidence was evaluated using a narrative synthesis approach involving a structured search of relevant academic databases and grey literature. The search yielded a final data set of 217 items, comprising 172 empirical papers, 38 theoretical articles, four meta-analyses and three books. From the grey literature, only 14 items were used in the analysis.Main findingsThere is no one agreed definition or measure of engagement. Existing approaches were grouped under three headings: a psychological state; a composite attitudinal and behavioural construct; and employment relations practice. Most fell under the first category, with the Utrecht Work Engagement Scale being the most prevalent. Most theorising around engagement used the job demands–resources framework. Thirty-five studies considered engagement and morale, and the most consistent finding was a positive link between engagement and life satisfaction, and a negative link between engagement and burnout. Some studies suggested that engagement was positively associated with organisational commitment and job satisfaction and negatively linked to turnover intentions. Of 42 studies that looked at performance and engagement, the strongest support was found for a link between engagement and individual in-role performance and a negative link between engagement and counterproductive performance outcomes. A link between engagement and higher-level performance outcomes was also found. Of 155 studies that explored approaches and interventions that promote engagement, the strongest support was found for the following: positive psychological states including resilience; job-related resources and job design features; positive leadership; perceived organisational support; team-level engagement; training and development. Only a small proportion of studies were based in health-care settings, making the application of evidence to wider contexts limited. Studies identified in the grey literature suggested that the focus of practitioner material was more on wider managerial issues than on psychological factors.ConclusionsThe synthesis highlights the complex nature of the engagement evidence base. The quality of evidence was mixed. Most studies were cross-sectional, self-report surveys, although the minority of studies that used more complex methods such as longitudinal study designs or multiple respondents were able to lend more weight to inferences of causality. The evidence from the health-care sector was relatively sparse. Only a few studies used complex methods and just two had taken place in the UK. The evidence synthesis suggests that employers might consider several factors in efforts to raise levels of engagement including development and coaching to raise levels of employee resilience, the provision of adequate job resources, and fostering positive and supportive leadership styles.FundingThis project was funded by the National Institute for Health Research (NIHR) Health Services and Delivery Research (HSDR) programme.

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“…Patient participation in decision-making regarding the health-disease process is considered to be of fundamental importance within the scenario of nursing practice and one of the foundations of patient-centered care (23)(24) . Its benefits extend not only to the users themselves, but also to the nursing team and organization (24) . From the perspective of Pat x Tec/Aux and Nurse x Tec/ Aux, the nursing team can resolve patients' problems (very good agreement).…”

Section: Discussionmentioning

confidence: 99%

Care necessities: the view of the patient and nursing team

Martins

Perroca

2017

Rev. Bras. Enferm.

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Objectives: To compare care necessities as perceived by the patient and nursing team and to investigate the sociodemographic factors associated with these perceptions. Method: A comparative study was conducted in units and hospitalized patients of a hospital institution in the state of São Paulo. The participants comprised 100 health professionals (50 nurses and 50 nursing technicians and auxiliaries) and 50 patients. A questionnaire was constructed and validated regarding care needs and was completed by the participants. Results: Considering cut-off value kappa ≥ 0.61, or that is, good and very good intervals, the greatest agreement between the perception of the patients and the nursing team was in the areas of: Care and Communication, both with 92.6% agreement; followed by Basic Care with 74.1%. The lowest value was found in the fi eld of Care Planning and Organization, 64.3%. Conclusion: In a general manner, there was an agreement between the care needs from the view of the patients themselves and the nursing team. Descriptors: Determination of Healthcare Necessities; Nursing Care; Hospitalized Patients; Evaluation in Nursing; Quality of Healthcare. RESUMO Objetivos: Comparar como as necessidades de cuidados são percebidas pelo paciente e equipe de enfermagem e investigar os fatores sociodemográfi cos associados a estas percepções. Método: Estudo comparativo realizado em unidades e internação de uma instituição hospitalar do interior do Estado de São Paulo. Os participantes foram 100 profi ssionais (50 enfermeiros e 50 técnicos e auxiliares de enfermagem) e 50 pacientes. Construiu-se e validou-se um questionário sobre necessidades de cuidados preenchido pelos participantes. Resultados: Considerando-se valor de corte kappa ≥ 0,61, ou seja, intervalos bom e muito bom, houve maior alinhamento entre a percepção dos pacientes e equipe de enfermagem nos domínios O Ambiente do Cuidado e Comunicação, ambos com 92,6% de concordância; seguido de Cuidados Básicos, com 74,1%. O menor valor foi encontrado no domínio Planejamento e Organização do Cuidado, 64,3%. Conclusão: De maneira geral, observou-se alinhamento no atendimento das necessidades de cuidados no olhar do próprio paciente e da equipe de enfermagem. Descritores: Determinação de Necessidades de Cuidados de Saúde; Cuidados de Enfermagem; Pacientes Internados; Avaliação em Enfermagem; Qualidade da Assistência à Saúde. RESUMEN Objetivos:Comparar como las necesidades de cuidados son notadas por el paciente y equipo de enfermería e investigar los factores sociodemográfi cos asociados a estas percepciones. Método: Estudio comparativo realizado en unidades e internación de una institución hospitalaria de un pueblo de la provincia de São Paulo. Los participantes fueron 100 profesionales (50 enfermeros y 50 técnicos y auxiliares de enfermería) y 50 pacientes. Se construyó y se validó un cuestionario sobre necesidades de cuidados rellenado por los participantes. Resultados: Considerándose valor de corte kappa ≥ 0,61, o sea, intervalos bueno y muy bueno, hubo may...

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Promoting patient care: work engagement as a mediator between ward service climate and patient‐centred care

Cited by 103 publications

References 60 publications

A study on work engagement among nurses in Japan: the relationship to job-demands, job-resources, and nursing competence

A study on work engagement among nurses in Japan: the relationship to job-demands, job-resources, and nursing competence

Evaluating the evidence on employee engagement and its potential benefits to NHS staff: a narrative synthesis of the literature

Care necessities: the view of the patient and nursing team

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