1
|
Lloyd R, Munro J, Evans K, Gaskin-Williams A, Hui A, Pearson M, Slade M, Kotera Y, Day G, Loughlin-Ridley J, Enston C, Rennick-Egglestone S. Health service improvement using positive patient feedback: Systematic scoping review. PLoS One 2023; 18:e0275045. [PMID: 37796785 PMCID: PMC10553339 DOI: 10.1371/journal.pone.0275045] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2022] [Accepted: 05/14/2023] [Indexed: 10/07/2023] Open
Abstract
BACKGROUND Healthcare services regularly receive patient feedback, most of which is positive. Empirical studies suggest that health services can use positive feedback to create patient benefit. Our aim was to map all available empirical evidence for how positive patient feedback creates change in healthcare settings. METHODS Empirical studies in English were systematically identified through database searches (ACM Digital Library, AMED, ASSIA, CINAHL, MEDLINE and PsycINFO), forwards and backwards citation, and expert consultation. We summarise the characteristics of included studies and the feedback they consider, present a thematic synthesis of qualitative findings, and provide narrative summaries of quantitative findings. RESULTS 68 papers were included, describing research conducted across six continents, with qualitative (n = 51), quantitative (n = 10), and mixed (n = 7) methods. Only two studies were interventional. The most common settings were hospitals (n = 27) and community healthcare (n = 19). The most common recipients were nurses (n = 29). Most outcomes described were desirable. These were categorised as (a) short-term emotional change for healthcare workers (including feeling motivated and improved psychological wellbeing); (b) work-home interactional change for healthcare workers (such as improved home-life relationships); (c) work-related change for healthcare workers (such as improved performance and staff retention). Some undesirable outcomes were described, including envy when not receiving positive feedback. The impact of feedback may be moderated by characteristics of particular healthcare roles, such as night shift workers having less interaction time with patients. Some factors moderating the change created by feedback are modifiable. CONCLUSION Further interventional research is required to assess the effectiveness and cost-effectiveness of receiving positive feedback in creating specific forms of change such as increases in staff retention. Healthcare managers may wish to use positive feedback more regularly, and to address barriers to staff receiving feedback.
Collapse
Affiliation(s)
- Rebecca Lloyd
- School of Health Sciences, Institute of Mental Health, University of Nottingham, Nottingham, United Kingdom
| | | | - Kerry Evans
- School of Health Sciences, University of Nottingham, Nottingham, United Kingdom
| | | | - Ada Hui
- School of Health Sciences, University of Nottingham, Nottingham, United Kingdom
| | - Mark Pearson
- School of Health Sciences, University of Nottingham, Nottingham, United Kingdom
| | - Mike Slade
- School of Health Sciences, Institute of Mental Health, University of Nottingham, Nottingham, United Kingdom
- Health and Community Participation Division, Faculty of Nursing and Health Sciences, Nord University, Namsos, Norway
| | - Yasuhiro Kotera
- School of Health Sciences, Institute of Mental Health, University of Nottingham, Nottingham, United Kingdom
| | - Giskin Day
- Nightingale Faculty of Nursing, Midwifery and Palliative Care, King’s College London, London, United Kingdom
- Faculty of Medicine, Imperial College London, London, United Kingdom
| | - Joanne Loughlin-Ridley
- School of Health Sciences, Institute of Mental Health, University of Nottingham, Nottingham, United Kingdom
| | - Clare Enston
- School of Health Sciences, Institute of Mental Health, University of Nottingham, Nottingham, United Kingdom
| | - Stefan Rennick-Egglestone
- School of Health Sciences, Institute of Mental Health, University of Nottingham, Nottingham, United Kingdom
| |
Collapse
|
2
|
Xu X, Zhou L, Ampon-Wireko S, Quansah PE. Assessing the mediating role of motivation in the relationship between perceived management support and perceived job satisfaction among family doctors in Jiangsu province, China. HUMAN RESOURCES FOR HEALTH 2023; 21:71. [PMID: 37641138 PMCID: PMC10463484 DOI: 10.1186/s12960-023-00849-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/30/2021] [Accepted: 07/27/2023] [Indexed: 08/31/2023]
Abstract
BACKGROUND The study aimed to examine the influence of perceived management support on job satisfaction through the mediating role of motivation among family doctors in the Jiangsu province of China. METHODS Six dimensions of motivation were employed as mediators in the association between perceived management support and job satisfaction in collecting data to analyze the hypothesized relationships in the present study. A total of 600 questionnaires were distributed to family doctors in Jiangsu province. Structural equation model (SEM) in the analysis of a moment structure (AMOS) version 26 software was used to estimate the path coefficients. RESULTS Perceived management support has a significant positive relationship with job satisfaction. Motivation had a fully mediated relationship with the association between perceived management support and job satisfaction. CONCLUSIONS The study's findings suggest motivation is important in enhancing family doctors' satisfaction and must not be underestimated. It, therefore, offers diverse recommendations for enhancing motivation among healthcare professionals.
Collapse
Affiliation(s)
- Xinglong Xu
- School of Management, Jiangsu University, Zhenjiang, 212013, People's Republic of China
| | - Lulin Zhou
- School of Management, Jiangsu University, Zhenjiang, 212013, People's Republic of China
| | - Sabina Ampon-Wireko
- School of Management, Jiangsu University, Zhenjiang, 212013, People's Republic of China.
| | | |
Collapse
|
3
|
Abate M, Mulissa Z, Magge H, Bitewulign B, Kiflie A, Biadgo A, Alemu H, Seman Y, Woldesenbet D, Estifanos AS, Parry G, Quaife M. Key factors influencing motivation among health extension workers and health care professionals in four regions of Ethiopia: A cross-sectional study. PLoS One 2022; 17:e0272551. [PMID: 36178908 PMCID: PMC9524639 DOI: 10.1371/journal.pone.0272551] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2021] [Accepted: 07/22/2022] [Indexed: 11/22/2022] Open
Abstract
Background Although Ethiopia has improved access to health care in recent years, quality of care remains low. Health worker motivation is an important determinant of performance and affects quality of care. Low health care workers motivation can be associated with poor health care quality and client experience, non-attendance, and poor clinical outcome. Objective this study sought to determine the extent and variation of health professionals’ motivation alongside factors associated with motivation. Methods We conducted a facility based cross-sectional study among health extension workers (HEWs) and health care professionals in four regions: Amhara, Oromia, South nations, and nationalities people’s region (SNNPR) and Tigray from April 15 to May 10, 2018. We sampled 401 health system workers: skilled providers including nurses and midwives (n = 110), HEWs (n = 210); and non-patient facing health system staff representing case team leaders, facility and district heads, directors, and officers (n = 81). Participants completed a 30-item Likert scale ranking tool which asked questions across 17 domains. We used exploratory factor analysis to explore latent motivation constructs. Results Of the 397 responses with complete data, 61% (95% CI 56%-66%) self-reported motivation as “very good” or “excellent”. Significant variation in motivation was seen across regions with SNNPR scoring significantly lower on a five-point Likert scale by 0.35 points (P = 0.003). The exploratory factor analysis identified a three-factors: personal and altruistic goals; pride and personal satisfaction; and recognition and support. The personal and altruistic goals factor varied across regions with Oromia and SNNPR being significantly lower by 0.13 (P = 0.018) and 0.12 (P = 0.039) Likert points respectively. The pride and personal satisfaction factor were higher among those aged > = 30 years by 0.14 Likert scale points (P = 0.045) relative to those aged between 19-24years. Conclusions Overall, motivation was high among participants but varied across region, cadre, and age. Workload, leave, and job satisfaction were associated with motivation.
Collapse
Affiliation(s)
- Mehiret Abate
- Institute for Healthcare Improvement, Addis Ababa, Ethiopia
- * E-mail:
| | - Zewdie Mulissa
- Institute for Healthcare Improvement, Addis Ababa, Ethiopia
| | - Hema Magge
- Institute for Healthcare Improvement, Addis Ababa, Ethiopia
- Division of Global Health Equity, Brigham and Women’s Hospital, Boston, Massachusetts, United States of America
| | | | - Abiyou Kiflie
- Institute for Healthcare Improvement, Addis Ababa, Ethiopia
| | - Abera Biadgo
- Institute for Healthcare Improvement, Addis Ababa, Ethiopia
| | | | - Yakob Seman
- Medical Service General Directorate, Ministry of Health of Ethiopia, Addis Ababa, Ethiopia
| | - Dorka Woldesenbet
- Department of Reproductive, Family and Population Health, School of Public Health, Addis Ababa University, Addis Ababa, Ethiopia
| | - Abiy Seifu Estifanos
- Department of Reproductive, Family and Population Health, School of Public Health, Addis Ababa University, Addis Ababa, Ethiopia
| | - Gareth Parry
- Department of Plastic and Oral Surgery, Boston Children’s Hospital, Boston, Massachusetts, United States of America
| | - Matthew Quaife
- Department of Global Health and Development, London School of Hygiene and Tropical Medicine, London, United Kingdom
| |
Collapse
|
4
|
McFadden A, Gupta S, Marshall JL, Shinwell S, Sharma B, McConville F, MacGillivray S. Systematic review of barriers to, and facilitators of, the provision of high-quality midwifery services in India. Birth 2020; 47:304-321. [PMID: 32713033 DOI: 10.1111/birt.12498] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/18/2020] [Revised: 07/06/2020] [Accepted: 07/06/2020] [Indexed: 01/23/2023]
Abstract
BACKGROUND The Indian government has committed to implementing high-quality midwifery care to achieve universal health coverage and reduce the burden of maternal and perinatal mortality and morbidity. There are multiple challenges, including introducing a new cadre of midwives educated to international standards and integrating midwifery into the health system with a defined scope of practice. The objective of this review was to examine the facilitators and barriers to providing high-quality midwifery care in India. METHODS We searched 15 databases for studies relevant to the provision of midwifery care in India. The findings were mapped to two global quality frameworks to identify barriers and facilitators to providing high-quality midwifery care in India. RESULTS Thirty-two studies were included. Key barriers were lack of competence of maternity care providers, lack of legislation recognizing midwives as autonomous professionals and limited scope of practice, social and economic barriers to women accessing services, and lack of basic health system infrastructure. Facilitators included providing more hands-on experience during training, monitoring and supervision of staff, utilizing midwives to their full scope of practice with good referral systems, improving women's experiences of maternity care, and improving health system infrastructure. CONCLUSIONS The findings can be used to inform policy and practice. Overcoming the identified barriers will be critical to achieving the Government of India's plans to reduce maternal and neonatal mortality through the introduction of a new cadre of midwives. This is unlikely to be effective until the facilitators described are in place.
Collapse
Affiliation(s)
| | | | | | | | - Bharati Sharma
- Indian Institute of Public Health Gandhinagar, Gandhinagar, India
| | | | | |
Collapse
|
5
|
Mazerolle SM, Myers SL, Walker SE, Kirby J. Maintaining Professional Commitment as a Newly Credentialed Athletic Trainer in the Secondary School Setting. J Athl Train 2018; 53:312-319. [PMID: 29466069 DOI: 10.4085/1062-6050-72-17] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
CONTEXT Professional commitment, or one's affinity and loyalty to a career, has become a topic of interest in athletic training. The expanding research on the topic, however, has omitted newly credentialed athletic trainers (ATs). For an impressionable group of practitioners, transitioning to clinical practice can be stressful. OBJECTIVE To explore the professional commitment of newly credentialed ATs in the secondary school setting. SETTING Secondary school. DESIGN Qualitative study. PATIENTS OR OTHER PARTICIPANTS A total of 31 newly credentialed ATs (6 men, 25 women; mean age = 24 ± 3 years) participated. Of these, 17 ATs (4 men, 13 women; mean age = 25 ± 4 years) were employed full time in the secondary school setting, and 14 ATs (2 men, 12 women; mean age = 23.0 ± 2.0 years) were graduate assistant students in the secondary school setting. DATA COLLECTION AND ANALYSIS All participants completed semistructured interviews, which focused on their experiences in the secondary school setting and transitioning into the role and setting. Transcripts were analyzed using the phenomenologic approach. Creditability was established by peer review, member checks, and researcher triangulation. RESULTS Four main findings related to the professional commitment of newly credentialed ATs in the secondary school setting were identified. Work-life balance, professional relationships formed with the student-athletes, enjoyment gained from working in the secondary school setting, and professional responsibility emerged as factors facilitating commitment. CONCLUSIONS Affective commitment is a primary facilitator of professional commitment. Newly credentialed ATs who enjoy their jobs and have time to engage in nonwork roles are able to maintain a positive professional commitment. Our findings align with the previous literature and help strengthen our understanding that rejuvenation and passion are important to professional commitment.
Collapse
Affiliation(s)
- Stephanie M Mazerolle
- Department of Kinesiology, Athletic Training Program, University of Connecticut, Storrs
| | - Sarah L Myers
- Department of Kinesiology, Athletic Training Program, University of Connecticut, Storrs
| | - Stacy E Walker
- School of Kinesiology, Ball State University, Muncie, IN
| | - Jessica Kirby
- School of Kinesiology, Ball State University, Muncie, IN
| |
Collapse
|
6
|
Iorga M, Dondaș C, Soponaru C, Antofie I. Determinants of Hospital Pharmacists' Job Satisfaction in Romanian Hospitals. PHARMACY 2017; 5:E66. [PMID: 29232878 PMCID: PMC5748547 DOI: 10.3390/pharmacy5040066] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2017] [Revised: 11/12/2017] [Accepted: 12/08/2017] [Indexed: 11/16/2022] Open
Abstract
Aim: The purpose of this study is to identify the level of job satisfaction among hospital pharmacists in Romania in relation to environmental, socio-demographic, and individual factors. Material and Methods: Seventy-eight hospital pharmacists were included in the research. The Job Satisfaction Scale was used to measure the level of satisfaction with their current jobs, and the TAS-20 was used to evaluate emotional experience and awareness. Additionally, 12 items were formulated in order to identify the reasons for dissatisfaction with jobs, such as budget, number of working hours, legislation, relationships with colleagues, hospital departments, or stakeholders. Data were analyzed using IBM SPSS Statistics version 23. Results: The analyses of the data revealed a low level of satisfaction regarding the pay-promotion subscale, a high level of satisfaction with the management-interpersonal relationship dimension, and a high level of satisfaction regarding the organization-communication subscale. Seventy-four percent of subjects are dissatisfied about the annual budget, and 86.3% are not at all satisfied with present legislation. Conclusions: These results are important for hospital pharmacists and hospital management in order to focus on health policies, management, and environmental issues, with the purpose of increasing the level of satisfaction among hospital pharmacists.
Collapse
Affiliation(s)
- Magdalena Iorga
- Department of Behavioral Sciences, University of Medicine and Pharmacy "Grigore T. Popa", Iasi 700115, Romania.
| | - Corina Dondaș
- Department of Career Counseling, University of Medicine and Pharmacy "Grigore T. Popa", Iasi 700115, Romania.
| | - Camelia Soponaru
- Department of Psychology, University "Alexandru Ioan Cuza", Iasi 700506, Romania.
| | - Ioan Antofie
- Department of Hospital Pharmacy, C.F. Hospital, Cluj-Napoca 599597, Romania.
| |
Collapse
|