Intensified job demands in healthcare and their consequences for employee well-being and patient satisfaction: A multilevel approach

Autor: Saija Mauno, Taru Feldt, Sabine A. E. Geurts, Mari Huhtala
Přispěvatelé: Tampere University, Welfare Sciences
Rok vydání: 2021
Předmět:
patient satisfaction
asiakastyytyväisyys
Burnout
0302 clinical medicine
Surveys and Questionnaires
Health care
030212 general & internal medicine
vaatimukset
Burnout
Professional
General Nursing
Work
Health and Performance
burnout
030504 nursing
intensified job demands (IJDs)
healthcare
sitoutuminen
3142 Public health care science
environmental and occupational health
työtyytyväisyys
Work (electrical)
0305 other medical science
Psychology
hoitoala
work engagement
515 Psychology
työhyvinvointi
nurses
uupumus
sairaanhoitajat
Job Satisfaction
03 medical and health sciences
Patient satisfaction
multilevel
Nursing
Human multitasking
Humans
Occupations
Pace
business.industry
Work engagement
Work Engagement
Leadership
Cross-Sectional Studies
leaders
työn kuormittavuus
lähihoitajat
Well-being
business
Delivery of Health Care
johtajat
hoitotyö
Zdroj: Journal of Advanced Nursing, 77, 3718-3732
Journal of Advanced Nursing, 77, 9, pp. 3718-3732
ISSN: 0309-2402
Popis: Contains fulltext : 234355.pdf (Publisher’s version ) (Open Access) Aims: Intensified job demands (IJDs) and their effects on employee burnout, work engagement and patient satisfaction were investigated across different work units and occupational groups in a healthcare setting. Design: A multilevel study. Methods One thousand twenty-four healthcare employees responded to a survey in 2019 and rated their experiences of IJDs, burnout and work engagement. Nine hundred fifty-one patients rated their satisfaction with care received from healthcare staff. Results: Work units and occupational groups who shared more experiences of increased time pressure and multitasking reported higher exhaustion. Shared perceptions of increased planning and performing one's work autonomously correlated with higher exhaustion and lower patient satisfaction at the work-unit level. Moreover, work intensification was found to be highest in emergency care and among nurses, while job-related planning demands were highest in leadership services. Conclusion: IJDs are a shared risk to employee well-being among heterogeneous healthcare staff and relate negatively to customer-rated patient satisfaction. We found that high time-pressure demands increase the shared risk of burnout - especially among nurses and healthcare staff working in emergency care. Furthermore, increased independence and self-determination in planning and executing work tasks also increase the shared risk of burnout especially among those in leadership services. This can lead to lower customer/care satisfaction among patients. Impact With the accelerating pace of socio-economic change, the pace of work is also getting faster. Our findings help understand how IJDs are experienced among heterogeneous healthcare staff. Because different occupational groups and work units had different demands, this research shows that attempts to mitigate the negative effects of IJDs need to be planned and implemented in a context-specific way. It seems crucial to pay more attention especially to adequate nurse staffing so that the adverse effects of IJDs could be mitigated among them. 15 p.
Databáze: OpenAIRE
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