Page 39 - Petelin, Ana. 2020. Zdravje delovno aktivne populacije / Health of the Working-Age Population. Zbornik povzetkov z recenzijo ▪︎ Book of Abstracts. Koper: Založba Univerze na Primorskem/University of Primorska Press
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ower and Engage the Healthcare Workforce: plenarna predavanja | plenary lectures
Findings of a Longitudinal Study and Lessons Learned
Peter Van Bogaert
Nursing and Midwifery Sciences, Centre for Research and Innovation in Care
(CRIC), Faculty of Medicine and Health Sciences University of Antwerp Belgium,
Universiteitsplein 1 B-2610 Wilrijk Antwerpen Belgium.
Introduction: Practice environments and work systems in healthcare and nurs-
ing that are able to learn, adapt and improve as business usual will be essen-
tial in order to face current and future challenges. A research program is set up
since 15 year to investigate the impact of improvements in organizational con-
text of healthcare and nursing practices on healthcare workforce and patient
outcomes. Evidence-based Interventions as large-scale projects are under-
pinned on American Nurses Credentialing Center Magnet Recognition Pro-
gram® such as flat organizational structure, participative management style
and positive interdisciplinary collaborations.
Aim: To investigate associations between nurse work characteristics related to
empowerment and work engagement, burnout as well as nurses’ perception
of job satisfaction, turnover intentions and care quality controlled for demo-
graphic characteristics.
Study methods: A longitudinal study based on survey data collected in two
periods (2014/15 and 2017/18) was conducted in two academic acute care
centers in Belgium. Hierarchical regression analysis estimated strength of as-
sociations with demographic characteristics such as age (block-1), gender and
having children (block-2), work schedule and bachelor of sciences in nursing or
midwifery (block-3), type of units (block-4), measurement period (block-5) and
work characteristics (block-6) as explanatory variables of burnout, work en-
gagement, job satisfaction and turnover intention (hospital and nursing profes-
sion) and quality of care as outcome variables.
Study Results: Balanced nurse work characteristics, including workload, deci-
sion latitude and social capital, were associated with lower levels of burnout
and turnover intentions, higher levels of work engagement and job satisfaction
and self-rated excellence of care quality in staff nurses and midwifes. Relevant
differences were idenfied between age categories and type of units.
Discussion: Balanced nurse work characteristics were found to be essential in
work system configuration and strong indicators for professional wellbeing,
job satisfaction and quality of care. These elements enabled healthcare profes-
sionals to monitor and evaluate care interventions and organizational changes.
Changes are needed through quality improvements integrated in daily practic-
es providing excellent care that address patient’s needs.
Conclusion: Practices in care need evidence and not only rely on assumptions.
Person-centered care need aligned mutual goals at all organizational levels.
Key words: Healthcare and Nursing Workforce, Empowerment, Engagement,
Burnout, Job Satisfaction, Turnover Intentions.
37
Findings of a Longitudinal Study and Lessons Learned
Peter Van Bogaert
Nursing and Midwifery Sciences, Centre for Research and Innovation in Care
(CRIC), Faculty of Medicine and Health Sciences University of Antwerp Belgium,
Universiteitsplein 1 B-2610 Wilrijk Antwerpen Belgium.
Introduction: Practice environments and work systems in healthcare and nurs-
ing that are able to learn, adapt and improve as business usual will be essen-
tial in order to face current and future challenges. A research program is set up
since 15 year to investigate the impact of improvements in organizational con-
text of healthcare and nursing practices on healthcare workforce and patient
outcomes. Evidence-based Interventions as large-scale projects are under-
pinned on American Nurses Credentialing Center Magnet Recognition Pro-
gram® such as flat organizational structure, participative management style
and positive interdisciplinary collaborations.
Aim: To investigate associations between nurse work characteristics related to
empowerment and work engagement, burnout as well as nurses’ perception
of job satisfaction, turnover intentions and care quality controlled for demo-
graphic characteristics.
Study methods: A longitudinal study based on survey data collected in two
periods (2014/15 and 2017/18) was conducted in two academic acute care
centers in Belgium. Hierarchical regression analysis estimated strength of as-
sociations with demographic characteristics such as age (block-1), gender and
having children (block-2), work schedule and bachelor of sciences in nursing or
midwifery (block-3), type of units (block-4), measurement period (block-5) and
work characteristics (block-6) as explanatory variables of burnout, work en-
gagement, job satisfaction and turnover intention (hospital and nursing profes-
sion) and quality of care as outcome variables.
Study Results: Balanced nurse work characteristics, including workload, deci-
sion latitude and social capital, were associated with lower levels of burnout
and turnover intentions, higher levels of work engagement and job satisfaction
and self-rated excellence of care quality in staff nurses and midwifes. Relevant
differences were idenfied between age categories and type of units.
Discussion: Balanced nurse work characteristics were found to be essential in
work system configuration and strong indicators for professional wellbeing,
job satisfaction and quality of care. These elements enabled healthcare profes-
sionals to monitor and evaluate care interventions and organizational changes.
Changes are needed through quality improvements integrated in daily practic-
es providing excellent care that address patient’s needs.
Conclusion: Practices in care need evidence and not only rely on assumptions.
Person-centered care need aligned mutual goals at all organizational levels.
Key words: Healthcare and Nursing Workforce, Empowerment, Engagement,
Burnout, Job Satisfaction, Turnover Intentions.
37
