Impact of relational coordination on staff and patient outcomes in outpatient surgical clinics

Gittell, Jody Hoffer; Logan, Caroline; Cronenwett, Jack L.; Foster, Tina; Freeman, Richard W.; Godfrey, Marjorie M.; Vidal, Dale Collins

doi:10.1097/hmr.0000000000000192

Cited by 71 publications

(78 citation statements)

References 25 publications

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“…The findings reveal that relational coordination plays an important role in influencing both job satisfaction and affective commitment, which in turn influence turnover intention. These findings support previous findings that have reported similar relationships between relational coordination and job satisfaction (Gittell et al, ; Gittell et al, ; Havens, Gittel, & Vasey, ; Havens et al, ). However, they extend on these findings by suggesting that relational coordination plays an important role in enhancing both job satisfaction and affective commitment, which act as important mechanisms in reducing turnover intention.…”

Section: Discussionsupporting

confidence: 92%

“…Relational coordination has been found to significantly improve job satisfaction among nurses and nurses’ aids (Gittell, Weinberg, Pfefferle, & Bishop, ; Havens, Vasey, Gittell, & Lin, ). Two recent studies that examined the association between relational coordination, job satisfaction, work engagement, and burnout reported significant associations (Gittell et al, ; Havens, Gittell, & Vasey, ). Both studies found that increased relational coordination is positively associated with job satisfaction and work engagement and negatively associated with burnout.…”

Section: Introductionmentioning

confidence: 99%

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Linking relational coordination to nurses’ job satisfaction, affective commitment and turnover intention in Saudi Arabia

Falatah

Conway

2019

J Nurs Manag

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Aim To examine the association between relational coordination, job satisfaction, affective commitment and turnover intention. Background While there is a substantial body of literature that examines how relational coordination influences outcomes among nurses in western societies, there is no known study that examines the impact of relational coordination on outcomes in a non‐western health care system. As many of the factors associated with nursing turnover in Saudi Arabia are uniquely complex and challenging, a focus on relational coordination in this context is particularly worthy of investigation. Method The study utilized a cross‐sectional online survey. A total of 180 nurses participated in the study. Results The results indicated that the relationship between relational coordination and turnover intention is mediated by job satisfaction. The results further show that the relationship between relational coordination and turnover intention is mediated by affective commitment. Conclusion High levels of relational coordination can give rise to various outcomes of relevance to nurses, allied health professionals and patients. Implications for Nursing Management Reconfigured job designs to build and cultivate links between nurses and other clinical disciplines will be necessary to enhance job satisfaction and commitment levels and to reduce turnover intention.

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Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Linking relational coordination to nurses’ job satisfaction, affective commitment and turnover intention in Saudi Arabia

Falatah

Conway

2019

J Nurs Manag

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“…71 A recent study across 11 outpatient surgical clinics demonstrated improved job satisfaction, higher work engagement, and less burnout when "relational coordination" was championed in the workplace. 72 Relational coordination, described as a measure of teamwork in health care, emphasizes shared goals, accountability, mutual respect, teamwork, and open communication, and has been associated with heightened work quality and workplace well-being across diverse professions. 73 Investigators at the Mayo Clinic have embraced a multipronged organizational strategy that focuses on acknowledging and assessing burnout; developing, implementing, and measuring the impact of interventions; cultivating a sense of community built on the principles of relational coordination; and both promoting and enabling work-life balance and self-care.…”

Section: Lessons From the Front Line: Strategies To Reduce Burnoutmentioning

confidence: 99%

Surgeon Burnout: Defining, Identifying, and Addressing the New Reality

Senturk

Melnitchouk

2019

Clinics in Colon and Rectal Surgery

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Surgeon wellness is a multidimensional commitment that encompasses occupational, mental, physical, emotional, and social domains. Loss of professional control, autonomy, and flexibility; inefficient processes; disjointed workplace relationships and goals; excessive administrative burdens; poor work–life balance; and frustrations with medical record and order entry systems have all been associated with burnout. Described as a syndrome of emotional exhaustion, depersonalization, and loss of a sense of personal accomplishment, burnout can have myriad untoward consequences. The strong link between surgeons' personal and professional identities can lead to a perfect storm of burnout, depression, compromised patient safety and quality of care, physician job loss and career dissatisfaction, substance abuse, damage to personal relationships, and suicide. The alarming scope of this problem cannot be confined to a single specialty or practice setting and is expected to increase without much needed changes to surgeon work practices and work environments. A heightened focus on wellness in the workplace with attention to improving workflow, scheduling, collaboration, and resource allocation is a welcome step taken by several institutions and championed by professional societies. Much more research is needed to reliably gauge the overall effectiveness of these approaches, further address the nuances of burnout as it applies specifically to surgeons, and ensure that members of the surgical workforce remain at their peak throughout the duration of their careers.

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“…These include TeamSTEPPS and Medical Team Training Program communication processes (both relational interventions), [32,33] checklists to verify important facts rather than assuming authoritative accuracy (a systems intervention), and critical language that enables all team members to speak up (an individual intervention), like the CUS mnemonic (CUS = I'm Concerned, I'm Uncomfortable, this is a Safety issue). [34] Concepts such as psychological safety [35] help support the development and evaluation of such interventions [36,37]. It is our hope that a focus on the power and role transcendence paradoxes, their respective barriers of uncertainty and risk, and the relational, individual, and systems levels will empower new ideas and interventions that significantly enhance the quality of interprofessional practice across health care settings.…”

Section: Discussionmentioning

confidence: 99%

Towards an evolution of interprofessional practice: Lessons learned from two jazz piano trios

Haidet

Madigosky²

2020

Patient Education and Counseling

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Interprofessional practice has been of great interest to both health systems and educational institutions, but has been slow to develop in actual practice. Important efforts to speed adoption have mostly focused on changes in structure or educational interventions. It turns out that the field of jazz music was grappling with similar issues in the early 1960s. In this essay, we draw lessons from the experiences of jazz musicians during a time of transition. We conclude that significant cultural transformation, focused on two paradoxes, and the barriers and contexts that flow from them, will be necessary to achieve ideal interprofessional healthcare practice.

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Impact of relational coordination on staff and patient outcomes in outpatient surgical clinics

Cited by 71 publications

References 25 publications

Linking relational coordination to nurses’ job satisfaction, affective commitment and turnover intention in Saudi Arabia

Linking relational coordination to nurses’ job satisfaction, affective commitment and turnover intention in Saudi Arabia

Surgeon Burnout: Defining, Identifying, and Addressing the New Reality

Towards an evolution of interprofessional practice: Lessons learned from two jazz piano trios

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