Linking work engagement of emergency physicians to patient centricity in underdeveloped regions

Abstract

Orientation: Health facilities in underdeveloped regions present their challenges in terms of research, especially regarding the work engagement (WE) of health workers, in this case, emergency physicians. Adjustments to existing research models are needed to obtain accurate responses. Patient centricity (PC) as a new term in healthcare is the estimated variable in this study.Research purpose: This study aimed to examine the relationship between the antecedents of WE and PC in emergency physicians who worked at hospitals in underdeveloped regions in Indonesia, incorporating WE as a mediator.Motivation for the study: Studies linking WE to PC have never been established. Furthermore, studies regarding WE have never been carried out in underdeveloped regions, and most of them are only limited to job resources as a benchmark.Research design/approach, and method: A quantitative survey was conducted through a purposive sampling technique to collect data from emergency physicians in hospitals in East Nusa Tenggara. There are 183 eligible respondents, whose responses were analysed through partial least squares structural equation modelling (PLS-SEM). Main findings:The direct link to WE was found to be predominated by physician autonomy and public service motivation. It was found that WE positively and significantly connected to PC. The PLS-predict resulted in large cross-validated redundancy for this model.

Measures of Nursing Environment Multidimensionality and Patient Centricity Using Importance-Performance Map Analysis

“…In this case, autonomy in determining work schedules is what gives job satisfaction and provides an outcome in the form of a better perception of patient-centred care. This is also reinforced by a study conducted by Andy and Antonio (2022) in which health worker autonomy is the antecedent that has the most dominant relationship to work engagement in terms of its impact on patient centricity. This can be a consideration in explaining that there are factors outside of the nurse's work environment that can predict patient centricity beyond the 21.3% coverage of predictive accuracy contained in this study.…”

“…The welfare of healthcare workers, which is certainly diverse in Indonesia, will certainly affect the way they interact with patients, coupled with pressure in the world of work that requires them to carry out obligations related to humanity to their patients to implement patient centricity (Andy & Antonio, 2022). Various problems regarding patient centricity indicators relate to the perception and performance of nurses.…”

The nexus of nurse work-life balance on performance: a case in private hospital

“…Moreover, nurses will be more attentive to accommodating patients' needs. One of the many factors that contribute to building WE is leadership [59]. As explained before, the nurse team leader at this hospital has a significant role in ensuring fellow nurses feel appreciated, hence compelling them to put more effort into serving patients in the best healthcare quality possible.…”

A Performance Management System, Employment Relationships and Work Engagement Framework for a public sector in South Africa.

“…Work engagement is characterised by a positive motivational state of well-being that includes high levels of energy, enthusiasm and dedication to one's work (Andy and Antonio 2022). Work engagement is defined as the state in which a person can contribute emotionally and intellectually to an organisation (Hendrik, Fanggidae, and Timuneno 2021).…”