The Relationship Between Healthcare Staff Wellbeing and Patient Care: It’s Not That Simple

Teoh, Kevin; Kinman, Gail; Hassard, Juliet

doi:10.1007/978-3-030-59467-1_10

Cited by 4 publications

(4 citation statements)

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“…These findings reinforce the argument that interventions should not only attempt to reduce job demands but to also strengthen job resources in the workplace (Knight et al, 2017;Nielsen et al, 2017). This is important in recognising that an individual's performance and wellbeing is the result of numerous interactions between the individual and the system that they are situated in (Teoh, Hassard, & Kinman, 2020). Moreover, by using multilevel modelling to link between-organisation variance to individuallevel work-related wellbeing and job demands and resources, and also to with organisationlevel outcomes, the study is able to respond to the call for more research involving objective outcomes (Bakker & Demerouti, 2014;Schaufeli & Bakker, 2004), address issues around common method bias (Podsakoff et al, 2003), and provide important guidance for future research using the JD-R model at the organisational level and in more complex environments.…”

Section: The Validity Of a Multilevel Jdr Model Among Hospital Doctorssupporting

confidence: 75%

Doctors’ working conditions, wellbeing and hospital quality of care: A multilevel analysis

2021

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Section: The Validity Of a Multilevel Jdr Model Among Hospital Doctorssupporting

confidence: 75%

Doctors’ working conditions, wellbeing and hospital quality of care: A multilevel analysis

2021

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“…Job resources, in comparison, are expected to influence more strongly clinical care via work engagement, which is associated with better decision-making and attention,60 61 as well as more extra role behaviours 62. All of these are associated with better patient care 63. These results highlight the need to focus on often neglected positive aspects of well-being when considering doctors’ health and patient care which we were not able to sufficiently test in this study, and remain an action point for future longitudinal studies in this area.…”

Section: Discussionmentioning

confidence: 99%

Doctors’ perceived working conditions, psychological health and patient care: a meta-analysis of longitudinal studies

et al. 2023

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ObjectivesStudies have demonstrated an association between doctors’ perceived working conditions, and their psychological well-being and patient care. However, few have examined inter-relationships among these three domains, and even fewer using longitudinal designs. Using meta-analytical structural equation modelling, we tested longitudinal relationships among doctors’ perceived working conditions, their psychological well-being and patient care. We further tested if doctors’ psychological well-being mediates the relationship between perceived working conditions and patient care.MethodsWe carried out a systematic review using Academic Search Premier, Business Source Premier, PsycInfo, PsycArticles and Medline for the 20-year period between January 2000 and the start of the pandemic (January 2020). We included studies with practising doctors as participants, and that reported a quantifiable bivariate effect size between at least two of the three constructs of interest—perceived working conditions (ie, job demands, job resource), psychological well-being (ie, emotional exhaustion, work engagement) and patient care (ie, clinical care, patient safety). We pooled relationship effect sizes using random-effects meta-analysis, before testing for indirect effects using two-stage structural equation modelling.ResultsTwenty-three samples from 11 countries representing 7275 doctors were meta-analysed. The results indicated that job resources predicted work engagement (ρ=0.18; 95% CI 0.11 to 0.24) and emotional exhaustion (ρ=−0.21; 95% CI −0.31 to −0.11), while job demands predicted emotional exhaustion (ρ=0.27; 95% CI 0.17 to 0.36). Better clinical care was also associated with higher levels of job resources (ρ=0.16; 95% CI 0.04 to 0.29), and lower levels of emotional exhaustion (ρ=−0.21; 95% CI −0.37 to −0.12) and job demands (ρ=−0.27; 95% CI −0.43 to −0.10). Both factors of the work environment were associated with clinical care through doctors’ emotional exhaustion, but there were insufficient studies to test the indirect effects for work engagement or patient safety.ConclusionOur results demonstrate the need for a systems perspective to address working conditions to support both doctors’ psychological well-being and patient care. Interventions should target doctors’ job resources as they are more strongly associated with psychological well-being. However, given that job demands were strongly associated with emotional exhaustion, and in turn, clinical care, there is a need to better manage doctors’ workload, conflict and pressure to support the current psychological well-being crises among this occupational group.PROSPERO registration numberCRD42020189070.

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“…For example, one study of 2918 nurses found that those reporting high levels of burnout were more than twice as likely to consider leaving their job (Heinen et al, 2013). Although a direct relationship between mental wellbeing and patient care is not always found (Teoh et al, 2020), it has been associated with lower quality provision of care at the unit level (Poghosyan et al, 2010), more errors being made (Allan et al, 2014), and poorer self-rated care (Shantz et al, 2016).…”

Section: Backg Rou N Dmentioning

confidence: 99%

Recommendations to support the mental wellbeing of nurses and midwives in the United Kingdom: A Delphi study

Teoh

Kinman

Harriss

et al. 2022

Journal of Advanced Nursing

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Aim:To use the Delphi technique to identify and prioritize recommendations for research and practice to improve the mental wellbeing of nurses and midwives in the United Kingdom (UK).Background: Although there is evidence that self-reported mental wellbeing among nurses and midwives in the UK is poor, interventions have not adequately considered the wider context in which they work. The wide range of individual, organizational, occupational and wider sector-level factors that can influence wellbeing requires the involvement of different stakeholders to identify the most pressing actions required. Design: A three-round Delphi technique was conducted in 2019.Methods: In the first round, 16 subject matter experts generated, reviewed and discussed recommendations from a review of the research evidence with potential to support the mental wellbeing of nurses. A second group with 23 stakeholder representatives then rated and provided feedback on the developed recommendations through two additional rounds. Recommendations that received an 'essential' or 'important' rating from at least 80% of participants were retained and prioritized. Results:In total, 45 recommendations met the consensus agreement and were retained. More than half (57%) involved action at the organizational level, 27% to public policy and 13% to research. Only one recommendation is related to the individual.Collectively, these recommendations highlight the importance of taking direct action to tackle poor mental wellbeing among the workforce and initiating change at the policy and organizational level. Conclusion:Our findings emphasize the need to take a systemic approach to improving the mental health of nurses and midwives in the UK with input from different stakeholders. There is a clear consensus that action is needed at the organization and policy levels, rather than at the individual level as is current practice. Impact:This study provides a framework, alongside a set of practical recommendations, that provides a starting point for different stakeholders to understand, address and support the mental wellbeing of nurses and midwives. Although UK-focused, it has relevance to healthcare workforces internationally.

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The Relationship Between Healthcare Staff Wellbeing and Patient Care: It’s Not That Simple

Cited by 4 publications

References 107 publications

Doctors’ working conditions, wellbeing and hospital quality of care: A multilevel analysis

Doctors’ working conditions, wellbeing and hospital quality of care: A multilevel analysis

Doctors’ perceived working conditions, psychological health and patient care: a meta-analysis of longitudinal studies

Recommendations to support the mental wellbeing of nurses and midwives in the United Kingdom: A Delphi study

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