Work motivation, task delegation and job satisfaction of general practice staff: a cross-sectional study

Riisgaard, Helle; Søndergaard, Jens; Munch, Maria; Le, Jette Videbæk; Ledderer, Loni; Pedersen, Line Bjørnskov; Nexøe, Jørgen

doi:10.1093/fampra/cmw142

Cited by 11 publications

(12 citation statements)

References 23 publications

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Section: Strengths and Weaknesses In Relation To Other Studiessupporting

confidence: 87%

“…A previous study on the association between degrees of task delegation and satisfaction of GPs found that greater clinical staff member involvement was associated with increased job satisfaction of GPs [22]. In line with this current study, GPs applied a great variation in the degree of task delegation in clinics [22]. The more positive responses to task delegation in the previous study can be explained by their use of chronic obstructive pulmonary disease as the condition [22].…”

Section: Strengths and Weaknesses In Relation To Other Studiessupporting

confidence: 84%

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Involving clinical staff members in the management of low back pain in general practice: a qualitative interview study

Knudsen

Thomsen

Andersen

et al. 2019

Preprint

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Background Low back pain (LBP) is the leading cause of disability worldwide. Patient education and self-management have the potential to improve the care of patients. However, high workload and little available time for consultations are argued to challenge the delivery of optimal care in general practice. Involving clinical staff members in the management of diabetes and of patients with hypertension has shown to be feasible. Consequently, involving clinical staff members in providing education and information to patients may improve the delivery of patient information and education. However, this require a shift in the division of tasks and general practitioners’ (GPs’) barriers and facilitators for this is currently unknown. The aim is to explore GPs’ barriers and facilitators to involve clinical staff members in the treatment of LBP in general practice. Methods This is a qualitative, semi-structured interview study. We used the phenomenological approach to study experiences and attitudes towards changing the management of patients with LBP from the GPs’ perspectives. Analysis was conducted using inductive descriptive methods. Results We conducted five 60-minute interviews with Danish GPs. All GPs had experience with task delegation, but it varied which tasks the GPs delegated and to which types of clinical staff members. The following barriers towards clinical staff member involvement were identified: Patients with LBP is a heterogeneous group with a variety of treatment needs, the examination and treatment can be considered as one coherent process, and it would require external support. Involving clinical staff members can release GP time. Another facilitator was the possibility for improving the uptake of clinical guidelines and involvement of practice nurses was considered to improve the provision of patient education and lead to greater patient self-management. Conclusion While some GPs currently consider delegation to clinical staff members a good idea in the treatment of LBP, others prefer the existing treatment strategy without clinical staff member involvement. Consequently, healthcare providers need to address existing barriers and facilitators for involving clinical staff members when advocating for a future multi professional treatment strategy of LBP in general practice.

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Section: Strengths and Weaknesses In Relation To Other Studiessupporting

confidence: 87%

Section: Strengths and Weaknesses In Relation To Other Studiessupporting

confidence: 84%

Involving clinical staff members in the management of low back pain in general practice: a qualitative interview study

Knudsen

Thomsen

Andersen

et al. 2019

Preprint

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“…[6,27] Moreover, in a study among teachers, the authors found that there is a negligible ratio of teachers who are suffering from anxiety. [28] In contrast to this current result, in Brazil, Schmidt et al in 2011 found that anxiety is arising with higher incidence levels among nursing professionals. The author clarified that there are a lot of triggering factors around nurses which can enhance anxiety and restlessness, particularly in work environment and process regarding: shifts' schedule, team relation, work overload, and patients care.…”

Section: Discussionmentioning

confidence: 63%

Work motivation and self-rated anxiety: Nurses’ perspectives

Alhakami

Baker

2018

CNS

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Objective: Considering nurses' psychological status, work decision involvement, emotions, anxiety, and motivation, is an important issue for attaining nurses' retention and maintaining their preservation in their work positions. Work motivation is the key that enhances employee performance which is influenced by numerous internal and external factors; job anxiety is the apparent one. The current study is directed to achieve two aims: to assess the work motivation level and self-rated anxiety among nurses and to investigate the relationship between them. Therefore, a descriptive, correlative research design was applied with 300 registered nurses in King Abd El Aziz governmental hospital in Jeddah, Saudi Arabia. Methods: A triple-section questionnaire was used for data collection that involved: First, Multidimensional Work Motivation Scale (MWMS) that was developed by Gagne et al. in 2010. Second, Self-Rated Anxiety Sub-scale which was developed by Warr et al. in 1979. Third, sociodemographic questions were included. Results: About three-quarters of Suadi nurses have high work motivation level concerning introjected and identified regulations while more than half of them have a high level of work motivation regarding amotivation and extrinsic regulations. Consequently, most of the participants have high scores in work motivation level. As regards, self-rated anxiety, all study subjects have a certain level of anxiety at work, but the majority of them were with low level. As pertaining the correlation between both study variables, there is a negative correlation between work motivation level and self-rated anxiety and the present study proved that Saudi registered nurses in King Abd El Aziz governmental hospital have high work motivation level scores with low self-rated anxiety scores. Conclusions: The current study confirms that the Saudi nurses in Jeddah have high work motivation level with low anxiety. Furthermore, the study provides evidence of a negative or inverse correlation between work motivation level and self-rated anxiety among Saudi registered nurses in King Abd El Aziz governmental hospital. Nurses should be aware by the importance of motivation in their job and at the same time, be aware of the risks of work-related anxiety. Nurse Managers have to tailor all factors which are surrounding nurses in a hospital environment, organizational structure and culture to be positively motivated and, at the same time, to alleviate any tendency of work-related anxiety. Furthermore, work motivation and anxiety should be involved and integrated into the nursing curriculum in nursing schools. Further researches: A research about the effect of the work motivation educational program on nurse manager's leadership skills, is needed. A study about the correlation between work motivation and other negative or positive variables in work environment among nurses is necessitated. Also, assessment of nurses' work motivation and anxiety using different tools such as value test, emotional inventory and adjustment skill...

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“…Due to the concept of task shifting, practice assistants could benefit in terms of new responsibilities in primary care. It has been shown that task shifting to practice assistants can lead to staff being more motivated and satisfied (Riisgaard et al, ). Moreover, the developed questionnaire allows to describe what kind of tasks lead to confidence and excessive demands.…”

Section: Discussionmentioning

confidence: 99%

“…The growing demand for health services has been met by a growing shortage in the number of healthcare professionals, and expanding the role of practice assistants through task shifting could be an effective strategy for dealing with the shortage of medical professionals (Sibbald, Laurant, & Scott, ). Research has suggested that task shifting could lead to role extension among practice assistants and could result in higher job satisfaction (Goetz et al, ; Riisgaard et al, ). Moreover, task shifting could increase the attractiveness of working as a practice assistant in primary care.…”

Section: Introductionmentioning

confidence: 99%

Primary care practice assistants’ attitudes towards tasking shifting and their perceptions of the challenges of task shifting – Development of a questionnaire

Feindel

Rosenberg

Steinhäuser

et al. 2019

Health Soc Care Community

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Shifting tasks from medical staff to non‐medical staff is a common practice for promoting the efficient use of healthcare resources. The aim of this study was to develop and pilot test a questionnaire that evaluates practice assistants’ attitudes towards task shifting and their perceptions of the challenges of task shifting (acronym: ACD questionnaire) and to assess the psychometric properties of the questionnaire. The development and pilot testing of the questionnaire occurred from March 2016 to March 2017 and was based on guided and cognitive interviews with practice assistants. Then, an online survey was conducted throughout Germany from June to August 2017 to determine the questionnaire's psychometric properties. A factorial analysis was conducted via principal component analysis, and reliability was assessed using Cronbach's α. The questionnaire included four themes: “working conditions and job satisfaction”, “confidence to execute delegated tasks”, “excessive demands associated with executing delegated tasks” and “relevance of task shifting for patient care”. A total of 274 practice assistants with an average age of 38.2 years participated in the online survey. Each theme included components that showed good to very good reliability (Cronbach's α 0.64–0.91). The ACD questionnaire provides a way, for the first time, to evaluate delegable tasks, including practice assistants’ attitudes towards task shifting and their perceptions of the challenges generated by these tasks. The questionnaire also indicates which components of practice assistants’ professional training should be intensified.

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Work motivation, task delegation and job satisfaction of general practice staff: a cross-sectional study

Cited by 11 publications

References 23 publications

Involving clinical staff members in the management of low back pain in general practice: a qualitative interview study

Involving clinical staff members in the management of low back pain in general practice: a qualitative interview study

Work motivation and self-rated anxiety: Nurses’ perspectives

Primary care practice assistants’ attitudes towards tasking shifting and their perceptions of the challenges of task shifting – Development of a questionnaire

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