Intensified job demands in healthcare and their consequences for employee well‐being and patient satisfaction : a multilevel approach
Huhtala, M., Geurts, S., Mauno, S., & Feldt, T. (2021). Intensified job demands in healthcare and their consequences for employee well‐being and patient satisfaction : a multilevel approach. Journal of Advanced Nursing, 77(9), 3718-3732. https://doi.org/10.1111/jan.14861
Published in
Journal of Advanced NursingDate
2021Discipline
PsykologiaHyvinvoinnin tutkimuksen yhteisöKäyttäytymisen muutos, hyvinvointi ja terveys elämänkulussaTyön ja johtamisen muuttuminen digitaalisessa ajassaPsychologySchool of WellbeingBehaviour change, health, and well-being across the lifespanEmergent work in the digital eraCopyright
© 2021 The Authors. Journal of Advanced Nursing published by John Wiley & Sons Ltd
Aims
Intensified job demands (IJDs) and their effects on employee burnout, work engagement and patient satisfaction were investigated across different work units and occupational groups in a healthcare setting.
Design
A multilevel study.
Methods
One thousand twenty-four healthcare employees responded to a survey in 2019 and rated their experiences of IJDs, burnout and work engagement. Nine hundred fifty-one patients rated their satisfaction with care received from healthcare staff.
Results
Work units and occupational groups who shared more experiences of increased time pressure and multitasking reported higher exhaustion. Shared perceptions of increased planning and performing one's work autonomously correlated with higher exhaustion and lower patient satisfaction at the work-unit level. Moreover, work intensification was found to be highest in emergency care and among nurses, while job-related planning demands were highest in leadership services.
Conclusion
IJDs are a shared risk to employee well-being among heterogeneous healthcare staff and relate negatively to customer-rated patient satisfaction. We found that high time-pressure demands increase the shared risk of burnout—especially among nurses and healthcare staff working in emergency care. Furthermore, increased independence and self-determination in planning and executing work tasks also increase the shared risk of burnout especially among those in leadership services. This can lead to lower customer/care satisfaction among patients.
Impact
With the accelerating pace of socio-economic change, the pace of work is also getting faster. Our findings help understand how IJDs are experienced among heterogeneous healthcare staff. Because different occupational groups and work units had different demands, this research shows that attempts to mitigate the negative effects of IJDs need to be planned and implemented in a context-specific way. It seems crucial to pay more attention especially to adequate nurse staffing so that the adverse effects of IJDs could be mitigated among them.
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Publisher
Wiley-BlackwellISSN Search the Publication Forum
0309-2402Keywords
Publication in research information system
https://converis.jyu.fi/converis/portal/detail/Publication/89757864
Metadata
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Related funder(s)
Research Council of FinlandFunding program(s)
Academy Project, AoFAdditional information about funding
Academy of Finland, Grant/Award Number: 308334 and 308336License
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