Healthcare Quality Improvement and ‘work engagement’; concluding results from a national, longitudinal, cross-sectional study of the ‘Productive Ward-Releasing Time to Care’ Programme

Background Concerns about patient safety and reducing harm have led to a particular focus on initiatives that improve healthcare quality. However Quality Improvement (QI) initiatives have in the past typically faltered because they fail to fully engage healthcare professionals, resulting in apathy and resistance amongst this group of key stakeholders. Productive Ward: Releasing Time to Care (PW) is a ward-based QI programme created to help ward-based teams redesign and streamline the way that they work; leaving more time to care for patients. PW is designed to engage and empower ward-based teams to improve the safety, quality and delivery of care. Methods The main objective of this study was to explore whether PW sustains the ‘engagement’ of ward-based teams by examining the longitudinal effect that the national QI programme had on the ‘work-engagement’ of ward-based teams in Ireland. Utilising the Utrecht Work Engagement Scale questionnaire (UWES-17), we surveyed nine PW (intervention) sites from typical acute Medical/Surgical, Rehabilitation and Elderly services (representing the entire cohort of a national phase of PW implementation in Ireland) and a cohort of matched control sites. The numbers surveyed from the PW group at T1 (up to 3 months after commencing the programme) totalled 253 ward-team members and 249 from the control group. At T2 (12 months later), the survey was repeated with 233 ward-team members from the PW sites and 236 from the control group. Results Overall findings demonstrated that those involved in the QI initiative had higher ‘engagement’ scores at T1 and T2 in comparison to the control group. Total ‘engagement’ score (TES), and its 3 dimensions, were all significantly higher in the PW group at T1, but only the Vigour dimension remained significantly higher at T2 (p = 0.006). Conclusion Our results lend some support to the assertions of the PW initiative itself and suggest that when compared to a control group, ward-based teams involved in the QI programme are more likely to be ‘engaged’ by it and its associated improvement activities and that this is maintained over time. However, only the Vigour dimension of ‘engagement’ remained significantly higher in the PW over time. Electronic supplementary material The online version of this article (doi:10.1186/s12913-017-2446-2) contains supplementary material, which is available to authorized users.

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PID https://www.doi.org/10.1186/s12913-017-2446-2
PID pmc:PMC5540515
PID pmid:28764696
URL https://0-bmchealthservres-biomedcentral-com.brum.beds.ac.uk/articles/10.1186/s12913-017-2446-2
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URL https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-017-2446-2
URL https://pubmed.ncbi.nlm.nih.gov/28764696/
URL http://eprints.lincoln.ac.uk/id/eprint/31666/
URL http://europepmc.org/articles/PMC5540515
URL https://doi.org/10.1186/s12913-017-2446-2
URL https://core.ac.uk/display/154425680
URL http://link.springer.com/article/10.1186/s12913-017-2446-2
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URL https://link.springer.com/article/10.1186/s12913-017-2446-2
URL https://academic.microsoft.com/#/detail/2739550774
URL https://www.ncbi.nlm.nih.gov/pubmed/28764696
URL http://eprints.lincoln.ac.uk/id/eprint/31666/1/31666%20White_et_al-2017-BMC_Health_Services_Research.pdf
URL http://dx.doi.org/10.1186/s12913-017-2446-2
URL https://dx.doi.org/10.1186/s12913-017-2446-2
URL https://doaj.org/toc/1472-6963
URL http://europepmc.org/abstract/MED/28764696
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Author White, Mark, 0000-0002-3947-3070
Author Butterworth, Tony
Author Wells, John SG
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Collected From Europe PubMed Central; PubMed Central; ORCID; UnpayWall; Datacite; DOAJ-Articles; Crossref; Microsoft Academic Graph; University of Lincoln Institutional Repository
Hosted By Europe PubMed Central; BMC Health Services Research; University of Lincoln Institutional Repository
Journal BMC Health Services Research, ,
Publication Date 2017-08-01
Publisher BMC
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Country United Kingdom
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Language English
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Source https://science-innovation-policy.openaire.eu/search/publication?articleId=dedup_wf_001::550c53cbfca1de2ac96576556ed607ef
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Last Updated 27 December 2020, 00:53 (CET)
Created 27 December 2020, 00:53 (CET)