The impact of a large-scale quality improvement programme on work engagement: Preliminary results from a national cross-sectional-survey of the 'Productive Ward'

Hdl Handle:
http://hdl.handle.net/10147/322922
Title:
The impact of a large-scale quality improvement programme on work engagement: Preliminary results from a national cross-sectional-survey of the 'Productive Ward'
Authors:
White, Mark; Wells, John S G; Butterworth, Tony
Affiliation:
Nursing & Midwifery Planning & Development Unit, HSE-South, Kilcreene Hospital, Kilkenny, Ireland. Electronic address: whiteser@eircom.net.
Citation:
The impact of a large-scale quality improvement programme on work engagement: Preliminary results from a national cross-sectional-survey of the 'Productive Ward' 2014: Int J Nurs Stud
Journal:
International journal of nursing studies
Issue Date:
14-May-2014
URI:
http://hdl.handle.net/10147/322922
DOI:
10.1016/j.ijnurstu.2014.05.002
PubMed ID:
24890896
Abstract:
Quality improvement (QI) Programmes, like the Productive Ward: Releasing-time-to-care initiative, aim to 'engage' and 'empower' ward teams to actively participate, innovate and lead quality improvement at the front line. However, little is known about the relationship and impact that QI work has on the 'engagement' of the clinical teams who participate and vice-versa.; This paper explores and examines the impact of a large-scale QI programme, the Productive Ward, on the 'work engagement' of the nurses and ward teams involved.; Using the Utrecht Work Engagement Scale (UWES), we surveyed, measured and analysed work engagement in a representative test group of hospital-based ward teams who had recently commenced the latest phase of the national 'Productive Ward' initiative in Ireland and compared them to a control group of similar size and matched (as far as is possible) on variables such as ward size, employment grade and clinical specialty area.; 338 individual datasets were recorded, n=180 (53.6%) from the Productive Ward group, and n=158 (46.4%) from the control group; the overall response rate was 67%, and did not differ significantly between the Productive Ward and control groups. The work engagement mean score (±standard deviation) in the Productive group was 4.33(±0.88), and 4.07(±1.06) in the control group, representing a modest but statistically significant between-group difference (p=0.013, independent samples t-test). Similarly modest differences were observed in all three dimensions of the work engagement construct. Employment grade and the clinical specialty area were also significantly related to the work engagement score (p<0.001, general linear model) and (for the most part), to its components, with both clerical and nurse manager grades, and the elderly specialist areas, exhibiting substantially higher scores.; The findings demonstrate how QI activities, like those integral to the Productive Ward programme, appear to positively impact on the work engagement (the vigour, absorption and dedication) of ward-based teams. The use and suitability of the UWES as an appropriate measure of 'engagement' in QI interventions was confirmed. The engagement of nurses and front-line clinical teams is a major component of creating, developing and sustaining a culture of improvement.
Language:
en
Keywords:
QUALITY; PATIENT SAFETY; NURSING PRACTICE; HOSPITALS
ISSN:
1873-491X

Full metadata record

DC FieldValue Language
dc.contributor.authorWhite, Marken_GB
dc.contributor.authorWells, John S Gen_GB
dc.contributor.authorButterworth, Tonyen_GB
dc.date.accessioned2014-07-15T11:03:11Z-
dc.date.available2014-07-15T11:03:11Z-
dc.date.issued2014-05-14-
dc.identifier.citationThe impact of a large-scale quality improvement programme on work engagement: Preliminary results from a national cross-sectional-survey of the 'Productive Ward' 2014: Int J Nurs Studen_GB
dc.identifier.issn1873-491X-
dc.identifier.pmid24890896-
dc.identifier.doi10.1016/j.ijnurstu.2014.05.002-
dc.identifier.urihttp://hdl.handle.net/10147/322922-
dc.description.abstractQuality improvement (QI) Programmes, like the Productive Ward: Releasing-time-to-care initiative, aim to 'engage' and 'empower' ward teams to actively participate, innovate and lead quality improvement at the front line. However, little is known about the relationship and impact that QI work has on the 'engagement' of the clinical teams who participate and vice-versa.-
dc.description.abstractThis paper explores and examines the impact of a large-scale QI programme, the Productive Ward, on the 'work engagement' of the nurses and ward teams involved.-
dc.description.abstractUsing the Utrecht Work Engagement Scale (UWES), we surveyed, measured and analysed work engagement in a representative test group of hospital-based ward teams who had recently commenced the latest phase of the national 'Productive Ward' initiative in Ireland and compared them to a control group of similar size and matched (as far as is possible) on variables such as ward size, employment grade and clinical specialty area.-
dc.description.abstract338 individual datasets were recorded, n=180 (53.6%) from the Productive Ward group, and n=158 (46.4%) from the control group; the overall response rate was 67%, and did not differ significantly between the Productive Ward and control groups. The work engagement mean score (±standard deviation) in the Productive group was 4.33(±0.88), and 4.07(±1.06) in the control group, representing a modest but statistically significant between-group difference (p=0.013, independent samples t-test). Similarly modest differences were observed in all three dimensions of the work engagement construct. Employment grade and the clinical specialty area were also significantly related to the work engagement score (p<0.001, general linear model) and (for the most part), to its components, with both clerical and nurse manager grades, and the elderly specialist areas, exhibiting substantially higher scores.-
dc.description.abstractThe findings demonstrate how QI activities, like those integral to the Productive Ward programme, appear to positively impact on the work engagement (the vigour, absorption and dedication) of ward-based teams. The use and suitability of the UWES as an appropriate measure of 'engagement' in QI interventions was confirmed. The engagement of nurses and front-line clinical teams is a major component of creating, developing and sustaining a culture of improvement.-
dc.languageENG-
dc.language.isoenen
dc.rightsArchived with thanks to International journal of nursing studiesen_GB
dc.subjectQUALITYen_GB
dc.subjectPATIENT SAFETYen_GB
dc.subjectNURSING PRACTICEen_GB
dc.subjectHOSPITALSen_GB
dc.titleThe impact of a large-scale quality improvement programme on work engagement: Preliminary results from a national cross-sectional-survey of the 'Productive Ward'en_GB
dc.contributor.departmentNursing & Midwifery Planning & Development Unit, HSE-South, Kilcreene Hospital, Kilkenny, Ireland. Electronic address: whiteser@eircom.net.en_GB
dc.identifier.journalInternational journal of nursing studiesen_GB
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