The pace of hospital life: A mixed methods study.

The pace-of-life hypothesis is a socio-psychological theory postulating that citizens of different cities transact the business of life at varying paces, and this pace is associated with a number of population level variables. Here we apply the pace-of-life hypothesis to a hospital context to empiri...

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Autores principales:	Janet C Long, Chiara Pomare, Louise A Ellis, Kate Churruca, Jeffrey Braithwaite
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/a58483e6d9ab496fa413c86ac1b31f3e
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spelling	oai:doaj.org-article:a58483e6d9ab496fa413c86ac1b31f3e2021-12-02T20:19:36ZThe pace of hospital life: A mixed methods study.1932-620310.1371/journal.pone.0255775https://doaj.org/article/a58483e6d9ab496fa413c86ac1b31f3e2021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0255775https://doaj.org/toc/1932-6203The pace-of-life hypothesis is a socio-psychological theory postulating that citizens of different cities transact the business of life at varying paces, and this pace is associated with a number of population level variables. Here we apply the pace-of-life hypothesis to a hospital context to empirically test the association between pace and patient and staff outcomes. As pressure on hospitals grow and pace increases to keep up with demand, is there empirical evidence of a trade-off between a rapid pace and poorer outcomes? We collected data from four large Australian hospitals, inviting all staff (clinical and non-clinical) to complete a survey, and conducted a series of observations of hospital staff's walking pace and transactional pace. From these data we constructed three measures of pace: staff perception of pace, transactional pace, and walking pace. Outcome measures included: hospital culture, perceived patient safety, and staff well-being outcomes of job satisfaction and burnout. Overall, participants reported experiencing a "fast-paced" "hurried" and "rapid" pace-of-life working in the Australian hospital sector. We found a significant difference in perceived pace across four hospital sites, similar to trends observed for transactional pace. This provides support that the pace-of-life hypothesis may apply to the hospital context. We tested associations between faster perceived pace, hospital culture, staff well-being and patient safety. Results revealed perceived faster pace significantly predicted negative perceptions of organizational culture, greater burnout and lower job satisfaction. However, perceived pace did not predict perceptions of patient safety. Different perceptions of hospital pace-of-life were found between different clinical settings and the type of care delivered; staff working in emergency departments reported significantly "faster-paced" work environments than staff working in palliative, aged care, or rehabilitation wards.Janet C LongChiara PomareLouise A EllisKate ChurrucaJeffrey BraithwaitePublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 8, p e0255775 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Janet C Long Chiara Pomare Louise A Ellis Kate Churruca Jeffrey Braithwaite The pace of hospital life: A mixed methods study.
description	The pace-of-life hypothesis is a socio-psychological theory postulating that citizens of different cities transact the business of life at varying paces, and this pace is associated with a number of population level variables. Here we apply the pace-of-life hypothesis to a hospital context to empirically test the association between pace and patient and staff outcomes. As pressure on hospitals grow and pace increases to keep up with demand, is there empirical evidence of a trade-off between a rapid pace and poorer outcomes? We collected data from four large Australian hospitals, inviting all staff (clinical and non-clinical) to complete a survey, and conducted a series of observations of hospital staff's walking pace and transactional pace. From these data we constructed three measures of pace: staff perception of pace, transactional pace, and walking pace. Outcome measures included: hospital culture, perceived patient safety, and staff well-being outcomes of job satisfaction and burnout. Overall, participants reported experiencing a "fast-paced" "hurried" and "rapid" pace-of-life working in the Australian hospital sector. We found a significant difference in perceived pace across four hospital sites, similar to trends observed for transactional pace. This provides support that the pace-of-life hypothesis may apply to the hospital context. We tested associations between faster perceived pace, hospital culture, staff well-being and patient safety. Results revealed perceived faster pace significantly predicted negative perceptions of organizational culture, greater burnout and lower job satisfaction. However, perceived pace did not predict perceptions of patient safety. Different perceptions of hospital pace-of-life were found between different clinical settings and the type of care delivered; staff working in emergency departments reported significantly "faster-paced" work environments than staff working in palliative, aged care, or rehabilitation wards.
format	article
author	Janet C Long Chiara Pomare Louise A Ellis Kate Churruca Jeffrey Braithwaite
author_facet	Janet C Long Chiara Pomare Louise A Ellis Kate Churruca Jeffrey Braithwaite
author_sort	Janet C Long
title	The pace of hospital life: A mixed methods study.
title_short	The pace of hospital life: A mixed methods study.
title_full	The pace of hospital life: A mixed methods study.
title_fullStr	The pace of hospital life: A mixed methods study.
title_full_unstemmed	The pace of hospital life: A mixed methods study.
title_sort	pace of hospital life: a mixed methods study.
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/a58483e6d9ab496fa413c86ac1b31f3e
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The pace of hospital life: A mixed methods study.

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