“Time is of the essence”: relationship between hospital staff perceptions of time, safety attitudes and staff wellbeing

Abstract Background Hospitals are perceived as fast-paced and complex environments in which a missed or incorrect diagnosis or misread chart has the potential to lead to patient harm. However, to date, limited attention has been paid to studying how hospital sociotemporal norms may be associated wit...

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Autores principales:	Louise A. Ellis, Yvonne Tran, Chiara Pomare, Janet C. Long, Kate Churruca, Zeyad Mahmoud, Winston Liauw, Jeffrey Braithwaite
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Temporality Time Job satisfaction Burnout Hospital Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/e0c3ce21c0c14c87b401c4555d6d7ee3
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spelling	oai:doaj.org-article:e0c3ce21c0c14c87b401c4555d6d7ee32021-11-21T12:06:13Z“Time is of the essence”: relationship between hospital staff perceptions of time, safety attitudes and staff wellbeing10.1186/s12913-021-07275-61472-6963https://doaj.org/article/e0c3ce21c0c14c87b401c4555d6d7ee32021-11-01T00:00:00Zhttps://doi.org/10.1186/s12913-021-07275-6https://doaj.org/toc/1472-6963Abstract Background Hospitals are perceived as fast-paced and complex environments in which a missed or incorrect diagnosis or misread chart has the potential to lead to patient harm. However, to date, limited attention has been paid to studying how hospital sociotemporal norms may be associated with staff wellbeing or patient safety. The aim of this study was to use novel network analysis, in conjunction with well-established statistical methods, to investigate and untangle the complex interplay of relationships between hospital staff perceived sociotemporal structures, staff safety attitudes and work-related well-being. Method Cross-sectional survey data of hospital staff (n = 314) was collected from four major hospitals in Australia. The survey included subscales from the Organizational Temporality Scale (OTS), two previously established scales of safety attitudes (teamwork climate and safety climate) and measures of staff-related wellbeing (job satisfaction, emotional exhaustion, depersonalisation). Results Using confirmatory factor analysis, we first tested a 19-item version of the OTS for use in future studies of hospital temporality (the OTS-H). Novel psychological network analysis techniques were then employed, which identified that “pace” (the tempo or rate of hospital activity) occupies the central position in understanding the complex relationship between temporality, safety attitudes and staff wellbeing. Using a path analysis approach, serial mediation further identified that pace has an indirect relationship with safety attitudes through wellbeing factors, that is, pace impacts on staff wellbeing, which in turn affects hospital safety attitudes. Conclusions The findings of this study are important in revealing that staff wellbeing and safety attitudes can be significantly improved by placing more focus on temporal norms, and in particular hospital pace. There are implications for increasing levels of trust and providing staff with opportunities to exercise greater levels of control over their work.Louise A. EllisYvonne TranChiara PomareJanet C. LongKate ChurrucaZeyad MahmoudWinston LiauwJeffrey BraithwaiteBMCarticleTemporalityTimeJob satisfactionBurnoutHospitalPublic aspects of medicineRA1-1270ENBMC Health Services Research, Vol 21, Iss 1, Pp 1-11 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Temporality Time Job satisfaction Burnout Hospital Public aspects of medicine RA1-1270
spellingShingle	Temporality Time Job satisfaction Burnout Hospital Public aspects of medicine RA1-1270 Louise A. Ellis Yvonne Tran Chiara Pomare Janet C. Long Kate Churruca Zeyad Mahmoud Winston Liauw Jeffrey Braithwaite “Time is of the essence”: relationship between hospital staff perceptions of time, safety attitudes and staff wellbeing
description	Abstract Background Hospitals are perceived as fast-paced and complex environments in which a missed or incorrect diagnosis or misread chart has the potential to lead to patient harm. However, to date, limited attention has been paid to studying how hospital sociotemporal norms may be associated with staff wellbeing or patient safety. The aim of this study was to use novel network analysis, in conjunction with well-established statistical methods, to investigate and untangle the complex interplay of relationships between hospital staff perceived sociotemporal structures, staff safety attitudes and work-related well-being. Method Cross-sectional survey data of hospital staff (n = 314) was collected from four major hospitals in Australia. The survey included subscales from the Organizational Temporality Scale (OTS), two previously established scales of safety attitudes (teamwork climate and safety climate) and measures of staff-related wellbeing (job satisfaction, emotional exhaustion, depersonalisation). Results Using confirmatory factor analysis, we first tested a 19-item version of the OTS for use in future studies of hospital temporality (the OTS-H). Novel psychological network analysis techniques were then employed, which identified that “pace” (the tempo or rate of hospital activity) occupies the central position in understanding the complex relationship between temporality, safety attitudes and staff wellbeing. Using a path analysis approach, serial mediation further identified that pace has an indirect relationship with safety attitudes through wellbeing factors, that is, pace impacts on staff wellbeing, which in turn affects hospital safety attitudes. Conclusions The findings of this study are important in revealing that staff wellbeing and safety attitudes can be significantly improved by placing more focus on temporal norms, and in particular hospital pace. There are implications for increasing levels of trust and providing staff with opportunities to exercise greater levels of control over their work.
format	article
author	Louise A. Ellis Yvonne Tran Chiara Pomare Janet C. Long Kate Churruca Zeyad Mahmoud Winston Liauw Jeffrey Braithwaite
author_facet	Louise A. Ellis Yvonne Tran Chiara Pomare Janet C. Long Kate Churruca Zeyad Mahmoud Winston Liauw Jeffrey Braithwaite
author_sort	Louise A. Ellis
title	“Time is of the essence”: relationship between hospital staff perceptions of time, safety attitudes and staff wellbeing
title_short	“Time is of the essence”: relationship between hospital staff perceptions of time, safety attitudes and staff wellbeing
title_full	“Time is of the essence”: relationship between hospital staff perceptions of time, safety attitudes and staff wellbeing
title_fullStr	“Time is of the essence”: relationship between hospital staff perceptions of time, safety attitudes and staff wellbeing
title_full_unstemmed	“Time is of the essence”: relationship between hospital staff perceptions of time, safety attitudes and staff wellbeing
title_sort	“time is of the essence”: relationship between hospital staff perceptions of time, safety attitudes and staff wellbeing
publisher	BMC
publishDate	2021
url	https://doaj.org/article/e0c3ce21c0c14c87b401c4555d6d7ee3
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“Time is of the essence”: relationship between hospital staff perceptions of time, safety attitudes and staff wellbeing

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