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Perceived work environment and patient-centered behavior: A study of selected district hospitals in the central region of Ghana.
Abekah-Nkrumah, Gordon; Nkrumah, Jacqueline.
Afiliación
  • Abekah-Nkrumah G; Department of Public Administration and Health Services Management, University of Ghana Business School, Accra, Greater Accra Region, Ghana.
  • Nkrumah J; Faculty of Science Education, Department of Health Administration and Education, University of Education, Winneba, Central Region, Ghana.
PLoS One ; 16(1): e0244726, 2021.
Article en En | MEDLINE | ID: mdl-33493181
INTRODUCTION: Quality work environment has been established as a marker of employee value creation. A plethora of qualitative evidence suggested that sustained focus on employee satisfaction through changes in the work environment, communication of patient-centered care strategic vision, management of staff workload, and workplace social support are factors that stimulate Patient-centered care. Yet, it seems that the effect of work environment on the patient-centered behavior of hospital employees has not been statistically estimated, and it is unclear which of the elements of the work environment best predict patient-centered behavior. METHODS: Using a survey design and quantitative methods to gather and analyze data, a sample of 179 respondents from three district hospitals were included in the study using a multi-stage proportional sampling technique. Data were collected using self-administered Likert item questionnaires. Simple linear regression was used to estimate the influence of work environment elements on patient-centered behavior. Stepwise multiple regression was used to determine the best predictors of patient-centered behavior of hospital employees. RESULTS: Perceived internal communication of patient-centered care strategies (ß = 0.23; P<0.001), supervisor support (ß = 0.31; P<0.001), coworker support (ß = 0.50; P<0.001), and working conditions (ß = 0.18; P<0.013) had a positive significant effect on patient-centered behavior of employees. Good predictors of employees' patient-centered behavior were perceived coworker support (ß = 0.51; P<0.001) and job characteristics (ß = 0.16; P<0.01). CONCLUSION: The work environment of hospital employees significantly affects their patient-centered behavior. Co-worker support and job characteristics were the best predictors of the patient-centered behavior of hospital employees. Hospitals Managers seeking to improve patient-centered behavior through employee value creation may consider improved job characteristics in combination with workplace social support and or communication of PCC strategies and goals.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Personal de Salud / Hospitales de Distrito Tipo de estudio: Prognostic_studies / Qualitative_research Límite: Adult / Female / Humans / Male / Middle aged País/Región como asunto: Africa Idioma: En Revista: PLoS One Asunto de la revista: CIENCIA / MEDICINA Año: 2021 Tipo del documento: Article País de afiliación: Ghana Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Personal de Salud / Hospitales de Distrito Tipo de estudio: Prognostic_studies / Qualitative_research Límite: Adult / Female / Humans / Male / Middle aged País/Región como asunto: Africa Idioma: En Revista: PLoS One Asunto de la revista: CIENCIA / MEDICINA Año: 2021 Tipo del documento: Article País de afiliación: Ghana Pais de publicación: Estados Unidos