Abstract
Background
Workplace behaviours of healthcare staff impact patient safety, staff wellbeing and organisational outcomes. A major component of a new whole-of-hospital professional accountability and culture change program is a secure online messaging system that allows staff to make submissions regarding experiences where behaviours of their coworkers either promote or undermine patient or staff safety. Submissions related to unprofessional behaviour (Reflection) are reviewed by a team of trained staff and managed in parallel with submissions recognising positive behaviours (Recognition). In this study, a qualitative analysis of the online submissions was conducted, and a framework developed for categorising co-worker behaviours.
Method
Submissions made between 2017-2020 at five hospitals were deidentified and cleaned; qualitative content analysis was conducted separately for online submissions for Recognition and Reflection. Behaviours reported in Reflection
submissions were coded according to the 26 unprofessional behaviours included in the Longitudinal Investigation Of Negative behaviour (LION) survey. Positive behaviours described in Recognition submissions were categorised according to seven themes.
Results
A total of 2476 online submissions (1290 Reflection and 1186 Recognition) were analysed. The three most frequently described unprofessional behaviours included in Reflection submissions were: being spoken to rudely; being humiliated or ridiculed; and having opinions ignored. The most frequently described positive co-worker behaviours were: non-technical skills; positive values-driven behaviour; and behaviours that enhance patient care.
Implications
Hospital staff perceive, experience, and respond to co-worker behaviours in diverse ways. This framework for analysing staff descriptions of co-worker unprofessional and positive behaviours is a useful tool for recognising and
promoting professional accountability in healthcare.
Workplace behaviours of healthcare staff impact patient safety, staff wellbeing and organisational outcomes. A major component of a new whole-of-hospital professional accountability and culture change program is a secure online messaging system that allows staff to make submissions regarding experiences where behaviours of their coworkers either promote or undermine patient or staff safety. Submissions related to unprofessional behaviour (Reflection) are reviewed by a team of trained staff and managed in parallel with submissions recognising positive behaviours (Recognition). In this study, a qualitative analysis of the online submissions was conducted, and a framework developed for categorising co-worker behaviours.
Method
Submissions made between 2017-2020 at five hospitals were deidentified and cleaned; qualitative content analysis was conducted separately for online submissions for Recognition and Reflection. Behaviours reported in Reflection
submissions were coded according to the 26 unprofessional behaviours included in the Longitudinal Investigation Of Negative behaviour (LION) survey. Positive behaviours described in Recognition submissions were categorised according to seven themes.
Results
A total of 2476 online submissions (1290 Reflection and 1186 Recognition) were analysed. The three most frequently described unprofessional behaviours included in Reflection submissions were: being spoken to rudely; being humiliated or ridiculed; and having opinions ignored. The most frequently described positive co-worker behaviours were: non-technical skills; positive values-driven behaviour; and behaviours that enhance patient care.
Implications
Hospital staff perceive, experience, and respond to co-worker behaviours in diverse ways. This framework for analysing staff descriptions of co-worker unprofessional and positive behaviours is a useful tool for recognising and
promoting professional accountability in healthcare.
| Original language | English |
|---|---|
| Number of pages | 1 |
| Publication status | Published - 2022 |
| Event | 12th Health Services Research Conference: 12th HSRAANZ Conference - Sydney, Australia Duration: 30 Nov 2022 → 2 Dec 2022 https://eventstudio.eventsair.com/hsr-2022 |
Conference
| Conference | 12th Health Services Research Conference |
|---|---|
| Country/Territory | Australia |
| City | Sydney |
| Period | 30/11/22 → 2/12/22 |
| Internet address |