School of Technology & Health, KTH - Royal Institute of Technology, Stockholm, Sweden.
School of Technology & Health, KTH - Royal Institute of Technology, Stockholm, Sweden.
Int J Nurs Stud. 2016 Jan;53:116-25. doi: 10.1016/j.ijnurstu.2015.07.012. Epub 2015 Aug 8.
Social capital can be an important resource to facilitate the needed improvements in quality of care and efficiency in hospitals.
To assess the importance of social capital (recognition, vertical trust, horizontal trust and reciprocity) for job satisfaction, work engagement and engagement in clinical improvements.
A prospective cohort design was used.
Intensive care units and emergency, surgical and medical units at five Swedish hospitals with ongoing development of their processes of care.
Healthcare professionals (physicians, registered nurses, assistant nurses) at five Swedish midsize hospitals.
The participants answered a questionnaire at two occasions, NN=1602 at baseline and NN=1548 at one-year follow-up. Mean hospital response rate was 53% at baseline and 59% at follow-up. Univariate, multivariate and logistic regression analyses were performed, and the prospective analysis was based on 477 respondents.
Social capital was associated with healthcare professionals' general work engagement and job satisfaction. Analysis showed positive associations between all measured aspects of social capital and engagement in clinical improvements of patient safety and quality of care. The prospective analysis showed that increased social capital predicted increased job satisfaction, work engagement and engagement in clinical improvements of patient safety.
Social capital is strongly related to job satisfaction and active engagement with clinical improvements. The findings contribute to a deeper knowledge of social capital as a predictive factor that influences patient safety and health among healthcare staff.
社会资本可以成为促进医院护理质量和效率改进的重要资源。
评估社会资本（认可、纵向信任、横向信任和互惠）对工作满意度、工作投入和参与临床改进的重要性。
前瞻性队列设计。
瑞典五家医院的重症监护病房和急诊、外科和内科病房，这些医院正在不断改进其护理流程。
瑞典五家中型医院的医疗保健专业人员（医生、注册护士、助理护士）。
参与者在两个时间点回答了一份问卷，NN=1602 人在基线时，NN=1548 人在一年后随访。基线时医院的平均回复率为 53%，随访时为 59%。进行了单变量、多变量和逻辑回归分析，前瞻性分析基于 477 名受访者。
社会资本与医疗保健专业人员的一般工作投入和工作满意度相关。分析表明，社会资本的所有测量方面与参与患者安全和护理质量的临床改进均呈正相关。前瞻性分析表明，社会资本的增加预测了工作满意度、工作投入和参与患者安全和护理质量的临床改进的增加。
社会资本与工作满意度和积极参与临床改进密切相关。研究结果为社会资本作为影响医疗保健人员患者安全和健康的预测因素提供了更深入的了解。
