Department of Neuroradiology, University Hospital RWTH Aachen, Aachen, Germany.
Department of Neurology, University Hospital RWTH Aachen, Aachen, Germany.
PLoS One. 2021 May 19;16(5):e0251889. doi: 10.1371/journal.pone.0251889. eCollection 2021.
During a period of 6 months, we provided our entire neuroradiological staff including physicians, radiographers, and researchers with systematic feedback via email on the further clinical course of stroke patients who underwent mechanical thrombectomy. We analyzed the effects of this feedback on work satisfaction, work meaningfulness and valuation of the therapy among our staff.
Our staff completed two self-reported questionnaires before and after the period of six months with systematic feedback.
Employees with higher work meaningfulness and higher work satisfaction valuated endovascular stroke therapy as more useful (p<0.001). A good clinical outcome was regarded more motivating than a good interventional outcome (p<0.001). Receiving systematic feedback did not increase work satisfaction (p = 0.318) or work meaningfulness (p = 0.178). Radiographers valuated the usefulness of interventional therapy the worst of all employees (p≤ 0.017). After the feedback period, 75% of radiographers estimated stroke as a more severe disease than before. Also, their desire for feedback decreased significantly (p = 0.007). Primarily patient cases with unfavorable outcomes were remembered by the staff.
Systematic email feedback does not per se enhance work satisfaction or work meaningfulness among employees. However, receiving feedback is educative for the staff. Evaluating work satisfaction and the perception of treatment may help to identify unexpected issues and may therefore help to find specific measures that increase work satisfaction and motivation.
在 6 个月的时间里，我们通过电子邮件向包括医生、放射技师和研究人员在内的所有神经放射科工作人员提供了关于接受机械血栓切除术的中风患者进一步临床病程的系统反馈。我们分析了这种反馈对我们员工的工作满意度、工作意义感和治疗价值评估的影响。
我们的员工在接受系统反馈的 6 个月前后完成了两份自我报告的问卷。
工作意义感和工作满意度较高的员工认为血管内中风治疗更有用（p<0.001）。良好的临床转归比良好的介入转归更具激励性（p<0.001）。接受系统反馈并未增加工作满意度（p = 0.318）或工作意义感（p = 0.178）。放射技师对介入治疗的有用性评价最差（p≤0.017）。在反馈期后，75%的放射技师估计中风比以前更严重。此外，他们对反馈的需求显著下降（p = 0.007）。工作人员主要记住了中风患者预后不良的病例。
系统的电子邮件反馈本身并不能提高员工的工作满意度或工作意义感。然而，反馈对员工具有教育意义。评估工作满意度和治疗效果的感知可以帮助识别意外问题，从而有助于找到提高工作满意度和积极性的具体措施。
