Wee Kenneth Z, Lai Alden Yuanhong
New York University, NY, USA.
Med Care Res Rev. 2022 Jun;79(3):345-358. doi: 10.1177/10775587211030388. Epub 2021 Jul 8.
Past research has demonstrated that work engagement among health care professionals influences patient quality of care. There is, however, no estimate of the strength of this relationship, and existing reviews have not always explained conflicting findings. We conduct a meta-analysis and review of 25 articles, and find a small to medium mean effect size ( = .26, < .01) for the positive association between engagement and quality of care. Moderator analyses on five factors (type, data source, level of analysis of the quality of care measure, profession, and work engagement measure) indicate that only data source is significant, providing preliminary evidence that the relationship is stronger if quality of care is measured via self-assessments. Although a more consistent conceptualization of quality of care is needed to better determine its association with work engagement, our findings suggest that work engagement is as important as burnout in predicting quality of care.
过去的研究表明，医疗保健专业人员的工作投入会影响患者护理质量。然而，目前尚无对这种关系强度的评估，而且现有综述也并非总能解释相互矛盾的研究结果。我们对25篇文章进行了荟萃分析和综述，发现工作投入与护理质量之间的正相关关系的平均效应大小为小到中等（=0.26，p<0.01）。对五个因素（类型、数据来源、护理质量测量的分析水平、专业和工作投入测量）的调节分析表明，只有数据来源具有显著性，这提供了初步证据，即如果通过自我评估来测量护理质量，那么这种关系会更强。尽管需要对护理质量进行更一致的概念化，以便更好地确定其与工作投入的关联，但我们的研究结果表明，工作投入在预测护理质量方面与职业倦怠同样重要。
