Australian Institute of Health Innovation, Centre for Health Systems and Safety Research, Macquarie University, Sydney, Australia.
PLoS One. 2022 Sep 14;17(9):e0274074. doi: 10.1371/journal.pone.0274074. eCollection 2022.
The aim of this study was to analyse the content of online reviews posted by hospital employees on job websites for themes of organisational culture. 103 anonymous online reviews across three job websites, posted by hospital employees of four hospitals within an Australian health network were extracted. Reviews had been posted across a period of six years, from 2014 to early 2020. Sentiment rating based on user-allotted ratings on the selected websites was calculated. The sentiment score was validated against the textual content of the review to confirm employee recommendation and sentiment. Sentiment was coded as neutral, positive, or negative. Significant keywords, associations, and usage within the context of identified sentiment were deductively coded and clustered manually against eight pre-determined safety culture themes. These themes were derived from the most used assessment tools for self-reported measures of occupational health and safety, and safety culture in healthcare. Workers across clinical roles (n = 49) and non-clinical roles (n = 50) were evenly represented in the dataset. 35.9% of commenters (n = 37) reported their length of employment in the hospitals that they reviewed. Most online employee reviews addressed broad themes related to perceptions of management (n = 98), safety climate (n = 97), teamwork climate (n = 91) and working conditions (n = 98). A significant set of reviews addressed themes related to job satisfaction (n = 49) and learning, training, and development (n = 41). 72.8% of online reviews (n = 75) expressed positive sentiment towards their employer. Reviews expressing negative sentiment were largely posted by former employees and indicated areas of discontent that reflected organisational and systemic factors. Online employee reviews posted by hospital workers on job sites provide valuable insights into healthcare organisational culture. Therefore, employee online reviews could be used as a supplementary source of data to inform organisational employee engagement initiatives.
本研究旨在分析医院员工在工作网站上发布的在线评论中组织文化主题的内容。从澳大利亚某健康网络内的 4 家医院中提取了在三个工作网站上发布的 103 条匿名在线评论，评论者为医院员工。这些评论是在 2014 年至 2020 年初的六年期间发布的。根据选定网站上用户分配的评分计算了情绪评分。通过对评论的文本内容进行验证，确认了员工的推荐和情绪。情绪被编码为中性、积极或消极。在确定的情绪背景下，对显著的关键词、关联和用法进行了演绎编码，并手动聚类为 8 个预先确定的安全文化主题。这些主题源自用于自我报告的职业健康和安全以及医疗保健安全文化的最常用评估工具。数据集内的临床角色（n = 49）和非临床角色（n = 50）员工人数均等。评论者中有 35.9%（n = 37）报告了他们在评论医院的工作时长。大多数在线员工评论都涉及对管理（n = 98）、安全氛围（n = 97）、团队合作氛围（n = 91）和工作条件（n = 98）的看法。大量评论还涉及对工作满意度（n = 49）和学习、培训和发展（n = 41）的主题。72.8%的在线评论（n = 75）对雇主表示积极的情绪。表达负面情绪的评论主要由前员工发布，反映了组织和系统因素引起的不满。医院员工在工作网站上发布的在线员工评论为医疗保健组织文化提供了有价值的见解。因此，员工在线评论可以用作组织员工参与计划的补充数据来源。
