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Vol. 37. Issue 1.
Pages 44-51 (January - February 2022)
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Vol. 37. Issue 1.
Pages 44-51 (January - February 2022)
Original Article
Hospital clinical research activity, rather than staff motivational engagement, significantly links effective staff communication and favourable patient feedback; a cross-sectional study
La actividad de investigación clínica de los hospitales, y no la implicación motivacional del personal, vincula la comunicación efectiva del personal con las reacciones favorables de los pacientes; estudio transversal
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L. Jonkera,
Corresponding author
leon.jonker@ncic.nhs.uk

Corresponding author.
, S.J. Fishera, R.G. Badgettb
a Research & Development Department, North Cumbria Integrated Care NHS Foundation Trust, Penrith CA11 8HX, UK
b Departments of Internal Medicine and Population Health, University of Kansas School of Medicine-Wichita, Wichita, KS, USA
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Figures (1)
Tables (4)
Table 1. Spearman analysis to explore in-patient survey questions that may link with the degree of research activity and staff motivational engagement in NHS Trusts.
Table 2. Principal component analysis to establish the relationship between in-patient survey questions, hospital outcome measures and staff thriving (through research activity and motivational engagement).
Table 3. Overview of inpatient survey questions significantly positively associated with either research activity and/or staff engagement.
Table 4. Top and bottom eight scoring hospital trusts for survey question 59 (‘information on medicines’), to illustrate significant association in-patient feedback score with research activity.
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Abstract
Objectives

Healthcare staff behaviour can impact on the performance of hospitals. Staff involvement in clinical research can have a wider positive effect on patients and hospital performance. The aim of this study was to further assess the putative positive effect of clinical research activity on patient feedback with a more recent dataset, and if staff's motivational engagement levels may impact on aspects of in-patient feedback.

Methods

A retrospective cross-sectional study was conducted with (survey) data from 2019; the sample was 129 English National Health Service hospital Trusts. Sources were the national in-patient survey, national staff survey (for staff motivational engagement), and research activity (based on Trust size-corrected National Institute for Health Research records data). Spearman correlation analyses were conducted (minimum rho value 0.25, p-value<0.005), followed by principal component analysis (score cut-off 0.2).

Results

Initial correlation analyses identified eleven in-patient survey questions where better in-patient feedback was associated with increased clinical research activity, and only three questions linked with higher degree of staff motivational engagement. Subsequent principal component analysis confirmed that increased staff engagement is mainly linked to overall Trust performance such as staff levels, whereas staff in research-active hospitals provided in-patients with sufficient information – including on medication – and did well answering patient questions.

Conclusions

Staff involvement in clinical research is associated with better patient feedback. Clear and thorough information provision to patients, may be a mechanism for improved patient outcomes including mortality.

Keywords:
Healthcare survey
Staff engagement
Research and development
British National Health Service (NHS)
Patient reported outcome
Resumen
Objetivos

El comportamiento del personal sanitario puede repercutir en el rendimiento de los hospitales. La implicación del personal en la investigación clínica puede tener un efecto positivo más amplio sobre los pacientes y los resultados del hospital. El objetivo de este estudio fue evaluar en mayor profundidad el efecto positivo putativo de la investigación clínica en las reacciones de los pacientes utilizando un conjunto de datos más reciente y si los niveles de implicación motivacional del personal pueden afectar a las cuestiones relativas a los comentarios de los pacientes ingresados.

Métodos

Se llevó a cabo un estudio transversal retrospectivo utilizando datos (de encuestas) de 2019. La muestra se compuso de 129 «trust» pertenecientes al National Health Service (NHS) inglés. Las fuentes fueron la encuesta de pacientes hospitalizados nacionales, la encuesta nacional de personal (para evaluar la implicación motivacional del personal) y la actividad de investigación (basada en los datos corregidos de los registros de los trust del NHS). Se realizaron análisis de correlación de Spearman (valor mínimo rho de 0,25, valor p<0,005) y análisis del componente principal (punto de corte establecido en 0,2).

Resultados

Los análisis de correlación iniciales identificaron 11 preguntas de la encuesta a los pacientes hospitalizados en las que las mejores reacciones estuvieron asociadas al incremento de la actividad de investigación clínica y solo 3 preguntas estuvieron vinculadas a un mayor grado de compromiso motivacional del personal. El análisis posterior del componente principal confirmó que el incremento del compromiso del personal está vinculado principalmente a los resultados generales del trust, tales como el nivel del personal, mientras que el personal de los hospitales con actividad investigadora aportó a los pacientes ingresados información suficiente — incluyendo la relativa a la medicación — e hicieron bien en responder a las preguntas de los pacientes.

Conclusiones

La implicación del personal en la investigación clínica está asociada a una mejor respuesta de los pacientes. La aportación a los pacientes de información clara y profunda puede ser un mecanismo de mejora de los resultados de dichos pacientes, incluyendo la mortalidad.

Palabras clave:
Encuesta sobre atención sanitaria
Implicación del personal
Investigación y desarrollo
National Health Service (NHS) británico
Resultados reportados por el paciente

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