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Relationship of Workplace Factors and Job Involvement of Healthcare Employees with Quality of Patient Care in Teaching and Non-teaching Hospitals

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Abstract

The present study examined the effects of certain hospital workplace factors on job involvement among healthcare employees at the paramedical levels and quality of patient care in public hospitals in North India. The sample consisted of paramedical healthcare employees (N = 200), from a medical college affiliated teaching hospital and public hospitals (non-teaching) run by the railway services. Data were analyzed statistically to examine the hypothesized differences between the two types of hospitals. Results showed that employee perceptions of the workplace factors, namely, participation in decision making, innovative practices, perceived organizational support and role efficacy were significantly different in the teaching and non-teaching hospitals. Stepwise regression analysis of the data revealed that the factor ‘innovative practices’ was a positive predictor of job involvement in the non-teaching hospitals but a negative predictor of in job involvement in the teaching hospital. Job involvement significantly mediated the relationship between the perception of workplace factors and quality of patient care only in the non-teaching hospitals. The present study has important implications for initiating changes in the hospital system, particularly in public hospitals, where no systematic study has yet been conducted to determine the effects of workplace factors on job involvement of healthcare professionals and the quality of patient care in India.

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Acknowledgement

This paper is published as part of an ongoing UGC major research project and the authors are grateful to Mr.S.M. Bhardwaj, (Retd) General Manager, DLW, Varanasi for facilitating data collection in the railway hospitals and to all those who have assisted at the BHU medical college hospital.

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Authors and Affiliations

  1. Department of Psychology, Faculty of Social Sciences, Banaras Hindu University, Varanasi, 221005, India

    Manisha Agarwal & Abhishek Sharma

Authors
  1. Manisha Agarwal
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  2. Abhishek Sharma
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Correspondence to Manisha Agarwal.

Appendix

Appendix

Items for Quality of Patient Care

  1. 1.

    Effectiveness The health care system in this hospital effectively delivers improvements in health to those who require treatment

  2. 2.

    Safety The system of delivering health care does not result in injuries or complications for the patients

  3. 3.

    Responsiveness In this hospital the health care system places the patient/users at the centre of the treatment process

  4. 4.

    Accessibility In this hospital patients of all categories can easily reach the health care services

  5. 5.

    Equity In this hospital the system does not discriminate in distribution of health care services among patients of different categories

  6. 6.

    Efficiency The health care system of this hospital is able to function efficiently at low costs without reducing the quality of patient care

  7. 7.

    Acceptability The health care system of this hospital responds favourably to the reasonable wishes, desires and expectations of their patients and their families

  8. 8.

    Appropriateness The health care system of this hospital effectively provides relevant treatment to the patients based on their clinical requirements

  9. 9.

    Competence The health care personnel in this hospital have the training and capabilities to assess, treat and communicate with the patients

  10. 10.

    Continuity The health care system of this hospital is able to co-ordinate with other hospitals for providing clinical treatment to patients who might require prolonged care.

  11. 11.

    Timeliness Patients in this hospital are able to obtain, prompt and coordinated care from various specialties during emergencies

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Agarwal, M., Sharma, A. Relationship of Workplace Factors and Job Involvement of Healthcare Employees with Quality of Patient Care in Teaching and Non-teaching Hospitals. Psychol Stud 55, 374–385 (2010). https://doi.org/10.1007/s12646-010-0045-y

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  • DOI: https://doi.org/10.1007/s12646-010-0045-y

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