NHS Staff Surveys studies

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Results

Local copies and derivatives of source files

Source files at NHS websites

Public reporting

Analytic plan

Original plan

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Analytic plan

Revised plan

After reading the Halo Effect (Rosenzweig, 2006) in May 2019, which cited longitudginal panel studies of Schneider (Schneider, 2003) and Huselid (Huselid, 1997) which led to more recent panel studies with a cross-lagged analysis (Riketta, 2008); the analytic design was switch to a cross-lagged regression.

Bibliography

  1. Jonker L, Fisher SJ. NHS Trusts’ clinical research activity and overall CQC performance - Is there a correlation? Public Health. 2015 Nov;129(11):1491–5. PMID 26275602
  2. Jonker L, Fisher SJ. The correlation between National Health Service trusts’ clinical trial activity and both mortality rates and care quality commission ratings: a retrospective cross-sectional study. Public Health. 2018 Apr;157:1–6. PMID 29438805
  3. Xirasagar S. Transformational, transactional among physician and laissez-faire leadership among physician executives. J Health Organ Manag. 2008;22(6):599–613. PMID 19579573
  4. Xirasagar S, Samuels ME, Curtin TF. Management training of physician executives, their leadership style, and care management performance: an empirical study. Am J Manag Care. 2006 Feb;12(2):101–8. PMID 16464139

Clinical outcomes and workplace culture

  1. Braithwaite J, Herkes J, Ludlow K, Testa L, Lamprell G. Association between organisational and workplace cultures, and patient outcomes: systematic review. BMJ Open. 2017 Nov 8;7(11):e017708. doi: 10.1136/bmjopen-2017-017708. PMID: 29122796
  2. Raleigh VS, Hussey D, Seccombe I, Qi R. Do associations between staff and inpatient feedback have the potential for improving patient experience? An analysis of surveys in NHS acute trusts in England. Qual Saf Health Care. 2009 Oct;18(5):347-54. PMID: 19812096.
  3. Welp A, Meier LL, Manser T. Emotional exhaustion and workload predict clinician-rated and objective patient safety. Front Psychol. 2015 Jan 22;5:1573. doi: 10.3389/fpsyg.2014.01573. PMID: 25657627. Participants were ICU nurses and physicians. Analysis was cross-sectional.
  4. West MA, Guthrie JP, Dawson JF, Borrill CS, & Carter M. (2006). Reducing patient mortality in hospitals: the role of human resource management. Journal of Organizational Behavior: The International Journal of Industrial, Occupational and Organizational Psychology and Behavior, 27(7), 983-1002. DOI: 10.1002/job.396
  5. West M, Dawson J. Employee engagement and NHS performance. London: King's Fund; 2012
  6. Toffolutti V, Stuckler D. A Culture Of Openness Is Associated With Lower Mortality Rates Among 137 English National Health Service Acute Trusts. Health Aff (Millwood). 2019 May;38(5):844-850. doi: 10.1377/hlthaff.2018.05303. PMID: 31059370

Other outcomes and workplace culture

  1. Wake M, Green W. Relationship between employee engagement scores and service quality ratings: analysis of the National Health Service staff survey across 97 acute NHS Trusts in England and concurrent Care Quality Commission outcomes (2012-2016). BMJ Open. 2019 Jul 17;9(7):e026472. PMID: 31320347
    In this study, engagement includes, but is broader, than Schaufeli's UWES-9.

Interventions

  1. Benning A, Ghaleb M, Suokas A, Dixon-Woods M, Dawson J, Barber N, Franklin BD, Girling A, Hemming K, Carmalt M, Rudge G, Naicker T, Nwulu U, Choudhury S, Lilford R. Large scale organisational intervention to improve patient safety in four UK hospitals: mixed method evaluation. BMJ. 2011 Feb 3;342:d195. doi: 10.1136/bmj.d195. PMID: 21292719. SPI reported a borderline reduction in burnout (as measured by staff self-report of "Work related stress in previous 12 months"), an insignificant decrease in mortality, and no change in patient satisfaction
  2. Dixon-Woods M, Baker R, Charles K, Dawson J, Jerzembek G, Martin G, McCarthy I, McKee L, Minion J, Ozieranski P, Willars J, Wilkie P, West M. Culture and behaviour in the English National Health Service: overview of lessons from a large multimethod study. BMJ Qual Saf. 2014 Feb;23(2):106-15. doi: 10.1136/bmjqs-2013-001947. PMID: 24019507. SPI follow-up that observed "compliance-oriented bureaucratised management...poor organisational and information systems sometimes left staff struggling to deliver care effectively and disempowered them from initiating improvement")
  3. Benn J, Burnett S, Parand A, Pinto A, Vincent C. Factors predicting change in hospital safety climate and capability in a multi-site patient safety collaborative: a longitudinal survey study. BMJ Qual Saf. 2012 Jul;21(7):559-68. doi: 10.1136/bmjqs-2011-000286. PMID: 22562874

Methods

Lagged Regression

Cross-lagged regression
  1. Koys DJ. The Effects of Employee Satisfaction, Organizational Citizenship Behavior, and Turnover on Organizational Effectiveness: A Unit-Level, Longitudinal Study. Personnel Psychology. 2001;54(1):101–14. DOI 10.1111/j.1744-6570.2001.tb00087.x
  2. Rosenzweig P. The Halo Effect: ... and the Eight Other Business Delusions That Deceive Managers. Free Press; 2007 [cited 2019 May 19]. ISBN-10: 0743291255
  3. Riketta M. The causal relation between job attitudes and performance: a meta-analysis of panel studies. J Appl Psychol. 2008 Mar;93(2):472–81. PMID 18361647
  4. Schneider B, Hanges PJ, Smith DB, Salvaggio AN. Which comes first: employee attitudes or organizational financial and market performance? J Appl Psychol. 2003 Oct;88(5):836–51. PMID 14516248
Random intercept cross-lagged regression (RI-CLPM) and structured equation modeling (SEM) approaches
  1. Hamaker E, Grasman R, Raoul P. A critique of the cross-lagged panel model. Psychol Methods. 2015 Mar;20(1):102–16. DOI 10.1037/a0038889
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