Identification of HRM practices to Improve work engagement of medical staff of Government hospitals
DOI:
https://doi.org/10.69565/jems.v3i3.335Keywords:
HRM practices, Work Engagement, High Performance Work Systems, Quality of CareAbstract
Background: The work burdens on public hospitals of Pakistan have increased enormously in the recent past, due to which healthcare providers experience a higher level of burnout than other human service sectors of white-collar jobs. Government hospitals make different efforts to provide quality care with efficiency to poor patients. Healthcare employees operate in unsafe work environments, having less but overloaded infrastructure at the same time as private sector hospitals. In this scenario, employees of public hospitals are often found to be less engaged, stressed, and less attentive at their workplaces. Purpose: This study will help in some way the management of public hospitals of Punjab to understand those Human Resource Management practices that may boost work engagement of primary care providers, i.e. both Doctors and Nurses and provide evidence that Human Resource activities that are carefully designed may increase work engagement of healthcare staff which may pay back in the form of higher quality care and safety. For this purpose, this study identifies and tests those Human Resource Management practices in the Pakistani context on which Ontario Hospital Canada (OHA), Canadian Research Corporation (CRC), the National Health Service, UK and the Health Sector of the USA have given great emphasis, and which may enhance work engagement of employees. This study also highlights some possible barriers that cause variation in staff engagement.
Methodology: This is a descriptive-analytic study that was conducted in 12 Tertiary and Tehsil level public hospitals (6 each, respectively) among on-duty Doctors and Nurses. A sample of 161 doctors and 137 nurses was collected through Stratified Random Sampling (Disproportionate Method) by using the Employees Experience Survey Questionnaire and the Quality Healthcare Workplace Model of the Ontario Hospital Association (OHA). Results were obtained by reliability analysis, correlation analysis, and regression. Employees' work engagement was measured through a cumulative percentage of positive responses on each dimension of human resource practices, which OHA and other researchers have stressed. The employees’ Engagement Score was bifurcated into high, medium, and low levels. Findings: The study concludes that by following an employee-centric approach based on the social and economic exchange theories, High-Performance Work Systems (HPWS), if carefully designed by management through effective HRM practices, may enable employees of public hospitals to provide high-quality patient care to the general public. In summary, the findings make clear that engagement culture comes from carefully devised HR practices with positivity, compassion, and respect for healthcare employees. When staff deals with such practices, they can fulfill their intrinsic satisfaction, which is vital to creating high-quality patient care quality.
References
Bakker, A. B., & Xanthopoulou, D. (2009). The crossover of daily work engagement: Test of an actor–partner interdependence model. Journal of Applied Psychology, 94(6), 1562-1571.
Bartlett, K. R. (2001). The relationship between training and organizational commitment: A study in the health care field. Human Resource Development Quarterly, 12(4), 335-352. https://doi.org/10.1002/hrdq.1001
Battu, N., & Chakravarthy, G. K. (2014). Quality of work life of nurses and paramedical staff in hospitals. International Journal of Business and Administration Research Review, 2(4), 200-207.
Bulkapuram, S. G., Wundavalli, L., & Avula, K. S. (2015). Employee engagement and its relation to hospital performance in a tertiary care teaching hospital. Journal of Hospital Administration, 4(1), p48.
Care Quality Commission. (2013). Care Quality Commission. Retrieved from http://www.cqc.org.uk/
Chevarie, N. (2002). The experience of social support for nurses working in the emergency department. University of New Brunswick (Canada).
Collins, K. S., Collins, S. K., McKinnies, R., & Jensen, S. (2008). Employee satisfaction and employee retention: Catalysts to patient satisfaction. The Health Care Manager, 27(3), 245-251.
Deci, E. L., & Ryan, R. M. (1987). The support of autonomy and the control of behavior. Journal of Personality and Social Psychology, 53(6), 1024-1037.
Dehghan nayaeri, N., Nazari, A., Salsali, M., & Ahmadi, F. (2006). To assess role of staffing in nursing productivity: A qualitative research. HAYAT, 12(3), 81. Retrieved from http://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=2009613463&lang=es&site=ehost-live
Department of Health. (2010). The NHS Outcomes Framework 2011/12. Department of Health. Retrieved from https://www.gov.uk/government/publications/nhs-outcomes-framework-2011-2012
Disch, J. (2002). Creating healthy work environments. Creative Nursing, 8(2), 3-10.
Eaton, S. C. (2000). Beyond “unloving care”: Linking human resource management and patient care quality in nursing homes. International Journal of Human Resource Management, 11(3), 591-616. https://doi.org/10.1080/095851900339774
Eisenberg, J. M., Bowman, C. C., & Foster, N. E. (2001). Does a healthy health care workplace produce higher-quality care? Joint Commission Journal on Quality Improvement, 27(9), 444-457.
Fletcher, M. (2007). Continuing education for healthcare professionals: Time to prove its worth. Primary Care Respiratory Journal, 16(3), 188-190. https://doi.org/10.3132/pcrj.2007.00041
Gardner, J. K., Thomas-Hawkins, C., Fogg, L., & Latham, C. E. (2007). The relationships between nurses’ perceptions of the hemodialysis unit work environment and nurse turnover, patient satisfaction, and hospitalizations. Nephrology Nursing Journal, 34(3), 271-281.
Gibbons, J., & Schutt, R. (2009). A global barometer for measuring employee engagement. Conference Board.
Goyal, K., Nigam, A., & Goyal, N. (2023). Human resource management practices and employee engagement. International Journal of Human Capital and Urban Management, 8(4), 559-572. https://doi.org/10.559/IJHCUM.2023.15816
Hackman, J. R., & Oldham, G. R. (1975). Development of the job diagnostic survey. Journal of Applied Psychology, 60(2), 159-170.
Heinsch, M., Tickner, C., & Kay-Lambkin, F. (2022). Placing equity at the heart of eHealth implementation: A qualitative pilot study. International Journal for Equity in Health, 21(1), 38. https://doi.org/10.1186/s12939-022-01640-5
Helmreich, R. L. (2004). Team training and resource management in health care: Current issues and future directions. Harvard Health Policy Review, 5(1), 25-35.
Hewitt, A. (2011). The multiplier effect: Insights into how senior leaders drive employee engagement higher. Retrieved from http://www.aon.com/multiplier-effect
Ibrahim, H., Mohd Rodzi, M. H. A., & Mohd Zin, M. L. (2021). Factors influencing employee engagement in a financial institution. Annals of Contemporary Developments in Malaysia & HR, 2(1), 33-42.
Kahn, W. A. (1990). Psychological conditions of personal engagement and disengagement at work. Academy of Management Journal, 33(4), 692-724.
Kibambila, V. K. (2024). Job characteristics and work engagement among secondary school teachers: The moderating role of co-worker support. African Business Management Journal, 2(1), 1–14. https://doi.org/10.58548/2024abmj21.0114
Krishnan, R., Ismail, S., Ismail, I., Muhammed, R. N., & Muthusamy, G. (2015). Employee work engagement: Understanding the role of job characteristics and employee characteristics. International Journal of Business and Administration Research Review, 4, 58-67.
Loher, B. T., Noe, R. A., Moeller, N. L., & Fitzgerald, M. P. (1985). A meta-analysis of the relation of job characteristics to job satisfaction. Journal of Applied Psychology, 70(2), 280-289.
Lowe, G. (2012). For hospital performance. The Health Care Manager, 15(2), 29-39.
MacLeod, D., & Clarke, N. (2009). Engaging for success: Enhancing performance through employee engagement: A report to government. Department for Business, Innovation and Skills London.
Macey, W. H., & Schneider, B. (2008). The meaning of employee engagement. Industrial and Organizational Psychology, 1(1), 3-30.
Ma’arof, R. (2023). Improving employee engagement through HRM practices in public hospitals. Advances in Social Sciences Research Journal, 10(11), 24-33. https://doi.org/10.14738/assrj.1011.15816
McHugh, M. D., Kutney-Lee, A., Cimiotti, J. P., Sloane, D. M., & Aiken, L. H. (2011). Nurses’ widespread job dissatisfaction, burnout, and frustration with health benefits signal problems for patient care. Health Affairs, 30(2), 202-210.
Michie, S., & West, M. A. (2004). Managing people and performance: An evidence-based framework applied to health service organizations. International Journal of Management Reviews. https://doi.org/10.1111/j.1460-8545.2004.00098.x
Miles, R. H. (2001). Beyond the age of Dilbert: Accelerating corporate transformations by rapidly engaging all employees. Organizational Dynamics, 29(4), 313-321.
Mihail, D. M., & Kloutsiniotis, P. V. (2016). The effects of high-performance work systems on hospital employees’ work-related well-being: Evidence from Greece. European Management Journal, 1-15. https://doi.org/10.1016/j.emj.2016.01.005
Mustaffa, A., Lajuma, S., & Wider, W. (2022). Employee engagement during COVID-19 in Malaysia. Frontiers in Sociology, 1-13.
Murphy, K. R., & DeNisi, A. (2008). A model of the appraisal process. Performance Management Systems: A Global Perspective, 6, 81-100.
Nair, S., Jayabalan, N., & Perumal, A. (2022). Factors affecting employee engagement in the Malaysian private sector during the COVID-19 pandemic. Hong Kong Journal of Social Sciences, 59, 568-577.
Saks, A. M. (2006). Antecedents and consequences of employee engagement. Journal of Managerial Psychology, 21(7), 600-619.
Saeed, A., & Ibrahim, H. (2005). Reasons for the problems faced by patients in government hospitals: Results of a survey in a government hospital in Karachi, Pakistan. Journal of the Pakistan Medical Association, 55(1), 45-47.
Scottish Executive social research. (2007). Employee engagement in the public sector: A review of literature. Public Sector Journal, 5(3), 70-101.
Soares, A. M., & Farhangmehr, M. (2014). Understanding patient satisfaction in a hospital emergency department. International Review on Public and Non-Profit Marketing, 12(1), 1-15. https://doi.org/10.1007/s12208-014-0122-3
WORK, R. O. N. H. (2010). A framework for public reporting on healthy work environments in Ontario healthcare settings. Health Q
Downloads
Published
How to Cite
License
Copyright (c) 2024 Zain ul Abidin, Arshad Mahmood, Dr Roomana Akhlaque, Dr. Sajjad Ahmad Baig

This work is licensed under a Creative Commons Attribution 4.0 International License.

