Health and organizational well-being in healthcare professionals

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Health and well-being in the organisation: the contribution of the research group

Changes in organisations, staff reduction, staff turnover, increasing workloads, the growing demand for quality of service from the citizen, the increased incidence of attacks on health care personnel, The European Commission has published a report on the European Union’s research and development policy in the field of education.

The organisational research team is concerned with:

organisational factors, such as workload, which affect the systemic procedures with possible increased clinical risk (e.g. in the administration of drugs)
factors that may increase the risk of physical and verbal aggression towards health care workers (e.g. long waiting times)
the organizational models predictive or risk of possible behaviors implemented by the worker to the detriment of the company (eg damage to machinery and objects owned by the company, acts of bullying against colleagues, etc.)
organisational constraints and their relationship to staff stress (e.g. workload, increasing bureaucratic procedures, time pressure)
the relevance of burnout syndrome* in health care workers (with increasing illness, accidents, unjustified absences from the workplace, etc.)
the relationship between stress and metabolic syndrome
the impact of information systems for collecting care clinical data on improving organisation

*Fatigue syndrome, characterized by psychological and emotional wear

The main results of the research team

nurses in certain clinical settings, e.g. medicine and first aid, show a greater discomfort related to the perception of not always acting according to their ethical values (Badolamenti et al., 2017)
in the medical and first aid departments, under particular organizational stress conditions (interpersonal conflicts, high workloads, etc.)
nurses may put in attobehaviors to the detriment of the company (es frequent absences due to illness) (Zaghini et al., 2017)
there is a significant relationship between a healthy organizational environment, so-called “organizational health”, and the quality of life of healthcare professionals (Sili et al., 2011)
the behaviour against the company leads to a reduction of the standard of care because it directly affects the quality of care provided (Zaghini et al.,2017)
a supportive and motivating leadership style by nursing coordinators promotes quality of the work environment, reduces interpersonal conflicts and negligent burnout nurses (Sili et al., 2014; Farnese et al., 2019)
moral disengagement (such as thinking it is not so bad to do certain things) is the basis of health professionals’ behaviour against the company (Sili et al., 2014; Zaghini et al., 2016)
the “jacket” worn by nurses with the words “do not disturb, therapy in progress”, during the administration of therapy, significantly reduces interruptions and potential misadministration (Mazzitelli et al. 2018)
recording in a data set of all nursing and care interventions performed by health care professionals, allows monitoring of workloads together with the complexity of care of different clinical settings (Sanson et al., 2019)

Development and validation of:

Models and tools for the evaluation of the interaction between organizational factors (e.g. having a difficult to manage workload, lack of clarity in the role, lack of communication and support from managers, strong pressure on the time of work completion) and individual characteristics of the professional (e.g. professional self-efficacy) (Caruso et al., 2016; Zaghini et al., 2015; Siliet al., 2018).
A computer tool for the formulation and collection of nursing diagnoses (Zegaet al., 2014; D’Agostino et al., 2017).

Future developments

The research team is also studying:

the relationship between burnout and metabolic syndrome in health care workers;
the relationship between over-education and job dissatisfaction;
the correlation between quality of working life and non-working life;
organizational models with predictive power of the outcomes of stress and burnout in health care workers;
the potential relationship between burnout of health care workers and quality of care;
the effectiveness of strategic programmes for clinical risk reduction.

Tools developed/validated

Nursing Profession Self-Efficacy Scale (NPSES) > measures self efficacy in healthcare personnel
Emotional labour in Nursing Scale (ELNS)> measures emotional stress in nurses
Questionnaire for the assessment of environmental risks and individual limitations on manual loading/patient removal
Italian version of the Assessment of Interprofessional Team Collaboration Scale II (I-AITCS II)>evaluates collaboration between health professionals
Nursing Organizational Health Questionnaire.(QISO) > measure organizational health in healthcare organizations
Nursing Counterproductive Work Behaviours Scale (Nursing CWBS)> measures the counter-productive behaviors to the detriment of the company in health organizations
Nurse Moral Disengagement Scale (NMDS)> measures the moral disengagement in nurses
Italian-language Nurse Caring Behaviours Scale (INCBS) > measures care behaviors in Italian nurses in critical area settings
Nurses’ Quality of Life Scale (NQoLs) > measures quality of life for nurses
Modifi and Moral Distress Scale (MDS-11) > measure mental distress in nurses MENU Manifesto

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Health and organizational well-being in healthcare professionals

Rosaria Alvaro

Ercole Vellone

Francesco Zaghini

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