Healthcare professionals’ experiences of job satisfaction when providing person-centred care: a systematic review of qualitative studies

Objectives This qualitative systematic review aimed to explore and synthesise healthcare professionals’ (HCPs) experiences of job satisfaction when providing person-centred care (PCC) in healthcare settings in Europe.Method This systematic review of qualitative studies was followed by a thematic syn...

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Main Authors: Gunnel Hensing, Andreas Fors, Cornelia van Diepen, Malin Axelsson, Kristoffer Gustavsson, Monica Bertilsson
Format: Article
Language:English
Published: BMJ Publishing Group 2023-06-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/13/6/e071178.full
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author Gunnel Hensing
Andreas Fors
Cornelia van Diepen
Malin Axelsson
Kristoffer Gustavsson
Monica Bertilsson
author_facet Gunnel Hensing
Andreas Fors
Cornelia van Diepen
Malin Axelsson
Kristoffer Gustavsson
Monica Bertilsson
author_sort Gunnel Hensing
collection DOAJ
description Objectives This qualitative systematic review aimed to explore and synthesise healthcare professionals’ (HCPs) experiences of job satisfaction when providing person-centred care (PCC) in healthcare settings in Europe.Method This systematic review of qualitative studies was followed by a thematic synthesis applying an inductive approach. Studies concerning HCPs and different levels of healthcare in Europe were eligible for inclusion. The CINAHL, PubMed and Scopus databases were searched. Study titles, abstracts and full texts were screened for relevance. Included studies were assessed for methodological quality using a quality appraisal checklist. Data were extracted and synthesised via thematic synthesis, generating analytical themes.Results Seventeen studies were included in the final thematic synthesis, and eight analytical themes were derived. Most studies were conducted in Sweden and the UK and were performed in hospitals, nursing homes, elderly care and primary care. Thirteen of these studies were qualitative and four used a mixed-method design in which the qualitative part was used for analysis. HCPs experienced challenges adapting to a new remoulded professional role and felt torn and inadequate due to ambiguities between organisational structures, task-oriented care and PCC. Improved job satisfaction was experienced when providing PCC in line with ethical expectations, patients and colleagues expressed appreciation and team collaboration improved, while learning new skills generated motivation.Conclusion This systematic review found varied experiences among HCPs. Notably, the new professional role was experienced to entail disorientation and uncertainty; importantly, it also entailed experiences of job satisfaction such as meaningfulness, an improved relationship between HCPs and patients, appreciation and collaboration. To facilitate PCC implementation, healthcare organisations should focus on supporting HCPs through collaborational structures, and resources such as time, space and staffing.PROSPERO registration number CRD42022304732.
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spelling doaj.art-78d8e9203e5546e590337aa948ed281c2024-02-17T14:00:07ZengBMJ Publishing GroupBMJ Open2044-60552023-06-0113610.1136/bmjopen-2022-071178Healthcare professionals’ experiences of job satisfaction when providing person-centred care: a systematic review of qualitative studiesGunnel Hensing0Andreas Fors1Cornelia van Diepen2Malin Axelsson3Kristoffer Gustavsson4Monica Bertilsson5School of Public Health and Community Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, SwedenCentre for Person-Centred Care (GPCC), University of Gothenburg, Gothenburg, SwedenCentre for Person-Centred Care (GPCC), University of Gothenburg, Gothenburg, SwedenDepartment of Care Science, Faculty of Health and Society, Malmö University, Malmö, SwedenCentre for Person-Centred Care (GPCC), University of Gothenburg, Gothenburg, SwedenSchool of Public Health and Community Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, SwedenObjectives This qualitative systematic review aimed to explore and synthesise healthcare professionals’ (HCPs) experiences of job satisfaction when providing person-centred care (PCC) in healthcare settings in Europe.Method This systematic review of qualitative studies was followed by a thematic synthesis applying an inductive approach. Studies concerning HCPs and different levels of healthcare in Europe were eligible for inclusion. The CINAHL, PubMed and Scopus databases were searched. Study titles, abstracts and full texts were screened for relevance. Included studies were assessed for methodological quality using a quality appraisal checklist. Data were extracted and synthesised via thematic synthesis, generating analytical themes.Results Seventeen studies were included in the final thematic synthesis, and eight analytical themes were derived. Most studies were conducted in Sweden and the UK and were performed in hospitals, nursing homes, elderly care and primary care. Thirteen of these studies were qualitative and four used a mixed-method design in which the qualitative part was used for analysis. HCPs experienced challenges adapting to a new remoulded professional role and felt torn and inadequate due to ambiguities between organisational structures, task-oriented care and PCC. Improved job satisfaction was experienced when providing PCC in line with ethical expectations, patients and colleagues expressed appreciation and team collaboration improved, while learning new skills generated motivation.Conclusion This systematic review found varied experiences among HCPs. Notably, the new professional role was experienced to entail disorientation and uncertainty; importantly, it also entailed experiences of job satisfaction such as meaningfulness, an improved relationship between HCPs and patients, appreciation and collaboration. To facilitate PCC implementation, healthcare organisations should focus on supporting HCPs through collaborational structures, and resources such as time, space and staffing.PROSPERO registration number CRD42022304732.https://bmjopen.bmj.com/content/13/6/e071178.full
spellingShingle Gunnel Hensing
Andreas Fors
Cornelia van Diepen
Malin Axelsson
Kristoffer Gustavsson
Monica Bertilsson
Healthcare professionals’ experiences of job satisfaction when providing person-centred care: a systematic review of qualitative studies
BMJ Open
title Healthcare professionals’ experiences of job satisfaction when providing person-centred care: a systematic review of qualitative studies
title_full Healthcare professionals’ experiences of job satisfaction when providing person-centred care: a systematic review of qualitative studies
title_fullStr Healthcare professionals’ experiences of job satisfaction when providing person-centred care: a systematic review of qualitative studies
title_full_unstemmed Healthcare professionals’ experiences of job satisfaction when providing person-centred care: a systematic review of qualitative studies
title_short Healthcare professionals’ experiences of job satisfaction when providing person-centred care: a systematic review of qualitative studies
title_sort healthcare professionals experiences of job satisfaction when providing person centred care a systematic review of qualitative studies
url https://bmjopen.bmj.com/content/13/6/e071178.full
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