Job performance in healthcare: a systematic review

Abstract Background Healthcare organisations face major challenges to keep healthcare accessible and affordable. This requires them to transform and improve their performance. To do so, organisations must influence employee job performance. Therefore, it is necessary to know what the key dimensions...

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Main Authors: Marcel Krijgsheld, Lars G. Tummers, Floortje E. Scheepers
Format: Article
Language:English
Published: BMC 2022-02-01
Series:BMC Health Services Research
Subjects:
Online Access:https://doi.org/10.1186/s12913-021-07357-5
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author Marcel Krijgsheld
Lars G. Tummers
Floortje E. Scheepers
author_facet Marcel Krijgsheld
Lars G. Tummers
Floortje E. Scheepers
author_sort Marcel Krijgsheld
collection DOAJ
description Abstract Background Healthcare organisations face major challenges to keep healthcare accessible and affordable. This requires them to transform and improve their performance. To do so, organisations must influence employee job performance. Therefore, it is necessary to know what the key dimensions of job performance in healthcare are and how these dimensions can be improved. This study has three aims. The first aim is to determine what key dimensions of job performance are discussed in the healthcare literature. The second aim is to determine to which professionals and healthcare organisations these dimensions of job performance pertain. The third aim is to identify factors that organisations can use to affect the dimensions of job performance in healthcare. Methods A systematic review was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. The authors searched Scopus, Web of Science, PubMed, and Google Books, which resulted in the identification of 763 records. After screening 92 articles were included. Results The dimensions – task, contextual, and adaptative performance and counterproductive work behaviour – are reflected in the literature on job performance in healthcare. Adaptive performance and counterproductive work behaviour appear to be under-researched. The studies were conducted in different healthcare organisations and pertain to a variety of healthcare professionals. Organisations can affect job performance on the macro-, meso-, and micro-level to achieve transformation and improvement. Conclusion Based on more than 90 studies published in over 70 journals, the authors conclude that job performance in healthcare can be conceptualised into four dimensions: task, contextual and adaptive performance, and counterproductive work behaviour. Generally, these dimensions correspond with the dimensions discussed in the job performance literature. This implies that these dimensions can be used for further research into job performance in healthcare. Many healthcare studies on job performance focus on two dimensions: task and contextual performance. However, adaptive performance, which is of great importance in constantly changing environments, is under-researched and should be examined further in future research. This also applies to counterproductive work behaviour. To improve job performance, interventions are required on the macro-, meso-, and micro-levels, which relate to governance, leadership, and individual skills and characteristics.
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spelling doaj.art-e6ba06788f364f89bb4fd6c08a906cc02022-12-22T01:34:10ZengBMCBMC Health Services Research1472-69632022-02-0122111710.1186/s12913-021-07357-5Job performance in healthcare: a systematic reviewMarcel Krijgsheld0Lars G. Tummers1Floortje E. Scheepers2School of Governance, Utrecht UniversitySchool of Governance, Utrecht UniversityDepartment of Psychiatry, Brain Center, UMCAbstract Background Healthcare organisations face major challenges to keep healthcare accessible and affordable. This requires them to transform and improve their performance. To do so, organisations must influence employee job performance. Therefore, it is necessary to know what the key dimensions of job performance in healthcare are and how these dimensions can be improved. This study has three aims. The first aim is to determine what key dimensions of job performance are discussed in the healthcare literature. The second aim is to determine to which professionals and healthcare organisations these dimensions of job performance pertain. The third aim is to identify factors that organisations can use to affect the dimensions of job performance in healthcare. Methods A systematic review was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. The authors searched Scopus, Web of Science, PubMed, and Google Books, which resulted in the identification of 763 records. After screening 92 articles were included. Results The dimensions – task, contextual, and adaptative performance and counterproductive work behaviour – are reflected in the literature on job performance in healthcare. Adaptive performance and counterproductive work behaviour appear to be under-researched. The studies were conducted in different healthcare organisations and pertain to a variety of healthcare professionals. Organisations can affect job performance on the macro-, meso-, and micro-level to achieve transformation and improvement. Conclusion Based on more than 90 studies published in over 70 journals, the authors conclude that job performance in healthcare can be conceptualised into four dimensions: task, contextual and adaptive performance, and counterproductive work behaviour. Generally, these dimensions correspond with the dimensions discussed in the job performance literature. This implies that these dimensions can be used for further research into job performance in healthcare. Many healthcare studies on job performance focus on two dimensions: task and contextual performance. However, adaptive performance, which is of great importance in constantly changing environments, is under-researched and should be examined further in future research. This also applies to counterproductive work behaviour. To improve job performance, interventions are required on the macro-, meso-, and micro-levels, which relate to governance, leadership, and individual skills and characteristics.https://doi.org/10.1186/s12913-021-07357-5Systematic reviewJob performanceTask performanceContextual performanceAdaptive performanceCounterproductive work behaviour
spellingShingle Marcel Krijgsheld
Lars G. Tummers
Floortje E. Scheepers
Job performance in healthcare: a systematic review
BMC Health Services Research
Systematic review
Job performance
Task performance
Contextual performance
Adaptive performance
Counterproductive work behaviour
title Job performance in healthcare: a systematic review
title_full Job performance in healthcare: a systematic review
title_fullStr Job performance in healthcare: a systematic review
title_full_unstemmed Job performance in healthcare: a systematic review
title_short Job performance in healthcare: a systematic review
title_sort job performance in healthcare a systematic review
topic Systematic review
Job performance
Task performance
Contextual performance
Adaptive performance
Counterproductive work behaviour
url https://doi.org/10.1186/s12913-021-07357-5
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