Exploring barriers to employee voice among certified nursing assistants: A qualitative study.

IF 1.7 3区 医学 Q3 HEALTH POLICY & SERVICES
Health Care Management Review Pub Date : 2024-10-01 Epub Date: 2024-07-23 DOI:10.1097/HMR.0000000000000415
Karin Kee, Henk Nies, Marieke van Wieringen, Bianca Beersma
{"title":"Exploring barriers to employee voice among certified nursing assistants: A qualitative study.","authors":"Karin Kee, Henk Nies, Marieke van Wieringen, Bianca Beersma","doi":"10.1097/HMR.0000000000000415","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Research shows that voice-the communication of ideas, concerns, and perspectives by employees to those in positions to instigate changes-is related to job satisfaction, retention, and organizational improvement. Nevertheless, health care professionals often do not exercise voice. Although researchers have explored the barriers registered nurses working in hospitals experience in expressing their voices, there has been a notable lack of attention in research and practice to the voice of certified nursing assistants working in long-term care settings.</p><p><strong>Purposes: </strong>Ensuring that certified nursing assistants can exercise voice is essential for the welfare and well-being of this occupational group and critical for the success of their organizations. Therefore, we explore the barriers certified nursing assistants encounter that hinder them from exercising voice.</p><p><strong>Methodology: </strong>We conducted seven focus groups in which 24 Dutch certified nursing assistants participated.</p><p><strong>Results: </strong>The results show that respondents were not always willing to exercise voice, which stemmed primarily from negative prior experiences with exercising voice. Respondents were further not always able to exercise voice, as the conditions under which they had to do so were unfavorable. Finally, respondents sometimes lacked the necessary skills to convey their ideas, concerns, and perspectives effectively.</p><p><strong>Practice implications: </strong>Our findings indicate that health care managers must address multiple factors if they wish to enhance the voice of certified nursing assistants.</p>","PeriodicalId":47778,"journal":{"name":"Health Care Management Review","volume":null,"pages":null},"PeriodicalIF":1.7000,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Health Care Management Review","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/HMR.0000000000000415","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/7/23 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"HEALTH POLICY & SERVICES","Score":null,"Total":0}
引用次数: 0

Abstract

Background: Research shows that voice-the communication of ideas, concerns, and perspectives by employees to those in positions to instigate changes-is related to job satisfaction, retention, and organizational improvement. Nevertheless, health care professionals often do not exercise voice. Although researchers have explored the barriers registered nurses working in hospitals experience in expressing their voices, there has been a notable lack of attention in research and practice to the voice of certified nursing assistants working in long-term care settings.

Purposes: Ensuring that certified nursing assistants can exercise voice is essential for the welfare and well-being of this occupational group and critical for the success of their organizations. Therefore, we explore the barriers certified nursing assistants encounter that hinder them from exercising voice.

Methodology: We conducted seven focus groups in which 24 Dutch certified nursing assistants participated.

Results: The results show that respondents were not always willing to exercise voice, which stemmed primarily from negative prior experiences with exercising voice. Respondents were further not always able to exercise voice, as the conditions under which they had to do so were unfavorable. Finally, respondents sometimes lacked the necessary skills to convey their ideas, concerns, and perspectives effectively.

Practice implications: Our findings indicate that health care managers must address multiple factors if they wish to enhance the voice of certified nursing assistants.

探索注册护理助理在表达员工意见时遇到的障碍:定性研究。
背景:研究表明,员工的发言权--员工将自己的想法、关注的问题和观点传达给有能力推动变革的人--与工作满意度、留任率和组织改进有关。然而,医疗保健专业人员往往无法行使发言权。尽管研究人员已经探讨了在医院工作的注册护士在表达意见时遇到的障碍,但在研究和实践中,对在长期护理机构工作的注册护理助理的意见却明显缺乏关注:确保注册护理助理能够表达自己的意见对这一职业群体的福利和福祉至关重要,对其所在机构的成功也至关重要。因此,我们探讨了注册护理助理在行使话语权时遇到的障碍:我们开展了 7 个焦点小组,共有 24 名荷兰注册护理助理参加:结果显示,受访者并不总是愿意行使话语权,这主要源于之前行使话语权的负面经历。此外,受访者并不总是能够行使发言权,因为他们必须在不利的条件下行使发言权。最后,受访者有时缺乏必要的技能来有效传达他们的想法、担忧和观点:我们的研究结果表明,医护管理人员若想提高注册护理助理的发言权,就必须解决多种因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
Health Care Management Review
Health Care Management Review HEALTH POLICY & SERVICES-
CiteScore
4.70
自引率
8.00%
发文量
48
期刊介绍: Health Care Management Review (HCMR) disseminates state-of-the-art knowledge about management, leadership, and administration of health care systems, organizations, and agencies. Multidisciplinary and international in scope, articles present completed research relevant to health care management, leadership, and administration, as well report on rigorous evaluations of health care management innovations, or provide a synthesis of prior research that results in evidence-based health care management practice recommendations. Articles are theory-driven and translate findings into implications and recommendations for health care administrators, researchers, and faculty.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信