PubMed Health⌕ Search

Biomedical subjects

Unni Krogstad

Publications and source records attributed to Unni Krogstad.

6 recordsLinked to original sources
PubMed2006

Predictors of job satisfaction among doctors, nurses and auxiliaries in Norwegian hospitals: relevance for micro unit culture.

OBJECTIVE: To explore what domains of work are important for job satisfaction among doctors, nurses and auxiliaries and to discuss differences between professional groups in the perspective of micro team culture. DESIGN: Cross-sectional survey data from hospital staff working clinically at inpatient hospital wards in Norway in 2000. MEASURES: Linear regression models predicting job satisfaction for the three professions were compared. First, five domains of hospital work were examined for general job satisfaction. Based on the result of the first regression, five items concerning local leadership were explored in a second regression. RESULTS: A total of 1814 doctors, nurses and auxiliaries working at 11 Norwegian hospitals responded (overall response rate: 65%). The only domain of work that significantly predicted high job satisfaction important for all groups was positive evaluation of local leadership. Both steps of analyses suggested that professional development is most important for doctors. For registered nurses, experiencing support and feedback from the nearest superior was the main explanatory variable for job satisfaction. Job satisfaction of auxiliaries was equally predicted by professional development and local leadership. The results are discussed and interpreted as reflections of cultural values, loyalties and motivation. CONCLUSION: The professional values of medicine, the organizational and holistic skills of nurses and the practical experience of auxiliaries should all be valued in the building of interdependent micro teams.

Journal Article↗
PubMed2005

[The patient experiences questionnaire PasOpp in somatic outpatient clinics].

BACKGROUND: The purpose of this paper is to describe the development and evaluation of the patient experiences questionnaire (PEQ) for somatic outpatients. MATERIAL AND METHODS: Literature review, focus groups, interviews with patients and clinicians, and pre-testing of questionnaire items were used. A postal survey among 12,525 patients of 23 outpatient clinics for adults in two Norwegian health regions was conducted during 2003. RESULTS: 6824 (55%) patients responded to the questionnaire. Low levels of missing data suggest that the questionnaire is acceptable to patients. Factor analysis of items deemed applicable to all patients produced three scales: clinic access (2 items), communication (6 items) and organisation (4 items). The remaining items contributed to the hypothesised scales of information (6 items), hospital standards (3 items), and pre-visit experience (3 items). With the exception of the pre-visit experience scale, the levels of Cronbach's alpha met the criterion of 0.7. The great majority of the results of validity testing were as hypothesised. Correlations between the scales ranged from 0.30 (clinic access and information) to 0.72 (communication and information). As hypothesised, scores were significantly related to responses to questions about overall satisfaction, general health, and age. INTERPRETATION: The outpatient experience questionnaire is a self-administered instrument that includes the most important aspects of experience from the outpatients' perspective. Three core dimensions for use in a shortened version have been identified.

Adult↗
PubMed2004

Doctor and nurse perception of inter-professional co-operation in hospitals.

OBJECTIVE: To explore doctor and nurse perception of inter-professional co-operation in hospitals; discuss professional differences as reflections of cultural diversity in the perspective of quality improvement. DESIGN: Cross-sectional survey data from a stratified sample of 15 Norwegian hospitals, September 1998: 551 doctors and 2050 nurses at medical and surgical wards. Measures. Doctor and nurse evaluation of their inter-professional co-operation was mapped. Logistic regression models predicting their satisfaction were compared. RESULTS: Doctors were significantly more often than nurses satisfied with the inter-professional co-operation of the two groups. Satisfaction with inter-professional co-operation was predicted by a number of work situation variables. Some of them contribute differently to doctor and nurse satisfaction. CONCLUSIONS: Doctors and nurses not only evaluate their inter-professional co-operation differently, they also appear to define the concept in different ways. Hospital managers should include an understanding of this cultural diversity into the basis of their quality improvement efforts.

Adult↗
PubMed2003

Multilevel analysis in health services research: a tutorial.

This article describes a well developed, but not yet widespread, statistical method. It presents its distinguishing characteristic (and pre-empts the misunderstanding that all it is about, is including predictors from more than one level). It walks the reader through a simplified example: how can multilevel analysis be used to explain variances in patient satisfaction with the way hospital work is organized. It also discusses the importance of the disciplinary setting for the extra benefit provided by multilevel analysis, as compared to traditional contextual analysis.

Analysis of Variance↗
PubMed2002

[The hospital organization as the staff see it].

BACKGROUND: Reorganisation has become the slogan of how to improve health service without increasing expenses. The question is whether we have the knowledge necessary to build good hospital organisations. The inside information of staff members is one important source for information about hospital organisation. MATERIAL AND METHODS: The Foundation for Health Services Research performed surveys among doctors, nurses and auxiliaries in Norwegian hospitals in 1998, 2000 and 2001. The questionnaire maps the following dimensions of hospital work: general job satisfaction, workload, leadership, work organisation, professional and personal feedback, competence, continuity, cooperation and architecture. This article presents data from the 2000 study. RESULTS: About 75% out of 1,832 respondents claim to be satisfied with their jobs, nurses more so than doctors. Small hospitals are experienced as a better place to work than large ones in nearly all respects. Younger employees and staff with a foreign cultural background are less satisfied with their jobs, work organisation and skills. Leadership, professional development as well as personal and professional support seem to be important for job satisfaction in hospitals. Different organisational features motivate doctors and nursing staff. INTERPRETATION: Hospitals seems to be organised for experienced and Norwegian staff. The actual situation is high personnel turnover with young, inexperienced and mobile health professionals.

Adult↗