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Gaceta Sanitaria

Print version ISSN 0213-9111

Abstract

DIAZ CORTE, Carmen et al. Professional quality of life in the clinical governance model of Asturias (Spain). Gac Sanit [online]. 2013, vol.27, n.6, pp.502-507. ISSN 0213-9111.  http://dx.doi.org/10.1016/j.gaceta.2013.01.012.

Objective: To evaluate professional quality of life in our clinical governance model by comparing differences according to the time since the model's implementation (1-3 years) and the setting (primary or hospital care). Methods: A cross-sectional descriptive study was performed. The 35-item, anonymous, self-administered Professional Quality of Life Questionnaire, with three additional questions, was applied. A minimum sample size for each clinical governance unit/area (CGU/CGA) was calculated. Descriptive, univariate and bivariate analyses were performed using the 35 items separately. The subscales of "management support", "workload" and "intrinsic motivation" were used as dependant variables, and the setting and time since implementation of the CGU/CGA as independent variables. Results: Of the study population of 2572 professionals, 1395 (54%) responded (67% in primary care and 51% in hospital care). A total of 87% had been working for 5 years or more in their positions. Thirty-three percent had worked for less than a year in clinical governance. The item with the highest score was job training (8.39 ± 1.42) and that with the lowest was conflicts with peers (3.23 ± 2.2). Primary healthcare professionals showed better results in management support and quality of life at work and hospital professionals in workload. The clinical governance model obtained the best scores at 3 years and the worst at 1 year. These differences were especially favorable for clinical governance in hospitals: professionals working longer perceived a lower workload and more intrinsic motivation and quality of life. Conclusions: A longer time working in the clinical governance model was associated with better perception of professional quality of life, especially in hospital care.

Keywords : Quality of life; Health personnel; Clinical governance; QVP-35; Questionnaire; Motivation.

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