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Survey Finds 45% of Hospital Employees Discontented, Disengaged

John Commins, for HealthLeaders Media, June 14, 2010

Nearly half—45%—of hospital employees say they're disengaged, disempowered, and unhappy on the job, with younger workers, and those at the patients' bedside expressing the most discontent, according to the 2010 Hospital Pulse Report: Employee and Nurse Perspectives on American Health Care  from Press Ganey Associates.

The survey, representing responses from more than 235,000 employees at nearly 400 U.S. hospitals, also found that:

  • There is a generation gap when it comes to both employee satisfaction. Employees born in 1945 or earlier tend to be the most satisfied while younger employees are the least satisfied. Both Gen Y and Gen X employees have a greater need to receive recognition, to be included in decisions, and to communicate with hospital administration.
  • There is a strong correlation between patient satisfaction and employee partnership. Hospitals that can provide the best environment for employees will be rewarded with better patient care.

The alienation of a considerable percentage of staff comes as hospitals across the nation contemplate the launch of integrated and patient-centered care programs. Deirdre Mylod, vice president, hospital services, at Press Ganey, said low morale hampers the delivery of high-quality care.

Instead of focusing solely on employee needs, such as pay, benefits, or daily work issues, Mylod said partnerships are created when employees are both satisfied and engaged. She said the survey suggests that hospitals focus on creating an environment where employees feel an emotional bond with colleagues as well as with the overall organization.

"We found hospital employees want to be recognized for excellent work, but they also want to be involved in the decision-making process and have the opportunity to provide input on issues directly affecting their work, so they feel empowered to do their jobs," Mylod said. "It is critical for hospitals to take considerations like these into account when planning employee relations initiatives."


John Commins is an editor with HealthLeaders Media. He can be reached at jcommins@healthleadersmedia.com.
5 comments on "Survey Finds 45% of Hospital Employees Discontented, Disengaged"


L.Guerra (6/22/2010 at 6:26 AM)
Does this mean that those "disengaged" workers are also going to going to purchase malpractice insurance to cover the liability of being part of the decision process? Last I heard, it was still the physicians getting sued. No, I am not a physician, but I do realize that the same Generation Y and X that have the constant need for recognition are also very litigious.

R Daniel King (6/19/2010 at 9:32 AM)
If employees are disengaged, then leadership is disengaged and this survey is another indictment of the serious senior leadership chasm in our nation's hospitals. Any idea that an efficient, quality-driven health care system is going to be achieved by moving from a "physician-centric model" to a "collaborative model" is a sign that we still have not accurately diagnosed the disease that has made health care an inefficient, quality challenged industry. Health care treatment is about the physician/patient relationship and that is not going to change. What needs to be changed and both physicians and all clinical, technical and administrative support staff need to get a grasp on is how each is interdependent on each other in achieving an efficient, quality-driven outcome for each patient. No exceptions! This is very difficult to achieve when disengaged leaders allow their hospital to function like a field of fiefdom silos, or in some cases a battlefield of warring bunkers, with no regard for the interdependent relationship needed to achieve an efficient, quality-driven outcome.

Sam Teekah (6/19/2010 at 6:53 AM)
I think 45% is rather a low score!I am leaning more towards 60%.
I experienced first hand where both Laboratory and Hospital Administration failed to acknowledge the prevention of a possible Fatal Transfusion Reaction.
No one wants to report errors
Thank you