Study explores how health care workers share appreciation, promote positive workplace culture

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Health care organizations, in reviewing care delivery opportunities and providing feedback to staff, often focus on what went wrong, but a new study suggests that reversing this perspective may help organizations improve their work culture by understanding what went right. A team of Mass General Brigham researchers analyzed peer-to-peer positive feedback, systematically collected when caring for a dying patient as part of a mandatory mortality review process.

while, within emergency medicine, the focus was on expertise and composure. Most positive feedback acknowledged specific individuals, and nurses provided the most feedback across roles compared to other clinician types.

Study limitations include limited generalizability since the study occurred at a single health system and not collecting outcome data on adverse events, operational efficiency, or clinician well-being or attrition— all of which need to be examined longitudinally in different clinical contexts. "Our study provides rich, qualitative data that highlight the amazing work that our clinicians provide on a daily basis," said first author Isaac Chua, MD, MPH, a palliative care physician at Brigham and Women's Hospital.

"Systematic collection and sharing of positive feedback is a grassroots, low-cost intervention that can help health care leadership understand and improve workplace culture based on the value system of its employees. Receiving and sharing thismay also help health care workers feel more valued at work, which may protect them against burnout and attrition."

"Every day, we review and learn from safety reporting and mortality reviews on how to improve patient care as well as scale

 

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