The Participatory Approach: A Specific French Organizational Model at the Department Level to Serve the Quality of Work Life of Healthcare Providers and the Quality of Care in Pediatric Oncology
Received 6 November 2020
Accepted for publication 19 January 2021
Published 25 March 2021 Volume 2021:13 Pages 2763—2771
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 2
Editor who approved publication: Dr Chien-Feng Li
Julien Lejeune,1 Evelyne Fouquereau,2 Denis Chênevert,3 Helene Coillot,2 Severine Chevalier,2 Nicolas Gillet,2 Jean M Michon,4 Virginie Gandemer,5 Philippe Colombat2
1Service d’Onco-Hématologie Pédiatrique, Hôpital Clocheville, Tours, France; 2Qualipsy EE 1901, Université de Tours, Tours, France; 3Ecole des Hautes Etudes Commerciales, Montréal, Canada; 4Département de Pédiatrie, Institut Curie, Paris, France; 5Service d’Onco-Hématologie Pédiatrique, CHU Hôpital Sud, Rennes, France
Correspondence: Philippe Colombat Tel +33 0 2 47 4747 51
Email [email protected]
Background: Care providers ‘psychological health at work is an important issue because it directly affects the quality of patient care. So far, few studies have studied the psychological health at work of care providers in paediatric oncology. The participatory approach (PA) is an innovative organizational model of department specific to France and previously associated with quality of work life (QWL) and job performance. The aim of the present study was to explore the relationships between the participatory approach, care providers’ QWL and quality of care of children in pediatric oncology departments in France.
Methods: A multicentre survey was carried out in pediatric cancer units in France. Care providers completed a questionnaire assessing PA, QWL, consequences of QWL, and their perception of quality of care. The children or their parents completed a questionnaire assessing their perception of quality of care.
Results: Five hundred and ten healthcare professionals working in French pediatric oncology centres (more than 40% of the healthcare staff in paediatric oncology in France), 142 children and 298 parents responded to the survey. PA was associated with the care providers’ QWL (β = 0.274; p < 0.001), work engagement (β = 0.167; p< 0.001), job satisfaction (β = 0.166; p< 0.001) and perception of quality of care (β = 0.236; p< 0.001). PA was also related to patients’ perception of quality of care notably regarding quality of communication (β = 0.161; p< 0.001) and information (β = 0.226; p< 0.001).
Conclusion: PA is an innovative organizational model that appears to play a role in all aspects of healthcare providers’ QWL, and in the quality of care perceived by both care providers and patients.
Keywords: quality of work life, quality of care, organization, management, pediatric oncology
This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.Download Article [PDF] View Full Text [HTML][Machine readable]