The impact of a supportive supervision intervention on health workers in Niassa, Mozambique: a cluster-controlled trial

Human Resources for Health

Research

Ogenna Uduma¹  Tavares Madede²  Mohsin Sidat²  Sergio Rogues Patricio²  Isabel Cambe³  Susan Bradley⁴  Marie Galligan⁵  Eilish McAuliffe⁶ 

[1] Centre for Global Health, Trinity College Dublin, Dublin, Ireland;Department of Community Health, Faculty of Medicine, Eduardo Mondlane University, PO Box 257, 702 Salvador Allende Ave., Maputo, Mozambique;National Health Institute, Maputo, Mozambique;School of Health Sciences, City University London, 1 Myddelton Street, EC1R 1UW, London, United Kingdom;School of Medicine, University College Dublin, Dublin, Ireland;School of Nursing, Midwifery and Health Systems, University College Dublin, Dublin, Ireland;

关键词: Supportive supervision;    Job satisfaction;    Retention;    Work engagement;    Burnout;    Participation;    Motivation;   

DOI  :  10.1186/s12960-017-0213-4

 received in 2016-08-02, accepted in 2017-06-02,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundRegular supportive supervision is critical to retaining and motivating staff in resource-constrained settings. Previous studies have shown the particular contribution that supportive supervision can make to improving job satisfaction amongst over-stretched health workers in such settings.MethodsThe Support, Train and Empower Managers (STEM) study designed and implemented a supportive supervision intervention and measured its’ impact on health workers using a controlled trial design with a three-arm pre- and post-study in Niassa Province in Mozambique. Post-intervention interviews with a small sample of health workers were also conducted.ResultsThe quantitative measurements of job satisfaction, emotional exhaustion and work engagement showed no statistically significant differences between end-line and baseline. The qualitative data collected from health workers post the intervention showed many positive impacts on health workers not captured by this quantitative survey.ConclusionsHealth workers perceived an improvement in their performance and attributed this to the supportive supervision they had received from their supervisors following the intervention. Reports of increased motivation were also common. An unexpected, yet important consequence of the intervention, which participants directly attributed to the supervision intervention, was the increase in participation and voice amongst health workers in intervention facilities.

【 授权许可】

CC BY   
© The Author(s). 2017