Staff satisfaction and organisational performance : evidence from a longitudinal secondary analysis of the NHS staff survey and outcome data

Background: The search for causal links between human resource management (HRM) and organisational performance has dominated academic and practitioner debates for many years. However, much of this work comes from contexts outside health care and/or the UK. Objectives: This study tested the later stages of a well-established HRM model, testing whether or not there was evidence of causal links between staff experience and intermediate (staff) and final (patient and organisational) outcomes, and whether or not these differed in parts of the NHS. We used large-scale longitudinal secondary data sets in order to answer these questions in a thorough way. Data sources: Searches were conducted using Health Management Information Consortium, MEDLINE, PsycINFO, Social Sciences Citation Index and EBSCOhost (from inception to May 2012). Methods: Staff experience data came from the national NHS staff surveys of 2009, 2010 and 2011, with trust-level measures of staff absenteeism, turnover, patient satisfaction, mortality and infection rates gathered from the same NHS years. Several analytical methods were used, including multilevel analysis, mediated regression, latent growth curve modelling and cross-lagged correlation analysis. Results: In general, the pattern was that better staff experiences are associated with better outcomes for employees and patients. Multilevel analysis found that the positive effects of staff perceiving equal opportunities on employee outcomes were especially strong, as were the negative effects of aggression and discrimination. Organisational-level analysis showed that better staff experiences (particularly those associated with better well-being and better job design, and more positive attitudes about the organisation generally) were linked to lower levels of absenteeism and greater patient satisfaction. There was some evidence that the relationship with absenteeism is causal, although the causal link with patient satisfaction was less clear-cut. Some relationships between staff experience and turnover, and some between staff experience and patient mortality, were also found (and a few with infection rates), with longitudinal analysis comparatively unclear about the direction of causality. Although many staff experiences were associated with absenteeism and patient satisfaction, these effects were not mediated and the reason staff experiences are linked to patient satisfaction appears to be separate from the link with absenteeism. In general, there is no single group of staff (or geographical region) for which staff experiences are the most important. However, nurses’ experiences generally had the strongest effects on absenteeism, followed by medical/dental staff. Few clear or explainable patterns for other staff group effects were found. Absenteeism was most readily predicted by staff experience in the West Midlands. Two Action Learning Sets of managers, and patient and public involvement representatives broadly supported the emerging findings of the factors that seemed to be important indicators of staff satisfaction and organisational outcomes. Limitations: The relatively blunt nature of the data used meant that conclusions about the direction of causality were less clear. More specific limitations included that we had to limit outcome variables to those that were available already, that many variables were available for acute trusts, and that we could not break down data further within trusts or years. Conclusions: Overall, the research confirmed many expected links between staff experiences and outcomes, providing support for that part of the overall HRM model in the NHS. However, conclusions about the direction of causality were less clear (except for absenteeism). This is probably due in part to the relatively blunt nature of the data used. Future research may involve the careful evaluation of interventions designed to improve staff experience on more specific groups of staff, and the continued use of secondary data sources, such as those used in this report, to answer more specific, theoretically driven questions

Three tyrannies of participatory governance

Despite the potential promise of more participatory urban governance, some debates do not sufficiently reflect difficult realities. This paper aims to make good on this by maintaining reflexivity about tensions. Drawing on traditions of pragmatism, the paper identifies tyrannies besetting understandings of participatory governance. Tyrannies are ways of thinking that developed in response to an identified issue, but which fail to live up to their initial promise. Despite this, those particular ways of thinking continue to hold sway. The paper sets three key tyrannies: the quest for authenticity in non-elected representation; assumptions about leadership models; and ‘bottom-up’ versus ‘top-down’ debates. First, despite widespread acknowledgement of the value of lived experience in participatory governance, in the quest for authenticity, it is simultaneously reified yet denied. Second, we question assumed symbiotic alignments between participatory governance and ideas of distributed leadership. Third, we present a critique of the fetishisation of ‘bottom-up’ approaches in participatory governance. It concludes with the role of reflexivity in re-negotiating the politics of participatory governance

In-depth analysis of chloride treatments for thin-film CdTe solar cells

CdTe thin-film solar cells are now the main industrially established alternative to silicon-based photovoltaics. These cells remain reliant on the so-called chloride activation step in order to achieve high conversion efficiencies. Here, by comparison of effective and ineffective chloride treatments, we show the main role of the chloride process to be the modification of grain boundaries through chlorine accumulation, which leads an increase in the carrier lifetime. It is also demonstrated that while improvements in fill factor and short circuit current may be achieved through use of the ineffective chlorides, or indeed simple air annealing, voltage improvement is linked directly to chlorine incorporation at the grain boundaries. This suggests that focus on improved or more controlled grain boundary treatments may provide a route to achieving higher cell voltages and thus efficiencies

Everyday stories of impact: interpreting knowledge exchange in the contemporary university

Research into the barriers of getting evidence produced by academics into policymaking processes has often highlighted the lack of research on academics and what they do, as compared to what policymakers do. This was most recently highlighted in a systematic review of the literature (Oliver et al, 2014). This paper reports on research carried out with academics who were tasked with producing evidence reviews for the UK Department for Communities and Local Government based on research funded by the UK Arts and Humanities Research Council. Using a novel co-produced methodology the academics were interviewed by an academic and a UK civil servant, with the analysis carried out by both. Using an interpretive approach, the findings identify specific meaning-making stories or practices that were enablers or barriers to producing evidence suitable for policymakers. The paper identifies three areas that affect academic behaviour at the nexus with policymaking: career biographies; disciplinary background; and the contradictory institutional pressures on academics. We conclude by arguing for a more collaborative approach between academics and policymakers. The co-produced approach also allowed us to identify the need for policymakers and civil servants to learn more about the different drivers of academics and the ways in which they work

Luminescence of Cu2ZnSnS4 polycrystals described by the fluctuating potential model

The growth of Cu 2ZnSnS4 (CZTS) polycrystals from solid state reaction over a range of compositions, including the regions which produce the highest efficiency photovoltaic devices, is reported. X-ray measurements confirm the growth of crystalline CZTS. Temperature and intensity dependent photoluminescence (PL) measurements show an increase in the energy of the main CZTS luminescence peak with both increasing laser power and increasing temperature. Analysis of the PL peak positions and intensity behavior demonstrates that the results are consistent with the model of fluctuating potentials. This confirms that the polycrystals are heavily doped with the presence of a large concentration of intrinsic defects. The behavior of the main luminescence feature is shown to be qualitatively similar over a broad range of compositions although the nature and amount of secondary phases vary significantly. The implications for thin-film photovoltaic devices are discussed