Met haar thesis heeft Eva Jansen meegedaan aan de NOBCO thesisprijs 2023, en zij heeft deze prijs gewonnen.
Het gehele onderzoek is hier te downloaden.
Abstract
Background: European Union Member States face severe personnel shortages in healthcare. Coaching has emerged as a human-centred strategy to enhance sustainable employment and retention, with benefits on both an individual- and organisational-level. While the number of efficacy studies continues to grow, knowledge about the barriers and facilitators to implementing coaching interventions among healthcare professionals remains scarce.
Aim: This mixed-studies review aimed to identify and describe common barriers and facilitators to the implementation and delivery of coaching interventions for healthcare professionals in the European Union; focusing on organisational climate, implementation process, and program characteristics.
Methods: In April 2023, three databases (PubMED, Embase, Web of Science) were searched for eligible articles. Barriers and facilitators were systematically identified and mapped onto the Consolidated Framework for Implementation Research constructs. Directed content analysis yielded thematic areas and a reporting frequency. Results: A total of thirty (n=30) studies were included in this review, representing twenty-five (n=25) distinct coaching programs. Implementation determinants were clustered in the CFIR constructs ‘Inner Setting’ (8 facilitators and 4 barriers) and ‘Implementation Process’ (6 facilitators and 1 barrier). Commonly-reported barriers included a (i) limited organisational capacity, (ii) lack of psychological safety, (iii) competing work demands, and (iv) insufficient leadership buy-in. Commonly-reported facilitators were the (i) allocation of protected time for participants, as well as coaches, (ii) promotion through opinion leaders, (iii) embeddedness in existing educational or CPD programs, and (iv) creating a “community of practice” among coaches.
Conclusion: This study synthesized common barriers and facilitators to implementing and delivering coaching interventions for healthcare professionals. These determinants covered a broad range of CFIR constructs and highlight the need to develop a supportive organizational climate that fosters psychological safety. Future implementation strategies may be informed by the findings of this study.