title: [Professional quality of life in the clinical governance model of Asturias (Spain)].
abstract: OBJECTIVE
  To evaluate professional quality of life in our clinical governance model by comparing differences according to the time since the model's implementation (1-3 years) and the setting (primary or hospital care).
  
  
  METHODS
  A cross-sectional descriptive study was performed. The 35-item, anonymous, self-administered Professional Quality of Life Questionnaire, with three additional questions, was applied. A minimum sample size for each clinical governance unit/area (CGU/CGA) was calculated. Descriptive, univariate and bivariate analyses were performed using the 35 items separately. The subscales of « management support », « workload » and « intrinsic motivation » were used as dependant variables, and the setting and time since implementation of the CGU/CGA as independent variables.
  
  
  RESULTS
  Of the study population of 2572 professionals, 1395 (54%) responded (67% in primary care and 51% in hospital care). A total of 87% had been working for 5 years or more in their positions. Thirty-three percent had worked for less than a year in clinical governance. The item with the highest score was job training (8.39 ± 1.42) and that with the lowest was conflicts with peers (3.23 ± 2.2). Primary healthcare professionals showed better results in management support and quality of life at work and hospital professionals in workload. The clinical governance model obtained the best scores at 3 years and the worst at 1 year. These differences were especially favorable for clinical governance in hospitals: professionals working longer perceived a lower workload and more intrinsic motivation and quality of life.
  
  
  CONCLUSIONS
  A longer time working in the clinical governance model was associated with better perception of professional quality of life, especially in hospital care.
authors.affiliation: Servicio de Calidad y Gestión Clínica, Servicio de Salud del Principado de Asturias, Oviedo, España. Electronic address: carmen.diazc@sespa.princast.es.
authors.forename: Carmen
authors.initials: C
authors.lastname: Díaz Corte
authors.forename: Óscar
authors.initials: Ó
authors.lastname: Suárez Álvarez
authors.forename: Alejandra
authors.initials: A
authors.lastname: Fueyo Gutiérrez
authors.forename: Pablo
authors.initials: P
authors.lastname: Mola Caballero de Rodas
authors.forename: Iván
authors.initials: I
authors.lastname: Rancaño García
authors.forename: Ana María
authors.initials: AM
authors.lastname: Sánchez Fernández
authors.forename: Rebeca
authors.initials: R
authors.lastname: Suárez Gutiérrez
authors.forename: Carlos
authors.initials: C
authors.lastname: Díaz Vázquez
mesh_terms: D054976:Clinical Governance; D003430:Cross-Sectional Studies; D006282:Health Personnel; D006801:Humans; D011320:Primary Health Care; D011788:Quality of Life; D013030:Spain; D011795:Surveys and Questionnaires; D013997:Time Factors
keywords: CVP-35; Calidad de vida; Clinical governance; Cuestionarios; Gestión clínica; Health personnel; Motivación; Motivation; Profesionales de la salud; QVP-35; Quality of life; Questionnaire