title: An evaluation of staff engagement programmes in four National Health Service Acute Trusts.
abstract: OBJECTIVE
  The purpose of this paper is to report the findings from an evaluation project conducted to investigate the impact of two staff engagement programmes introduced to four National Health Service (NHS) hospital Trusts in England. It seeks to examine this development in the context of current policy initiatives aimed at increasing the level of staff involvement in decision-making, and the related literature.
  
  
  METHODS
  A mixed-methods approach incorporating document analysis, interviews, a survey and appreciative inquiry, informed by the principles of impact evaluation design, was used.
  
  
  RESULTS
  The main finding to emerge was that leadership was crucial if widespread staff engagement was to be achieved. Indeed, in some of the trusts the staff engagement programmes were seen as mechanisms for developing leadership capability. The programmes had greater impact when they were "championed" by the Chief Executive. Effective communication throughout the organisations was reported to be a prerequisite for staff engagement. Problems were identified at the level of middle management where the lack of confidence in engaging with staff was a barrier to implementation.
  
  
  CONCLUSIONS
  The nature of the particular organisational context is crucial to the success of efforts to increase levels of staff engagement. The measures that were found to work in the trusts would need to be adapted and applied to best meet the needs of other organisations.
  
  
  CONCLUSIONS
  Many health care organisations in England will need to harness the efforts of their workforce if they are to meet the significant challenges of dealing with financial restraint and increasing patient demand. This paper provides some insights on how this can be done.
authors.affiliation: School of Health and Population Sciences, The University of Birmingham, Birmingham, UK. a.hewison@bham.ac.uk
authors.forename: Alistair
authors.initials: A
authors.lastname: Hewison
authors.forename: Nicola
authors.initials: N
authors.lastname: Gale
authors.forename: Rowena
authors.initials: R
authors.lastname: Yeats
authors.forename: Jonathan
authors.initials: J
authors.lastname: Shapiro
mesh_terms: D001291:Attitude of Health Personnel; D003142:Communication; D003659:Decision Making, Organizational; D004739:England; D006801:Humans; D007407:Interviews as Topic; D007588:Job Satisfaction; D007857:Leadership; D010559:Personnel Management / Q000379:methods*; D015397:Program Evaluation; D013222:State Medicine / Q000458:organization & administration*