1. Professor Katie Truss University of Sussex

2. These are emerging findings based on independent research funded by the National Institute for Health Research (Health Services and Delivery Research, 12/5004/01 – Enhancing and Embedding Staff Engagement in the NHS: Putting Theory into Practice). The views expressed in this publication are those of the author(s) and not necessarily those of the NHS, the National Institute for Health Research or the Department of Health. COPYRIGHT TO THE CONTENTS OF THE SLIDES BELONGS TO THE UNIVERSITY OF SUSSEX AND THE NIHR, AND COPYRIGHT TO THE SLIDES BELONGS TO PROFESSOR KATIE TRUSS. THE SLIDES CANNOT BE COPIED OR REFERRED TO WITHOUT WRITTEN PERMISSION. THIS PRESENTATION IS BASED ON PRE- PUBLICATION FINDINGS AND SHOULD NOT BE CITED. Research team: Professor Katie Truss (Sussex University), Dr Adrian Madden (Sussex University), Dilys Robinson (IES), Dr Kerstin Alfes (Tilburg University), Luke Fletcher (IES), Jenny Holmes (IES), Jonathan Buzzeo (IES), Professor Graeme Currie (Warwick University) © Katie Truss

3. ‘Being’ engaged ‘Doing’ engagement © Katie Truss Psychological state Multi-faceted Influenced by personal and organisational factors Management approach Involvement

4. Part of the ‘positive psychology’ movement Expressing your ‘authentic self’ at work (Kahn, 1990) – personal engagement Thoughts, feelings, behaviours directed towards the job or organisation (Saks, 2006) A positive state of mind directed towards work tasks: vigour, dedication, absorption: the Utrecht Work Engagement Scale (Schaufeli et al., 2002) 86% © Katie Truss

5. Drivers Engagement state of mind Outcomes © Katie Truss

7. 12 studies, 2 from UK (1 used complex methods) Studies showed link with: general/psychological health, job satisfaction, commitment and turnover intention © Katie Truss

8. 6 studies in health context, none in UK Quality of care: 5 studies, all cross-sectional. Some weak evidence of a link but contradictory evidence In role performance: 2 studies both cross-sectional showed link to patient care/effectiveness Going the extra mile: 2 studies © Katie Truss

9. Examined link between nurse practice environment, work engagement, and nurse-reported quality of care within teams Study of 357 staff from 32 teams in two psychiatric hospitals in Belgium Favourable nurse practice environments linked with engagement, and engagement linked with: job satisfaction, intent to stay, nurse-reported quality of care. © Katie Truss

10. Limited evidence of link between engagement and organisational performance Stronger evidence of link between engagement and individual performance 22 studies examined engagement-performance link at individual level; 10 used complex methods and showed a strong relationship © Katie Truss