Table 2

Results of staff engagement domains for Safety, Communication, Operational Reliability, and Engagement survey at Pediatric Nephrology Unit/Roosevelt Hospital in Guatemala

Domain	What does it measure?	Unit scores	Congruence across roles
Growth opportunities	How staff view opportunity to enhance their career	Scores were mixed Some favourable responses with career growth Some unfavourable responses towards ability to influence planning of career activities All staff feel they can contribute to something important	Incongruent among roles Nurses and administrative support staff had less favourable views towards growth opportunities
Job certainty	How staff view job security within institution as well as outside their institution	Overall scores favourable Most staff plan to be working at the same unit next year	Congruent among roles
Intentions to leave	Staff intention to stay in current job or plan to move to another job within short time frame	Mixed responses Staff may like to find another job Some staff question whether there are other jobs available May reflect lack of job opportunities and need to stay at current job regardless of stressors	Incongruent among roles Nurses having more favourable views towards staying at their current job
Decision-making	How staff view their ability to influence organisational decision-making	Mixed responses Some insufficient involvement in planning and organisational decisions Other staff have favourable views about ability to discuss problems	Incongruent among roles Physicians and clinical support staff having more favourable views than others
Advancement	How staff view advancement potential within the organisation	Mixed responses Staff may not feel like there is advancement potential, but they are not intending to leave	Incongruent among roles Clinical-related staff (physicians, nurses, and clinical support) having more favourable views towards educational, promotional and financial advancement opportunities
Workload strain	How staff view the balance of work demand with available resources	Mixed responses Most staff expressing high levels of workload strain in regards to the volume and/or complexity of their work demands	Incongruent among roles Physician, administrative and clinical support staff having unfavourable views

For each domain, definition of what the domain measures, survey results for Pediatric Nephrology Unit and congruence across professional roles in the unit. Readers are referred to text for a full description of all information and appropriate references.