医療従事者のレジリエンスのメソ組織的決定要因: スコーピングレビューの結果

Natalia Oprea¹, Giorgio Giacomelli¹, Marco Sartirana¹

¹Centre for Research on Health and Social Care Management (CeRGAS), SDA Bocconi School of Management, Milan, Italy.

Health policy (Amsterdam, Netherlands)

|September 5, 2025

まとめ

医療従事者の回復力は医療システムの安定に不可欠です仕事の特徴やチームサポートや職場の状況といった組織的な要因は医療従事者の個人的回復力を大きく左右します

科学分野:

公衆衛生
労働衛生について
組織心理学

背景:

最近の危機は,医療従事者 (HCW) が医療システムの回復力において果たす重要な役割を強調しています.
HCWは身体的・心理的な大きな課題に直面しており回復力要因の理解が必要である.
個人の回復力は組織的な影響の文脈でしばしば見過ごされます

研究の目的:

HCWの個々の回復力に影響を与えるメソレベルの組織的要因に関する学際的な証拠をマッピングし,合成する.
職場に関連するリスクと保護要因を組織環境内で特定する.
HCWのレジリエンスを形作る要因の包括的な概要を提供する.

主な方法:

多学科の文献を調査した.
中間レベルの職場の要因との関係で個々の回復力を調べた研究も含まれています.
多様な研究デザインと学問的視点が許される.

主要な成果:

含有基準を満たした66件の研究を分析した.
職務の特徴,エンパワーメント,人際的ダイナミクス (チームの一致性,監督者によるサポート),心理社会的職場の条件など
これらのメソレベルの要因がHCWのレジリエンスに及ぼす重大な影響を強調した.

結論:

組織環境がHCWの回復力を決定的に促進します
チーム機能と職場の雰囲気を強化する政策と介入の必要性を強調しています.
将来の研究は,これらの洞察を労働力の回復力のための実行可能な戦略に変換する必要があります.

キーワード:

医療従事者,メソレベルの要因回復力

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