医院指导的健康干预在COVID-19中的有效性:一个跨部门调查
Adrian Cotarelo1, Mary McLean2,3,4, Nishad Rahman5
1Northwell Health at North Shore/Long Island Jewish Medical Center, Department of Emergency Medicine, Long Island, New York.
The western journal of emergency medicine
|June 6, 2023
概括
紧急医生经历了后COVID-19高峰期的更糟糕的士气. 虽然危险支付和汇报小组是最有效的健康干预措施,但免费食物是唯一有效且经常使用的选择.
科学领域:
- 紧急医疗 紧急医疗
- 职业健康 职业健康 职业健康
- 医疗保健管理的管理
背景情况:
- 医院实施了健康干预措施,以减轻COVID-19对紧急医生 (EP) 士气和倦怠的影响.
- 医院指导的健康计划的有效性存在有限的证据,阻碍了最佳实践指导.
- 本研究旨在评估2020年春夏期间的干预有效性和使用频率.
研究的目的:
- 为紧急医生确定医院指导的健康干预措施的有效性.
- 为了确定各种健康干预措施的使用频率.
- 为规划医院健康计划提供基于证据的指导.
主要方法:
- 通过EM社会列表服务器和社交媒体群组分发的新型调查进行的横截面观测研究.
- 参与者报告了当前和回顾性士气 (1-10级),并评价了干预的有效性 (1-5级).
- 记录了干预使用频率,并使用描述性统计和t测试分析了数据.
主要成果:
- 调查时的士气低于2020年COVID-19峰值 (p=0.024). 在调查时的士气低于2020年COVID-19峰值 (p=0.024).
- 最有效的干预措施:危险工资 (M 3.59),员工汇报小组 (M 3.51) 和免费食品 (M 3.34).
- 最常用的干预措施:免费食品 (67.1%),支持标志 (57.5%) 和每日电子邮件 (51.0%). 危险报酬和汇报小组很少被使用.
结论:
- 在医院指导的健康干预措施的有效性和使用频率之间存在显著的不一致.
- 免费食品是唯一被发现既高效又经常使用的干预措施.
- 尽管目前使用率较低,但医院应优先将资源用于可证明有效的干预措施,如危险工资和员工汇报小组.
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