坦桑尼亚北部劳动力和分娩提供者之间的倦怠:一种混合方法研究
Virginie Marchand1, Melissa H Watt2, Linda M Minja3
1Duke University, School of Medicine, Durham, North Carolina, USA.
medRxiv : the preprint server for health sciences
|July 3, 2023
概括
在坦桑尼亚的劳动和分娩提供者中,倦怠很普遍,由于缺乏意识,往往没有被认可. 教育和支持显著影响了感知到的倦怠程度和应对策略.
科学领域:
- 医学研究 医学研究
- 公共卫生 公共卫生
- 医疗保健管理的管理
背景情况:
- 疲劳,以疲和非个性化为标志,严重影响全球的医疗保健工作者,患者结果和系统.
- 在资源有限,医疗保健工作人员短缺的环境中,这尤其令人担忧.
- 这项研究调查了坦桑尼亚劳动和分娩 (L&D) 提供商的倦怠情况.
研究的目的:
- 探索在坦桑尼亚的L&D提供者中燃烧的经验和患病率.
- 了解在这个特定的医疗保健环境中导致倦怠的因素.
- 评估教育干预对倦怠意识和感知的影响.
主要方法:
- 一种混合方法的方法,结合了结构化的倦怠评估,来自小组活动的观察数据和深入访谈 (IDI).
- 数据收集来自60个L&D提供商在六个诊所在四个时间点.
- 15家提供者参加了IDI,以探索燃烧体验.
主要成果:
- 在干预之前,基线倦怠率为18%;在教育活动后立即升至62%,然后在1个月和3个月后稳定在29%和33%.
- 提供者认为缺乏意识是初始率较低的原因,并将随后的变化归因于新的应对策略.
- 患者负担高,人员不足,资源有限,工资低是主要因素.
结论:
- 燃烧是坦桑尼亚北部L&D提供商的一个重要问题,由于对该概念的接触有限,往往未被认可.
- 缺乏意识阻止了公开讨论和有效管理倦怠,影响了提供者和患者.
- 在不考虑问题的上下文理解的情况下,标准的倦怠评估可能是不够的.
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