倾听活动:让临床医生参与评估导致倦怠的系统因素
Sarah E Richards1, Victoria Kennel2, Jana Wardian3
1Internal Medicine, University of Nebraska Medical Center College of Medicine, Omaha, Nebraska, USA serichards@unmc.edu.
BMJ leader
|July 13, 2023
概括
医生倦怠影响患者护理. 一个结构化的倾听活动确定了系统层面的解决方案,以改善临床医生的福祉和专业满意度,为医疗保健系统提供推的工具.
科学领域:
- 医疗保健管理的管理
- 职业健康 职业健康 职业健康
- 医学教育 医学教育
背景情况:
- 医生倦怠早于大流行,对患者的护理质量,安全和体验产生了负面影响.
- 医疗机构往往优先考虑个人弹性,而不是导致倦怠的系统性问题.
- 开发了一种新的过程,即结构化倾听活动,以识别和优先考虑临床医生福祉的系统级解决方案.
研究的目的:
- 实施和评估一个结构化的倾听活动,旨在减轻对临床医生的福祉产生负面影响的因素.
- 确定和优先考虑与系统相关的关键解决方案,以改善医疗保健工作环境.
- 通过反收集,将临床医生与组织资源联系起来.
主要方法:
- 倾听活动包括与临床医生小组领导人的会议和小组倾听会议.
- 临床医生在公开讨论和反思期间确定了满意度和"愿望"的改善领域.
- 参与者的反和优先考虑"愿望"指导了针对性举措的开发.
主要成果:
- 截至2020年1月,超过200名临床医生参加了20次听力会议.
- 一项调查显示,122名参与者的80%受益于该活动.
- 83%的参与者向他们的同事推了倾听活动.
结论:
- 收集临床医生的反对于优先考虑计划和将员工与资源联系起来至关重要.
- 倾听活动是医疗保健系统了解临床医生的观点的宝贵工具.
- 解决影响临床医生幸福感的系统因素对于改善医疗保健提供至关重要.
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