团队合作指标与提供者经验,倦怠和留下来的意图有关
Amy Nguyen Howell1, Mark Linzer, Zac Seidel
1Optum Health LLC, 11000 Optum Circle, Eden Prairie, MN 55344.
The American journal of managed care
|July 31, 2023
概括
一个新的团队工作指标 (TEAM) 显示了有效的团队动态和更好的临床医生体验之间的强烈联系. 高的TEAM分数与减少倦怠和增加保持在实践中的意图相关.
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
- 临床信息学 临床信息学
背景情况:
- 提供者倦怠和意图留在医疗保健中的关键问题.
- 有效的团队合作被假定会影响提供者的福祉和保留.
- 现有的措施可能无法充分捕捉与临床实践相关的团队动态.
研究的目的:
- 为临床医生制定和验证一个简短的团队合作措施.
- 检查团队合作,提供者经验和倦怠之间的关系.
- 评估团队合作如何影响临床医生保持其角色的意图.
主要方法:
- 开发了一个6项团队效率 (TEAM) 衡量标准,重点关注效率,沟通,持续改进和领导力.
- 分析了来自2019年临床医生调查 (n=1387) 的数据,包括倦怠,经验和意图停留的措施.
- 用通用估计方程来确定关联,控制共变量.
主要成果:
- TEAM测量结果显示出卓越的可靠性 (Cronbach α=0.86) 和构造有效性.
- 较高的TEAM分数与较低的倦怠 (aOR=0.28) 和更高的留下意图 (aOR=7.24) 有关.
- 获得高TEAM分数的临床医生报告了更好的体验 (79%vs24%),更低的倦怠率 (17%vs44%) 和更高的留下意图 (93%vs65%).
结论:
- TEAM指数是临床环境中团队合作的有效和可靠衡量标准.
- 有效的团队合作与积极的提供者体验,减少倦怠和增加留住人数密切相关.
- 通过诸如TEAM指数之类的干预措施优化团队动态可能改善临床工作环境.
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