一般医疗团队组成和气候对工作人员和患者体验的影响:系统性审查
Ruth Abrams1, Bridget Jones2, John Campbell3
1School of Health Sciences, University of Surrey, Guildford, UK r.abrams@surrey.ac.uk.
在一般实践中,劳动力短缺和糟糕的团队气候会对员工和患者护理产生负面影响. 积极的团队动态和稳定的员工配置对于工作满意度和优质护理至关重要,尽管需要更多的研究.
科学领域:
- 医疗保健管理的管理
- 初级保健工作人员动力学
- 医疗保健中的团队心理学
背景情况:
- 政策倡议在一般实践中促进多学科性,以解决劳动力短缺问题.
- 关于人员和团队气候对医疗保健工作人员和患者体验的影响的证据有限.
- 了解这些因素对于改善初级保健提供至关重要.
研究的目的:
- 综合证据,说明一般实践中的员工组成和团队气候如何影响员工的工作满意度和倦怠.
- 检查对患者护理流程和质量的影响.
- 为优化初级保健团队结构的战略提供信息.
主要方法:
- 2012年至2022年间发表的国际证据的系统文献综述.
- 在包括 MEDLINE,Embase 和 Web of Science 在内的主要数据库中进行搜索.
- 根据PRISMA指南进行数据的主题综合.
主要成果:
- 人员不足的团队和紧张的工作环境与患者护理和员工幸福感的下降有关.
- 一个积极的关系气候可以减轻燃烧和保持高工作负载下护理质量.
- 良好的团队动态和稳定的会员会提高患者护理协调和工作满意度;女性医生面临更高的倦怠风险.
结论:
- 关于团队组成和一般实践中的气候的证据有限,这阻碍了最终的结论.
- 团队组成和气候定义的变化对综合提出了挑战.
- 进一步的研究对于确定促进积极团队气候的条件至关重要.
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