通过患者 - 提供者治疗联系获得更好的结果? 对拟议的调解变量进行探索性研究
Cheryl Rathert1, Jessica N Mittler2, Timothy J Vogus3
1Department of Health Management and Policy, College for Public Health and Social Justice, Saint Louis University, 3545 Lafayette Ave, St. Louis, MO, 63104, USA.
Social science & medicine (1982)
|October 22, 2023
概括
患者和提供者之间强有力的治疗联系 (TC) 可以改善患者的健康和满意度. 通过促进自我效能和心理安全,TC还可以提高提供者的工作满意度,并减少倦怠.
科学领域:
- 医疗保健研究的研究.
- 心理学 心理学 心理学
- 社会学 社会学 社会学
背景情况:
- 患者和提供者之间的治疗联系 (TC) 理论上是为了改善患者的治疗结果和提供者的福祉.
- 高质量的TC可以使医疗保健更好地与患者需求保持一致,提高护理质量.
- 支持性工作环境可以增加提供者的动机和弹性.
研究的目的:
- 研究治疗连接 (TC) 与患者结果之间的关系.
- 检查TC对护理提供者的工作满意度和倦怠的影响.
- 测试调解模型,探索将TC与患者和提供者的结果联系起来的机制.
主要方法:
- 对346名患者和341名护理人员进行了调查.
- 参与者报告了他们与TC和相关结果的经验.
- 使用并行调解模型来分析数据.
主要成果:
- TCs积极预测患者的健康状况,心理健康和满意度.
- 此外,TC还预测护理人员的工作满意度更高,倦怠程度降低.
- 通过健康自我效能,激活,工作的意义和心理安全,在TC和结果之间发现了显著的间接联系.
结论:
- 治疗连接 (TCs) 与改善患者和提供者的结果有显著的关联.
- 患者的结果是由健康自我效能和激活介导的.
- 提供者结果是由工作的意义和心理安全的介导.
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