了解直接护理劳动力中与保留相关的多层次因素:纳入考虑创新干预措施所吸取的经验教训
Julia I Bandini1, Julia Rollison2, Jason Etchegaray3
1RAND Corporation, Boston, Massachusetts.
概括
补偿,卫生系统政策和外部问题等广泛因素显著影响直接护理工作者的保留. 干预措施必须解决这些多层次的挑战,以有效地支持护理人员.
科学领域:
- 医疗保健劳动力发展工作人员
- 组织心理学 组织心理学
- 公共卫生政策 公共卫生政策
背景情况:
- 直接护理工作者 (DCW) 在医疗保健中至关重要,但保留是持续的挑战.
- 入门级护理人员经常面临系统性障碍,影响他们的工作满意度和寿命.
研究的目的:
- 评估一项旨在改善医院环境中直接护理工作者留守率的多站点干预措施.
- 为了确定影响DCW保留的广泛的上下文因素,超出个人层面的考虑范围.
主要方法:
- 在三个卫生系统中评估了一项多层次的保留计划.
- 数据包括DCW就业记录 (n≈3,000),采访 (n=77) 和虚拟观察.
主要成果:
- 虽然干预侧重于个人因素,但强调了与工作相关的因素 (薪酬,晋升),卫生系统问题 (政策,文化) 和外部压力 (COVID-19) 的重大挑战.
- 这些更广泛的上下文因素被DCW报告为对他们的决定保持在他们的角色非常有影响.
结论:
- 保留策略必须采用多层次的方法,整合个人,组织和外部因素.
- 未来的干预措施应该针对医院的DCW,确保这个经常被边缘化的劳动力获得公平.
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