穿越窗:一种新的质量改进方法,以了解外科医生和麻醉师的倦怠
Jina L Sinskey1, Rachel Schwartz1, Christy K Boscardin1,2
1Department of Anesthesia and Perioperative Care, University of California, San Francisco, San Francisco, CA.
Annals of surgery
|February 20, 2024
概括
外科医生和麻醉师面临着共同的健康威胁,通常与工作场所的控制和支持有关. 生活质量改善 (QOLI) 方法可以为这些重要的外科专业人员提供量身定制的干预措施.
科学领域:
- 在外科手术期间的医学.
- 职业健康 职业健康 职业健康
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 开发有效的外科手术期间健康干预措施需要了解共同和专业特定的需求.
- 生活质量改善 (QOLI) 框架集成了以人为中心的设计,实施科学和质量改善原则.
研究的目的:
- 为了识别外科医生和麻醉师的健康威胁.
- 通过改善生活质量 (QOLI) 方法开发有针对性的干预措施.
主要方法:
- 在8个外科外科的8个外科外科的麻醉和外科教师进行的横截面调查.
- 使用了经过验证的幸福感和工作满意度指标,以及开放式问题.
- 定性数据的模板分析,然后在联合专业的市政厅进行实时投票,以优先考虑干预措施.
主要成果:
- 104名教师完成了调查;更高的福利与工作场所的控制,价值观,决策度和社会支持相关.
- 麻醉师报告说,与外科医生相比,他们的满意度和控制能力较低.
- 确定了干预领域:工作文化,环境/资源,实现,工作/生活和,以及财务补偿. 关键的威胁包括OR效率低下,工作量,人力不足和不可预测的工作时间.
结论:
- 外科医生和麻醉师有着共同的健康需求和优先事项,面临着相互关联的挑战.
- QOLI方法促进了复杂,可行和专业特定的福祉干预措施的开发.
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