门诊和住院外科手术之间的工作环境差异:对血管外科医生的感知进行试点研究
Laurence Destrieux1, Youssra Yemmas2, Sydney Williams3
1Département de chirurgie vasculaire, Clinique Générale, Groupe Vivalto, Annecy, France.
Annals of vascular surgery
|March 16, 2024
概括
血管外科医生报告说,护理人员的压力会对他们的注意力集中和手术安全产生负面影响. 这与门诊外科手术需求增加和与管理层沟通问题有关.
科学领域:
- 血管外科 血管外科
- 医疗保健管理的管理
- 职业健康 职业健康 职业健康
背景情况:
- 自2015年以来,法国门诊内血管外科手术的实施速度缓慢且不均.
- 由于病床需求和人员短缺,COVID-19大流行加速了向外科手术的转变.
- 这种快速的转变可能使医院医疗人员感到紧张,影响了他们的幸福感和工作量.
研究的目的:
- 分析血管外科医生所感知的护理人员福利和工作量.
- 评估护理人员心理社会压力与外科医生的专注/平静之间的关系.
- 了解对外科手术安全和整体工作环境的影响.
主要方法:
- 一项使用在线问卷的观察性研究.
- 调查分发给法国血管和内血管外科协会的高级成员 (n=490).
- 数据收集于2022年10月10日至18日期间,反应率为25% (125名外科医生).
主要成果:
- 68%的血管外科医生报告说,护理人员的心理社会压力显著影响了他们的专注和宁静.
- 高工作速度 (64%),需求灵活性 (56%) 和时间表变化的不可预测性 (82%) 是主要的压力因素.
- 44.6%的外科医生报告说,在向医院管理人员传达担忧方面存在困难.
结论:
- 门诊外科手术的加速实施与血管外科医生的工作环境恶化有关.
- 传统外科病房的工作量增加和患者的并发症加剧了这些问题.
- 工作人员中心理社会压力的恶化会对所提供的护理质量产生负面影响.
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