自主性和绩效目标在行为健康提供者感知工作量中的重要性
Jennifer Burgess1, Hyungjin Myra Kim1, Brittany R Porath1
1Center for Clinical Management Research, U.S. Department of Veterans Affairs (VA) Ann Arbor Health Care System, Ann Arbor (Burgess, Kim, Porath, Van, Sripada, Zivin); Departments of Biostatistics (Kim) and Psychiatry (Sripada, Zivin), University of Michigan, Ann Arbor; Veterans Health Administration, National Center for Organization Development, Cincinnati (Osatuke); Program Evaluation and Resource Center and VA Office of Mental Health Operations, VA Palo Alto Health Care System, Palo Alto, California (Boden); Center of Innovation for Veteran-Centered and Value-Driven Care, VA Puget Sound Health Care System, and Department of Health Systems and Population Health, Magnuson Health Sciences Center, University of Washington School of Public Health, Seattle (Wong).
行为健康提供者认为,当他们可以根据需要安排患者并实现可实现的绩效目标时,工作负载是合理的. 这些因素,而不是员工比例,是提供者满意度和高效的护理服务的关键.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 职业健康 职业健康 职业健康
- 提供心理健康护理 提供心理健康护理
背景情况:
- 工作负载管理对于行为健康提供者来说至关重要.
- 了解影响感知合理工作负载的因素对于改善退伍军人卫生管理局 (VHA) 内的提供者保留和患者护理质量至关重要.
研究的目的:
- 确定与VHA行为健康保健提供者的感知合理工作负载相关的工作场所特征.
主要方法:
- 分析了2019年全员调查 (AES) 和2019年心理健康提供者调查 (MHPS) 的数据.
- 从心理健康船上临床仪表板中包含设施级人员配备比例.
- 应用混合效应物流回归模型来评估感知合理工作负载的预测因素.
主要成果:
- 很大一部分提供者报告了合理的工作量 (59.9%的AES,56.4%的MHPS).
- 合理工作负载的关键预测因素包括可实现的绩效目标 (AES) 和患者安排自主性 (MHPS).
- 设施层面的员工比例与感知到的合理工作量没有显著联系.
结论:
- 建议采取倡议,支持医疗服务提供者在患者安排中的自主权,并制定可实现的性能目标.
- 专注于这些特定的工作场所特征可以提高提供者的满意度,并可能改善护理服务.
更多相关视频
12:22Mindfulness in Motion MIM: An Onsite Mindfulness Based Intervention MBI for Chronically High Stress Work Environments to Increase Resiliency and Work Engagement
Published on: July 1, 2015
10:32Development of a Virtual Reality Assessment of Everyday Living Skills
Published on: April 23, 2014
相关概念视频
Accountability and Responsibility of a Nurse II
For example, a nurse demonstrating respect and compassion might listen attentively to a patient's concerns, provide...
Self-Discrepancy Theory
Ethical Issues
Ethical Concerns in Healthcare:
Ethical Dilemmas I
Let us explore some examples to understand the potentially complex moral decisions nurses face.
Take the case of caring for minors, particularly in areas related to reproductive...
Humanistic Psychology
This approach...
Obedience
