患者专注护理团队 (PACT) 成员燃烧的决定因素及其与以患者为中心的护理的关系
Amany Farag1, Bonnie J Wakefield2, Erin Jaske3
1University of Iowa, College of Nursing, Iowa City, IA, USA.
Applied ergonomics
|March 27, 2024
概括
医疗保健的倦怠率很高,但在患者关爱团队 (PACT) 中的支持性工作环境可以减少它. 改善团队动态和领导支持是提高临床医生的福祉和患者护理的关键.
科学领域:
- 医疗保健管理的管理
- 职业健康心理学 职业健康心理学
- 提供初级保健服务的模式.
背景情况:
- 倦怠严重影响医疗保健提供者,影响高达54%的医生和35%的护士.
- 患者结合护理团队 (PACT) 是一种以团队为基础的模式,旨在提高护理质量和临床医生的福祉.
- 关于影响PACT成员倦怠的工作环境因素及其对以患者为中心的护理的影响的研究有限.
研究的目的:
- 检查工作环境变量与PACT成员的倦怠之间的关系.
- 评估PACT成员倦怠对以患者为中心的护理提供的影响.
- 在工作环境中识别可修改的因素,可以减轻倦怠.
主要方法:
- 使用2018年退伍军人卫生管理局 (VHA) 全国基于网络的PACT调查进行的横截面研究.
- 用验证的单项问题来测量倦怠.
- 使用了描述性统计和物流回归分析.
主要成果:
- 51%的初级保健提供者和40.12%的护士报告高燃烧率.
- 积极的工作环境因素 (团队互动,领导支持,心理安全) 与较低的倦怠相关.
- 在患者为中心的护理交付中,PACT成员的倦怠解释了6%的差异.
结论:
- 在PACT成员中,倦怠源于各种个人和职业因素.
- 可修改的工作环境变量对于开发有效的倦怠干预措施至关重要.
- 增强团队动态和领导力支持可以改善临床医生的福祉和患者护理.
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