助产士的限制性监管,实践环境和职业倦怠之间的关系:自主和限制性国家监管的七国混合方法比较
E Brie Thumm1, Ann Schaeffer, Alexandra Michel
1Author Affiliations: University of Colorado College of Nursing, Aurora (Dr Thumm); Frontier Nursing University, Versailles, Kentucky (Dr Schaeffer); Rosalind Franklin University College of Nursing, North Chicago, Illinois (Dr Michel); Oregon Health & Science University School of Nursing, Ashland, Oregon (Dr McFarland); Charlottesville, Virginia (Dr Long); and Department of Biostatistics and Informatics, Colorado School of Public Health, University of Colorado, Aurora (Dr Giano).
仅靠国家监管并不能防止助产士的倦怠. 支持性实践环境对于防止助产员工的倦怠至关重要,这与灵活的工作需求和专业价值观相结合.
科学领域:
- 医疗保健政策 医疗保健政策
- 职业健康 职业健康 职业健康
- 助产士的实践 助产士的实践
背景情况:
- 在美国,认证护士助产士的高倦怠率 (超过40%) 威胁到劳动力.
- 助产士的倦怠与控制和自主性的减少有关,通常受到国家法规限制的限制,限制了实践的范围.
- 倦怠会对助产士的身心健康产生负面影响,可能导致劳动力退出.
研究的目的:
- 调查助产士劳动力国家监管,实践环境和倦怠之间的关系.
- 了解州级政策如何影响助产士的福利和工作满意度.
主要方法:
- 一个采用解释性顺序设计的混合方法研究.
- 通过在线调查收集的定量和定性数据,在两阶段的过程中进行分析,随后进行数据整合.
主要成果:
- 国家监管与倦怠没有独立的关联 (P = .250).
- 调解分析显示,国家监管,实践环境和倦怠之间存在显著的关联.
- 定性发现强调了实践环境及其特定属性的关键作用.
结论:
- 对于助产士而言,无限制的实践法规并不能保证在没有支持性的实践环境的情况下预防倦怠.
- 干预措施应优先考虑工作灵活性,现实的工作负载和专业价值观,以减轻助产士的倦怠.
- 虽然助产士的奉献是有价值的,但它可能会加剧负面的实践环境体验.
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