燃烧的社会生态学:关于护士执业人员燃烧的研究框架
Rosalind de Lisser1, Jana Lauderdale2, Mary S Dietrich3
1School of Nursing, Vanderbilt University, Nashville, TN; Department of Community Health Systems, School of Nursing, University of California San Francisco, San Francisco, CA.
Nursing outlook
|May 24, 2024
概括
执业护士的倦怠源于工作环境,而不是个人因素. 倦怠的社会生态学框架强调心理安全和政策是干预的关键领域.
科学领域:
- 护理 护理 护理
- 医疗保健服务研究 医疗服务研究
- 组织心理学 组织心理学
背景情况:
- 美国医疗保健系统面临重大挑战,包括成本上升,劳动力短缺和普遍的倦怠.
- 虽然存在福利干预措施,但证据表明工作环境是燃烧的主要驱动因素.
- 执业护士 (NP) 倦怠与结构性问题,关系动态,实践自主性和领导层次相关.
研究的目的:
- 检查影响NP工作环境的复杂社会,文化和政治因素.
- 引入燃烧的社会生态 (SEB) 框架,以了解NP燃烧.
- 分析心理安全在NP实践环境中的作用.
主要方法:
- 对现有的燃烧框架的审查,应用于NP实践环境.
- 详细讨论拟议的社会生态倦怠 (SEB) 框架.
- 探索心理安全对NP倦怠的影响.
主要成果:
- 在SEB框架中,心理安全,工作环境特征和政策考虑都得到了整合.
- 在SEB框架内确定了有助于或减轻NP燃烧的关键要素.
- 考虑了潜在的解决方案,重点是赋予执业护士权力.
结论:
- 倦怠的社会生态学框架为护理中的一个关键问题提供了新的视角.
- 该框架可以指导未来的研究,实践改进和护理政策制定.
- 强调需要进行系统变革,以有效解决NP燃烧问题.
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