工作生活检查随机对照试验:在初级保健诊所进行基于领导者的自适应性,半结构化的倦怠干预
David A Hurtado1, Jacqueline Boyd2, Rachel Madjlesi2
1Oregon Institute of Occupational Health Sciences, Oregon Health & Science University, United States of America; OHSU-PSU School of Public Health, United States of America.
初级保健领导人可以通过进行简短的,季度一对一的检查来减少专业的倦怠. 这种干预措施解决了工作与生活之间的压力因素,旨在改善健康和患者护理.
科学领域:
- 职业健康 职业健康 职业健康
- 主要护理医学 医疗保健
- 心理学 心理学 心理学
背景情况:
- 倦怠严重影响初级保健专业人员的福祉和患者护理质量.
- 高工作量,情绪压力和缺乏主管支持是导致倦怠的关键因素.
- 简短的季度领导员工检查显示出减轻工作生活压力和减少倦怠的希望.
研究的目的:
- 评估领导者领导的检查干预措施在减少初级保健专业人员的倦怠方面的有效性.
- 在现实临床环境中评估干预的过程和实施.
- 确定检查入住的条件,可以有效地减少燃烧和改善福祉.
主要方法:
- 一个双臂随机对照试验 (RCT) 涉及12个初级保健诊所.
- 干预组接受了培训,并每季度进行30分钟的领导员工检查.
- 对照组接受了通常的护理 (等候名单控制). 燃烧量通过马斯拉赫燃烧量库 (MBI) 进行测量.
- 二次结果包括组织约束,心理安全和监事支持,使用多层次和定性方法进行分析.
主要成果:
- 该研究协议已以NCT05436548.8.号注册.
- 在基线和12个月的随访期间,收集了燃烧 (MBI) 和二次结果的数据.
- 分析采用多级建模和定性方法来评估干预效应和过程.
结论:
- 检查入住干预的目标是可修改的工作和生活因素,以减少初级保健中的倦怠.
- 研究结果将阐明检查在减少倦怠方面的有效性,并为未来的干预提供信息.
- 结果旨在指导政策和战略,以加强在初级保健机构的心理健康和福祉.
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