紧急医疗服务临床医生之间的COVID-19和同事冲突
Gennaro Di Tosto1, Halia Melnyk1, Jonathan R Powell2,3
1The Center for the Advancement of Team Science, Analytics and Systems Thinking in Health Services and Implementation Science Research (CATALYST) The Ohio State University College of Medicine Columbus Ohio USA.
Journal of the American College of Emergency Physicians open
|September 3, 2024
概括
在COVID-19大流行期间,紧急医疗服务 (EMS) 临床医生的工作场所冲突增加,与更高的压力水平有关. 强制性加班政策显著加剧了EMS提供商之间的冲突.
科学领域:
- 职业健康 职业健康 职业健康
- 公共卫生 公共卫生
- 紧急医疗 紧急医疗
背景情况:
- COVID-19大流行安全政策显著改变了紧急医疗服务 (EMS) 临床医生的工作环境.
- 了解这些变化对工作场所动态,特别是冲突的影响,对于临床医生的福祉至关重要.
研究的目的:
- 评估COVID-19大流行期间EMS工作环境变化与工作场所冲突增加之间的关联.
- 为了确定导致COVID-19引起的EMS临床医生之间的同事冲突的因素.
主要方法:
- 在2022年4月接受调查的1686名国家认证的EMS临床医生的横截面分析.
- 评估感知压力 (感知压力量表) 和因COVID-19而导致的工作环境的变化.
- 使用后勤回归来分析人口统计,基础设施,调度,政策和同事冲突之间的关联.
主要成果:
- 51%的受访者报告说,由于COVID-19导致的同事冲突加剧了.
- 增加同事冲突与自我报告的更高的压力水平有关.
- 强制性加班政策与加剧同事冲突的几率增加了两倍以上 (AOR 2.05).
- 国家注册护理人员报告的冲突比紧急医疗技术人员高 (AOR 1.30).
结论:
- 在EMS临床医生之间的工作场所冲突可以作为高压力水平的指标.
- 冲突可能表明,在实施影响EMS临床医生的工作负载的政策时,需要仔细考虑.
- 监测冲突对于在公共卫生危机期间保持健康的EMS工作人员至关重要.
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