新生儿科人员实践:深入探讨领导者的观点
Kerri Z Machut1, Christine E Bishop2, Emily R Miller3
1Department of Pediatrics, Feinberg School of Medicine, Northwestern University, Chicago, IL.
The Journal of pediatrics
|October 19, 2024
概括
新生儿科的领导者希望拥有理想的员工,包括获得补偿的非临床工作和公平的班次. 不断发展的实践面临挑战,需要标准化,透明的临床,教学和学术角色的方法.
科学领域:
- 医疗人员 医疗人员
- 新生儿科学 新生儿科学
- 医疗保健管理的管理
背景情况:
- 目前的文献详细介绍了新生儿科人员问题,但缺乏理想实践描述.
- 新生儿科领导人关于最佳人员配置的观点没有得到充分的证据.
研究的目的:
- 捕捉新生儿学领导者对理想临床工作,非临床角色,班次结构和灵活性的看法.
- 为制定新生儿科推人员模型提供信息.
主要方法:
- 定性研究涉及与26名新生儿学领袖进行半结构面试.
- 采访成绩单的有目的抽样和有针对性的内容分析.
- 在临床,非临床,轮班和灵活性领域探索理想的人员配置.
主要成果:
- 理想的人员配置包括对临床时间的全部补偿和对非临床努力的认可.
- 工作负载应根据团队结构和患者因素而有所不同;最大轮班应该是24小时.
- 支持公平的周末分配和个体医生层面的灵活性,有明确的覆盖计划.
结论:
- 新生儿科的领导者承认人事挑战和变革的需要.
- 相互竞争的利益和复杂性阻碍了采用理想的人员配置实践.
- 未来的努力应集中在创建和测量标准化,透明的人员配置模型上.
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