与工作有关的对医生的心理健康的影响:一项定性研究,探讨组织和系统层面的风险因素
Belinda Lunnay1, Kristen Foley2, Sharon Lawn3
1Torrens University Australia, Adelaide, South Australia, Australia belinda.lunnay@torrens.edu.au.
BMJ open
|November 19, 2024
概括
医生 医生 医生
科学领域:
- 医学社会学 医学社会学
- 职业健康 职业健康 职业健康
- 医疗保健管理的管理
背景情况:
- 传统的医生心理健康方法往往忽视了系统和组织的影响.
- 工作环境因素对医生的幸福感产生重大影响,需要更广泛的视角.
研究的目的:
- 应用社会生态模型 (SEM) 来探索环境因素如何影响医生的心理健康.
- 确定在各种生态层面影响医生福祉的特定风险因素.
主要方法:
- 与14名医生进行了半结构面试 (20-25小时) 和民族学观察 (90小时).
- 包括来自不同职业阶段,专业,性别和文化背景的医生.
- 在南澳大利亚一家公共医院中利用主题分析,跨越三个专业.
主要成果:
- 微系统:缺乏职业控制,人力不足和病例复杂性的担忧会对医生产生负面影响.
- 转班工作和分散的团队增加了压力和疲劳,影响了专业的信誉.
- 外系系统:高患者负担,时间限制和行政负担造成了重大挑战.
- 宏观系统:医疗商业化和官僚主义降低了专业自主性的价值,进一步损害了心理健康.
结论:
- 医生面临着相互关联的,无法控制的系统因素,这些因素会损害他们的心理健康.
- 干预措施必须针对组织和系统层面,以有效地改善医生福祉.
- 干预的确定的起点在研究结果中很明显.
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