退伍军人医生打算离开,与燃烧的驱动因素的相关性:一个横截面研究
Robert C Oh1,2, David C Mohr3,4, Tamara M Schult5
1Department of Veterans Affairs, Palo Alto Health Care System, 3801 Miranda Ave., Palo Alto, CA, 94304, USA.
BMC health services research
|January 23, 2025
概括
医生倦怠和领导层的不良看法增加了营业额的意图. 解决倦怠的驱动因素和改善幸福感可以通过减轻离开组织的原因来帮助医生留下来.
科学领域:
- 医疗保健管理的管理
- 医生劳动力研究 医生劳动力研究
- 职业健康心理学 职业健康心理学
背景情况:
- 医生的福祉和留守对于医疗保健系统至关重要.
- 了解医生周转率的意图是优化劳动力的关键.
- 这项研究调查了与医生周转率相关的倦怠及其驱动因素.
研究的目的:
- 检查医生倦怠和营业额意图之间的关联.
- 确定影响不同类型营业额的具体燃烧驱动因素.
- 为改善医生在医疗保健组织中的留守策略提供信息.
主要方法:
- 横截面研究利用来自全组织劳动力调查的数据.
- 样本包括来自退伍军人健康管理局 (VA) 的16,363名受访者.
- 多项逻辑回归分析了营业额意向 (内部工作变更,外部工作,退休) 与解释变量 (包括倦怠,其驱动因素和人口统计) 相比.
主要成果:
- 80%的医生打算留下来;5.8%寻求其他VA工作,5%计划退休,9.3%打算离开VA工作人员.
- 倦怠和负面的高级领导层看法与寻求其他VA工作,离开VA或退休的更高几率相关.
- 与营业额意图相关的歧视经历;工作负载满意度和认可与较低的营业额几率有关;幸福文化降低了离开VA的几率.
结论:
- 倦怠与医生轮流意图有很大关系,离职的原因各不相同.
- 具体的燃烧驱动因素,如领导层的感知和歧视,影响不同的营业额路径.
- 针对劳动力福利和倦怠驱动因素的干预措施对于解决各种医生保留挑战至关重要.
相关概念视频
01:51Vaccinations
Overview
01:08Obedience
According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation, obedience...
01:30Current Trends in Nursing II
Trends in nursing are multifactorial and associated with changes in society, within the nursing profession, and in other professions. Notably, telehealth and remote nursing contribute to successful healthcare delivery for numerous patients and help reduce stress for nurses due to nursing shortages. Nurses can reach patients, monitor their conditions, and interact with them using computers, audio, visual accessories, and telephones—for example, remote patient monitoring systems. Likewise,...
01:18Factors Affecting Illness
When a person's physical, emotional, intellectual, social development or spiritual functioning is compromised, this deviation from a healthy normal state is called illness. Illness creates stress that in turn harms individuals. Irritation, anger, denial, hopelessness, and fear are behavioral and emotional changes an individual experiences in the phases of illness. A variety of factors influence a person's health and well-being.
For instance, risk factors are connected to illness, disability,...
For instance, risk factors are connected to illness, disability,...
01:29Bias in Epidemiological Studies
Biases can arise at various stages of research, from study design and data collection to analysis and interpretation. Recognizing and addressing these biases is essential to ensure the validity and reliability of epidemiological findings.Broadly speaking, biases in epidemiology fall into three main categories: selection bias, information bias, and confounding. A more detailed description of possible biases is:
01:21Vaccines
Vaccines are among the most effective tools in preventive medicine, designed to prepare the immune system to recognize and combat infectious agents. By introducing antigens—substances that the immune system identifies as foreign—vaccines stimulate an adaptive immune response that leads to immunological memory. This immunological memory enables the body to mount a faster and more effective response upon future exposures to the actual pathogen.Vaccines can be categorized based on the type of...