在日本,居民遇到破坏性工作场所行为:来自全国横截面研究的结果
Takashi Watari1, Virginia Sheffield2, Ashwin Gupta3,4
1Integrated Clinical Education Center, Kyoto University Hospital, Kyoto, Japan wataritari@gmail.com.
BMJ open quality
|February 16, 2025
概括
护士的破坏性工作场所行为 (DWB) 在较大的医院更常见,每个护士的入院次数更高. 男性居民也比女性居民报告更多的DWB.
科学领域:
- 医疗保健专业行为
- 医学教育 医学教育
- 患者安全 患者安全
背景情况:
- 破坏性工作场所行为 (DWBs) 对医疗保健质量,员工士气和团队合作产生负面影响.
- 居民特别容易受到护士和监督员的DWB的影响.
研究的目的:
- 确定与日本研究生临床培训医院居民所经历的破坏性工作场所行为 (DWBs) 相关的因素.
主要方法:
- 通过基于网络的调查进行了一项全国性的横截面研究.
- 在日本医院调查了第一年和第二年的研究生居民.
- 从国家数据库中收集了医院规模,入院人数和人员数量的数据.
主要成果:
- 居民报告说,医生和护士的DWB约占35%的时间.
- 护士的DWB随着医院规模和每个护士的入院增加.
- 与女性居民相比,男性居民从医生那里获得了更多的DWB.
结论:
- 医院规模和护士人员水平与护士的DWB有关.
- 男性性别是体验医生DWB的危险因素.
- 需要有针对性的干预措施来缓解在住院培训中的DWB.
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