在磁铁医院的高级实践注册护士倦怠:组织干预的机会
Lori Kennedy1, Heather Brom, Karen B Lasater
1Author Affiliations: Clinical Nurse Scientist, Director (Dr Kennedy), and Chief of Advanced Practice (DeLemos), UC Davis Medical Center, Sacramento, California; Research Assistant Professor (Dr Brom), Associate Professor (Dr Lasater), and Professor of Nursing and Sociology (Dr Aiken), Center for Health Outcomes and Policy Research, University of Pennsylvania School of Nursing, Philadelphia; Associate Chief Nursing Officer (Dr Albert), Research and Innovation, Cleveland Clinic, Ohio; Director of Professional Practice and Development and Magnet Director (Gobel), and Director, Professional Practice and Development for Advanced Practice Providers (Williams), Northwestern Memorial Hospital, Chicago, Illinois.
高级实践注册护士 (APRNs) 经历了高度的倦怠. 通过共同治理和更好的团队合作来改善工作环境,可以减少倦怠并改善磁铁医院的留守率.
科学领域:
- 医疗保健管理的管理
- 护理实践 护理实践
- 组织心理学 组织心理学
背景情况:
- 高级实践注册护士 (APRNs) 对于医疗保健的提供至关重要.
- 在APRN中,高燃烧率影响了患者护理和员工保留.
- 磁铁®标志意味着高质量的护理,但倦怠仍然是一个问题.
研究的目的:
- 为了确定与在Magnet®医院中APRN燃烧相关的可修改的组织因素.
- 为提高APRN福利和保留提供有针对性的干预信息.
主要方法:
- 涉及50家美国磁铁医院的横截面研究.
- 调查了21,855名临床医生,包括APRNs,医生助理,医生 (MD) 和注册护士 (RN).
主要成果:
- 37%的APRN报告高燃烧率,高于MD (34%),但低于RN (49%).
- 32%的APRN打算离开他们的工作.
- 较低的倦怠与尽量减少混乱的工作条件,增加工作负载控制,共享治理参与,改善临床医生与管理层关系和加强跨专业团队合作有关.
结论:
- 在磁铁医院的APRN福利和保留取决于更大的参与组织流程.
- 通过具体的组织策略改善工作环境是解决APRN倦怠问题的关键.
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