卫生工作者倦怠和道德伤害:驱动因素,影响和补救措施
Kevin Grumbach1, Rachel Willard-Grace1
1Center for Excellence in Primary Care, Department of Family and Community Medicine, University of California, San Francisco, California, USA;
Annual review of public health
|April 11, 2025
概括
由于苛刻的工作条件,医疗工作者燃烧率正在上升. 干预措施应解决系统性问题,如人员配置,而不仅仅是个人的性,以获得更好的结果.
科学领域:
- 职业健康 职业健康 职业健康
- 医疗保健管理的管理
- 卫生社会学 卫生社会学
背景情况:
- 卫生工作者中高且不断增加的倦怠率.
- 倦怠与健康文化,实践效率,工作需求和个人弹性等因素有关.
- 目前的干预措施主要集中在个人弹性,但取得的成功有限.
研究的目的:
- 突出需要采取干预措施,解决导致倦怠的系统性工作条件.
- 倡导严格评估针对工作环境的干预措施.
- 为理解倦怠提出一个概念框架,包括批判理论和结构力量.
主要方法:
- 审查和批评现有的倦怠干预研究.
- 概念分析将批判理论整合到燃烧框架中.
- 探索诸如道德伤害之类的替代概念来描述工人的痛苦.
主要成果:
- 个人专注的弹性干预措施显示的益处最小.
- 系统性因素,如人员不足,是燃烧的关键驱动因素.
- 现有的概念框架可能无法完全捕捉经济和政治力量的影响.
结论:
- 干预措施必须将重点从个人应对转移到减轻不利的工作条件.
- 严格评估系统干预措施至关重要.
- 诸如道德伤害之类的概念可能更好地描述了医疗保健整合和紧缩政策对工人的影响.
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