在社区卫生中心的直接临床服务卫生保健专业人员中,倦怠预测因素:一项跨部门研究
Zaher M Kmail1, Kathleen Shannon Dorcy2, Sharon S Laing3
1School of Interdisciplinary Arts and Sciences, University of Washington Tacoma, Tacoma, WA, USA.
高度倦怠影响了社区卫生中心77%的直接临床工作人员. 关键预测因素包括参与度低,工作与生活平衡不佳,工作量高,需要重新设计系统以改善福祉.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 职业健康心理学 职业健康心理学
- 公共卫生 公共卫生
背景情况:
- 倦怠是医疗保健中的一个重要问题,影响了提供者福祉和患者护理.
- 社区卫生中心 (CHC) 在支持其员工方面面临着独特的挑战.
- 了解倦怠预测因素对于开发有效干预措施至关重要.
研究的目的:
- 评估美国社区卫生中心医疗保健专业人员的倦怠率.
- 为了确定最受倦怠影响的特定医疗保健职业.
- 确定预测CHC设置中燃烧的组织因素.
主要方法:
- 在2022年,对1400多个社区卫生中心进行了全国性调查.
- 统计分析了694家医疗保健中心52 568名医疗保健专业人员的数据.
- 方法包括千二测试,比例测试和结构方程建模.
主要成果:
- 高达77%的直接临床服务专业人员报告了倦怠症状,超过了管理率 (P < .001).
- 燃烧的重要预测因素是参与度低,工作与生活平衡不佳,工作量高,职业成长有限.
- 断开与CHC的连接预测了更高的燃烧率;增加的工作需求和不平衡也与更高的燃烧率相关.
结论:
- 调查结果强调,急需重新设计医疗保健中心内的医疗保健服务模式.
- 干预措施应侧重于减轻倦怠,加强提供者参与,改善员工的整体福利.
- 解决组织因素是支持CHC员工健康和可持续性的关键.
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