在坦桑尼亚北部的劳动和分娩提供者中燃烧:一种混合方法研究
Virginie Marchand1, Melissa H Watt2, Linda M Minja3
1Department of Obstetrics and Gynecology NYU Langone Health New York New York USA.
Public health challenges
|June 11, 2025
概括
医疗保健工作人员的倦怠是常见的,特别是在坦桑尼亚. 教育干预通过改善应对策略和意识,显著降低了倦怠率,尽管像高患者负担这样的因素仍然存在.
科学领域:
- 医学研究 医学研究
- 公共卫生 公共卫生
- 医疗保健工作人员研究研究.
背景情况:
- 倦怠,定义为情绪疲,非个性化和成就减少,显著影响全球医疗保健工作者.
- 这种情况会对提供者福祉,患者护理和医疗保健系统产生负面影响,特别是在资源有限的环境中.
研究的目的:
- 探索坦桑尼亚劳动和分娩 (L&D) 提供者中倦怠的流行和经验.
- 评估教育干预对倦怠率和提供者的看法的影响.
主要方法:
- 采用混合方法的方法,涉及60个L&D提供商在四个时间点进行结构化的燃烧评估.
- 在交互式小组活动中收集了观察数据,并与15名提供者进行了深入访谈 (IDI).
主要成果:
- 基线倦怠患病率为18%. 在教育干预后,患病率升至62%,然后在干预后1个月和3个月下降至29%和33%.
- 提供者认为缺乏意识是最初高率的原因,并将下降归因于新的应对策略和意识到他们不孤单.
- 高患者负荷,人力不足,资源有限和低工资被确定为关键因素.
结论:
- 对倦怠的认识有限,导致其报告不足,医疗保健提供者缺乏干预.
- 教育干预可以改善应对机制并减少倦怠,但系统性问题需要进一步关注,以支持提供者的福祉.
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