为减少重症监护室工作人员倦怠的积极沟通:一个集群随机试验
Élie Azoulay1,2, Sheila N Myatra3, Gabriel Heras La Calle4,5
1Medical Intensive Care Unit Department, AP-HP, Saint-Louis University Hospital, Paris-Cité University, Paris, France. elie.azoulay@aphp.fr.
Intensive care medicine
|October 30, 2025
概括
通过改善工作场所文化和支持,多组件干预显著减少了重症监护室 (ICU) 工作人员的职业倦怠. 这种方法为提高重症监护机构的员工福利和患者护理提供了一个有希望的策略.
科学领域:
- 关键护理医学 关键护理医学
- 职业健康 职业健康 职业健康
- 组织心理学 组织心理学
背景情况:
- 职业倦怠是重症监护室 (ICU) 工作人员中普遍存在的问题.
- 倦怠会对医疗保健专业人员的福祉和患者护理的质量产生负面影响.
研究的目的:
- 评估一项旨在减少ICU工作人员倦怠的多元干预措施.
- 干预的重点是加强组织支持和改善工作场所的气候.
主要方法:
- 一个1: 1集群随机试验 (Hello试验) 涉及60个国家的370个ICU.
- 这项干预包括海报,电子邮件提示,积极信息和角色模拟,持续了四周.
- 倦怠患病率是主要终点,通过Maslach Burnout Inventory (MBI) 来衡量.
主要成果:
- 与对照组 (63.3%) 相比,干预组的倦怠率从59.4%降至52.2%.
- 干预组表现出较低的情绪疲劳和非个性化,以及更高的个人成就.
- 干预组报告了更好的工作满意度,工作场所安全,道德气候,以及减少离开的意图.
结论:
- "你好"的干预有效地减少了倦怠,并促进了ICU的积极工作场所文化.
- 务实的设计表明,这种干预措施对于重症监护机构的广泛适用性.
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