组织指导干预对医疗保健专业人员福祉的有效性:系统审查
Amber Boskma1,2, Kim van der Braak2, Lotty Hooft2
1Department of Surgery, University Medical Center Groningen, the Netherlands.
EClinicalMedicine
|November 3, 2025
概括
组织指导的干预措施可以改善医疗保健专业人员的福祉,但证据质量较低. 社会支持干预措施显示出希望,而一些管理策略可能会损害工作满意度.
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
- 心理学 心理学 心理学
背景情况:
- 医疗保健专业人员的福祉对于患者的护理和安全至关重要.
- 许多机构专注于个人层面的支持,忽视了组织因素.
- 本综述探讨了针对工作环境的组织导向干预措施,以实现可持续的福利.
研究的目的:
- 评估组织指导干预措施对医院工作人员福祉的影响.
- 评估对工作环境,员工保留和护理质量的影响.
- 识别基于证据的保护因素,以促进工作中的幸福感.
主要方法:
- 从2012年到2025年的研究进行了系统审查 (MEDLINE,Embase,CINAHL).
- 干预措施使用工作需求-资源模型进行分类.
- 使用森林地块和表格进行数据综合;评估偏差风险.
主要成果:
- 包括54项研究,分析了419个结果.
- 专注于社会资源和支持的干预措施显示出一致的积极效果.
- 一些管理干预与负面结果相关 (例如,更低的工作满意度).
- 总体而言,证据质量很低,结果不一.
结论:
- 由于证据质量低和结果混合,必须谨慎解释调查结果.
- 需要进一步研究严格的设计和更大的样本大小.
- 调整干预措施以适应当地环境和进行需求评估至关重要.
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