监测与重新部署相关的医疗保健工作者的倦怠:使用生态瞬间评估的实时方法
Abdulaziz Alkattan1, Allison A Norful2, Cynthia X Pan3,4
1Department of Biomedical Informatics, Columbia University, New York, NY 10032, USA.
Healthcare (Basel, Switzerland)
|December 30, 2025
概括
生态瞬间评估 (EMA) 有效地跟踪了COVID-19大流行期间医疗保健工作者的燃烧情况. 重新分配和增加的案件量显著增加了倦怠,特别是在护士中,强调EMA.
科学领域:
- 职业健康 职业健康 职业健康
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 生态瞬间评估 (EMA) 可以实时监测临床医生的健康状况.
- 在高强度运营期间,如COVID-19大流行期间,EMA的实用性未得到充分探索.
- 这项研究调查了EMA跟踪医疗保健工作者的临床责任和倦怠.
研究的目的:
- 检查基于EMA的系统监测医疗保健工作者倦怠的可行性和性能.
- 在COVID-19大流行期间,分析与重新部署状态和医院病例负载有关的倦怠.
- 在实时中识别角色特定和上下文依赖的压力反应.
主要方法:
- 在398名医疗保健工作者 (医生,医生助理,护士,实习生) 中,采用了密集的纵向设计.
- 从2020年4月到2021年3月,参与者每五天完成一次简短的EMA调查.
- 燃烧被评估使用单项措施,并与重新部署和案件负载数据进行分析.
主要成果:
- 欧洲药物管理局成功捕获了燃烧的时间波动.
- 重新部署与更高的燃烧率 (b = 0.125; p = 0.01) 有关,这种情况因案件负载的增加而加剧 (相互作用 b = 0.169; p = 0.001).
- 护士经历了与病例负载相关的最显著的倦怠增加 (b = 0.359; p < 0.001),在重新部署后持续存在.
结论:
- EMA是一种可扩展和敏感的方法,用于在医疗保健中持续监测倦怠.
- 该系统检测实时,角色特定和上下文依赖的压力反应.
- 欧洲药物管理局可以为早期识别风险群体提供信息,并指导在危机期间的组织干预.
更多相关视频
12:22Mindfulness in Motion MIM: An Onsite Mindfulness Based Intervention MBI for Chronically High Stress Work Environments to Increase Resiliency and Work Engagement
Published on: July 1, 2015
24.3K
06:58An Application for Pairing with Wearable Devices to Monitor Personal Health Status
Published on: February 3, 2022
3.3K
相关概念视频
01:30Pulse rhythm
1.3K
Pulse rhythm refers to the pattern of pulsations within specific intervals, offering valuable insights into the regularity or irregularity of the heart's beats as observed through the pattern of pulsation within specific intervals. A regular pulse exhibits a consistent heart rate with uniform waveforms and pulsation force, variations of which can be classified as normal, weak, or bounding.
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
1.3K
01:23Assessment of Respiration
1.8K
The respiratory system's basic structures and primary functions lay the foundation for nurses' comprehensive respiratory assessments. This assessment includes subjective and objective data to gauge the patient's respiratory health.
Subjective Assessment: Nurses interview the patient to gather information directly during the subjective assessment. It includes questions about the individual's medical history, medications, and symptoms, focusing on past respiratory conditions like...
Subjective Assessment: Nurses interview the patient to gather information directly during the subjective assessment. It includes questions about the individual's medical history, medications, and symptoms, focusing on past respiratory conditions like...
1.8K
01:29Nursing Assessment
9.0K
The two sources for collecting information are primary and secondary. After gathering information, interpretation and validation help to complete the data. The purpose of assessment is to establish data with the initial information, to interpret data about the patient's perceived needs and health problems, and to respond to these problems identified.
The nurse collects all aspects of the patient's health in the initial assessment, establishing priorities for ongoing focused assessments...
The nurse collects all aspects of the patient's health in the initial assessment, establishing priorities for ongoing focused assessments...
9.0K
01:26Methods of Documentation II: POMR
1.3K
The Problem-Oriented Medical Record (POMR) revolutionized medical record-keeping by introducing a systematic approach focusing on the patient's problems rather than merely listing symptoms. Dr. Lawrence Weed's introduction of this method in the 1960s marked a significant advancement in medical documentation. The POMR framework consists of four key components: the database, problem list, plan of care, and progress notes.
1.3K