我们的故事,我们的力量:一个基于证据的实践倡议,通过讲故事来增强医疗保健文化
Jennifer Hayakawa1, Paulina Schuhler1, Rebecca DeAnda1
1Nursing Research and Innovation, Children's Hospital of Orange County (CHOC), Orange, California, USA.
Worldviews on evidence-based nursing
|January 9, 2026
概括
一个儿科医疗保健系统利用讲故事来改善员工的联系和归属感,将护士的流动量减少了8%,节省了230万美元. 这个倡议提供了一个可扩展的模型,用于重新人性化医疗保健工作场所.
科学领域:
- 医疗保健管理的管理
- 组织心理学 组织心理学
- 医学人文学科 医学人文学科
背景情况:
- 随着COVID-19大流行,医护人员的倦怠和孤立程度显著增加,突出了改善工作场所心理健康策略的必要性.
- 讲故事,特别是叙事医学,在促进组织内部的联系,弹性和归属感方面表现有前途.
- 一个儿科医疗保健系统认识到需要解决这些挑战,并实施了基于证据的讲故事计划.
研究的目的:
- 通过促进医疗保健专业人员的心理安全,联系和意义来增强工作场所文化.
- 利用结构化的讲故事作为重建社区感和共同目标的工具.
- 在儿科卫生保健环境中评估基于叙事医学的倡议的有效性.
主要方法:
- 一个讲故事的倡议是与亲爱的世界合作开发,结合指导反思,同行分享,和专业摄影.
- 该计划最初是针对工作人员的,后来扩展到包括青少年和年轻成人患者.
- 实施涉及分阶段推出,培训培训师模型,并集成到上网和多媒体平台. 评估使用了调查前后和组织指标,包括对话中的连接量表 (CDCS).
主要成果:
- 在两年内,1818名参与者参加了60个活动,报告了感知到的联系和归属感的显著改善 (p < 0.001).
- 94%的参与者觉得与同事有更强的联系,93%的人觉得与组织价值观有更强的联系.
- 护士周转率从21%降至13%,估计节省了230万美元的成本. 对话中的连接量表 (CDCS) 在完整和缩短的会话格式之间显示了可比的有效性.
结论:
- 这项可扩展和具有成本效益的讲故事计划提供了一个可持续的模式,用于重新人性化医疗保健环境.
- 将该计划整合到导向,领导力发展和健康计划中,可以培养性并改善保留.
- 该倡议证明了在高压医疗环境中重建联系和心理安全的成功策略.
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