通过RISE同行支持,加强农村医院的福祉文化
Mansoor Malik1, Gayane Yenokyan2, Henry Michtalik3
1Department of Psychiatry, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA.
Healthcare (Basel, Switzerland)
|January 10, 2026
概括
像约翰霍普金斯大学RISE这样的同行支持计划可以减少农村医疗保健工作者的倦怠和焦虑. 虽然弹性效益可能不会持续,但干预措施改善了获得支持的机会,帮助农村卫生系统.
科学领域:
- 医疗保健管理的管理
- 职业健康 职业健康 职业健康
- 心理学 心理学 心理学
背景情况:
- 医疗保健工作者 (HCW) 燃烧是一个关键问题,特别是在面临人员短缺和孤立的农村医院.
- 同行支持计划在城市环境中显示出希望,但它们在农村医疗保健中的有效性仍未得到充分研究.
- 农村地区的资源有限和专业隔离加剧了HCW压力.
研究的目的:
- 在农村医院系统中实施和评估约翰霍普金斯RISE (应激事件中的弹性) 同行支持计划.
- 评估该计划对医疗保健工作者的焦虑,倦怠,弹性和对组织福祉的看法的影响.
- 探索同行支持在服务不足的农村医疗保健环境中的可行性和结果.
主要方法:
- 在两个农村医院系统中实施约翰霍普金斯RISE同行支持计划.
- 在实施前和后的调查中评估了焦虑 (GAD-7),倦怠 (Maslach Burnout Inventory) 和恢复力 (CD-RISC).
- 使用线性回归和后勤回归进行统计分析,并根据人口和就业因素进行调整.
主要成果:
- 在868名参与者中,倦怠和焦虑水平在实施后略有下降.
- 恢复能力最初有所改善,但在两年后续观察时没有持续.
- 获得同行支持和感知到的支持资源显著改善,表明成功的程序集成.
结论:
- RISE同行支持计划成功地适应了农村医院环境,减少了HCW的倦怠和焦虑.
- 虽然并非所有结果都能长期维持,但该计划增强了对同行支持的感知.
- 量身定制的同行支持计划可以减轻农村卫生系统的劳动力困境,有可能改善服务不足地区的保留和护理.
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