Blau Rosemary, Bolus Sarah, Carolan Terrence, Kramer Daniel, Mahoney Elizabeth, Jette Diane U, Beal Judy A
Brigham and Women's Hospital, Boston, MA 02115, USA.
Phys Ther. 2002 Jul;82(7):648-57.
The changes in the health care environment during the last decade have had an impact on the roles and responsibilities of all health care professionals. The purpose of this phenomenological study was to describe the experience of staff physical therapists during a time of systemic change within a large urban academic medical center.
Participants were 5 physical therapists working in various clinical settings within the medical center. The participants were interviewed and asked the question "Over the past 4 years, there have been major changes in your work environment. What has it been like for you working as a clinician during this time of change?" Interviews were recorded, transcribed, and analyzed to find thematic patterns of responses.
Four common themes emerged in which participants described experiencing loss of control, stress, discontent, and disheartenment. A fifth theme showed that despite these negative feelings, participants were able to "find the silver lining" in their daily work lives (ie, they were able to find positive aspects of their professional lives despite the perceived unpleasant changes with which they had to cope).
This study provides insight into the experiences of a group of staff physical therapists during a time of systemic change in their work environment. Although the themes reflect largely unsettling and negative experiences, there seems to be an underlying ability to find affirmative aspects of work.
过去十年间医疗保健环境的变化对所有医疗保健专业人员的角色和职责产生了影响。这项现象学研究的目的是描述大型城市学术医疗中心系统变革时期员工物理治疗师的经历。
参与者为在医疗中心不同临床环境工作的5名物理治疗师。对参与者进行了访谈，并询问了“在过去4年里，你的工作环境发生了重大变化。在这个变革时期，作为一名临床医生，你的工作感受如何？”访谈进行了录音、转录和分析，以找出回答的主题模式。
出现了四个共同主题，参与者描述了经历失去控制、压力、不满和沮丧。第五个主题表明，尽管有这些负面情绪，参与者仍能够在日常工作生活中“找到一线希望”（即，尽管他们必须应对明显不愉快的变化，但他们能够找到职业生活中的积极方面）。
本研究深入了解了一组员工物理治疗师在工作环境系统变革时期的经历。尽管这些主题主要反映了令人不安和负面的经历，但似乎有一种潜在的能力去发现工作中的积极方面。
