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加拿大医护人员的健康工作场所:政策与实践中的知识转移与应用

Healthy workplaces for health workers in Canada: knowledge transfer and uptake in policy and practice.

作者信息

Shamian Judith, El-Jardali Fadi

机构信息

VON Canada.

出版信息

Healthc Pap. 2007;7 Spec No:6-25. doi: 10.12927/hcpap.2007.18668.

Abstract

The World Health Report launched the Health Workforce Decade (2006-2015), with high priority given for countries to develop effective workforce strategies including healthy workplaces for health workers. Evidence shows that healthy workplaces improve recruitment and retention, workers' health and well-being, quality of care and patient safety, organizational performance and societal outcomes. Over the past few years, healthy workplace issues in Canada have been on the agenda of many governments and employers. The purpose of this paper is to provide a progress update, using different data-collection approaches, on knowledge transfer and uptake of research evidence in policy and practice, including the next steps for the healthy workplace agenda in Canada. The objectives of this paper are (1) to summarize the current healthy workplace initiatives that are currently under way in Canada; (2) to synthesize what has been done in reality to determine how far the healthy workplace agenda has progressed from the perspectives of research, policy and practice; and (3) to outline the next steps for moving forward with the healthy workplace agenda to achieve its ultimate objectives. Some of the key questions discussed in this paper are as follows: Has the existing evidence on the benefits of healthy workplaces resulted in policy change? If so, how and to what extent? Have the existing policy initiatives resulted in healthier workplaces for healthcare workers? Are there indications that healthcare workers, particularly at the front line, are experiencing better working conditions? While there has been significant progress in bringing policy changes as a result of research evidence, our synthesis suggests that more work is needed to ensure that existing policy initiatives bring effective changes to the workplace. In this paper, we outline the next steps for research, policy and practice that are required to help the healthy workplace agenda achieve its ultimate objectives.

摘要

《世界卫生报告》发起了卫生人力十年(2006 - 2015年),高度重视各国制定有效的人力战略,包括为卫生工作者打造健康的工作场所。有证据表明,健康的工作场所能改善招聘与留用情况、工作人员的健康与福祉、护理质量及患者安全、组织绩效和社会成果。在过去几年里,加拿大的健康工作场所问题已被许多政府和雇主提上议程。本文旨在通过不同的数据收集方法,提供关于研究证据在政策和实践中的知识转移与应用的进展更新情况,包括加拿大健康工作场所议程的后续步骤。本文的目标是:(1)总结加拿大目前正在开展的健康工作场所举措;(2)综合实际所做的工作,从研究、政策和实践的角度确定健康工作场所议程取得了多大进展;(3)概述推进健康工作场所议程以实现其最终目标的后续步骤。本文讨论的一些关键问题如下:关于健康工作场所益处的现有证据是否导致了政策变化?如果是,如何以及在多大程度上导致了变化?现有的政策举措是否为医护人员带来了更健康的工作场所?是否有迹象表明医护人员,尤其是一线医护人员,正经历着更好的工作条件?虽然由于研究证据,在推动政策变化方面已取得显著进展,但我们的综合分析表明,还需要做更多工作,以确保现有政策举措给工作场所带来有效的变化。在本文中,我们概述了研究、政策和实践所需的后续步骤,以帮助健康工作场所议程实现其最终目标。

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