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癌症患者医护人员的工作生活质量。

Quality of work life in doctors working with cancer patients.

机构信息

Faculté des Sciences Psychologiques et de l'Education, Université de Liège, Liège, B-4000, Belgium.

出版信息

Occup Med (Lond). 2012 Jan;62(1):34-40. doi: 10.1093/occmed/kqr149. Epub 2011 Oct 29.

DOI:10.1093/occmed/kqr149
PMID:22039092
Abstract

BACKGROUND

Although studies have shown that medical residents experience poor psychological health and poor organizational conditions, their quality of work life (QWL) had not been measured. A new tool, the Quality of Work Life Systemic Inventory (QWLSI), proposes to fill the gap in the definition and assessment of this concept.

AIMS

To confirm the convergent validity of the QWLSI, analyse Belgian medical residents' QWL with the QWLSI and discuss an intervention methodology based on the analysis of the QWLSI.

METHODS

One hundred and thirteen medical residents participated between 2002 and 2006. They completed the QWLSI, the Maslach Burnout Inventory and the Job Stress Survey to confirm the correspondence between these three tools.

RESULTS

Residents' low QWL predicted high emotional exhaustion (β = 0.282; P < 0.01) and job stress (β = 0.370; P < 0.001) levels, confirming the convergent validity. This sample of medical residents had an average QWL (μ = 5.8; SD = 3.1). However, their QWL was very low for three subscales: arrangement of work schedule (μ = 9; SD = 6.3), support offered to employee (μ = 7.6; SD = 6.1) and working relationship with superiors (μ = 6.9; SD = 5.3).

CONCLUSIONS

The results confirm that the QWLSI can provide an indication of workers' health well-being and of organizational performance in different areas of work life. The problem factors found among Belgian medical residents suggest that prevention should focus on reduction of work hours, development of support and change in leadership style.

摘要

背景

尽管研究表明住院医师经历着较差的心理健康和较差的组织环境,但他们的工作生活质量(QWL)尚未得到衡量。一种新的工具,即工作生活质量系统评估量表(QWLSI),旨在填补这一概念的定义和评估方面的空白。

目的

确认 QWLSI 的聚合效度,用 QWLSI 分析比利时住院医师的 QWL,并讨论基于 QWLSI 分析的干预方法。

方法

2002 年至 2006 年期间有 113 名住院医师参与了这项研究。他们完成了 QWLSI、马斯拉赫职业倦怠量表和工作压力调查,以确认这三种工具之间的对应关系。

结果

居民较低的 QWL 预测了较高的情绪耗竭(β=0.282;P<0.01)和工作压力(β=0.370;P<0.001)水平,确认了聚合效度。这个样本的住院医师平均 QWL(μ=5.8;SD=3.1)。然而,他们的 QWL 在三个子量表上非常低:工作安排(μ=9;SD=6.3)、员工支持(μ=7.6;SD=6.1)和与上级的工作关系(μ=6.9;SD=5.3)。

结论

结果证实,QWLSI 可以提供关于工人健康和不同工作生活领域组织绩效的指示。在比利时住院医师中发现的问题因素表明,预防应侧重于减少工作时间、发展支持和改变领导风格。

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