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乌干达医护人员的工作相关生活质量

Work-related quality of life of Ugandan healthcare workers.

作者信息

Opollo J G, Gray J, Spies L A

机构信息

Parkland Health & Hospital System, Dallas, TX, USA.

出版信息

Int Nurs Rev. 2014 Mar;61(1):116-23. doi: 10.1111/inr.12077. Epub 2014 Jan 7.

Abstract

AIMS

To describe perceived work-related quality of life of Ugandan healthcare workers. A secondary aim was to seek participant input on ways to improve work environments.

BACKGROUND

Poor patient outcomes, decreased employee motivation and decisions to leave the organization have been linked to poor work conditions. Interventions to correct healthcare worker shortage in developing countries require information about work quality of life.

METHODS

Descriptive cross-sectional study conducted in health and educational settings in Uganda in July 2011. Participants completed the Biographical Information Scale demographic questionnaire and the validated 24-item Work-Related Quality of Life scale.

RESULTS

Sample included 146 healthcare workers employed in various settings. Participants reported poorer quality of work life on the work conditions, control at work and home-work interface subscales. Participants perceived stress at work to be low and experienced higher job career satisfaction. There was a significant relationship between work-related quality of life, gender and hours worked. Participants' suggestions to improve work life ranged from simple no-cost suggestions to more complex system level interventions.

DISCUSSION

Work-related quality of life was low in this convenience sample. Perceived stress at work was lower than expected, but may have been due to nurses' expectations of a normal work assignment. Predominantly women, the participants had significant caregiving responsibilities.

NURSING IMPLICATIONS

Nurses must acquire a seat at the table where crucial decisions about nursing and its future are made. By advancing leadership skills, nurses can effectively advocate for organizational changes that address broad factors related to increasing job satisfaction, and retaining and attracting nurses.

CONCLUSION

Nurses can influence work quality of life individually and collectively by identifying workplace concerns, demanding safe work environments, fostering teamwork and enhancing professional growth.

摘要

目的

描述乌干达医护人员所感知的与工作相关的生活质量。次要目的是征求参与者对改善工作环境方法的意见。

背景

患者预后不佳、员工积极性下降以及离职决定都与恶劣的工作条件有关。纠正发展中国家医护人员短缺的干预措施需要有关工作生活质量的信息。

方法

2011年7月在乌干达的卫生和教育机构中进行描述性横断面研究。参与者完成了传记信息量表人口统计问卷以及经过验证的24项与工作相关的生活质量量表。

结果

样本包括146名受雇于不同机构的医护人员。参与者在工作条件、工作控制权和工作与家庭界面子量表上报告了较差的工作生活质量。参与者认为工作压力较低,且工作满意度较高。与工作相关的生活质量、性别和工作时长之间存在显著关系。参与者对改善工作生活的建议从简单的无成本建议到更复杂的系统层面干预措施不等。

讨论

在这个便利样本中,与工作相关的生活质量较低。感知到的工作压力低于预期,但这可能是由于护士对正常工作任务的期望。参与者主要为女性,她们承担着重大的护理责任。

护理启示

护士必须在有关护理及其未来的关键决策中拥有一席之地。通过提升领导技能,护士可以有效地倡导组织变革,以解决与提高工作满意度、留住和吸引护士相关的广泛因素。

结论

护士可以通过识别工作场所问题、要求安全的工作环境、促进团队合作以及促进职业发展,单独或集体地影响工作生活质量。

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