Adamson Keith, Searl Nancy, Sengsavang Sonia, Yardley John, George Mark, Rumney Peter, Hunter Judy, Myers-Halbig Sakeena
University of Toronto , Toronto, Canada.
Holland Bloorview Kids Rehabilitation Hospital, Toronto, Canada.
J Health Organ Manag. 2018 May 21;32(3):402-415. doi: 10.1108/JHOM-05-2017-0103.
Purpose Hospitals must systematically support employees in innovative ways to uphold a culture of care that strengthens the system. At a leading Canadian academic pediatric rehabilitation hospital, over 90 percent of clinicians viewed Schwartz Rounds™ (SR) as a hospital priority, resulting in its formal implementation as a quality improvement initiative. The purpose of this paper is to describe how the hospital implemented SR to support the socio-emotional impact of providing care. Design/methodology/approach This quantitative descriptive study provides a snapshot of the impact of each SR through online surveys at four assessment points (SR1-SR4). A total of 571 responses were collected. Findings All four SR addressed needs of staff as 92.9-97.6 percent of attendees reported it had a positive impact, and 96.4-100 percent of attendees reported each SR was relevant. Attendees reported significantly greater communication with co-workers after each SR ( p<0.001) and more personal conversations with supervisors after SR2 and SR4 ( p<0.05) compared to non-attendees. Attending SR also increased their perspective-taking capacity across the four SR. Practical implications As evidenced in this quality improvement initiative, SR addresses staff's need for time to process the socio-emotional impacts of care and to help reduce those at risk for compassion fatigue. SR supports and manages the emotional healthcare culture, which has important implications for quality patient care. Originality/value This research details an organization's process to implement SR and highlights the importance of taking care of the care provider.
目的 医院必须以创新方式系统地支持员工,以维护一种强化医疗体系的关爱文化。在加拿大一家领先的学术性儿科康复医院,超过90%的临床医生将施瓦茨圆桌会议(SR)视为医院的优先事项,这使其作为一项质量改进举措得以正式实施。本文旨在描述该医院如何实施SR以支持提供护理所带来的社会情感影响。
设计/方法/途径 这项定量描述性研究通过在四个评估点(SR1 - SR4)进行在线调查,提供了每次SR影响的概况。共收集到571份回复。
结果 所有四次SR都满足了员工的需求,92.9% - 97.6%的参与者表示其有积极影响,96.4% - 100%的参与者表示每次SR都相关。与未参与者相比,参与者在每次SR后与同事的沟通显著增加(p<0.001),在SR2和SR4后与上级的私人谈话更多(p<0.05)。参加SR还提高了他们在四次SR中的换位思考能力。
实际意义 正如这项质量改进举措所证明的,SR满足了员工处理护理的社会情感影响并帮助减少同情疲劳风险所需的时间。SR支持并管理情感医疗文化,这对优质的患者护理具有重要意义。
原创性/价值 本研究详细阐述了一个组织实施SR的过程,并强调了关爱护理提供者的重要性。