瑞典运作良好的基层医疗单位中员工对健康工作环境指标的体验：一项定性研究。
Workers' experiences of healthy work environment indicators at well-functioning primary care units in Sweden: a qualitative study.
作者信息
Areskoug Josefsson Kristina, Avby Gunilla, Andersson Bäck Monica, Kjellström Sofia
机构信息
a School of Health and Welfare, Jönköping Academy for Improvement of Health and Welfare , Jönköping University , Jönköping , Sweden.
b Department of Social Work , University of Gothenburg , Gothenburg , Sweden.
出版信息
Scand J Prim Health Care. 2018 Dec;36(4):406-414. doi: 10.1080/02813432.2018.1523987. Epub 2018 Sep 27.
OBJECTIVE
Staff experiences of healthy work environment (HWE) indicators at primary care units can assist in understanding why some primary care units function better than others. The aim of the study was to create increased understanding of how workers experienced HWE indicators at well-functioning primary care units.
DESIGN
Fifty in-depth interviews with staff at six primary care units in Sweden were analysed with deductive content analysis, revisiting a systematic review of HWE indicators.
RESULTS
The study presents additional perspectives on staff experiences of HWE indicators at well-functioning primary care units. The included primary care units (PCU) shared a similar pattern of work environment indicators, with unique solutions and strategies to meet shared challenges. Staff at the included PCUs were encouraged to work to create and sustain a HWE, but each domain (indicator) also provided challenges that the staff and organisation needed to meet. The results suggest that useful approaches for a healthy work environment could be to address issues of organisational virtuousness, employee commitment and joy at work.
CONCLUSIONS
Both managers and staff are encouraged to actively work not only to create and sustain an HWE but also to promote organisational virtuousness, employee commitment, joy at work and to increase the performance at work, which is of benefit to staff, patients and society. Key Points Staff at well-functioning primary care units (PCUs) experienced healthy work environments The included PCUs shared a similar pattern of work environment indicators, with unique solutions and strategies to meet shared challenges. Staff at the included PCUs were encouraged to work to create and sustain a healthy work environment, but each domain (indicator) also provided challenges that the staff and organisation needed to meet. The results suggest that useful approaches for a healthy work environment could be to address issues of organisational virtuousness, employee commitment and joy at work.
目的
基层医疗单位员工对健康工作环境（HWE）指标的体验有助于理解为何有些基层医疗单位比其他单位运作得更好。本研究的目的是增进对员工如何在运作良好的基层医疗单位体验HWE指标的理解。
设计
对瑞典六个基层医疗单位的员工进行了50次深入访谈，并采用演绎性内容分析法进行分析，重新审视了对HWE指标的系统评价。
结果
该研究呈现了关于运作良好的基层医疗单位员工对HWE指标体验的更多观点。纳入的基层医疗单位（PCU）有着相似的工作环境指标模式，以及应对共同挑战的独特解决方案和策略。纳入的PCU的员工被鼓励努力营造和维持健康的工作环境，但每个领域（指标）也带来了员工和组织需要应对的挑战。结果表明，营造健康工作环境的有用方法可能是解决组织良性、员工敬业度和工作乐趣等问题。
结论
鼓励管理者和员工不仅要积极营造和维持健康的工作环境，还要促进组织良性发展、员工敬业度、工作乐趣，并提高工作绩效，这对员工、患者和社会都有益。要点 运作良好的基层医疗单位（PCU）的员工体验到了健康的工作环境 纳入的PCU有着相似的工作环境指标模式，以及应对共同挑战的独特解决方案和策略。纳入的PCU的员工被鼓励努力营造和维持健康的工作环境，但每个领域（指标）也带来了员工和组织需要应对的挑战。结果表明，营造健康工作环境的有用方法可能是解决组织良性、员工敬业度和工作乐趣等问题。
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