超越倦怠:旨在优先在系统层面进行干预的医师健康层级。
Beyond Burnout: A Physician Wellness Hierarchy Designed to Prioritize Interventions at the Systems Level.
机构信息
Administrative Affairs, Humanities in Medicine, Penn State College of Medicine, Hershey.
Lifespan, Providence, RI.
出版信息
Am J Med. 2019 May;132(5):556-563. doi: 10.1016/j.amjmed.2018.11.028. Epub 2018 Dec 13.
Burnout has been implicated in higher physician turnover, reduced patient satisfaction, and worsened safety, but understanding the degree of burnout in a given physician or team does not direct leaders to solutions. The model proposed integrates a long list of variables that may ameliorate burnout into a prioritized, easy-to-understand hierarchy. Modified from Maslow's hierarchy, the model directs leaders to address physicians' basic physical and mental health needs first; patient and physician physical safety second; and then address higher-order needs, including respect from colleagues, patients, processes, and the electronic health record; appreciation and connection; and finally, time and resources to heal patients and contribute to the greater good. Assessments based on this model will help leaders prioritize interventions and improve physician wellness.
burnout 已经被牵连到更高的医生离职率、降低患者满意度和更差的安全性中,但了解特定医生或团队的 burnout 程度并不能直接为领导者提供解决方案。该模型将一系列可能减轻 burnout 的变量整合到一个优先级、易于理解的层次结构中。该模型是对马斯洛层次理论的修改,它指导领导者首先满足医生的基本身心健康需求;其次是患者和医生的身体安全;然后再解决更高层次的需求,包括来自同事、患者、流程和电子健康记录的尊重;认可和联系;最后,是为患者治疗和为更广泛的利益做出贡献的时间和资源。基于该模型的评估将帮助领导者确定干预措施的优先级,并改善医生的健康状况。