单一机构外科医护人员的工作满意度与工作场所压力源
Job satisfaction and workplace stressors among surgical providers at a single institution.
作者信息
Gates Rebecca, Workman Allison, Collier Bryan
机构信息
Rebecca Gates is a general surgery resident at Carilion Clinic-Virginia Tech Carilion School of Medicine (VTCSOM) in Roanoke, Va. Allison Workman practices in the Department of Surgery at Carilion Clinic in Roanoke. Bryan Collier is the section chief of acute care surgery at Carilion Clinic and a faculty member at VTCSOM. This paper was presented as a poster presentation in October 2018 at the American Association of Surgical Physician Assistants 18th Annual CME Meeting and Surgical Update in Lake Buena Vista, Fla. The authors have disclosed no other potential conflicts of interest, financial or otherwise.
出版信息
JAAPA. 2019 Nov;32(11):42-47. doi: 10.1097/01.JAA.0000586332.19619.b6.
OBJECTIVE
Job satisfaction and work stress are associated with provider health and patient outcomes. This study aimed to evaluate job satisfaction and workplace stressors in surgical providers (surgeons, physician assistants [PAs], and NPs).
METHODS
A survey was distributed to providers within a single surgical department. Job satisfaction and workplace stressors were evaluated by sex, age, profession, career length, and work hours.
RESULTS
Providers practicing for 11 to 15 years had greater job satisfaction than those practicing for more than 20 years, with no other differences by demographic group. Females cited supervisory support as a top workplace stressor more than did males (P = .01) and PAs and NPs cited supervisory support (P < .01) and compensation/finances more than surgeons (P = .05). Workplace stressors varied by practice years and work hours.
CONCLUSIONS
Healthcare organizations should be aware of diversity in perceived workplace stressors. A "one size fits all" approach to provider well-being is likely to be ineffective.
目的
工作满意度和工作压力与医疗服务提供者的健康状况及患者治疗结果相关。本研究旨在评估外科医疗服务提供者（外科医生、医师助理[PA]和执业护士[NPs]）的工作满意度及工作场所压力源。
方法
向单一外科科室的医疗服务提供者发放调查问卷。通过性别、年龄、职业、职业生涯时长和工作时长对工作满意度及工作场所压力源进行评估。
结果
执业11至15年的医疗服务提供者比执业超过20年的提供者有更高的工作满意度，不同人口统计学群体之间无其他差异。女性比男性更常将上级支持列为首要工作场所压力源（P = 0.01），医师助理和执业护士比外科医生更常将上级支持（P < 0.01）和薪酬/财务列为工作场所压力源（P = 0.05）。工作场所压力源因执业年限和工作时长而异。
结论
医疗保健机构应意识到工作场所压力源认知方面的多样性。一种“一刀切”的保障医疗服务提供者福祉的方法可能无效
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