Denver Health Medical Center, University of Colorado School of Medicine, Denver, Colorado, USA.
Int J Ment Health Nurs. 2021 Feb;30(1):326-333. doi: 10.1111/inm.12788. Epub 2020 Sep 21.
Burnout in the field of behavioural health care is widespread. Occupational burnout can negatively impact providers' well-being and patient care, as well as lead to substantial fiscal cost to healthcare institutions. The objective of this quality improvement project was to develop a single-item survey to rapidly assess individual burnout and workforce well-being among behavioural health staff in our urban, safety-net hospital. We examined the degree of agreement between a single, self-defined burnout item from the Mini-Z and the ProQOL burnout subscale among one hundred and thirty-five nurses, behavioural technicians and administrative staff. Our findings indicate that ProQOL and Mini-Z have a low-to-moderate correlation at a baseline (k = 0.52, 95% CI 0.26, 0.69). However, using a modified ProQOL cut-off score with a binary classification of both surveys yields a moderate-to-high agreement (K = 0.67, 95% CI 0.54, 0.80). To our knowledge, this is the first published comparison of the Mini-Z with the ProQOL instrument. The project adheres to the Standards for Quality Improvement Reporting Excellence (SQUIRE) 2.0 reporting guidelines for quality improvement (Ogrinc et al., 2016). A single, validated question measuring burnout allows for more rapid assessment and the maximization of response rates, both of which are important steps in evaluating the level of burnout of the collective whole.
行为保健领域的倦怠现象普遍存在。职业倦怠会对提供者的福祉和患者护理产生负面影响,并给医疗机构带来巨大的财政成本。本质量改进项目的目的是开发一种单项调查,以快速评估我们城市的安全网医院行为健康工作人员的个人倦怠和劳动力幸福感。我们检查了 135 名护士、行为技术员和行政人员的 Mini-Z 中的一个单一、自我定义的倦怠项目和 ProQOL 倦怠子量表之间的一致性程度。我们的研究结果表明,ProQOL 和 Mini-Z 在基线时的相关性较低到中等(k=0.52,95%CI 0.26,0.69)。然而,使用 ProQOL 截断值和两个调查的二进制分类,得到中等至高的一致性(K=0.67,95%CI 0.54,0.80)。据我们所知,这是首次对 Mini-Z 与 ProQOL 仪器进行比较。该项目符合质量改进的卓越标准报告(SQUIRE)2.0 报告准则(Ogrinc 等人,2016 年)。一个单一的、经过验证的测量倦怠的问题可以进行更快速的评估和最大限度地提高回复率,这两者都是评估整个集体倦怠程度的重要步骤。