The Armstrong Institute for Patient Safety and Quality, Johns Hopkins Medicine, Baltimore, Maryland.
Center for Health Services and Outcomes Research, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.
J Healthc Manag. 2021;66(1):19-32. doi: 10.1097/JHM-D-19-00264.
The Resilience In Stressful Events (RISE) program that supports healthcare professionals traumatized by stressful clinical events has had a stable, volunteer-based membership since its inception in 2011 at Johns Hopkins Hospital. For this study, we explored RISE members' perceptions of the program that contribute to their retention and the program's sustainability. We distributed a survey with quantitative and qualitative elements to assess perceptions in seven domains of interest. The response rate was 100%. Pearson chi-squared tests established statistical associations among quantitative variables. Qualitative data were explored using content analysis. Of 27 respondents, 19 had been members for 3 or more years. The training completion percentage was 100%, and the annual turnover percentage was 12%. Members found their duties to be meaningful (100%), personally satisfying (96%), and positively impactful (93%). A total of 89% reported confidence in their competency to perform RISE duties, 84% in their autonomy, and 56% in their personal resilience; 28% reported some burnout from RISE duties. Cronbach's α for these domain scores ranged from 0.65 to 0.97. Content analysis also revealed positive perceptions of RISE volunteering and personal empowerment. Members indicated a personal affinity with RISE and gains in energy and enjoyment from their membership. Contributing factors to volunteer retention may include members' perceptions that RISE builds valued skills and supports their affinity for others.
自 2011 年约翰霍普金斯医院成立以来，支持因紧张临床事件而受到创伤的医疗保健专业人员的应激事件中的韧性 (RISE) 计划一直拥有稳定的志愿者成员基础。在这项研究中，我们探讨了 RISE 成员对有助于其保留和计划可持续性的计划的看法。我们分发了一份包含定量和定性要素的调查，以评估七个感兴趣领域的看法。回复率为 100%。皮尔逊卡方检验确立了定量变量之间的统计关联。使用内容分析探索定性数据。在 27 名受访者中，有 19 名成员的会员资格已超过 3 年。培训完成率为 100%，年周转率为 12%。成员认为他们的职责有意义（100%）、个人满意（96%）且具有积极的影响力（93%）。共有 89%的人表示对履行 RISE 职责的能力有信心，84%的人对自主权有信心，56%的人对个人韧性有信心；28%的人报告说从 RISE 职责中有些疲惫。这些领域得分的 Cronbach's α 范围从 0.65 到 0.97。内容分析还揭示了对 RISE 志愿服务和个人赋权的积极看法。成员表示与 RISE 有个人亲和力，并从会员中获得了能量和乐趣的提升。志愿者保留的促成因素可能包括成员认为 RISE 建立了有价值的技能，并支持他们对他人的亲和力。
