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医疗专业人员的技术压力——一个多层次模型以及不同工作环境和职业之间的群组比较

Technostress Among Health Professionals - A Multilevel Model and Group Comparisons between Settings and Professions.

作者信息

Golz Christoph, Peter Karin A, Zwakhalen Sandra M G, Hahn Sabine

机构信息

Department of Health Professions, Bern University of Applied Sciences, Bern, Switzerland.

Department of Health Services Research, Maastricht University,Care and Public Health Research Institute, Maastricht, The Netherlands.

出版信息

Inform Health Soc Care. 2021 Jun 2;46(2):136-147. doi: 10.1080/17538157.2021.1872579. Epub 2021 Mar 1.

Abstract

OBJECTIVE

Health organizations increasingly digitize. However, studies reveal contradictory findings regarding the impact of healthcare information technology on health professionals. Therefore, the aim of this study is to describe the prevalence of technostress among health professionals and elaborate on the influencing factors.

PARTICIPANTS

A secondary analysis was conducted utilizing cross-sectional data from the study, "Work-related stress among health professionals in Switzerland", which included 8,112 health professionals from 163 health organizations in Switzerland.

METHODS

ANOVA for group comparisons followed by post-hoc analyses, along with a Multilevel Model to identify influencing factors for technostress ranging from "0" (never/almost never) to "100" (always), were conducted.

RESULTS

Health professionals experienced moderate technostress (mean 39.06, SD 32.54). Technostress differed between settings (p <.001) and health professions (p < .001). The model explains 18.1% of the variance with fixed effects, or 24.7% of the variance with fixed and random effects. Being a physician (β = 12.96), a nurse (β = 6.49), or the presence of an effort-reward-imbalance, increased technostress most (β = 6.11). A professional with no professional qualification (β = -7.94) showed the most reduction.

CONCLUSION

Health professionals experience moderate technostress. However, decision-makers should consider the cognitive and social aspects surrounding digitalization, to reach a beneficial and sustainable level of usage.

摘要

目的

卫生组织日益数字化。然而,关于医疗信息技术对卫生专业人员的影响,研究结果相互矛盾。因此,本研究的目的是描述卫生专业人员中技术压力的患病率,并阐述影响因素。

参与者

利用“瑞士卫生专业人员的工作相关压力”研究中的横断面数据进行二次分析,该研究包括来自瑞士163个卫生组织的8112名卫生专业人员。

方法

进行方差分析以进行组间比较,随后进行事后分析,并使用多层次模型来确定技术压力的影响因素,技术压力范围从“0”(从不/几乎从不)到“100”(总是)。

结果

卫生专业人员经历了中度技术压力(平均值39.06,标准差32.54)。技术压力在不同环境(p <.001)和卫生专业(p <.001)之间存在差异。该模型用固定效应解释了18.1%的方差变异,或用固定效应和随机效应解释了24.7%的方差变异。作为医生(β = 12.96)、护士(β = 6.49),或存在努力-回报失衡,技术压力增加最多(β = 6.11)。没有专业资格的专业人员(β = -7.94)技术压力降低最多。

结论

卫生专业人员经历中度技术压力。然而,决策者应考虑数字化周围的认知和社会方面,以达到有益和可持续的使用水平。

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