COVID-19 大流行期间的母婴保健工作者的健康和患者安全氛围。
Maternal and neonatal health care worker well-being and patient safety climate amid the COVID-19 pandemic.
机构信息
Division of Neonatology, Department of Pediatrics, Stanford University School of Medicine, Stanford, CA, USA.
Medical Director of California Maternal Quality Care Collaborative, Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, Stanford University School of Medicine, Stanford, CA, USA.
出版信息
J Perinatol. 2021 May;41(5):961-969. doi: 10.1038/s41372-021-01014-9. Epub 2021 Mar 16.
OBJECTIVE
To assess maternal and neonatal healthcare workers (HCWs) perspectives on well-being and patient safety amid the COVID-19 pandemic.
STUDY DESIGN
Anonymous survey of HCW well-being, burnout, and patient safety over the prior conducted in June 2020. Results were analyzed by job position and burnout status.
RESULT
We analyzed 288 fully completed surveys. In total, 66% of respondents reported symptoms of burnout and 73% felt burnout among their co-workers had significantly increased. Workplace strategies to address HCW well-being were judged by 34% as sufficient. HCWs who were "burned out" reported significantly worse well-being and patient safety attributes. Compared to physicians, nurses reported higher rates of unprofessional behavior (37% vs. 14%, p = 0.027) and difficulty focusing on work (59% vs. 36%, p = 0.013).
CONCLUSION
Three months into the COVID-19 pandemic, HCW well-being was substantially compromised, with negative ramifications for patient safety.
目的
评估 COVID-19 大流行期间孕产妇和新生儿医护人员（HCWs）的幸福感和患者安全状况。
研究设计
2020 年 6 月对 HCW 幸福感、倦怠和患者安全状况进行的匿名调查。根据工作岗位和倦怠状况分析结果。
结果
我们分析了 288 份完整的调查问卷。总共有 66%的受访者报告有倦怠症状，73%的人认为同事的倦怠感明显增加。34%的人认为解决 HCW 幸福感的工作场所策略足够。“倦怠”的 HCWs 报告的幸福感和患者安全状况明显更差。与医生相比，护士报告的不专业行为发生率更高（37%比 14%，p=0.027），难以专注于工作的比例也更高（59%比 36%，p=0.013）。
结论
在 COVID-19 大流行三个月后，HCW 的幸福感受到了严重影响，对患者安全产生了负面影响。
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