Department of Public Health, Ashkelon Academic College, Ashkelon 78211, Israel.
Department of Health Systems Management, Ben-Gurion University of the Negev, Beer Sheva 84105, Israel.
Int J Environ Res Public Health. 2021 May 22;18(11):5544. doi: 10.3390/ijerph18115544.
The COVID-19 crisis poses challenges to healthcare systems and requires micro- and macro-organizational adaptations. This study examined the organizational atmosphere in Israeli hospitals by evaluating workers' perceptions and concerns about the COVID-19 crisis and its management. At the end of the pandemic's first wave in Israel, 547 healthcare workers responded to an online survey, which inquired about COVID-19 concerns at the individual and family level, perceptions at the national and organizational level, perceptions of the way the crisis was managed, self-assessment of coping with the crisis and burnout, and demographics. Findings showed that healthcare workers expressed deep concerns for family members and apprehension at a national level. Respondents noted that they were coping well with the crisis while expressing negative perceptions of how the crisis was managed. A regression model showed that the low self-assessment of medical staff of coping with the crisis, deep concerns at the organizational level, negative perceptions of crisis management, and providing care for COVID-19 patients were predictors of burnout. The findings emphasize the importance of developing a supportive organizational culture for hospital workers. Awareness of their concerns and perceptions is essential to improve organizational culture and healthcare systems' ability to continue fighting the virus and confront future health crises.
新冠疫情给医疗体系带来了挑战,需要微观和宏观组织层面的适应。本研究通过评估工作人员对新冠疫情及其管理的看法和担忧,考察了以色列医院的组织氛围。在以色列疫情第一波结束时,547 名医护人员对在线调查做出了回应,该调查询问了个人和家庭层面的新冠担忧、国家和组织层面的看法、对危机管理方式的看法、应对危机和倦怠的自我评估以及人口统计学信息。研究结果表明,医护人员对家庭成员表示深切担忧,并对国家层面感到担忧。受访者表示,他们在应对危机方面表现良好,但对危机管理方式持负面看法。回归模型显示,医护人员对自己应对危机的能力的自我评价较低、对组织层面的深切关注、对危机管理的负面看法以及照顾新冠患者是倦怠的预测因素。研究结果强调了为医院工作人员营造支持性组织文化的重要性。了解他们的担忧和看法对于改善组织文化和医疗体系继续抗击病毒以及应对未来健康危机的能力至关重要。