医疗助理的心理安全感与门诊护理环境中领导者的包容性有关。

Medical Assistant Psychological Safety Linked to Leader Inclusiveness in Ambulatory Care Settings.

机构信息

Dep. of Physician Assistant Studies, College of Health and Humans Services, Northern Arizona University, 435 N 5th Street, Phoenix, AZ 85004, USA. Tel 602-827-2735, fax 602-827-2425.

出版信息

J Allied Health. 2022 Spring;51(1):21-25.

PMID:35239756

Abstract

OBJECTIVES

Studies in hospitals show that leader behaviors and power distance between healthcare professionals influence psychological safety (PS). However, little research on PS in outpatient settings exists. The main objective of this study was to explore factors that influence the PS of medical assistants (MAs) working in ambulatory care.

METHODS

A cross-sectional web-based survey consisting of items to assess PS and factors known to influence PS was distributed nationally to certified medical assistants (CMA) who obtained certification from the American Association of Medical Assistants. To evaluate relationships between variables, bivariate analyses and ordinary least squares regression were conducted on responses from those working in ambulatory care.

RESULTS

From the 54,196 email addresses contacted, 7,467 individuals (13.8%) responded to one or more survey questions; of them, 4,674 reported working in ambulatory care. Similar to research involving other types of healthcare professionals, results showed that leader inclusiveness meaningfully predicted variation in PS (R2 = 0.21, p < 0.001). Power distance (as conceived in this study) was not associated with PS.

CONCLUSIONS

This study adds to a growing body of literature showing that supportive leader behaviors positively impact PS. Greater attention to leadership development in health professions educational programs should be considered.

摘要

目的

医院研究表明，医护人员的领导行为和权力距离会影响心理安全感（PS）。然而，关于门诊环境下 PS 的研究较少。本研究的主要目的是探讨影响在门诊工作的医疗助理（MA）的 PS 的因素。

方法

采用横断面网络调查，包括评估 PS 以及已知影响 PS 的因素的项目，在全国范围内分发给通过美国医疗助理协会认证的认证医疗助理（CMA）。为了评估变量之间的关系，对在门诊工作的人员的回复进行了双变量分析和普通最小二乘回归。

结果

在联系的 54196 个电子邮件地址中，有 7467 人（13.8%）回复了一个或多个调查问题；其中 4674 人报告在门诊工作。与涉及其他类型的医疗保健专业人员的研究类似，结果表明，领导者包容性（包容性是指领导者对团队成员的尊重和接纳程度，包括倾听他们的意见、尊重他们的感受和需求、鼓励他们参与决策等）显著预测 PS 的变化（R2=0.21，p<0.001）。权力距离（本研究中构想的）与 PS 无关。