工作投入对初级医疗保健的重要性。
Importance of work engagement in primary healthcare.
机构信息
Community Health Centre Ljubljana, Metelkova ulica 9, 1000, Ljubljana, Slovenia.
Faculty of health sciences, University of Primorska, Polje 42, 6310, Izola, Slovenia.
出版信息
BMC Health Serv Res. 2022 Aug 16;22(1):1044. doi: 10.1186/s12913-022-08402-7.
BACKGROUND
Work engagement is crucial for quality care at the primary healthcare level. This is especially true during the Covid-19 pandemic, as it has effects on the community from both a health and economic point of view. For example, inadequate work engagement can lead to fewer referrals to the secondary healthcare level. This study aims to examine the work engagement level in a public healthcare organisation at the primary healthcare level to further explore the role of work environment characteristics. The study addresses a research gap in the field of primary healthcare and emphasises the importance of managing the factors promoting work engagement. The future of healthcare will be strongly shaped by population ageing and Covid-19 disruption, which have created unpredictable and unfavourable working situations.
METHOD
A descriptive, cross-sectional, correlational design was used including the Utrecht Work Engagement Scale with a non-probabilistic availability sample of 630 employees of the Community Health Centre Ljubljana, Slovenia, in 2018. The role of the work environment was observed by applying the job resources concept adapted to the context of the observed organisation.
RESULTS
Work engagement in the observed organisation is higher compared to previous research. The research confirmed that job resources play an important role in employees' work engagement. The high level of work engagement of the home care nursing employees coupled with the significant proportions of unengaged in the management of the organization also caught our attention. This difference highlights the importance of the leadership style, career choices and employment process that exist in an institution.
CONCLUSION
The study has important implications for healthcare management at the primary level for unlocking the work engagement by 'managing' the factors stimulating work engagement. The hidden potential is especially large in so called 'soft areas', such as leadership style, communication and organisational climate, which are also less expensive to manage than other aspects of the work environment.
背景
工作投入对于基层医疗保健水平的优质护理至关重要。在 COVID-19 大流行期间尤其如此，因为它对社区从健康和经济两个方面都产生了影响。例如，工作投入不足可能导致向二级医疗保健水平的转诊减少。本研究旨在调查基层医疗保健公共卫生组织的工作投入水平，以进一步探讨工作环境特征的作用。该研究解决了基层医疗保健领域的一个研究空白，并强调了管理促进工作投入的因素的重要性。人口老龄化和 COVID-19 疫情的破坏将强烈塑造未来的医疗保健，这给工作带来了不可预测和不利的情况。
方法
采用描述性、横断面、相关性设计，使用乌得勒支工作投入量表，对 2018 年斯洛文尼亚卢布尔雅那社区卫生中心的 630 名员工进行了非概率可用性样本调查。通过应用适应所观察组织背景的工作资源概念来观察工作环境的作用。
结果
所观察组织的工作投入高于以往的研究。研究证实，工作资源在员工的工作投入中起着重要作用。家庭护理护士的高工作投入水平，以及组织管理层中大量不投入的比例，也引起了我们的注意。这种差异突出了在一个机构中存在的领导风格、职业选择和就业过程的重要性。
结论
该研究对基层医疗保健管理具有重要意义，通过“管理”刺激工作投入的因素来释放工作投入。在所谓的“软性领域”，如领导风格、沟通和组织氛围，存在着巨大的潜在优势，而且这些领域的管理成本比工作环境的其他方面要低。
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