Gaspar Tânia, Salado Vanesa, do Céu Machado Maria, Guedes Fábio Botelho, Faia-Correia Manuela, Coelho Anabela
Universidade Lusófona das Humanidades e Tecnologias/HEI-LAB, Campo Grande 376, 1749-024 Lisbon, Portugal.
Portuguese Lab for Healthy Workplaces, Lisbon, Portugal.
Int J Environ Res. 2023;17(1):21. doi: 10.1007/s41742-022-00505-7. Epub 2023 Jan 27.
The hospital health care professionals are the front-line fighting COVID-19 considering they are responsible for all the care provided to patients. The purpose of this study was to determine the impact of COVID-19 at the hospital management level and, also, to understand how psychosocial environment, and satisfaction of Health Professionals were affected. A case study was performed in a Portuguese Hospital. Data were collected at one hospital under study at two different occasions: the first before the pandemic (November 2019) and the second almost two years after the pandemic started (November 2021). Regarding data collection, 37.0% of participants responded in the occasion 1 ( = 296) and 63.0% responded in the occasion 2 ( = 503). The instrument for the Assessment of Global Management of Health Organizations (AGMHO) consists of 39 items organized into six dimensions (Gaspar et al. in J Occup Environ Med 63: 581-587, 2021). Comparing timings pre and during pandemic COVID-19, it was found that the participants in the pre-COVID-19 era showed stronger organizational culture, higher quality of life, better psychosocial environment regarding content/leadership and higher job satisfaction when compared to the participants during pandemic COVID-19. On the other hand, participants in the second occasion were found to have higher psychosocial risks related to mental health when compared to participants in the pre-COVID-19 phase. We conclude that the professionals' perception of the different dimensions of the health organization worsened after 2 years of the pandemic. With special focus on psychosocial risks at work and relationship with leadership.
医院医护人员是抗击新冠疫情的一线力量，因为他们负责为患者提供所有护理。本研究的目的是确定新冠疫情对医院管理层面的影响，并了解社会心理环境以及医护人员的满意度是如何受到影响的。在一家葡萄牙医院进行了一项案例研究。在研究的一家医院的两个不同时间点收集数据：第一次是在疫情爆发前（2019年11月），第二次是在疫情开始近两年后（2021年11月）。关于数据收集，37.0%的参与者在第一次调查时做出了回应（n = 296），63.0%的参与者在第二次调查时做出了回应（n = 503）。卫生组织全球管理评估工具（AGMHO）由39个项目组成，分为六个维度（加斯帕尔等人，《职业与环境医学杂志》63: 581 - 587，2021）。比较新冠疫情前和疫情期间的情况，发现与新冠疫情期间的参与者相比，新冠疫情前时代的参与者表现出更强的组织文化、更高的生活质量、在内容/领导力方面更好的社会心理环境以及更高的工作满意度。另一方面，与新冠疫情前阶段的参与者相比，第二次调查的参与者被发现与心理健康相关的社会心理风险更高。我们得出结论，在疫情爆发两年后，专业人员对卫生组织不同维度的认知变差了。特别关注工作中的社会心理风险以及与领导的关系。
