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心理社会安全氛围调节医院认证要求对医护人员的影响:一项纵向研究。

Psychosocial Safety Climate Moderates the Effect of Demands of Hospital Accreditation on Healthcare Professionals: A Longitudinal Study.

作者信息

Alshamsi Amna I, Santos Angeli, Thomson Louise

机构信息

Occupational Health-Psychology and Management, School of Medicine, University of Nottingham, Nottingham, United Kingdom.

Applied Psychology, Centre for Organizational Health and Development, School of Medicine, University of Nottingham, Nottingham, United Kingdom.

出版信息

Front Health Serv. 2022 Apr 22;2:824619. doi: 10.3389/frhs.2022.824619. eCollection 2022.

Abstract

Hospital accreditation has been studied comprehensively, yet few studies have observed its impacts on the burnout and work engagement levels of frontline healthcare professionals (HCPs). With a sample of 121 HCPs working in the United Arab Emirates' public hospitals, this study used a two-wave, cross-lagged panel design to examine the direct effects of job demands and job resources during hospital accreditations on burnout and work engagement and the moderating roles of psychosocial safety climate (PSC) on burnout and work engagement 3 months after accreditation. The data were analyzed using moderated structural equation modeling. As expected, we found that job demands (i.e., accreditation demands) had a direct effect on burnout, while job resources (i.e., social support) predicted work engagement. PSC moderated both relationships; however, it was not able to directly predict burnout or work engagement. Findings from this study show a positive relationship between accreditation demands and HCPs' health. Future research needs to examine the link between PSC and job demands-resources concepts before and after hospital accreditation more closely by using multiple time points to assess the causality relationships between predictor and outcome variables.

摘要

医院认证已得到全面研究,但很少有研究观察到其对一线医护人员倦怠和工作投入水平的影响。本研究以在阿联酋公立医院工作的121名医护人员为样本,采用两波交叉滞后面板设计,考察医院认证期间工作需求和工作资源对倦怠和工作投入的直接影响,以及心理社会安全氛围(PSC)在认证后3个月对倦怠和工作投入的调节作用。使用有调节的结构方程模型对数据进行分析。正如预期的那样,我们发现工作需求(即认证需求)对倦怠有直接影响,而工作资源(即社会支持)预测工作投入。PSC调节了这两种关系;然而,它无法直接预测倦怠或工作投入。本研究结果表明认证需求与医护人员健康之间存在正相关关系。未来的研究需要通过使用多个时间点来评估预测变量和结果变量之间的因果关系,更密切地考察医院认证前后PSC与工作需求-资源概念之间的联系。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ee2/10012736/f382efd9e9c5/frhs-02-824619-g0001.jpg

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