Simpson Samantha L, Khan Sarah, Schiferl Lindsey M, Boehl Lindsay, Horewitz Debbie, Hausfeld Jackie, Samuels Paul, Kreeger Renee N, White Christine M
Division of Neonatology and Pulmonary Biology (SL Simpson), Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Division of Hospital Medicine (S Khan), Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Acad Pediatr. 2023 Nov-Dec;23(8):1481-1488. doi: 10.1016/j.acap.2023.07.004. Epub 2023 Jul 22.
Healthcare worker burnout is a growing epidemic associated with multiple negative outcomes. Compounding the routine stresses of clinical practice, involvement in adverse events can be emotionally devastating. Healthcare organizations have an obligation to mitigate burnout and promote engagement and resiliency. Many institutions have launched wellness initiatives, but the value of these programs is unclear. Here, we describe the implementation of a peer-to-peer support program at our quaternary pediatric medical center. This proactive program is unique in its referral process and scope and has demonstrated efficacy in mitigating the emotional impact of adverse effects. In total, our institution has trained 125 peer supporters. Since initiation, there have been a total of 2187 referrals made to the program. Data collected in 2022 from these referrals showed a 60.3% (n = 1220) response rate to the offer of support. A survey was sent to frontline clinicians from divisions with trained supporters. Of 963 respondents, 71.8% (n = 691) agreed that this program was a valuable resource, and 81.3% (n = 783) recommended peer support to be offered to those involved in adverse and stressful events. Our experience supports that the implementation of a proactive, peer-to-peer support program is both feasible and valuable.
医护人员职业倦怠是一种日益普遍的现象，与多种负面后果相关。临床实践的日常压力本就不小，参与不良事件会在情感上造成毁灭性打击。医疗保健机构有义务减轻职业倦怠，促进员工投入工作并增强适应能力。许多机构都推出了健康倡议项目，但这些项目的价值尚不明晰。在此，我们描述了在我们的四级儿科医疗中心实施的一项 peer-to-peer 支持项目。这个积极主动的项目在转诊流程和范围上独具特色，并且已证明在减轻不良反应的情感影响方面具有成效。我们机构总共培训了125名同伴支持者。自项目启动以来，该项目总共收到了2187次转诊申请。2022年从这些转诊申请中收集的数据显示，对支持提议的回应率为60.3%（n = 1220）。我们向设有经过培训的支持者的科室的一线临床医生发送了一份调查问卷。在963名受访者中，71.8%（n = 691）认为该项目是一项宝贵资源，81.3%（n = 783）建议向遭遇不良和压力事件的人员提供同伴支持。我们的经验表明，实施一个积极主动的 peer-to-peer 支持项目既可行又有价值。 （注：“peer-to-peer”直译为“对等的、点对点的”，这里结合语境意译为“同伴之间的” ）
