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医务人员易感性和普遍存在的跨专业不文明行为对幸福感的影响。

The impact of vulnerability and exposure to pervasive interprofessional incivility among medical staff on wellbeing.

机构信息

Faculty of Medicine, Health and Human Sciences, Centre for Health Systems and Safety Research, Australian Institute of Health Innovation, Macquarie University, Sydney, NSW, Australia.

Health Services Management Centre, School of Social Policy, College of Social Sciences, University of Birmingham, Birmingham, United Kingdom.

出版信息

Front Public Health. 2023 Jul 14;11:1168978. doi: 10.3389/fpubh.2023.1168978. eCollection 2023.

DOI:10.3389/fpubh.2023.1168978
PMID:37521972
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10375044/
Abstract

INTRODUCTION

Traditional methods for modelling human interactions within organisational contexts are often hindered by the complexity inherent within these systems. Building on new approaches to information modelling in the social sciences and drawing on the work of scholars in transdisciplinary fields, we proposed that a reliable model of human interaction as well as its emergent properties can be demonstrated using theories related to emergent information.

METHODS

We demonstrated these dynamics through a test case related to data from a prevalence survey of incivility among medical staff. For each survey respondent we defined their vulnerability profile based upon a combination of their biographical characteristics, such as age, gender, and length of employment within a hospital and the hospital type (private or public). We modelled the interactions between the composite vulnerability profile of staff against their reports of their exposure to incivility and the consequent negative impact on their wellbeing.

RESULTS

We found that vulnerability profile appeared to be proportionally related to the extent to which they were exposed to rudeness in the workplace and to a negative impact on subjective wellbeing.

DISCUSSION

This model can potentially be used to tailor resources to improve the wellbeing of hospital medical staff at increased risk of facing incivility, bullying and harassment at their workplaces.

摘要

简介

传统的方法在建模人类互动组织背景下往往受到固有复杂性的制约,这些系统。在新的方法对信息建模在社会科学和借鉴学者的跨学科领域的工作,我们提出了一个可靠的模型,人类的相互作用及其涌现特性可以用相关的理论证明 Emergent 信息。

方法

我们通过一个案例研究证明了这些动态相关的数据从一个流行的调查无礼的医务人员。对于每个调查对象,我们根据他们的传记特征,如年龄、性别、在医院工作的时间和医院类型(私立或公立)来定义他们的脆弱性概况。我们将工作人员的综合脆弱性概况与他们报告的无礼行为暴露情况以及对他们幸福感的负面影响进行了交互建模。

结果

我们发现,脆弱性概况似乎与他们在工作场所受到的粗鲁程度以及对主观幸福感的负面影响成正比。

讨论

该模型可用于调整资源,以改善医院医务人员的幸福感,这些医务人员在工作场所面临无礼、欺凌和骚扰的风险增加。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f0ee/10375044/5223f42d614d/fpubh-11-1168978-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f0ee/10375044/9576b3cd87a6/fpubh-11-1168978-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f0ee/10375044/5223f42d614d/fpubh-11-1168978-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f0ee/10375044/9576b3cd87a6/fpubh-11-1168978-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f0ee/10375044/5223f42d614d/fpubh-11-1168978-g002.jpg

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Speaking up as an extension of socio-cultural dynamics in hospital settings: a study of staff experiences of speaking up across seven hospitals.在医院环境中发声是社会文化动态的一种延伸:一项对七个医院工作人员发声经历的研究。
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