Cardile Davide, Corallo Francesco, Ielo Augusto, Cappadona Irene, Pagano Maria, Bramanti Placido, D'Aleo Giangaetano, Ciurleo Rosella, De Cola Maria Cristina
IRCCS Centro Neurolesi Bonino-Pulejo, S.S. 113 Via Palermo, C.da Casazza, 98124 Messina, Italy.
Faculty of Psychology, Università degli Studi eCampus, Via Isimbardi 10, 22060 Novedrate, Italy.
Healthcare (Basel). 2023 Aug 9;11(16):2235. doi: 10.3390/healthcare11162235.
Audit and Feedback (A&F) is a systematic process involving the collection of data, which are subsequently compared with the established reference standards and then subsequently disseminated to healthcare providers through feedback meetings. This allows continuous improvement to be ensured in the quality of care processes. Often, the parameters taken into account concern only the patient and the treatment processes, neglecting other variables. Quality of life in the workplace and coping skills are determining variables for the clinical performance of all healthcare professionals. For this reason, in this study, these variables were investigated and differences were highlighted in two different role categories and context: cardiovascular emergency and neurological rehabilitation. A psychological screening was carried out by sending the computerized Coping Orientation to Problems Experienced-Nuova Versione Italiana (COPE-NVI) and Professional Quality of Life Scale-5 (ProQoL) questionnaires to all healthcare workers involved. Ninety-five healthcare providers (mean ± SD age: 47 ± 10.4 years; 37.9% male) answered the questionnaire and were assigned into two groups (G1 and G2) based on the ward in which they worked. These were further divided into two subgroups (R1 and R2) based on their role. The obtained results show that avoidance strategies are used more by health professionals working in rehabilitation (G2) wards than in intensive-care units (G1). Moreover, in G1 nurses, physical therapists and speech therapists (R2) obtained higher scores in terms of turning to religion (TR) and compassion satisfaction (CS), while physicians and psychologists (R1) obtained higher scores on the burnout scale (BO). The TR score for R2 was found to be higher, even in G2. The response trend of the two groups in the different departments was analyzed and commented on.
审核与反馈(A&F)是一个系统的过程,包括数据收集,随后将这些数据与既定的参考标准进行比较,然后通过反馈会议将其传达给医疗服务提供者。这有助于确保护理过程质量的持续改进。通常,所考虑的参数仅涉及患者和治疗过程,而忽略了其他变量。工作场所的生活质量和应对技能是所有医疗专业人员临床绩效的决定性变量。因此,在本研究中,对这些变量进行了调查,并突出了两个不同角色类别和背景(心血管急症和神经康复)中的差异。通过向所有参与的医护人员发送计算机化的《应对问题取向-意大利新版本》(COPE-NVI)问卷和《职业生活质量量表-5》(ProQoL)问卷进行心理筛查。九十五名医疗服务提供者(平均±标准差年龄:47±10.4岁;37.9%为男性)回答了问卷,并根据他们工作的病房分为两组(G1和G2)。这些又根据他们的角色进一步分为两个亚组(R1和R2)。所得结果表明,康复(G2)病房的医护人员比重症监护病房(G1)的医护人员更多地使用回避策略。此外,在G1组中,护士、物理治疗师和言语治疗师(R2)在求助于宗教(TR)和同情满意度(CS)方面得分较高,而医生和心理学家(R1)在倦怠量表(BO)上得分较高。即使在G2组中,R2的TR得分也较高。分析并评论了两组在不同科室的反应趋势。