缓解职业倦怠:传染病领域高级执业提供者向压缩工作周的转变。

Mitigating Burnout: Transition to a Condensed Workweek for Advanced Practice Providers in Infectious Diseases.

作者信息

Holloway Shannon, McConn Kelly, Borchardt Roy, Mulanovich Victor E, Adachi Javier A

机构信息

From The University of Texas MD Anderson Cancer Center, Houston, Texas.

出版信息

J Adv Pract Oncol. 2023 Nov;14(7):639-643. doi: 10.6004/jadpro.2023.14.7.8. Epub 2023 Nov 1.

Abstract

Burnout among health-care workers is highly prevalent and profoundly impacts the quality of patient care. In addition to affecting patient safety, burnout results in higher staff turnover, revenue deficits due to decreased productivity, financial risk, and diminished organization viability because of the impact on quality of care, patient satisfaction, and safety. Culmination of external and internal stressors in health-care worker populations is associated with a higher probability of burnout and workers who reported perceived low workplace flexibility. In addition, workplace flexibility is associated with reduced odds of experiencing burnout. Workplace flexibility plays a critical role in potentially reducing the occurrence of burnout in the health-care worker population. Individually focused solutions are important to mitigate burnout, however, comprehensive organizational change ensures durable and sustainable solutions. There is a correlation between a positive employee outlook and reduced stress when there is a perceived level of control over one's work schedule. The goal of this article is to showcase the process of a successful implementation of a condensed work schedule for an advanced practice provider workforce in infectious diseases in response to burnout and workload shifts. This chronicles the steps of design, rationale, procuring buy-in by stakeholders, and operational implementation of the new schedules. Advanced practice provider satisfaction and burnout were measured by periodic surveys at timepoints along the way.

摘要

医护人员职业倦怠现象极为普遍,对患者护理质量产生深远影响。除了影响患者安全外,职业倦怠还会导致员工流动率升高、因生产力下降造成收入赤字、带来财务风险,并因对护理质量、患者满意度和安全产生影响而削弱组织的生存能力。医护人员群体中外部和内部压力源的累积与职业倦怠的较高发生率以及报告称工作场所灵活性较低的员工有关。此外,工作场所灵活性与职业倦怠发生率降低有关。工作场所灵活性对于潜在减少医护人员群体中的职业倦怠发生率起着关键作用。专注于个人的解决方案对于减轻职业倦怠很重要,然而,全面的组织变革才能确保持久且可持续的解决方案。当员工感觉能够对自己的工作时间表有一定控制权时,积极的员工心态与压力减轻之间存在关联。本文的目的是展示针对职业倦怠和工作量变化,为传染病领域的高级实践提供者成功实施压缩工作时间表的过程。这记录了新时间表的设计步骤、基本原理、争取利益相关者的支持以及运营实施情况。在这个过程中,通过定期调查来衡量高级实践提供者的满意度和职业倦怠情况。

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