劳动力健康中心及其在 COVID-19 大流行期间对医疗保健工作者的幸福感和出勤的积极作用：COVID-Well 数据的二次分析。

Workforce wellbeing centres and their positive role for wellbeing and presenteeism in healthcare workers during the COVID-19 pandemic: secondary analysis of COVID-Well data.

机构信息

School of Health Sciences, University of Nottingham, Nottingham, UK.

NIHR Nottingham Biomedical Research Centre, Nottingham, UK.

出版信息

BMC Health Serv Res. 2024 Mar 6;24(1):302. doi: 10.1186/s12913-024-10730-9.

DOI:10.1186/s12913-024-10730-9

PMID:38448919

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10918935/

Abstract

BACKGROUND

Supported wellbeing centres established during the COVID-19 pandemic provided high quality rest spaces and access to peer-to-peer psychological first aid for healthcare workers (HCWs). The centres were well accessed and valued by HCWs, but their relationship with wellbeing and job-related factors is not well established. The aim of this study was to explore the relationship between wellbeing centre use, HCWs wellbeing and job-related factors (job stressfulness, job satisfaction, presenteeism, turnover intentions).

METHODS

Secondary analysis of data from 819 HCWs from an acute hospital trust who completed an online survey in April-July 2020, as part of the COVID-Well study. Measures included the Warwick Edinburgh Mental Wellbeing Scale, and four single-item global measures of job stressfulness, job satisfaction, presenteeism and turnover intentions. ANCOVA models and regression analyses were conducted on these data.

RESULTS

HCWs who had not accessed the wellbeing centres had lower wellbeing (β = 0.12, p < .001), higher job stressfulness (β = - 0.22, p < .001), lower job satisfaction (β = 0.39, p < .001), higher presenteeism (β = - 0.22, p < .001) and were of younger age (β = 0.09, p = .002). Centre use was associated with wellbeing irrespective of job stressfulness. Those reporting presenteeism and who accessed the centre (M = 3.30, SE = 0.04) had higher wellbeing than those who accessed the centre but did not report presenteeism (M = 3.06, SE = 0.04) (F(1, 791) = 18.65, p < .001, η = 0.02). Centre use was not significantly associated with turnover intentions (B = - 0.30, p = .13; Wald = 2.26; odds = 0.74), while job stress and job satisfaction showed significant effects.

CONCLUSIONS

Accessing wellbeing centres was associated with higher wellbeing of HCWs, particularly for those reporting presenteeism. Therefore, the centres may have provided greatest respite and restoration for those present at work but not in optimal health. Younger workers were disproportionately affected in terms of wellbeing, and targeted support for this population is needed. Strategies to decrease presenteeism and maximise job satisfaction are urgently required. Healthcare organisations should provide rest spaces and psychological support to HCWs for the long-term, as part of a systems-wide approach to improving workforce health and wellbeing.

摘要

背景

在 COVID-19 大流行期间设立的支持性福利中心为医护人员（HCWs）提供了高质量的休息空间和获得同伴心理急救的机会。这些中心受到 HCWs 的广泛访问和重视，但它们与福利和与工作相关的因素之间的关系尚未得到很好的建立。本研究的目的是探讨福利中心的使用与 HCWs 的福利和与工作相关的因素（工作压力、工作满意度、出勤、离职意向）之间的关系。

方法

对来自一家急性医院信托机构的 819 名 HCWs 的数据进行二次分析，这些 HCWs 在 2020 年 4 月至 7 月期间完成了一项在线调查，作为 COVID-Well 研究的一部分。测量包括华威-爱丁堡心理健康量表（Warwick-Edinburgh Mental Wellbeing Scale）和四个关于工作压力、工作满意度、出勤和离职意向的单一项目整体衡量指标。对这些数据进行了协方差分析模型和回归分析。

结果

未使用福利中心的 HCWs 的福利水平较低（β=0.12，p<0.001），工作压力较大（β=-0.22，p<0.001），工作满意度较低（β=0.39，p<0.001），出勤率较高（β=-0.22，p<0.001），年龄较小（β=0.09，p=0.002）。无论工作压力如何，中心的使用都与福利有关。报告出勤的并使用中心的人（M=3.30，SE=0.04）的福利比使用中心但不报告出勤的人（M=3.06，SE=0.04）更高（F（1，791）=18.65，p<0.001，η=0.02）。中心的使用与离职意向没有显著关联（B=-0.30，p=0.13；Wald=2.26；odds=0.74），而工作压力和工作满意度则显示出显著影响。

结论

使用福利中心与 HCWs 的福利水平较高有关，特别是对于那些报告出勤的人。因此，这些中心可能为那些在工作但身体不适的人提供了最大的休息和恢复。在福利方面，年轻的工作人员受到了不成比例的影响，需要为这一人群提供有针对性的支持。迫切需要采取策略来减少出勤和最大限度地提高工作满意度。医疗保健组织应作为改善劳动力健康和福利的系统方法的一部分，为 HCWs 提供长期的休息空间和心理支持。