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适应变化:探索对冠状病毒(COVID-19)劳动力变化的看法和需求 - 一项澳大利亚多机构放射肿瘤学调查。

Adapting to change: exploring perceptions and demands of the coronavirus (COVID-19) workforce changes - an Australian multi-institutional radiation oncology survey.

机构信息

Digital Health and Informatics, Princess Alexandra Hospital, Ipswich Road Campus, Brisbane, Qld 4102, Australia.

Department of Radiation Oncology, Princess Alexandra Hospital, Ipswich Road Campus, Brisbane, Qld, Australia; and Faculty of Medicine, University of QLD, Brisbane, Qld, Australia; and College of Medicine and Dentistry, James Cook University, Townsville, Qld, Australia.

出版信息

Aust Health Rev. 2024 Aug;48(4):388-395. doi: 10.1071/AH23183.

DOI:10.1071/AH23183
PMID:38467124
Abstract

Objective To evaluate the perceptions of the coronavirus disease 2019 (COVID-19) initiated workplace strategies implemented in radiation oncology departments across Australia. Methods A multidisciplinary team from Princess Alexandra Hospital developed a survey to address the impact of the pandemic strategies on areas such as patient care, staff education, well-being, flexible working arrangements, and research. The survey was conducted from November 2020 to April 2021. Results Out of 210 respondents from seven institutions, 45% reported burnout and 57% experienced work work-related stress. A significant majority of respondents were in favour of continued remote work (86%, 131/153). Radiation oncologists identified administrative or non-clinical work (92%, 34/37), telehealth clinics (32%, 12/37), or radiation therapy planning (22%, 8/37) as suitable for remote work. Additionally, 54% (21/39) of the radiation oncologists plan to use telehealth more frequently, with 67% (26/39) feeling more confident with the technology. The majority (81%, 171/210) of participants favoured continuation of hybrid in-person and virtual meetings. Virtual solutions were adopted for quality assurance activities (72%, 118/165) and 52% (60/116) indicated preference for ongoing utility of virtual platforms. However, 38% (79/210) of the respondents expressed concerns about the negative impact on junior staff training. Conclusion These findings reveal a strong inclination towards technological advancements and remote work arrangements to enable flexible working conditions. Our study suggests the need for ongoing reforms, focusing on improving clinical service delivery efficiencies and enhancing job satisfaction among clinicians.

摘要

目的

评估澳大利亚放射肿瘤学部门实施的 2019 年冠状病毒病(COVID-19)启动的工作场所策略的认知情况。

方法

来自亚历山德拉公主医院的多学科团队开发了一项调查,以解决大流行策略对患者护理、员工教育、福利、灵活工作安排和研究等领域的影响。该调查于 2020 年 11 月至 2021 年 4 月进行。

结果

来自 7 个机构的 210 名受访者中,45%报告出现职业倦怠,57%经历与工作相关的压力。绝大多数受访者赞成继续远程工作(86%,131/153)。放射肿瘤学家认为行政或非临床工作(92%,34/37)、远程医疗诊所(32%,12/37)或放射治疗计划(22%,8/37)适合远程工作。此外,54%(21/39)的放射肿瘤学家计划更频繁地使用远程医疗,67%(26/39)对该技术更有信心。大多数(81%,171/210)的参与者赞成继续采用混合现场和虚拟会议。虚拟解决方案已被用于质量保证活动(72%,118/165),52%(60/116)表示希望继续使用虚拟平台。然而,38%(79/210)的受访者对这对初级员工培训的负面影响表示担忧。

结论

这些发现表明,人们强烈倾向于采用技术进步和远程工作安排,以实现灵活的工作条件。我们的研究表明,需要进行持续的改革,重点提高临床服务提供效率,并提高临床医生的工作满意度。

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