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医疗机构参与式方法作为一种特定的法国组织模式,在医院科室层面预防护理人员倦怠:这些护理人员对其实施及其潜在贡献的看法是什么?

The Participatory Approach in Healthcare Establishments as a Specific French Organizational Model at Hospital Department Level to Prevent Burnout among Caregivers: What Are the Perceptions of Its Implementation and Its Potential Contributions by These Caregivers?

机构信息

PSITEC (Psychology: Interactions Time Emotions Cognition, ULR 4072), University of Lille, F-59000 Lille, France.

QualiPsy UR 1901, Department of Psychology, University of Tours, 37000 Tours, France.

出版信息

Int J Environ Res Public Health. 2024 Jul 6;21(7):882. doi: 10.3390/ijerph21070882.

Abstract

(1) Background: Manifestations of burnout are regularly observed in the healthcare population. The participatory approach (PA) is a specific organization in the French health service aimed at preserving and improving the psychological health of these staff at work. The main objective of this study was to explore with healthcare professionals their perceptions of the effectiveness of the four PA components (multi-professional team meetings, in-service training, team support meetings and the project approach) implemented to date within French hospital departments, the methods of their implementation and the potential contributions of such an approach to their quality of working life and working conditions (QWLWC), and the quality of care provided. (2) Methods: Semi-structured qualitative interviews were conducted with 21 healthcare professionals in French hospital departments between March and April 2021. After they were recorded, the collected data was transcribed in full and subjected to thematic analysis. (3) Results: According to care providers, PA is only partially deployed in these departments today. Nevertheless, it is helping to develop multi-professional communication, and improves the quality of life at work as well as quality of care. (4) Conclusions: In the light of these results, the creation of a tool for the large-scale evaluation of PA implementation in hospitals emerges as essential, as its deployment in all hospital departments could help reduce the suffering of care professionals. In addition, a better articulation between the concepts of Magnet Hospitals and those of PA would prove heuristically promising.

摘要

(1) 背景: burnout 的表现经常在医疗保健人群中观察到。参与式方法 (PA) 是法国卫生服务中的一种特殊组织形式,旨在保护和改善这些工作人员的工作心理健康。本研究的主要目的是探索医疗保健专业人员对迄今为止在法国医院部门实施的 PA 的四个组成部分(多专业团队会议、在职培训、团队支持会议和项目方法)的有效性的看法,以及实施这些部分的方法以及这种方法对他们的工作生活质量和工作条件 (QWLWC) 以及提供的护理质量的潜在贡献。 (2) 方法: 2021 年 3 月至 4 月期间,在法国医院部门对 21 名医疗保健专业人员进行了半结构化定性访谈。在记录下来之后,将收集到的数据完整转录,并进行主题分析。 (3) 结果: 根据护理提供者的说法,PA 目前仅在这些部门部分实施。然而,它有助于发展多专业沟通,并提高工作生活质量和护理质量。 (4) 结论: 根据这些结果,创建一种用于大规模评估医院 PA 实施情况的工具变得至关重要,因为在所有医院部门部署 PA 可以帮助减轻护理专业人员的痛苦。此外,磁石医院和 PA 之间的概念更好地结合将证明是具有启发性的。

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