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优先考虑医护人员的工作健康:监测工具的范围综述。

Prioritising nurses' and doctors' health at work: a scoping review of monitoring instruments.

机构信息

Netherlands Federation of University Medical Centers, Utrecht, Netherlands

Cochrane Netherlands, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, Netherlands.

出版信息

BMJ Open. 2024 Aug 17;14(8):e079861. doi: 10.1136/bmjopen-2023-079861.

Abstract

OBJECTIVE

Nurses' and doctors' health at work is crucial for their overall performance and the quality of care they provide. The Jobs Demands Resources (JD-R) model offers a framework for health at work, encompassing 'job demands', 'job resources', 'personal resources', 'leadership', 'well-being' and 'outcomes'. While various instruments exist to measure health, an overview of instruments specifically designed for assessing nurses and doctors health is currently missing. This study provides a comprehensive overview of available health instruments specifically developed and validated for healthcare professionals in hospital care.

DESIGN

Scoping review.

DATA SOURCES

MEDLINE, Embase and CINAHL.

ELIGIBILITY CRITERIA

Studies assessing the health of nurses and/or doctors in hospitals using or evaluating instruments based on the JD-R model, published between January 2011 and January 2024, excluding student-exclusive samples.

DATA EXTRACTION AND SYNTHESIS

We extracted data on study and sample characteristics, as well as details of the measurement instruments, including main and subconstructs. Instruments were categorised based on the JD-R model domains. Descriptive analysis and data visualisation were performed using Excel and Python.

RESULTS

We included 1204 studies, reporting 986 unique instruments. We identified 32 comprehensive instruments suitable for broad health screening, measuring four or more of the JD-R model domains. Additionally, we identified instruments focusing on specific domains for targeted screening needs. Furthermore, we present frequently reported instruments assumed to be extensively evaluated, user-friendly, accessible and available in multiple languages.

CONCLUSIONS

Health at work cannot be determined by a single instrument alone, underscoring the multidimensional nature of workplace health. Alternatively, organisations should select instruments based on domains most relevant and applicable to their context. This approach ensures a more comprehensive assessment of health at work.

摘要

目的

护士和医生的工作健康对他们的整体表现和提供的护理质量至关重要。工作要求-资源(JD-R)模型为工作健康提供了一个框架,包括“工作要求”、“工作资源”、“个人资源”、“领导力”、“幸福感”和“结果”。虽然有各种工具可用于衡量健康,但目前缺乏专门用于评估护士和医生健康的工具概述。本研究提供了一个专门为医院护理中的医疗保健专业人员开发和验证的可用健康工具的综合概述。

设计

范围审查。

数据来源

MEDLINE、Embase 和 CINAHL。

入选标准

使用或评估基于 JD-R 模型的工具评估护士和/或医生在医院中的健康状况的研究,发表时间为 2011 年 1 月至 2024 年 1 月,不包括仅限学生的样本。

数据提取和综合

我们提取了关于研究和样本特征以及测量工具详细信息的数据,包括主要和子结构。根据 JD-R 模型领域对工具进行分类。使用 Excel 和 Python 进行描述性分析和数据可视化。

结果

我们纳入了 1204 项研究,报告了 986 个独特的工具。我们确定了 32 种适合广泛健康筛查的综合工具,可测量 JD-R 模型的四个或更多领域。此外,我们还确定了针对特定领域的工具,用于有针对性的筛查需求。此外,我们还介绍了经常报告的被认为经过广泛评估、易于使用、可及且多种语言可用的仪器。

结论

工作健康不能仅由单个仪器来确定,这突显了工作场所健康的多维性质。相反,组织应根据与自身背景最相关和最适用的领域选择工具。这种方法可确保更全面地评估工作健康。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c823/11331843/67ea3fca36a9/bmjopen-14-8-g001.jpg

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