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资源流失对医护人员来说是一个重大问题:以澳大利亚一家地区医院为例。

Resource loss a significant issue for healthcare professionals: A case study of an Australian regional hospital.

机构信息

University of Wollongong, Wollongong, New South Wales, Australia.

Illawarra Shoalhaven Local Health District, Shellharbour, New South Wales, Australia.

出版信息

Stress Health. 2024 Oct;40(5):e3461. doi: 10.1002/smi.3461. Epub 2024 Aug 19.

DOI:10.1002/smi.3461
PMID:39158482
Abstract

Healthcare professionals report poor overall well-being, with many citing mental health concerns and stress as contributing factors. Given that healthcare professionals are crucial to the sustainability of the health sector, examining the factors affecting their well-being at work is essential. This paper reports the findings of research conducted in an Australian regional public hospital, utilising the conservation of resources theory to examine the factors (similarities and differences) that influence the resource loss of healthcare professionals (nurses, medical professionals, and allied health professionals). Qualitative semi-structured interviews were conducted with 43 healthcare professionals of varying roles, and participant perspectives revealed two themes contributing to a resource-poor work environment: 'occupational demands and obstacles' and 'barriers to effective teams'. These challenges caused individual resource loss, and as stress arises from resource depletion, each turn of the stress spiral left the individuals and organization with fewer resources to counteract the loss, causing loss spirals to intensify in momentum and scale. The findings of this research emphasise the importance of executing a proactive approach to well-being initiative implementation to support resource investment and assist in creating a more nurturing healthcare work environment that fosters resource creation and sustenance for healthcare professionals.

摘要

医疗保健专业人员报告整体健康状况不佳,许多人表示心理健康问题和压力是造成这种情况的因素。鉴于医疗保健专业人员对卫生部门的可持续性至关重要,因此必须研究影响他们工作幸福感的因素。本文报告了在澳大利亚一家地区公立医院进行的研究结果,该研究利用资源保存理论来检查影响医疗保健专业人员(护士、医疗专业人员和联合健康专业人员)资源流失的因素(相似点和不同点)。对 43 名不同角色的医疗保健专业人员进行了定性半结构化访谈,参与者的观点揭示了导致资源匮乏工作环境的两个主题:“职业需求和障碍”和“有效团队的障碍”。这些挑战导致了个人资源的流失,而由于资源枯竭会导致压力的产生,因此每一次压力循环都会使个人和组织可用的资源更少,从而加剧损失螺旋的加剧和扩大。这项研究的结果强调了执行积极主动的幸福感计划实施方法的重要性,以支持资源投资,并帮助创造一个更具培育性的医疗保健工作环境,为医疗保健专业人员创造和维持资源。

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