Department of Emergency, EOC, Ospedale Regionale di Lugano, Bellinzona, Switzerland.
Department of Neurosciences, Rehabilitation, Ophthalmology, Genetics, Maternal, and Child Health (DINOGMI), University of Genoa, Genoa, Italy.
Front Public Health. 2024 Aug 29;12:1403721. doi: 10.3389/fpubh.2024.1403721. eCollection 2024.
Healthcare professionals face significant workloads, as their roles are among the most demanding and stressful. Resilience serves as a crucial factor in helping them cope with the challenges encountered in their work environment and effectively manage stress. Assessing the level of resilience among healthcare workers and identifying potential variations across different groups is essential for effective public health management, preventing burnout, and ultimately enhancing patient care.
To assess the resilience of various categories of workers operating within a tertiary care multisite hospital and understanding if there are any differences in resilience, based on their characteristics, the type of department they work in, and personality traits.
This was a cross-sectional study conducted in January 2024 at EOC, a multi-site tertiary care hospital located in Southern Switzerland. 1,197 hospital workers answered an online survey which included: (1) an questionnaire on personal and job characteristics, well-being-related activities, satisfaction level regarding communication, collaboration, support, and training opportunities in the workplace, (2) the Connor-Davidson Resilience Scale 10-Item on resilience, and (3) the Big Five Personality Inventory 10-item on personality traits.
Proportion of resilient and highly resilient individuals within the various categories of workers were analyzed with Bayesian approach and Bayesian robust regression.
Being part of the hospitality staff, working as a doctor, and having a male sex were associated to the highest scores of resilience. Surgery and emergency departments had the highest proportion of highly resilient individuals. Male sex, older age, seniority, higher hierarchical rank, engagement in physical activities, relaxation or mindfulness practices, religiosity, perception of good collaboration, communication, support, and physical activity correlated with higher resilience skills.
This cross-sectional study found that physicians and hospitality staff within our multi-site Swiss hospital are more resilient compared to other categories of hospital workers, and among departments, those working in surgery and Emergency Medicine. Enhancing our comprehension of resilience is crucial for more precise management of healthcare systems and the development of employment policies aimed at sustaining the capacity of healthcare systems to serve patients effectively, while also mitigating shortages of healthcare professionals.
医疗保健专业人员面临着巨大的工作量，因为他们的角色是最苛刻和最紧张的。韧性是帮助他们应对工作环境中遇到的挑战并有效管理压力的关键因素。评估医疗保健工作者的韧性水平，并确定不同群体之间潜在的差异，对于有效的公共卫生管理、预防倦怠以及最终提高患者护理至关重要。
评估在一家三级保健多地点医院工作的各类工作人员的韧性，并了解根据他们的特征、工作部门类型和人格特质，他们的韧性是否存在差异。
设计、地点和参与者：这是一项在 2024 年 1 月在瑞士南部的 EOC（一家多地点三级保健医院）进行的横断面研究。1197 名医院工作人员回答了一份在线调查，其中包括：（1）一份关于个人和工作特征、与幸福感相关的活动、对工作场所沟通、协作、支持和培训机会的满意度的问卷，（2）Connor-Davidson 韧性量表 10 项用于评估韧性，（3）Big Five 人格特质 10 项用于评估人格特质。
使用贝叶斯方法和贝叶斯稳健回归分析了各类工作人员中具有韧性和高度韧性的个体的比例。
作为酒店工作人员的一员、作为医生工作以及男性性别与最高的韧性得分相关。外科和急诊科具有最高比例的高度有韧性的个体。男性性别、年龄较大、资历较高、较高的等级、从事体力活动、放松或正念练习、宗教信仰、良好协作、沟通、支持和体育活动的感知与更高的韧性技能相关。
这项横断面研究发现，与其他类别的医院工作人员相比，我们的瑞士多地点医院的医生和酒店工作人员更有韧性，在部门中，那些在外科和急诊医学部门工作的人更有韧性。增强我们对韧性的理解对于更精确地管理医疗保健系统和制定旨在维持医疗保健系统有效服务患者的能力并减轻医疗保健专业人员短缺的就业政策至关重要。
