Carroll Áine, Collins Claire, McKenzie Jane
Henley Business School, University of Reading, Reading, RG9 3AU, UK.
University College Dublin, Belfield, Dublin 4, Ireland.
BMC Health Serv Res. 2025 Jan 30;25(1):175. doi: 10.1186/s12913-025-12310-x.
Globally, healthcare systems are experiencing a workforce crisis which has been exacerbated by the COVID19 pandemic. Numerous reports have documented the deterioration of healthcare professional wellbeing with burnout being called the new pandemic. Rehabilitation Medicine Physicians are among the most likely specialties to experience burnout. There is a strong association between staff and patient experience and global and national policies and strategies have recognized the importance of ensuring staff wellbeing in healthcare organisations. Although there have been many publications on interventions focusing on wellbeing, these have been directed mainly at personal rather than organisational factors. Maslow's hierarchy of needs, an integrated hierarchy of human needs, has been utilised as a framework to assess wellbeing in doctors but not heretofore in Rehabilitation Medicine. This study aimed to explore Rehabilitation Medicine Physician wellbeing in a complex specialist rehabilitation setting.
Qualitative deductive content analysis (an approach to reanalyzing existing data in a new context) was the approach used. Maslow's hierarchy of needs was used as the categorization matrix. Qualitative data from three different data sources were systematically analysed.
Using Maslow's five needs (psychological, safety, social, esteem, and self-actualisation needs), the analysis demonstrated that Rehabilitation Medicine Consultants' needs were not being met at any of the five levels. The data revealed what constitutes relative deprivation and organisational injustice.
In order to enable the flourishing of the Rehabilitation Medicine Consultants, the organisation needs to focus on satisfying not just basic needs but creating the conditions for them to function at the highest level. The adapted Maslow framework provides a scaffolding for interventions to support such flourishing.
在全球范围内，医疗保健系统正面临劳动力危机，而新冠疫情使这一危机进一步加剧。众多报告记录了医疗保健专业人员身心健康的恶化，职业倦怠被称为新的大流行病。康复医学医师是最容易出现职业倦怠的专业之一。员工体验与患者体验之间存在密切关联，全球和国家政策与战略也已认识到确保医疗保健机构员工身心健康的重要性。尽管已有许多关于关注身心健康干预措施的出版物，但这些主要针对个人因素而非组织因素。马斯洛需求层次理论，即人类需求的综合层次结构，已被用作评估医生身心健康的框架，但此前尚未应用于康复医学领域。本研究旨在探索在复杂的专科康复环境中康复医学医师的身心健康状况。
采用定性演绎内容分析法（一种在新背景下重新分析现有数据的方法）。马斯洛需求层次理论被用作分类矩阵。对来自三个不同数据源的定性数据进行系统分析。
运用马斯洛的五种需求（心理需求、安全需求、社交需求、尊重需求和自我实现需求）进行分析表明，康复医学顾问在这五个层次中的任何一个层次的需求都未得到满足。数据揭示了相对剥夺和组织不公的构成因素。
为了使康复医学顾问能够蓬勃发展，该组织不仅需要关注满足基本需求，还需创造条件让他们发挥出最高水平。经过调整的马斯洛框架为支持这种蓬勃发展的干预措施提供了一个框架。
