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医院环境中医护人员工作场所幸福感的资源与促进因素——一项定性访谈研究的结果

Resources and facilitators of workplace well-being among healthcare professionals in a hospital setting-results of a qualitative interview study.

作者信息

Berschick Julia, Czakert Judith, Koch Anna Katharina, Schröter Marleen, Steinmetz Melanie, Bogdanski Martin, Schiele Julia Katharina, Kessler Christian, Seifert Georg, Stritter Wiebke

机构信息

Department of Pediatric Oncology and Hematology, Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt Universität zu Berlin, Berlin, Germany.

Charité Competence Center for Traditional and Integrative Medicine (CCCTIM), Charité - Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt Universität zu Berlin, Berlin, Germany.

出版信息

Front Public Health. 2025 May 26;13:1586976. doi: 10.3389/fpubh.2025.1586976. eCollection 2025.

Abstract

BACKGROUND

Working in a hospital setting can be rewarding but also represents a demanding and often stressful work environment due to personnel shortage and high work volumes among others. A considerable body of literature addresses the adverse effects of working conditions that often result in poor well-being of medical professionals. This work moves from a problem-centered approach towards resilience-focused pathways. It does so by focusing on (self-reported) individual and organizational resources and facilitators of workplace well-being through medical professionals' ability to perceive and engage with capacities within a demanding work environment.

METHODS

This paper is based on a qualitative study in which data was collected in two different German hospitals through interviews with medical doctors, nurses and medical assistants. Data was analyzed through inductive-deductive qualitative content analysis.

RESULTS

Our findings show a variety of resources in 4 domains overarching individual solution-oriented mindset constitutions, success-driven behaviors, sense of meaning as well as resource-enhancing environmental factors. Healthcare professionals show diverse individual strategies and behavioral patterns to build resilience and foster proactive approaches to deal with challenges and high-pressure situations.

CONCLUSION

Beneficial influencing factors could be identified that reveal underlying processes and opportunities to prevent negative health-related outcomes. The findings provide valuable insights into specific individual coping strategies and attitudes that appear to be associated with resourcefulness. Information is provided to institutionally and individually support a successful management of a health professionals' work life.

摘要

背景

在医院工作可能会有收获,但由于人员短缺和工作量大等原因,这也是一个要求苛刻且压力常大的工作环境。大量文献论述了工作条件的不利影响,这些影响往往导致医疗专业人员的健康状况不佳。这项研究从以问题为中心的方法转向关注恢复力的途径。它通过医疗专业人员在苛刻工作环境中感知和运用自身能力的能力,聚焦于(自我报告的)个人和组织资源以及工作场所幸福感的促进因素来实现这一转变。

方法

本文基于一项定性研究,该研究通过对德国两家不同医院的医生、护士和医疗助理进行访谈来收集数据。通过归纳 - 演绎定性内容分析法对数据进行分析。

结果

我们的研究结果显示了4个领域的多种资源,这些领域涵盖以个人解决方案为导向的思维方式构成、成功驱动的行为、意义感以及增强资源的环境因素。医疗保健专业人员展示出多样的个人策略和行为模式来建立恢复力,并培养积极主动的方法来应对挑战和高压情况。

结论

可以确定有益的影响因素,这些因素揭示了预防与健康相关负面结果的潜在过程和机会。研究结果为特定的个人应对策略和似乎与足智多谋相关的态度提供了有价值的见解。提供了相关信息,以便从机构和个人层面支持医疗专业人员成功管理其工作生活。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6bac/12146197/442e6eb28494/fpubh-13-1586976-g001.jpg

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