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调查新冠疫情期间及之后苏格兰医院休息与放松空间供应方面认知上的差异:一项定性研究

Investigating discrepancies in perceptions regarding the provision of hospital rest and relaxation spaces in Scotland during the COVID-19 pandemic and beyond: a qualitative study.

作者信息

Walker Kim A, Cunningham Kathryn B, Ferguson Julie, Gibson Smith Kathrine, Scanlan Gillian Marion, Cecil Joanne E, Gordon Lisi, Laidlaw Anita, Pope Lindsey Margaret, Johnston Peter, Aitken Gill

机构信息

CHERI, University of Aberdeen, Aberdeen, UK

University of Dundee, Dundee, UK.

出版信息

BMJ Open. 2025 Aug 12;15(8):e096154. doi: 10.1136/bmjopen-2024-096154.

Abstract

OBJECTIVES

To investigate discrepancies in perceptions regarding the accessibility and availability of rest and relaxation (R&R) spaces between hospital doctors in Scotland and NHS Scotland regional health boards (HBs), with the intention of informing best practices for organisational policy on the provision of R&R spaces both now and in the future.

DESIGN

A qualitative study, through an inhabited institutionalism (II) lens, of semi-structured interviews of hospital doctors across the career continuum in Scotland and all NHS regional HBs in Scotland providing written information relating to R&R space provision.

SETTING

NHS Scotland during the COVID-19 pandemic and beyond.

PARTICIPANTS

Hospital doctors (n=30) who had participated in a larger qualitative study and provided specific insights on R&R spaces. All NHS Scotland regional HBs (n=14).

RESULTS

Although HBs reported the provision of R&R spaces, numerous doctors reported R&R spaces had been removed, relocated or were inaccessible. Furthermore, limited awareness of their availability attributed to inadequate communication, compounded the issue. This divergence between institutional reporting and front-line experience can be interpreted through the lens of II, which posits that institutional polices are often interpreted and implemented differently.

CONCLUSIONS

This study emphasises how crucial R&R spaces are to promoting doctors' well-being especially during the time of high stress. HBs must not only guarantee the accessibility and physical availability of R&R spaces but also enhance their communication regarding the provision.

摘要

目的

调查苏格兰医院医生与苏格兰国民保健服务体系(NHS)地区卫生局(HBs)在休息与放松(R&R)空间的可及性和可用性认知上的差异,旨在为当前及未来提供R&R空间的组织政策的最佳实践提供参考。

设计

一项定性研究,通过居住制度主义(II)视角,对苏格兰不同职业阶段的医院医生以及苏格兰所有NHS地区卫生局进行半结构化访谈,这些卫生局提供了与R&R空间提供相关的书面信息。

背景

COVID-19大流行期间及之后的苏格兰国民保健服务体系。

参与者

参与了一项更大规模定性研究并对R&R空间提供了具体见解的医院医生(n = 30)。所有苏格兰国民保健服务体系地区卫生局(n = 14)。

结果

尽管卫生局报告提供了R&R空间,但许多医生报告称R&R空间已被移除、重新安置或无法使用。此外,由于沟通不足导致对其可用性的认识有限,使问题更加复杂。机构报告与一线经验之间的这种差异可以通过居住制度主义视角来解释,该视角认为机构政策的解释和实施往往存在差异。

结论

本研究强调了R&R空间对于促进医生福祉的关键作用,尤其是在高压力时期。卫生局不仅必须保证R&R空间的可及性和实际可用性,还必须加强关于其提供情况的沟通。

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