Koran L M, Moos R H, Moos B, Zasslow M
Gen Hosp Psychiatry. 1983 Apr;5(1):7-13. doi: 10.1016/0163-8343(83)90037-3.
A liaison psychiatrist invited to help a burn unit staff explore problems affecting morale and patient care employed a four-step procedure: (1) assess the work environment systematically; (2) give the staff feedback from this assessment; (3) help the staff plan and institute changes; and (4) reassess. To assess the work environment, the staff completed the Work Environment Scale (WES), a 90-item, true/false questionnaire that measures ten dimensions of the actual and preferred work environment. At the second of 12 bi-weekly meetings, the psychiatrist presented the unit's WES profile and began helping the staff explore and resolve problems. Reassessment six months later revealed statistically significant changes on several pertinent WES scales and reduced discrepancies between actual and preferred work environments on nine of the ten scales. The findings indicate that systemmatic assessment and feedback procedures may help liaison programs improve the quality of hospital work environments and thereby enhance staff performance and morale.
(1) 系统评估工作环境；(2) 向工作人员反馈评估结果；(3) 帮助工作人员规划并实施变革；(4) 重新评估。为评估工作环境，工作人员完成了工作环境量表 (WES)，这是一份包含90个项目的是非题问卷，用于衡量实际工作环境和理想工作环境的十个维度。在每两周一次的12次会议中的第二次会议上，精神科医生展示了该科室的WES概况，并开始帮助工作人员探索和解决问题。六个月后的重新评估显示，几个相关WES量表上有统计学上的显著变化，并且十个量表中有九个量表上实际工作环境与理想工作环境之间的差异减小。研究结果表明，系统的评估和反馈程序可能有助于联络项目改善医院工作环境的质量，从而提高工作人员的绩效和士气。
