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组织健康:一种新的普利亚 COVID-19 指定医院模式。

Organizational wellbeing: A model of a new Apulian COVID-19 designated hospital.

机构信息

Section of Occupational Medicine, Interdisciplinary Department of Medicine, University of Bari, Bari, Italy.

Occupational Medicine Unit, University Hospital of Bari, Bari, Italy.

出版信息

Front Public Health. 2022 Oct 28;10:963315. doi: 10.3389/fpubh.2022.963315. eCollection 2022.

Abstract

BACKGROUND

Work environment characteristics have an important impact on organizational wellbeing in health care facilities. In the Apulia Region, a new COVID-19 hospital was planned, designated and built in a few weeks for the treatment of patients infected with SARS-CoV-2. To our knowledge, this hospital, together with "Fiera Hospital" in Milan, are two of the few buildings worldwide that have been converted into new health care facilities with intensive care center units to treat COVID-19 patients, and this is the first study assessing organizational wellbeing in a newly designated COVID-19 hospital.

AIMS

To detect and assess the strong points, criticality, and perceptions of wellbeing/discomfort of health care workers engaged in the management of the current health emergency.

METHOD

The study was conducted on 188 health care workers, with the "Multidimensional Organizational Health Questionnaire."

RESULTS

We found an overall positive level of organizational wellbeing. The more positive dimensions were "Collaboration between colleagues," "Organizational efficiency" and "Room Comfort." Conflict situations in the workplace were poorly perceived. A very low rate of absenteeism from work was also observed.

CONCLUSIONS

Our results show the effectiveness of the organizational model adopted in the management of the COVID-19 hospital, especially in view of the work and emotional overload of the personnel called to face the epidemiological emergency on the frontline, which did not adversely affect the psychophysical conditions of the workers. The success of this model is related to the coexistence of all levels of care required during any type of health emergency in a single structure, paying particular attention to the architectural, functional, and procedural aspects of health care and to the so-called "humanization" of care.

摘要

背景

工作环境特征对医疗机构的组织幸福感有重要影响。在普利亚大区,为了治疗感染 SARS-CoV-2 的患者,在短短几周内规划、指定并建造了一家新的 COVID-19 医院。据我们所知,这家医院与米兰的“Fiera 医院”是全球少数几家专门为治疗 COVID-19 患者而改建为拥有重症监护中心的新医疗机构的建筑之一,这也是第一项评估新指定 COVID-19 医院组织幸福感的研究。

目的

检测和评估参与当前卫生应急管理的卫生保健工作者的优势、关键问题和幸福感/不适的感知。

方法

该研究对 188 名卫生保健工作者进行了调查,采用“多维组织健康问卷”进行评估。

结果

我们发现组织幸福感整体呈积极态势。更积极的维度是“同事间的合作”、“组织效率”和“病房舒适度”。工作场所的冲突情况感知较差。缺勤率也非常低。

结论

我们的研究结果表明,在 COVID-19 医院管理中采用的组织模式是有效的,特别是考虑到一线工作人员在应对疫情时面临的工作和情绪负担,这并没有对员工的身心健康产生不利影响。这种模式的成功与在单一结构中同时满足任何类型卫生应急所需的所有护理层次有关,特别关注医疗保健的建筑、功能和程序方面,以及所谓的“人性化”护理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be03/9650542/539e6345f154/fpubh-10-963315-g0001.jpg

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