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了解领导者可以采取哪些措施来促进医护人员感受到自身的价值:增进我们对最有效的职业倦怠缓解因素的认识。

Understanding what leaders can do to facilitate healthcare workers' feeling valued: improving our knowledge of the strongest burnout mitigator.

作者信息

Stillman Martin, Sullivan Erin E, Prasad Kriti, Sinsky Christine, Deubel Jordyn, Jin Jill O, Brown Roger, Nankivil Nancy, Linzer Mark

机构信息

Department of Medicine, Hennepin Healthcare System, Minneapolis, Minnesota, USA

Department of Medicine, University of Minnesota Medical School, Minneapolis, Minnesota, USA.

出版信息

BMJ Lead. 2024 Dec 23;8(4):329-334. doi: 10.1136/leader-2023-000921.

Abstract

AIM

Feeling valued is a striking mitigator of burnout yet how to facilitate healthcare workers (HCWs) feeling valued has not been adequately studied. This study discovered factors relating to HCWs feeling valued so leaders can mitigate burnout and retain their workforce.

METHOD

The Coping with COVID-19 survey, initiated in March 2020 by the American Medical Association, was distributed to 208 US healthcare organisations. Of the respondents, 37 685 physicians, advanced practice clinicians, nurses, and other clinical staff answered questions that assessed burnout, intent to leave and whether they felt valued.Quantitative analysis looked at odds of burnout and intent to leave among the highest versus lowest feeling valued (FV) groups. Open-ended comments provided by 5559 respondents with high or low sense of FV were analysed to understand aspects of work life that contributed to FV.

RESULTS

Of 37 685 respondents, 45% felt valued; HCWs who felt highly valued had 8.3 times lower odds of burnout and 10.2 lower odds of intent to leave than those who did not feel valued at all. Qualitative data identified six themes associated with FV: (1) physical safety, (2) compensation and pandemic-related finances, (3) transparent and frequent communication, (4) effective teamwork, (5) empathetic and respectful leaders, and (6) organisational support.

CONCLUSION

This US study demonstrates that FV correlates with burnout and intent to leave, yet only 45% of HCWs feel valued. Six themes link to interventions leaders can follow to facilitate HCWs FV and potentially reduce burnout and increase retention for a challenged healthcare workforce.

摘要

目的

感到被重视是职业倦怠的一个显著缓解因素,但如何促使医护人员感到被重视尚未得到充分研究。本研究发现了与医护人员感到被重视相关的因素,以便领导者能够缓解职业倦怠并留住员工。

方法

美国医学协会于2020年3月发起的应对新冠疫情调查被分发给了美国的208家医疗机构。在受访者中,37685名医生、高级执业临床医生、护士和其他临床工作人员回答了有关职业倦怠、离职意向以及他们是否感到被重视的问题。定量分析考察了在感到被重视程度最高与最低的群体中职业倦怠和离职意向的几率。对5559名感到被重视程度高或低的受访者提供的开放式评论进行了分析,以了解对感到被重视有贡献的工作生活方面。

结果

在37685名受访者中,45%的人感到被重视;与完全不感到被重视的医护人员相比,感到被高度重视的医护人员出现职业倦怠的几率低8.3倍,离职意向低10.2倍。定性数据确定了与感到被重视相关的六个主题:(1)身体安全,(2)薪酬及与疫情相关的财务状况,(3)透明且频繁的沟通,(4)有效的团队合作,(5)富有同理心且尊重他人的领导,以及(6)组织支持。

结论

这项美国研究表明,感到被重视与职业倦怠和离职意向相关,但只有45%的医护人员感到被重视。六个主题与领导者可以采取的干预措施相关,以促使医护人员感到被重视,并有可能减少职业倦怠,提高面临挑战的医护人员队伍的留任率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/21e5/12038114/deaf930a6270/leader-8-4-g001.jpg

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