卫生保健机构的员工归属和出勤

Jasmina Starc, Tanja Regina Fabjan
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引用次数: 0

摘要

背景:隶属关系和出勤对组织绩效、卫生工作者个人绩效和健康以及临床绩效有着深远的影响,而临床绩效反过来又影响患者的预后。目的:本研究的目的是确定组织隶属关系,并分析保健机构护理人员出勤的原因和决定因素。方法:采用描述性实证方法。数据采用调查法获取。178名初级、二级和三级卫生保健专业人员参加了调查,其中91%为女性,9%为男性。超过一半的受访者(51%)是注册护士/护理技术人员,46%是医务辅助护士/护理技术人员,4%拥有各种卫生和护理学科的硕士学位。结果:护理人员对组织的忠诚度最高,他们乐于帮助同事和管理人员,并相信医疗机构的成功发展。他们意识到,当他们带病来上班时,他们对其他同事和病人的行为是不负责任的,但他们尽管工作能力下降,但他们仍然在工作,因为他们不希望同事被他们压倒,尽管有健康问题,他们仍然能够完成工作中的困难任务,尽管这样做需要他们花费更多的时间和精力。结论:员工依从性影响患者护理质量、工作环境和医疗机构声誉。出勤是一种不受欢迎的行为,很少受到雇主的关注。这对本组织、患者、服务使用者以及工作效率较低的保健提供者都是一种风险。
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Employee Affiliation and Presenteeism in Health-care Settings
BACKGROUND: Affiliation and presenteeism have a profound impact on organizational performance, individual health worker performance and health, and clinical performance, which in turn affects patient outcomes. AIM: The aim of this study was to identify organizational affiliation and to analyze the causes and determinants of presenteeism among nursing staff in health-care settings. METHODS: We used a descriptive-empirical method. Data were obtained by survey technique. Health professionals (n = 178) at primary, secondary, and tertiary health-care levels participated in the survey, 91% of whom were women and 9% men. More than half of the respondents (51%) are registered nurses/nursing technicians, 46% are paramedical nurses/nursing technicians, and 4% have a master’s degree in various health and nursing disciplines. RESULTS: The results showed that nursing staff show the greatest organizational loyalty in the way that they are always willing to help colleagues and managers and that they believe in the successful development of their healthcare institution. They are aware that they act irresponsibly toward other colleagues and patients when they come to work sick, but they were present at work despite their reduced ability to perform their job, because they do not want their colleagues to be overwhelmed by them and, despite having a health problem, they were able to complete the difficult tasks of their job, even though it took them more time and energy to do so. CONCLUSION: Employee adherence influences the quality of patient care, the work environment, and the reputation of the healthcare institution. Presenteeism is an undesirable behavior that receives too little attention from employers. It is a risk for the organization, for patients – service users as well as for health-care providers who are less effective in their work.
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期刊介绍: Open Access Macedonian Journal of Medical Sciences (OAMJMS) [formerly known as Macedonian Journal of Medical Sciences] is a top-tier open access medical science journal published by the ID Design 2012/DOOEL Skopje, Rajko Zhinzifov No 48, 1000 Skopje, Republic of Macedonia. OAMJMS is an international, modern, general medical journal covering all areas in the medical sciences, from basic studies to large clinical trials and cost-effectiveness analyses. We publish mostly human studies that substantially enhance our understanding of disease epidemiology, etiology, and physiology; the development of prognostic and diagnostic technologies; trials that test the efficacy of specific interventions and those that compare different treatments; and systematic reviews. We aim to promote translation of basic research into clinical investigation, and of clinical evidence into practice. We publish occasional studies in animal models when they report outstanding research findings that are highly clinically relevant. Our audience is the international medical community as well as educators, policy makers, patient advocacy groups, and interested members of the public around the world. OAMJMS is published quarterly online version. The Open Access Macedonian Journal of Medical Sciences (OAMJMS) publishes Medical Informatics, Basic Science, Clinical Science, Case Report, Brief Communication, Public Health, Public Policy, and Review Article from all fields of medicine and related fields. This journal also publishes, continuously or occasionally, the bibliographies of the members of the Society, medical history, medical publications, thesis abstracts, book reviews, reports on meetings, i­n­formation on future meetings, important events and dates, and various headings which contribute to the development of the corresponding scientific field.
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