减轻职业倦怠:传染病高级医疗人员向紧凑工作周的过渡

Shannon Holloway, PA-C, Kelly McConn, PA-C, Roy Borchardt, PA-C, PhD, Victor E. Mulanovich, MD, Javier A. Adachi, MD
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引用次数: 0

摘要

医护人员的职业倦怠非常普遍,严重影响了病人护理的质量。除了影响患者安全外,职业倦怠还会导致更高的员工流失率、生产力下降导致的收入赤字、财务风险,以及因影响医疗质量、患者满意度和安全而导致的组织生存能力下降。医护人员群体中外部和内部压力的叠加与更高的职业倦怠概率以及认为工作场所灵活性较低的医护人员有关。此外,工作场所的灵活性还能降低出现职业倦怠的几率。工作场所的灵活性在降低医护人员职业倦怠发生率方面起着至关重要的作用。以个人为中心的解决方案对于减轻职业倦怠非常重要,然而,全面的组织变革才能确保持久和可持续的解决方案。当员工对自己的工作安排有一定程度的控制感时,员工积极的工作态度与压力的减少之间存在相关性。本文旨在展示传染病高级医疗人员为应对职业倦怠和工作量变化而成功实施压缩工作时间表的过程。文章记录了新时间表的设计、基本原理、获得利益相关者的认可以及操作实施等步骤。在此过程中,通过定期调查对高级医疗服务提供者的满意度和职业倦怠进行了测量。
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Mitigating Burnout: Transition to a Condensed Workweek for Advanced Practice Providers in Infectious Diseases
Burnout among health-care workers is highly prevalent and profoundly impacts the quality of patient care. In addition to affecting patient safety, burnout results in higher staff turnover, revenue deficits due to decreased productivity, financial risk, and diminished organization viability because of the impact on quality of care, patient satisfaction, and safety. Culmination of external and internal stressors in health-care worker populations is associated with a higher probability of burnout and workers who reported perceived low workplace flexibility. In addition, workplace flexibility is associated with reduced odds of experiencing burnout. Workplace flexibility plays a critical role in potentially reducing the occurrence of burnout in the health-care worker population. Individually focused solutions are important to mitigate burnout, however, comprehensive organizational change ensures durable and sustainable solutions. There is a correlation between a positive employee outlook and reduced stress when there is a perceived level of control over one’s work schedule. The goal of this article is to showcase the process of a successful implementation of a condensed work schedule for an advanced practice provider workforce in infectious diseases in response to burnout and workload shifts. This chronicles the steps of design, rationale, procuring buy-in by stakeholders, and operational implementation of the new schedules. Advanced practice provider satisfaction and burnout were measured by periodic surveys at timepoints along the way.
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