解决医疗工作者健康、保健和职业倦怠问题的数字辅导:试点研究结果。

IF 2.1 4区 医学 Q1 NURSING Workplace Health & Safety Pub Date : 2025-06-01 Epub Date: 2024-11-28 DOI:10.1177/21650799241291874
Kelly L'Engle, Evelin Trejo, Anastasia J Coutinho
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引用次数: 0

摘要

背景:医护人员(HCW)的身心健康对于安全、高质量的患者护理至关重要,但临床医生和一线员工的职业倦怠率仍然令人担忧。这项试点研究评估了一项为期 6 周的新型远程健康辅导计划,该计划由每日数字信息提供支持,旨在减少医护人员的职业倦怠并提高他们的健康水平:2023 年春,加利福尼亚州一家大型社区医疗中心的员工应邀参加了这项学术与实践合作的单组前测后测研究。34 名参与者大多为女性(91%)、拉丁裔(77%),平均年龄为 36 岁(范围 = 20-61),代表了所有主要的工作类别,并在知情同意的情况下完成了基线调查。其中,17 人完成了每周 6 次、每次 20 分钟的辅导课程;每天收到有关压力管理、自我保健、职场幸福感、社会关系、生活方式和健康行为的信息,并完成了后续数据收集。Wilcoxon 配对符号秩检验评估了从基线到两个月随访的变化:结果:自我报告的工作倦怠感从基线时的 59% 降至随访时的 35%。工作疲惫(p < .05)、压力(p < .05)和睡眠问题(p < .01)显著减少,健康实践(p < .05)、适度体育锻炼(p < .01)和健康日常饮食(p < .05)有所改善:我们的试点研究表明,简短的数字健康计划可以解决一线员工和临床医生的职业倦怠问题,并提高他们的健康水平和幸福感。医疗机构应考虑为其员工提供此类计划,尤其是考虑到 COVID-19 给医疗系统带来的额外负担。
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Digital Coaching to Address Health, Wellness, and Burnout Among Healthcare Workers: Pilot Study Results.

Background: Healthcare worker (HCW) well-being is essential for safe, high-quality patient care, but clinicians and front-line staff continue to experience alarming rates of burnout. This pilot study evaluated a novel 6-week program of remote wellness coaching supported by daily digital messaging to reduce burnout and increase well-being among HCWs.

Methods: In spring 2023, staff from a large community health center in California were invited to participate in this single-group pretest-posttest study in an academic-practice partnership. Thirty-four participants who were mostly female (91%), Latina (77%), 36 years old on average (range = 20-61), and represented all major job categories provided informed consent and completed the baseline survey. Of these, 17 completed 6 weekly 20-minute coaching sessions; received daily messages about stress management, self-care, workplace well-being, social connections, and lifestyle and health behaviors, and completed follow-up data collection. The Wilcoxon matched pair signed-rank tests assessed changes from baseline to 2-months follow-up.

Results: Self-reported burnout decreased from 59% at baseline to 35% at follow-up. Work exhaustion (p < .05), stress (p < .05) and sleep problems (p < .01) reduced significantly, and wellness practices (p < .05), moderate physical activity (p < .01), and healthy daily eating (p < .05) improved.Conclusions/Applications to Practice:Our pilot study suggests that a brief digital wellness program may address burnout and increase health and well-being among front-line staff and clinicians. Healthcare settings should consider this type of program for their workers, especially given the added burden of COVID-19 on the healthcare system.

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来源期刊
CiteScore
3.70
自引率
3.80%
发文量
77
审稿时长
6-12 weeks
期刊介绍: Workplace Health & Safety: Promoting Environments Conducive to Well-Being and Productivity is the official publication of the American Association of Occupational Health Nursing, Inc. (AAOHN). It is a scientific peer-reviewed Journal. Its purpose is to support and promote the practice of occupational and environmental health nurses by providing leading edge research findings and evidence-based clinical practices. It publishes articles that span the range of issues facing occupational and environmental health professionals, including emergency and all-hazard preparedness, health promotion, safety, productivity, environmental health, case management, workers'' compensation, business and leadership, compliance and information management.
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