医院环境服务人员对临床联系的看法。

IF 10.5 1区 医学 Q1 MEDICINE, GENERAL & INTERNAL JAMA Network Open Pub Date : 2025-01-02 DOI:10.1001/jamanetworkopen.2024.53775
Nicholas Allis, Zhi Chen, Leah G Jones, Timothy Kohanski, Zane Suttmore, Samantha Turnquest, Joyce Appiah-Asare, Stephen Appiah-Asare, Kendell Battle, Terry Frayer, Fateen Gilkey, Sherry D Jones, Kelvin Little, Susan Murphy, Michelle Robinson, Anita Rouse, Jason Rupert, Moustapha Salawu, Zoreslava Osiv, Scott Rosas, Telisa Stewart
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引用次数: 0

摘要

重要性:环境服务工作者(ESWs)在医院基础设施中发挥着关键作用,处于预防感染的第一线。ESWs在管理所有形式的受管制废物(包括生物危险废物)方面受过高度培训,并负责总体患者体验、清洁工作和感染预防。如果没有环境服务,患者被以前占用其房间的患者感染病原体的风险要高6倍。目的:了解esw如何感到自豪,连接和不连接到他们的医院临床团队。设计、环境和参与者:本定性研究包括10名ESWs,他们是纽约州北部一所医科大学医院临床护理团队的成员。数据收集于2024年2月至5月。主要结果和措施:参与者被要求拍照并写小短文,讲述什么让他们对自己的工作感到自豪,他们如何与临床团队联系在一起,以及他们如何与临床团队脱节。结果:本研究共纳入10名受试者(男性5名[50%];10名非西班牙裔黑人或非洲裔美国人[100%];平均年龄53岁[38-66]岁;8人高中毕业或有大学学分(80%)。当被问及他们的自豪感时,参与者表示保持干净的空间,拥有有意义的关系,帮助他人产生自豪感。参与者的疏离感会被他们的同事感觉到,因为他们没有遵守既定的规则。此外,参与者报告说,他们感觉被忽视、不被倾听、不被欣赏、被低估。参与者通过感受到社区意识,拥有有价值的关系,并能够与临床团队成员交流,感觉与他们的临床团队联系在一起。此外,参与者表达了在临床团队中被承认、认可和平等对待的集体愿望。结论和相关性:研究发现,esw可以识别与临床团队的联系和疏离感。基于这些结果,医院的基础设施和领导层应继续尽一切努力探索esw的工作经验,以提高工作保留率、士气、满意度、整体临床团队合作和同志关系。
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Perceptions of Clinical Connectedness Among Hospital Environmental Service Workers.

Importance: Environmental service workers (ESWs) have a critical role within the hospital infrastructure and are at the frontline of infection prevention. ESWs are highly trained in managing all forms of regulated waste, which includes biohazardous waste, and are responsible for the overall patient experience, janitorial work, and infection prevention. Without environmental services, patients have a 6 times greater risk of being infected by pathogens from patients who previously occupied their room.

Objective: To understand how ESWs felt proud, connected, and not connected to their hospital-based clinical teams.

Design, setting, and participants: This qualitative study included 10 ESWs who were members of clinical care teams at a medical university hospital in upstate New York. Data were collected from February to May 2024.

Main outcome and measures: Participants were asked to take pictures and write vignettes about what makes them feel proud of their work, how they feel connected to their clinical team, and how they feel disconnected from their clinical team.

Results: This study included 10 participants (5 males [50%]; 10 non-Hispanic Black or African American individuals [100%]; mean [range] age, 53 [38-66] years; 8 were high school graduates or had some college credit [80%]). When asked about their feeling of pride, participants expressed maintaining a clean space, having meaningful relationships, and helping others as generating a sense of pride. Participants' feelings of disconnectedness were felt by their colleagues not following the rules set in place. In addition, participants reported feeling invisible, not listened to, unappreciated, and undervalued. Participants felt connected to their clinical teams by feeling a sense of community, having valuable relationships, and being able to communicate with members of the clinical team. Additionally, participants expressed a collective desire to be acknowledged, recognized, and treated as equals on the clinical team.

Conclusions and relevance: The study found that ESWs identified feeling both connected to and disconnected from their clinical teams. Based on these results, hospital infrastructure and leadership should continue to exhaust all efforts to explore work experiences of ESWs to improve job retention, morale, satisfaction, overall clinical teamwork, and comradery.

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来源期刊
JAMA Network Open
JAMA Network Open Medicine-General Medicine
CiteScore
16.00
自引率
2.90%
发文量
2126
审稿时长
16 weeks
期刊介绍: JAMA Network Open, a member of the esteemed JAMA Network, stands as an international, peer-reviewed, open-access general medical journal.The publication is dedicated to disseminating research across various health disciplines and countries, encompassing clinical care, innovation in health care, health policy, and global health. JAMA Network Open caters to clinicians, investigators, and policymakers, providing a platform for valuable insights and advancements in the medical field. As part of the JAMA Network, a consortium of peer-reviewed general medical and specialty publications, JAMA Network Open contributes to the collective knowledge and understanding within the medical community.
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