通过创造一个健康和愈合的环境来预防倦怠综合症

IF 0.2 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Clinical Social Work and Health Intervention Pub Date : 2022-11-30 DOI:10.22359/cswhi_13_6_13
D. West, D. West, V. Krcmery, V. Krčméry, S. Szydlowski, Steve, Szydlowski, B. Ramírez, B. Ramirez, M. Costello, M. Costello
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引用次数: 1

摘要

职业倦怠是一个重大的全球性问题,影响了医疗保健机构的临床结果、患者安全和以患者为中心的护理(世界卫生组织,2019年)。正如Christina Maslach博士所定义的,倦怠的经典定义是“一种心理综合症,包括情绪耗竭、人格解体和个人成就感降低”(Maslach & Jackson, 1982)。职业倦怠影响人类行为的认知、行为和情感方面。它还会干扰个人在个人和组织层面上如何处理和与他人互动。其他人注意到,精疲力竭的人倾向于关注消极的事情,而不是积极的情绪(Bianchi & Laurent, 2015)。在COVID-19大流行之前,护士和医生的职业倦怠被认为是一个日益严重的问题。现在有证据表明,超过50%的护士、医师助理和内科医生报告有过劳竭综合症。当工作环境带来与技术进步、电子病历、患者敏锐度提高和财务成本削减措施相关的压力时,这个问题变得更加明显。现在已经认识到个人和组织的倦怠。作为一个公共健康问题,职业倦怠和幸福感是多因素的,并且认识到个人和组织对职业倦怠综合症有重要的影响。职业倦怠率似乎在各个专业和环境中都在上升,导致个人和组织的成本增加(美国国家医学院[NAM]), 2018年。我们所需要的是一个清晰的地图,以便对临床倦怠做出决定。卫生保健工作者(HCW)需要获得保密的健康活动、支持系统和精神卫生咨询。需要一种新的模式来进一步改善工作与生活的平衡,创造一种关怀的企业文化。医疗保健领导者需要重新思考如何在职业倦怠和幸福感方面支持各个学科的员工。
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Preventing the Burnout Syndrome by Creating a Healthy & Healing Environment
Occupational burnout is a significant global problem that has impacted clinical outcomes, patient safety, and patient-centered care across healthcare settings (World Health Organization) [WHO], 2019. The classic definition of burnout, as defined by Dr. Christina Maslach, is “a psychologic syndrome involving emotional exhaustion, depersonalization, and a diminished sense of personal accomplishment (Maslach & Jackson, 1982). Burnout affects cognitive, behavioral and emotional aspects of human behavior. It also interferes with how individuals process and interact with others at an individual and organizational level. Others have noted that burn-out individuals tend to focus on negative things rather than positive emotions (Bianchi & Laurent, 2015). Nurse and physician burnout was recognized before the COVID-19 pandemic as a growing problem. Evidence now suggests that more than 50% of nurses, physician assistants and physicians report syndromes of burnout. The problem has become even more pronounced when the work environment contributes stressors associated with technological advancements, EMRs, increased patient acuity, and financial cost cutting measures. It is now recognized that individuals and organizations burnout. As a public health issue, burnout and well-being are multifactorial and recognize that individuals and organizations contribute significant factors to the burnout syndrome. It appears that burnout rates are rising across specialties and settings resulting in increase of costs to individuals and organizations (National Academy of Medicine [NAM]), 2018. What is needed is a clear map to make decisions on clinical burnout. Healthcare workers (HCW) need confidential access to wellness activities, support systems and mental health consultation. A new model is needed to further refine the work-life balance and create a caring corporate culture. Healthcare leaders need to rethink how to support employees across disciplines when it comes to burnout and well-being.
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Clinical Social Work and Health Intervention
Clinical Social Work and Health Intervention PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
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