Inpatient clinician workload: a scoping review protocol to understand the definition, measurement and impact of non-procedural clinician workloads.
Inpatient clinician workload: a scoping review protocol to understand the definition, measurement and impact of non-procedural clinician workloads.
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DOI：
10.1136/bmjopen-2022-062878
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发表时间：
2022-12-12
期刊：
影响因子：
2.9
通讯作者：
中科院分区：
文献类型：
--
作者：
护理住院患者的临床医生面临着前所未有的工作条件，暴露在高度传染性疾病中，患者数量过高，以及不可预测的工作要求，所有这些都导致了压力和职业倦怠的增加。初步研究表明，不断增加的工作量对住院临床医生的幸福感产生了负面影响，并可能对工作表现产生负面影响；然而，相对于财务驱动因素或劳动力短缺，高工作量可能是次要的。尽管如此，工作量和这些负面结果之间的关系还没有完全量化。此外，住院临床医生的工作量没有明确的衡量标准，也没有定义理想工作量的标准。使用此处描述的方案，我们将对文献进行范围划分，以全面了解目前临床医生如何定义、在临床环境中衡量临床患者的工作量，以及其对劳动力、患者和机构结果的影响。我们将遵循乔安娜·布里格斯研究所以及Arksey和O‘Malley概述的方法，对主要的电子数据库进行全面搜索，包括Ovid Medline(PubMed)、Embase(Embase.com)、CogcINFO、ProQuest学位论文和谷歌学者。所有相关的出版、同行评议和论文灰色文献都将被收录。数据将使用标准化的表格提取，以获取关键文章信息。结果将以描述性叙述形式呈现。这项审查不需要伦理批准，尽管所有纳入的研究都将经过筛选，以确保适当的批准。这些文献的综合将更好地了解住院临床医生的当前工作状态和相关结果，并将找出文献中的空白。这些发现将与德尔福专家小组一起使用，以确定住院临床医生工作量的衡量标准，然后指导开发一种新的劳动力移动应用程序，以积极跟踪临床医生的工作。我们的目标是为未来的劳动力研究奠定基础，以了解推动临床医生、患者和机构关键结果的最佳工作负荷。
Clinicians that care for hospitalised patients face unprecedented work conditions with exposure to highly infectious disease, exceedingly high patient numbers, and unpredictable work demands, all of which have resulted in increases in stress and burnout. Preliminary studies suggest that increasing workloads negatively affect inpatient clinician well-being and may negatively affect job performance; yet high workloads may be prioritised secondary to financial drivers or from workforce shortages. Despite this, the correlation between workload and these negative outcomes has not been fully quantified. Additionally, there are no clear measures for inpatient clinician workload and no standards to define ideal workloads. Using the protocol described here, we will perform a scoping review of the literature to generate a comprehensive understanding of how clinician workload of medical patients is currently defined, measured in clinical settings and its impact on the workforce, patients and institutional outcomes. We will follow the methodology outlined by Joanna Briggs Institute and Arksey and O’Malley to conduct a comprehensive search of major electronic databases including Ovid Medline (PubMed), Embase (Embase.com), PsycINFO, ProQuest Dissertations and Google Scholar. All relevant published peer-reviewed and dissertaion grey literature will be included. Data will be extracted using a standardised form to capture key article information. Results will be presented in a descriptive narrative format. This review does not require ethics approval though all included studies will be screened to ensure appropriate approval. The synthesis of this literature will provide a better understanding of the current state of work for inpatient clinicians, associated outcomes, and will identify gaps in the literature. These findings will be used in conjunction with an expert Delphi panel to identify measures of inpatient clinician workload to then guide the development of a novel workforce mobile application to actively track clinician work. We aim to lay the groundwork for future workforce studies to understand the optimal workloads that drive key outcomes for clinicians, patients and institutions.
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影响因子：
5.7
作者：
Linker AS;Kulkarni SA;Astik GJ;Keniston A;Sakumoto M;Eid SM;Burden M;Leykum LK;HOMERuN COVID-19 Collaborative Working Group
通讯作者：
HOMERuN COVID-19 Collaborative Working Group
影响因子：
5.7
作者：
Arogyaswamy S;Vukovic N;Keniston A;Apgar S;Bowden K;Kantor MA;Diaz M;McBeth L;Burden M
通讯作者：
Burden M
影响因子：
3.5
作者：
Fosnot, Lisa;Jones, Christine D.;Patel, Hemali
通讯作者：
Patel, Hemali
影响因子：
9.9
作者：
Demerouti, E;Bakker, AB;Schaufeli, WB
通讯作者：
Schaufeli, WB
DOI：
10.1080/21548331.2020.1832792
发表时间：
2021-01-01
期刊：
HOSPITAL PRACTICE
影响因子：
--
作者：
Dugani, Sagar B.;Geyer, Holly L.;Burton, Caroline
通讯作者：
Burton, Caroline