Healthcare Staff Wellbeing, Burnout, and Patient Safety: A Systematic Review.
Healthcare Staff Wellbeing, Burnout, and Patient Safety: A Systematic Review.
复制标题
DOI：
10.1371/journal.pone.0159015
复制
发表时间：
2016
期刊：
影响因子：
3.7
通讯作者：
O'Connor DB
中科院分区：
文献类型：
--
作者：
Hall LH;Johnson J;Watt I;Tsipa A;O'Connor DB
以确定医护人员的幸福感、职业倦怠和患者安全之间是否存在关联。系统的研究综述。检索了《心理信息》(1806-2015-7)、Medline(1946-2015-7)、Embase(1947-2015-7)和Scope us(1823-2015-7)，以及符合条件的文章的参考文献列表。定量的经验性研究，包括i)健康状况或工作倦怠的衡量标准，以及ii)医疗保健人员群体中的患者安全性。确定了46项研究。在27项衡量幸福感的研究中，有16项发现幸福感较差与患者安全性较差之间存在显著相关性，另外六项研究发现部分量表(但不是所有量表)存在关联，一项研究发现存在显著关联，但与大多数研究的方向相反。在衡量职业倦怠的30项研究中，有21项发现职业倦怠与患者安全之间存在显著关联，而另外四项研究发现，所使用的职业倦怠测量的一个或多个(但不是所有)子量表与患者安全之间存在关联。在所回顾的大多数研究中，较差的幸福感和中度到高度的倦怠与较差的患者安全结果(如医疗差错)相关，然而，缺乏前瞻性研究降低了确定因果关系的能力。还需要进一步的前瞻性研究、在英国国内进行的初级保健研究，以及对医护人员福祉的更明确定义。这项审查表明，医疗保健组织在规划干预措施以提高患者安全时，需要考虑改善员工的心理健康，以及创造更安全的工作环境。PROSPERO注册号：CRD42015023340。
To determine whether there is an association between healthcare professionals’ wellbeing and burnout, with patient safety. Systematic research review. PsychInfo (1806 to July 2015), Medline (1946 to July 2015), Embase (1947 to July 2015) and Scopus (1823 to July 2015) were searched, along with reference lists of eligible articles. Quantitative, empirical studies that included i) either a measure of wellbeing or burnout, and ii) patient safety, in healthcare staff populations. Forty-six studies were identified. Sixteen out of the 27 studies that measured wellbeing found a significant correlation between poor wellbeing and worse patient safety, with six additional studies finding an association with some but not all scales used, and one study finding a significant association but in the opposite direction to the majority of studies. Twenty-one out of the 30 studies that measured burnout found a significant association between burnout and patient safety, whilst a further four studies found an association between one or more (but not all) subscales of the burnout measures employed, and patient safety. Poor wellbeing and moderate to high levels of burnout are associated, in the majority of studies reviewed, with poor patient safety outcomes such as medical errors, however the lack of prospective studies reduces the ability to determine causality. Further prospective studies, research in primary care, conducted within the UK, and a clearer definition of healthcare staff wellbeing are needed. This review illustrates the need for healthcare organisations to consider improving employees’ mental health as well as creating safer work environments when planning interventions to improve patient safety. PROSPERO registration number: CRD42015023340.