Promise and Perils of Leader-Employee Check-ins in Reducing Emotional Exhaustion in Primary Care Clinics: Quasi-Experimental and Qualitative Evidence.
Promise and Perils of Leader-Employee Check-ins in Reducing Emotional Exhaustion in Primary Care Clinics: Quasi-Experimental and Qualitative Evidence.
复制标题
领导者与员工签到在减少初级保健诊所情绪疲惫方面的承诺和危险：准实验和定性证据。
DOI：
10.1016/j.mayocp.2022.12.012
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发表时间：
2023
影响因子：
8.9
通讯作者：
Lenhart,Abigail
中科院分区：
文献类型：
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作者：
Hurtado,DavidA;Greenspan,SamuelA;Valenzuela,Steele;McGinnis,Wendy;Everson,Teresa;Lenhart,Abigail
目的分析诊所领导和员工之间短暂（<30分钟）和频繁（每季度）的检查在减少情绪疲惫方面的作用。方法进行了三项相互关联的研究：对10个初级保健诊所进行了为期3年的重复横断面调查（n=505；我们比较了进行检查的诊所与9个对照诊所的员工的情绪疲惫、感知压力和价值观一致性）；关于签到流程和体验的领导者和员工访谈（n=10）；以及在新诊所重复签到后对领导者和员工 (n=10) 的访谈。结果基线时的结果相似。一年后，与对照诊所相比，入住时的情绪疲惫程度较低（标准化平均差，d，-0.71 [P<.05]）。两年后，入住诊所的情绪疲惫仍然较低，但这种差异并不显着。签到与值对齐的增量相关（2018 年与 2017 年，d=0.59 [P<.05]；2019 年与 2017 年，d=0.76 [P<.05]）。感知到的工作压力没有差异。采访表明，在签到时讨论了工作与生活的挑战。然而，员工需要保密并感到安全。复制结果表明，即使在动荡时期，检查也是可行的。 结论 定期检查，让领导者承认并解决工作生活压力源，可能是减少初级保健诊所情绪疲惫的实用策略。
ObjectiveTo analyze the role of short (<30 minutes) and frequent (quarterly) check-ins between clinic leaders and employees in reducing emotional exhaustion.MethodsThree interrelated studies were conducted: a 3-year repeated cross-sectional survey at 10 primary care clinics (n=505; we compared emotional exhaustion, perceived stress, and values alignment among employees of a clinic where check-ins were conducted vs 9 control clinics); interviews with leaders and employees (n=10) regarding the check-ins process and experiences; and interviews with leaders and employees (n=10) after replicating the check-ins at a new clinic.ResultsOutcomes were similar at baseline. After a year, emotional exhaustion was lower at the check-ins compared with control clinics (standardized mean difference,d, −0.71 [P<.05]). After 2 years, emotional exhaustion remained lower at the check-ins clinic, but this difference was not significant. The check-ins were associated with an increment in values alignment (2018 vs 2017,d=0.59 [P<.05]; 2019 vs 2017,d=0.76 [P<.05]). There were no differences for perceived job stress. Interviews indicated that work-life challenges were discussed in the check-ins. However, employees need confidentiality and to feel safe to do so. The replication suggested that the check-ins are feasible to implement even amid turbulent times.ConclusionPeriodic check-ins wherein leaders acknowledge and address work-life stressors might be a practical tactic to reduce emotional exhaustion in primary care clinics.