A Pilot Observational Exploratory Study of Well-Being in Hospice Interdisciplinary Team Members.
A Pilot Observational Exploratory Study of Well-Being in Hospice Interdisciplinary Team Members.
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DOI：
10.1177/10499091211023480
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发表时间：
2022-03
影响因子：
1.9
通讯作者：
Stimpfel, Amy Witkoski
中科院分区：
文献类型：
--
作者：
Schneider, Catherine;Bristol, Alycia;Ford, Ariel;Lin, Shih-Yin;Brody, Abraham A.;Stimpfel, Amy Witkoski
关键词：
幸福感和离职意向是促进健康劳动力的关键方面。在整个护理环境中，健康专业人员的倦怠程度和幸福感水平都令人震惊。不仅高水平的倦怠，低幸福感和高流动性影响卫生专业人员，但他们与穷人的病人护理。然而，有限的研究已经调查了这一主题，特别是在临终关怀跨学科团队（IDT）的成员，护士，牧师，社会工作者。因此，本研究旨在探讨安宁疗护中心IDT会员之幸福感与离职意愿。这项观察性的试点研究使用定量调查来检查基线和3个月时的幸福感和离职意向。一个研究中心的25名临终关怀IDT成员参加了研究。配对t检验和百分比变化表明，从基线到随访，同情心满意度（44.5 vs. 42.1，p =0.04）和继发性创伤应激评分（18.5 vs. 13.3，p=0.0001）显著降低，倦怠评分（17.6 vs. 20.5，p=0.03）显著增加。从基线到随访，员工流动率略有下降。在这项试点研究中，临终关怀IDT成员在基线时的幸福感水平较低，在3个月内恶化，表明倦怠的潜在风险较高。此外，鉴于COVID-19大流行，这可能是临终关怀提供者在人员流动方面面临的一个不祥迹象，导致该领域的重大长期人员配备问题。如果这些结果在更大的样本中成立，可能需要制定和测试进一步的战略，以确保健康和稳定的劳动力。
Well-being and turnover intent represent key aspects to the promotion of a healthy workforce. Alarming levels of burnout and low levels of well-being have been documented in health professionals across care settings. Not only do high levels of burnout, low well-being and high turnover affect health professionals, but they are associated with poor patient care. However, limited research has investigated this topic specifically in hospice interdisciplinary team (IDT) members, nurses, chaplains, social workers. Thus, the purpose of this study was to explore hospice IDT members’ well-being, and turnover intent. This observational, pilot study used quantitative surveys to examine the well-being, and turnover intention at baseline and at 3 months. Twenty-five hospice IDT members at one site participated. Paired t-tests and percent change demonstrated significant decreases in compassion satisfaction (44.5 vs. 42.1, p =0.04) and secondary traumatic stress score (18.5 vs. 13.3, p=0.0001) and a significant increase in burnout score (17.6 vs. 20.5, p=0.03) from baseline to follow up. Employee turnover slightly decreased from baseline to follow-up. In this pilot study, hospice IDT members had low levels of well-being at baseline that worsened over 3-months indicating a higher potential risk for burnout. Moreover, given the COVID-19 pandemic, this may be an ominous sign of what lies ahead for hospice providers regarding turnover, leading to significant long-term staffing problems in the field. If these results hold true in a larger sample, it could necessitate developing and testing further strategies to ensure a healthy and stable workforce.
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影响因子：
4.7
作者：
Galiana, Laura;Arena, Fernanda;Benito, Enric
通讯作者：
Benito, Enric
影响因子：
3.7
作者：
Hall LH;Johnson J;Watt I;Tsipa A;O'Connor DB
通讯作者：
O'Connor DB
影响因子：
3.5
作者：
Clayton, Margaret F.;Iacob, Eli;Ellington, Lee
通讯作者：
Ellington, Lee
影响因子：
2.5
作者：
Dyrbye, Liselotte N.;Johnson, Pamela O.;Shanafelt, Tait D.
通讯作者：
Shanafelt, Tait D.
DOI：
10.1177/104990910201900312
发表时间：
2002-05-01
期刊：
The American journal of hospice & palliative care
影响因子：
--
作者：
Keidel, Gladys Catkins
通讯作者：
Keidel, Gladys Catkins