Perspectives of Hospitalists in an Academic Health System.
Perspectives of Hospitalists in an Academic Health System.
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DOI：
10.26502/aimr.0139
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发表时间：
2022
期刊：
影响因子：
--
通讯作者：
Luqman A
中科院分区：
文献类型：
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作者：
Clarke TR;Laban J;Luqman A
这项研究的主要结果是评估医院医生对他们的工作量和他们对病人护理的感知效果的观点。次要结果是评估医院医生对他们的薪酬、生活质量、奖学金活动和在他们部门的晋升以及为实现这一目标而获得的支持的满意度。我们开发了一份包含49个问题的问卷。问卷的基础是(A)Oldenburg工作倦怠量表和(B)与人口普查、薪酬、渴望晋升的学术支持以及工作量对病人护理和教学的影响有关的专题。所有问题均采用4分Likert反应量表进行格式编排。问卷使用在线调查平台以电子方式分发给我们机构的所有32名医院医生。每个机构都需要根据临床医生的反馈进行自我评估：医院医生的工作量、职业倦怠和满意度，以降低这一角色的高离职率和简洁性。从该学术机构的这项研究中，医疗师的观点揭示了高度的倦怠(疲惫和脱离)和高分配的患者普查，这对他们提供最佳患者护理的能力产生了负面影响。大多数医院医生报告说，缺乏指导，分配给学术活动的时间不足。大多数人报告说，他们对政府做出的直接影响他们的决定没有意见。大多数人对他们的薪酬和没有带薪休假(PTO)感到不满。大多数人希望在这个学术机构得到晋升，但觉得没有人支持他们实现这一目标。
The primary outcome of this study is to assess the perspectives of Hospitalists on their workload and their perceived effects on patient care. The secondary outcomes are to evaluate the satisfaction of the Hospitalists with their compensation, quality of life, scholarship activity and promotion in their department and the support received to achieve this, We developed a 49-question questionnaire. The questionnaire was based on (a) Oldenburg Burnout Inventory and (b) topics specific to census, compensation, academic support with desire for promotion, and the effects of workload on patient care and teaching. All questions were formatted with a 4-point Likert-type response scale. The questionnaires were distributed electronically using an online survey platform to all 32 of the Hospitalists at our institution. Each institution needs to do a self-assessment based on clinician feedback: Hospitalists workload, burn-out and satisfaction to reduce the high turnover rates and brevity of this role. From this study in this academic institution, the perspectives of Hospitalists revealed a high level of burn out (exhaustion and disengagement) and high assigned patient censuses that negatively impact their ability to deliver optimal patient care. Most Hospitalists reported lack of mentorship and inadequate time allocated for scholarly activity. The majority reported not having their input on decisions made by the administration that directly affect them. Most were unsatisfied with their compensation and the lack of PTO (paid time off). The majority would like to be promoted in this academic institution but feel unsupported to achieve this goal.