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E8:福祉.pdf

上传人: 彩旗 编号:1158701 2026-03-02 60页 5.61MB

1、Caring for our carers:The role of healthcare leaders in employee well-beingIris ReijmerinkFokie CnossenDave DongelmansGtz WietaschMaarten van der LaanSource:https:/ of interestsNoneRelevant relationship with companiesN/ASponsoring or research moneyFee or other reimbursementShareholderOther relations

2、hip,namely Meet the rest of the team(From left to right)Dr.F.Cnossen Dr.D.A.DongelmansProf.Dr.J.K.G.WietaschDr.M.J.van der LaanWhy now?JD-R modelOriginal model:?Balance between job demands and resourcesRenewed model?Includes influence of regulators?Leaders?System(medical regulators)Perspectives and

3、practices of hospital leaders?15 semi-structured interviews?Three key topics:1)Factors influencing well-being2)Data sources used3)Strategies employedThe organization:perspectives and practices of hospital leadersWhat did we find?Leaders have broad understanding of factors influencing well-beingThe o

4、rganization:perspectives and practices of hospital leadersWhat did we find?Data collection is often sporadic and inconsistent?No clear consensus on how to promote well-being?Leaders have broad understanding of factors influencing well-being“.you have relatively little insight,not only into everythin

5、g thats going on,but also into what you can do about it and how effective that is or isnt.So,I still find it all quite vague and unclear.Were just doing something.Int.2“The organization:perspectives and practices of hospital leadersWhat did we find?Data collection is often sporadic and inconsistent?

6、No clear consensus on how to promote well-being?Leaders have broad understanding of factors influencing well-beingThe organization:perspectives and practices of hospital leadersWhat did we find?Data collection is often sporadic and inconsistent?No clear consensus on how to promote well-being?Respons

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1. **领导认知与行动差距**:医院领导普遍认识到医护人员福祉对护理质量的重要性,但缺乏共识,责任常被推诿,数据收集零散且不一致(15位领导者访谈)。 2. **监管角色缺位**:医疗监管机构(26份回应)均认可福祉风险,但仅1/3收集数据,不足半数拥有干预工具。 3. **干预效果分化**:组织层面干预中,"社会资源与支持"类(14项研究)最显著改善福祉、护理质量等;"管理建设"类(33项)效果不一,部分可能有害(如增加离职意向)。 4. **核心建议**:需系统性监测、超越个体策略、任命"首席健康官",并基于根因分析选择情境化干预。 5. **共享责任**:医护人员福祉是共同责任,需多方协作(领导、监管、个体)并建立核心结局集。
**领导力如何影响医护福祉?** **系统干预有效吗?** **如何提升医护幸福感?**
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