评估医疗机构首席执行官和行政领导的工作与生活融合、社会隔离以及工作对个人关系的影响。

IF 1.7 4区 医学 Q3 HEALTH POLICY & SERVICES
Tait Shanafelt, Mickey Trockel, Thom Mayer, Hanhan Wang, Leslie Athey
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引用次数: 0

摘要

目标:本研究旨在评估高级医疗保健业务领导人对工作与生活融合(WLI)、社会隔离以及工作对个人关系影响(IWPR)的满意度:在 2021 年 6 月 7 日至 6 月 30 日期间,我们对美国的首席执行官和其他高级医疗保健业务领导人进行了一次全国性调查,以评估他们的个人工作经历。我们使用标准化工具对WLI满意度、社会隔离和IWPR进行了评估。此外,还使用标准化量表对职业倦怠和职业成就感进行了评估:在 0-10 分的量表中,IWPR 的平均得分为 4.39(标准偏差为 2.36;分数越高越不利)。通过多变量分析确定了与 IWPR 分数相关的人口和职业因素,每周工作时间每增加一小时,IWPR 得分高的可能性就会降低。在对其他个人和职业因素进行调整后,IWPR、孤立感和对 WLI 的满意度与职业倦怠有独立关联。通过多变量分析,在回答 "在过去的一年里,我的工作让我感到更加孤立,与对我来说最重要的人疏远了 "这一项时,医疗保健管理人员比美国其他领域的工作人员更有可能表示工作对个人关系产生了不利影响:在美国医疗保健管理人员中,经历不利的 IWPR 是很常见的现象,他们比一般美国工作人口更有可能表示自己的工作导致了与对自己最重要的人的隔离和疏远。WLI 问题、孤立感和不利的 IWPR 与倦怠感增加和职业成就感降低有关。组织和行政领导者都有必要有意识地努力解决侵蚀 WLI 并导致工作对人际关系产生不利影响的工作特点和职业规范。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Evaluation of Work-Life Integration, Social Isolation, and the Impact of Work on Personal Relationships Among Healthcare CEOs and Administrative Leaders.

Goal: The objective of this study was to evaluate satisfaction with work-life integration (WLI), social isolation, and the impact of work on personal relationships (IWPR) among senior healthcare operational leaders.

Methods: Between June 7 and June 30, 2021, we performed a national survey of CEOs and other senior healthcare operational leaders in the United States to evaluate their personal work experience. Satisfaction with WLI, social isolation, and IWPR were assessed using standardized instruments. Burnout and professional fulfillment were also assessed using standardized scales.

Principal findings: The mean IWPR score on the 0-10 scale was 4.39 (standard deviation was 2.36; higher scores were unfavorable). On multivariable analysis to identify demographic and professional factors associated with the IWPR score, each additional hour worked per week decreased the likelihood of a favorable IWPR score. The IWPR, feeling isolated, and satisfaction with WLI were independently associated with burnout after adjusting for other personal and professional factors. On multivariable analysis, healthcare administrators were more likely than U.S. workers in other fields to indicate work had adversely impacted personal relationships in response to the item "In the past year, my job has contributed to me feeling more isolated and detached from the people who are most important to me."

Practical applications: Experiencing an adverse IWPR is common among U.S. healthcare administrators, who are more likely than the general U.S. working population to indicate their job contributes to isolation and detachment from the people most important to them. Problems with WLI, isolation, and an adverse IWPR are associated with increased burnout and lower professional fulfillment. Intentional efforts by both organizations and administrative leaders are necessary to address the work characteristics and professional norms that erode WLI and result in work adversely impacting personal relationships.

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来源期刊
Journal of Healthcare Management
Journal of Healthcare Management HEALTH POLICY & SERVICES-
CiteScore
2.00
自引率
5.60%
发文量
68
期刊介绍: The Journal of Healthcare Management is the official journal of the American College of Healthcare Executives. Six times per year, JHM offers timely healthcare management articles that inform and guide executives, managers, educators, and researchers. JHM also contains regular columns written by experts and practitioners in the field that discuss management-related topics and industry trends. Each issue presents an interview with a leading executive.
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