心理安全与更好的工作环境和更低的临床医生职业倦怠水平有关

Rosalind de Lisser, Mary S. Dietrich, J. Spetz, Rangaraj Ramanujam, Jana Lauderdale, D. Stolldorf
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引用次数: 0

摘要

职业倦怠归因于消极的工作环境,并威胁到患者和临床医生的安全。心理安全是指认为工作环境对人际风险承担是安全的,这可能有助于深入了解工作环境与职业倦怠之间的关系。在对加利福尼亚州 621 名执业护士的调查数据进行的横截面分析中,我们发现三分之一(34%)的执业护士经历了高度职业倦怠。工作环境中的四个因素与职业倦怠呈负相关,而与心理安全呈正相关。在每个工作环境因素与情感衰竭和人格解体之间的关系上,都观察到了心理安全的显著中介效应。在执业护士与医生的关系和执业能见度对情绪耗竭的总影响(分别为 37% 和 32%)以及独立执业和支持以及执业护士与行政部门的关系对人格解体的总影响(分别为 32% 和 29%)上,我们观察到了最大的中介效应。我们发现,总体而言,心理安全降低了工作环境与职业倦怠之间负相关的强度。我们认为,为减轻职业倦怠和改善工作环境而开展的研究、实践和政策工作应将心理安全作为系统水平福利的衡量标准。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Psychological Safety Associated With Better Work Environment And Lower Levels Of Clinician Burnout
Burnout is attributed to negative work environments and threatens patient and clinician safety. Psychological safety is the perception that the work environment is safe for interpersonal risk taking and may offer insight into the relationship between the work environment and burnout. In this cross-sectional analysis of survey data from 621 nurse practitioners in California, we found that one-third (34%) experienced high burnout. Four factors in the work environment were negatively associated with burnout and positively associated with psychological safety. Significant mediation effects of psychological safety were observed on the relationships between each work environment factor and both emotional exhaustion and depersonalization. The largest mediation effects were observed on the total effects of Nurse Practitioner- Physician Relations and Practice Visibility on Emotional Exhaustion (37% and 32% respectively) and Independent Practice and Support and NP-Administration Relations on Depersonalization (32% and 29% respectively). We found overall that psychological safety decreased the strength of the negative relationship between work environment and burnout. We argue that research, practice, and policy efforts to mitigate burnout and improve the work environment should consider psychological safety as a metric for system level wellbeing.
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