促进公立医院医护人员心理健康的组织支持策略研究  

A Study of Organisational Support Strategies to Promote Mental Health among Healthcare Workers

作　　者：许洛 胡银环[1] 冯显东 王子行 刘莎 Xu Luo;Hu Yinhuan;Feng Xiandong(School of Medicine and Health Management,Tongji Medical College,Huazhong University of Science and Technology/Major Disciplinary Platform under Double First-Class Initiative for Liberal Arts at Huazhong University of Science and Technology(Research Center for High-Quality Development of Hospitals),Wuhan,Hubei,430030,China;不详)

机构地区：[1]华中科技大学同济医学院医药卫生管理学院·华中科技大学文科双一流建设重大学科平台(医院高质量发展研究中心),湖北武汉430030

出　　处：《中国医院管理》2024年第9期53-57,共5页Chinese Hospital Management

基　　金：国家自然科学基金项目(72274068)。

摘　　要：目的梳理典型公立医院为改善医护人员心理健康所采取的组织支持策略,为各地医院提供借鉴与参考,增强医护健康力。方法于2023年12月检索筛选出57个公立医院对于医护人员心理健康的组织支持案例,利用主题框架法对案例医院具体措施的文本内容进行编码分析。开展2轮专家咨询以进一步筛选典型案例。结果根据编码内容确定了制度优化、专业服务、宣讲教育、人文关怀4项总策略及其相对应的9项分策略。进一步对专家筛选出的11个典型案例进行总结分析,提炼出各医院为改善医护人员心理健康所开展的具体实践。结论医护人员的心理健康状况不容乐观,医院需给予充分重视,并针对现有问题采取支持性的组织措施。如扩充心理专业人才储备,增强信息化技术应用,提升医护心理服务接受意愿等。Objective To sort out the organisational support strategies adopted by typical public hospitals to improve the mental health of healthcare workers,to provide reference for hospitals around the world,and to enhance the healthcare health force.Methods In December 2023,57 cases of organisational support for healthcare workers’mental health in public hospitals were searched and screened,and the textual content of specific measures in the case hospitals was coded using thematic framework analysis.Two rounds of expert consultation were conducted to further screen typical cases.Results 4 General strategies of system optimisation,professional services,promotion and education,and humanistic care and their corresponding 9 sub-strategies were identified based on the coding content.The 11 typical cases screened by experts were further summarised and analysed to distil the specific practices carried out by each hospital to improve the mental health of healthcare workers.Conclusion The mental health status of healthcare workers is not optimistic,and hospitals need to pay full attention to it and take supportive organisational measures to address the existing problems.For example,expanding the reserve of psychological professionals,enhancing the application of information technology,and improving the willingness of healthcare professionals to accept mental services.

关 键 词：公立医院 医护人员 心理健康 组织支持 

分 类 号：R197.32[医药卫生—卫生事业管理]