...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Journal of Applied Psychology >The Impact of Time at Work and Time Off From Work on Rule Compliance: The Case of Hand Hygiene in Health Care
【24h】

The Impact of Time at Work and Time Off From Work on Rule Compliance: The Case of Hand Hygiene in Health Care

机译：工作时间和下班时间对规则合规性的影响：卫生保健中的手卫生案例

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

To deliver high-quality, reliable, and consistent services safely, organizations develop professional standards. Despite the communication and reinforcement of these standards, they are often not followed consistently. Although previous research suggests that high job demands are associated with declines in compliance over lengthy intervals, we hypothesized-drawing on theoretical arguments focused on fatigue and depletion-that the impact of job demands on routine compliance with professional standards might accumulate much more quickly. To test this hypothesis, we studied a problem that represents one of the most significant compliance challenges in health care today: hand hygiene. Using longitudinal field observations of over 4,157 caregivers working in 35 different hospitals and experiencing more than 13.7 million hand hygiene opportunities, we found that hand hygiene compliance rates dropped by a regression-estimated 8.7 percentage points on average from the beginning to the end of a typical 12-hr work shift. This decline in compliance was magnified by increased work intensity. Further, longer breaks between work shifts increased subsequent compliance rates, and such benefits were greater for individuals when they had ended their preceding shift with a lower compliance rate. In addition, (a) the decline in compliance over the course of a work shift and (b) the improvement in compliance following a longer break increased as individuals accumulated more total work hours the preceding week. The implications of these findings for patient safety and job design are discussed.
机译：为了安全地提供高质量，可靠和一致的服务，组织制定了专业标准。尽管对这些标准进行了沟通和加强，但通常并不能始终如一地遵循它们。尽管以前的研究表明，高工作要求与长时间间隔内合规性下降有关，但我们假设借鉴了针对疲劳和消耗的理论论证，即工作要求对常规合规性的影响可能会更快地累积。为了验证这一假设，我们研究了代表当今医疗保健中最重要的合规性挑战之一的问题：手部卫生。通过对在35家不同医院工作的4,157多名护理人员进行的纵向观察，发现手部卫生机会超过1,370万，我们发现，从典型的开始到结束，手部卫生顺从率平均下降了8.7％，这是回归估计值。 12小时轮班。工作强度的增加加剧了这种依从性下降。此外，工作轮班之间更长的休息时间增加了后续的达标率，当个人以较低的达标率结束其上一轮班时，这种收益更大。此外，由于个人在上周累积了更多的总工作时间，（a）在轮班工作中顺从性下降和（b）较长时间休息后顺从性的改善有所增加。讨论了这些发现对患者安全和工作设计的影响。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号