期刊
JOURNAL OF AMBULATORY CARE MANAGEMENT
卷 40, 期 2, 页码 150-157出版社
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/JAC.0000000000000159
关键词
generalized linear mixed models; implementation initiatives; job-related burnout; lean quality/process improvement; participation in decision making; primary care; readiness to change; stressful clinic environment; workforce engagement; workplace/organizational attributes
资金
- Agency for Healthcare Research
- Quality ACTION II (Accelerating Change and Transformation in Organizations and Networks) [HHSA290201000022I]
- Palo Alto Medical Foundation
We examined factors associated with change readiness among 343 primary care physicians and 590 nonphysician staff undergoing Lean-based process improvements. Baseline levels of engagement were associated with greater readiness for change across all measured domains. Job-related burnout correlated with greater need for change, but lower self-efficacy and perceived support, whereas a personal sense of accomplishment was associated with higher efficacy to implement changes. At a department level, teamwork, participation in decision making, and change history were associated with higher engagement and lower burnout among physicians and staff; conversely, a busy or stressful department correlated with lower engagement and higher burnout.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据