以抗疫一线医务人员需求为导向的员工帮助计划构建与实施

为健全新冠肺炎抗疫一线医务人员关心关爱长效机制，切实解决其实际困难，我院开展抗疫一线医务人员员工帮助计划的探索与实践，从专业支持、生活保障、家庭支持、心理支持等维度厘清一线医务人员实际需求，构建并实施全方位的员工帮助计划，提升一线医务人员的安全感和归属感，为打赢疫情防控阻击战提供坚强组织保障，也为常态化疫情防控下建设系统化、专业化、本土化的一线医务人员关心关爱组织体系提供参考。     

上海市某医院新员工EAP实践

医务人员身心健康和积极性对实现"健康中国"战略目标至关重要。近年来,随着大量新员工加入,我国医务人员数量逐年上升,他们进入医院后,面对新的环境,在工作和生活上会遇到各种各样的困难和问题,势必会在其生理和心理上产生一系列消极的影响。因此,对新员工实施员工关爱计划(Employee Assistance Program,EAP)服务有其特殊的背景和实施的必要。本文着重对上海市某医院2013—2015年度343名新入职员工的基本情况进行分析,将国内外EAP指导思想与该院的实际情况相结合,从环境适应、职业发展、身心健康和家庭建设四个方面出发,探索了一套具有该院特色的EAP服务模式,以帮助新员工顺利渡过工作适应的特殊阶段,积极融入组织。     

上海医疗卫生行业员工关爱现状分析及实施策略

运用PEST-SWOT调研了上海市10家医疗卫生机构的员工关爱工作开展现状,针对现行员工关爱项目内容存在的瓶颈和困惑,通过明确目标,确定服务模式、内容和流程,探索出一套适合医疗卫生行业的员工关爱计划服务模式和应用策略,为医院人本化管理真正落实提供有力支撑。     

医院员工满意度影响因素研究进展

医院员工满意度调查是目前衡量职工满意度状况的工具,能反映医院对员工的关注度,反映医院存在的问题,从而提出有效的措施整改。我国近年来开始逐渐关注医院员工的满意度,研究主要从工作满意度定义、工作满意度的测量方法及测量工具、工作满意度的理论基础及工作满意度的影响因素等几个方面开展的,不同时间、不同地区对于医院员工满意度的调查结果均有所不同。     

医院员工满意度模型的实证研究

目的 提取内部服务质量因子，并对员工满意度模型进行实证研究。方法 以武汉市某三甲医院一线员工为调查样本，并对调查数据采取探索性因子分析、验证性因子分析、结构模型分析。结果 内部服务质量因子包括：工作与同事、管理支持、工作条件、工作回报，责权匹配；以内部服务质量-员工满意度-员工忠诚度的路径关系为基础的员工满意度模型存在。结论 要加强内部服务质量管理，从而提高员工满意度、忠诚度。     

人员密集型企业员工心理危机的干预策略

人员密集型企业的员工心理危机事件社会影响大、波及面广,为维护员工心理健康、企业形象和社会稳定,可从心理危机干预的组织架构、三类心理危机干预工作、调动内外各方资源和做好常规预防工作等方面着手,为企业的和谐发展保驾护航。     

合肥市5家企业员工工作满意度与社会支持和应对方式的关系

目的了解合肥市企业员工工作满意度状况,探讨员工工作满意度与社会支持、应对方式的关系。方法采用自制的人口统计学问卷、明尼苏达满意度问卷(MSQ短式问卷)、社会支持评定量表(SSRS)和简易应对方式量表(SCSQ),对合肥市5家企业332名员工进行问卷调查。采用Epi Data 3.1双录入法输入数据,使用SAS9.0软件进行统计分析。结果合肥市企业员工工作满意度中等偏上,为(3.40±0.61)分,不同学历的员工工作满意度间差异有统计学意义(P<0.001);员工工作满意度与社会支持总分(r=0.51,P<0.001)、客观支持(r=0.43,P<0.001)、主观支持(r=0.44,P<0.001)、对支持的利用度(r=0.40,P<0.001)和积极应对(r=0.51,P<0.001)均呈正相关;积极应对、客观支持、主观支持是员工工作满意度的重要影响因素。结论员工工作满意度受到员工社会支持及应对方式的影响。     

企业员工工作满意度及影响因素分析

目的 了解企业员工工作满意度状况,探讨影响工作满意度的主要因素.方法 采用横断面调查,于2010年9月,随机抽取沈阳市某企业的1000名员工进行问卷调查;采用明尼苏达满意度问卷(MSQ)测量工作满意度,付出-回报失衡问卷(ERI)测量职业紧张,组织支持感量表(POS)测量组织支持感.应用分层回归分析影响员工工作满意度的因素.结果 该企业员工总体满意度平均为(63.81±11.44),分层回归显示,工作状况变量、职业紧张变量及组织变量对工作满意度解释的变异量分别为15.7%、9.9%、8.6%.结论 该企业员工的总体满意度不高,主要影响因素为工作状况、职业紧张及组织支持感.     

员工援助计划在护理管理中的应用

员工援助计划是改善员工的工作生活质量,减轻员工心理压力的有效途径,在国外企业人力资源管理中应用较多,并取得了良好的效果。探讨了员工援助计划在护理人力资源管理中的应用,以帮助护理人员减轻工作及生活压力,提高护理人员的身心健康水平,使其有更好的状态投入工作,为患者提供更高质量的医疗服务。     

提升酒店员工工作生活质量的策略探讨

提出现代酒店员工工作生活质量（QWL）的改善策略，为组织工作效能的提高建立基础。采取文献研究法，对酒店员工的QWL概念内涵、结构维度和特殊群体的QWL等方面的研究作相关的文献分析。提出现代酒店员工QWL的内容结构和维度包括劳动报酬与劳动强度、组织制度、工作与休闲生活环境、工作氛围与人际关系、参与与决策、自我发展与成长、社会责任感等7个方面。酒店需要通过工作模式的改善和员工关爱计划的实施等策略，整体提升酒店员工的QWL，进而提升组织运作和管理效能。     

Keeping health promotion in the pink. Documentation can show how programs contribute to hospital goals

Health promotion encompasses a wide range of services, including health information, health education, wellness, and employee health programs--important efforts, but hardly life-or-death matters. So with increased pressure to put programs to an institutional "worth" test, few health promotion programs make the grade, not because they fail, but because their managers do not know how to document and demonstrate their contributions to hospital goals. The tools that can be used to track program impact range from simple hand-written record keeping on file cards to more complicated and computer-supported systems of data gathering and analysis. It is a mistake to assume that only computer-based systems can yield meaningful information. In the documentation process it may be necessary to start small, but it is necessary to start. Sound management decisions depend on practical evidence that a program is helping a hospital's operations. When one hospital implemented an employee assistance program, program managers set out to document how the program saved the hospital money, improved the work environment, and improved quality of care. At another hospital, the manager of the inpatient cardiac rehabilitation program enlisted the assistance of the medical records department to document to the hospital that patients not in the program had longer lengths of stay than program participants.     

Implementing long-term EAP follow-up with clients and family members to help prevent relapse—With implications for primary prevention

This paper reports on a study in progress which involves (a) regular post-treatment contact by employee assistance program (EAP) staff with employees who seek help through the EAP, and (b) contact with a family member or other support person designated by the employee. The contacts are designed to provide support for maintenance of therapeutic gains, assistance in adjusting to current life situations, and early identification and prevention of relapse. The study will evaluate the process of initiating these contacts and will examine their effectiveness at reducing relapse. Factors associated with implementing these services in an EAP context are discussed.     

Physical fitness programming for health promotion at the worksite

Exercise enthusiasts and health professionals have recommended that physical fitness programs be implemented in the occupational setting. Such programs are promoted on the basis of expected benefits to both the employee and employer. The potential for benefit to the employee seems substantial, since a sizable body of knowledge links regular exercise to improved functional capacity and reduced risk for development of certain chronic diseases. The available literature provides some direct evidence that exercise programs can improve the health status of employee groups. Specifically, programs may generate improvements in cardiorespiratory fitness and cardiovascular health and promote long-term adherence to exercise. The physiological goals can be attained with programs that provide 20–30 min of moderately intense “aerobic” activity 3 or more days per week. Several factors are known to affect adherence of employees to company-sponsored fitness programs. Of particular importance are program leadership, motivational schema, program activities, convenience of participation, and social support. It is recommended that, where feasible, supervisors of employee fitness programs (a) secure professional leadership, (b) provide on-site or other facilities that maximize convenience, (c) allow participation across the widest possible time span, (d) provide programs offering a wide range of activities, (e) attend carefully to evaluation, recognition, and other motivational concerns, and (f) incorporate a comprehensive health promotion perspective.     

住院康复期精神分裂症患者心理健康状况与社会支持的调查

目的:探讨住院康复期精神分裂症患者心理健康状况与社会支持的相关性。方法:采用症状自评量表和社会支持量表对住院康复期137例精神分裂症患者进行问卷调查。结果:患者的心理健康状况较常模差;患者的社会支持度较常模低(P<0.01)。结论:社会支持与住院康复期精神分裂症患者的心理健康密切相关,护士在患者住院治疗的同时,应充分评估和利用患者的社会支持,促进身心康复。     

Worksite Health Promotion

Although the significant majority of employers offer health promotion programs, for most companies the size and impact of existing programs is minor. Recent research has yielded substantial data in support of worksite health promotion activities, from both medical and economic perspectives. Yet despite this compelling information, corporations have been slow to incorporate more substantial health promotion activities.Employers must come to see that an investment in employee health promotion programs is an investment in their workforce, likely their greatest asset. The impact of health promotion programs needs to be viewed not simply in the context of a business operations cost. In the face of rapidly escalating healthcare costs, successful health promotion programs have the potential to reduce those expenditures as well as enhance employee performance, resulting in improved business productivity.To be effective, worksite health promotion programs must be implemented in a systematic manner. To gain senior management support, education regarding the principles of health and productivity is critical. Program selection and implementation must be carefully planned, reflecting the health promotion interests, needs, culture and resources of the organization. Objective, easily measurable parameters of program quality and outcome must be identified prior to program implementation, in order to assess program effectiveness, from both employee health and business productivity perspectives. Collaborative data review through regular reporting can identify program strengths and weaknesses, leading to corrective modifications.     

The relationship between health status, social support and satisfaction with medical care among patients with systemic lupus erythematosus.

OBJECTIVE: To examine the effect of physical and mental health status and social support on patient satisfaction with health care in patients with systemic lupus erythematosus (SLE). STUDY DESIGN: Using a cross-sectional design, 220 SLE patients were recruited from rheumatology departments in two hospitals in the Montreal (Canada) area. Data comprised physician-rated indices of health status and patient-completed questionnaires. MEASURES: Independent variables included demographics, disease duration, physician-rated indices of disease activity (SLAM-R) and disease damage (SLICC/ACR), patient self-reported health status (SF-36), and perceived social support (ISEL). Patient satisfaction with medical care (PSQ-IV) was the dependent variable. ANALYSES: Univariate analyses were performed to describe the sample and examine univariate associations between the independent variables and patient satisfaction with medical care. A hierarchical multiple linear regression analysis was computed to determine the relative importance of physician-rated indices of health status, self-reported physical and mental health status and social support on patient satisfaction after controlling for demographic variables. RESULTS: A multivariate hierarchical regression computed to predict patient satisfaction included the following variables in the equation: age, education, income (step 1), disease duration, SLAM-R, SLICC/ACR (step 2), mental and physical health status (step 3), and perceived social support (step 4). Less education (P< 0.01), better self-reported mental (P< 0.05) and physical health status (P< 0.005) and higher perceived social support (P< 0.005) were significant predictors of patient satisfaction (R2 = 0.15, P< 0.0001). CONCLUSION: The findings suggest that self-reported physical and mental health status and social support are more important than clinical status variables in understanding patient satisfaction with medical care.     

On campus physical activity programming for post-secondary student mental health: Examining effectiveness and acceptability

AimProviding effective support for students with mental health concerns is a priority on post-secondary campuses. Recreational programming including physical activity is an evidence-informed approach that can be used to support mental health and well-being. Yet, limited research has examined effective and acceptable strategies for using campus-based physical activity programs to support the mental health of post-secondary students. Using a mixed-methods approach, the current study addressed the acceptability and effectiveness of a physical activity program for student mental health.MethodsIn collaboration with on-campus mental health services, a 6-week one-on-one and individualized physical activity program tailored towards students seeking mental health support was implemented. A pretest-posttest design was used to test the effectiveness of the program and participants (N = 68; M_age = 22.96 years, SD = 3.42; 82% female) completed self-report questionnaires to assess changes in symptoms of psychological distress, depression, and anxiety. Semi-structured interviews (N = 11) with program participants were conducted to explore the acceptability of the program and were analyzed using thematic analysis.ResultsPaired samples t-tests demonstrated a significant reduction in anxiety symptoms, depression symptoms, and psychological distress pre-post program (ps < .05). The generated themes suggested that the program is an acceptable and effective holistic approach for improving mental health among students.ConclusionsThe results provide implications for implementing on-campus physical activity programs as a mental health and well-being intervention. Implications for further understanding principle program design and delivery strategies are discussed.     

Patients Utilizing a Free Clinic: Physical and Mental Health, Health Literacy, and Social Support

This cross sectional study assessed the physical and mental health, health literacy and social support of the uninsured utilizing a free clinic to develop intervention programs and research projects to improve the health of free clinic patients. Free clinics are nonprofit organizations that provide underserved and uninsured individuals access to a broad array of free or low cost healthcare services. English or Spanish speaking patients (N = 187) aged 18 years or older completed a self-administered survey. Physical, mental and oral health, health literacy, and social support were measured using standardized instruments. Eighty-two participants (45 US born and 37 non-US born) chose the English version of the survey (English speakers) while 105 participants (2 US born and 103 non-US born) chose the Spanish version (Spanish speakers). Overall, both the physical and mental health functioning of the participants was lower than that of the US general population. The participants reported being moderately depressed. US-born English speakers reported the poorest physical and mental health while Spanish speakers reported the best physical health and the lowest level of depression. A higher level of health literacy was associated with better physical health functioning, whereas reporting higher social support was associated with better mental health functioning and less severe depression. Because most free clinics have limited resources, developing services and programs that fit free clinics’ circumstances are needed. Our study finding indicates that health literacy education, mental health services, and social support are key services needed by free clinic patients to achieve better health.