Ukushiswa kwabasebenzi ngokuvamile kuchazwa ngokuthi ukulahlekelwa ngentshiseko emsebenzini, imizwa yokukhathazeka, nomqondo ophansi wokufeza okuthile. Ukushisa ngokuvamile kuqhubeka ngezigaba. Ngokuvamile, ukukhathala ngokomzwelo nokucindezela ngokomzimba (noma ama-cynicisms) yizibonakaliso eziphathelene nokuqala kokushisa komsebenzi. Labo emisebenzini ethile yezokwelapha ikakhulukazi bangakwazi ukushisa ngenxa yegebe elikhulayo phakathi kwezidingo kanye nezinsiza ekunakekelweni kwezempilo.
Lokhu ukungalingani kuvame ukuhlangana nakweminye imisebenzi ehilela "abantu basebenza" futhi ngoba kunzima ukuthola lezi zinsizakalo ukukala. Lokhu kusho ukuthi isidingo sokunakekelwa kwezempilo siyaqhubeka nokwanda, enye yezindlela zokuphela kokubhekana nesidingo esikhulayo amahora omsebenzi omude.
Ukuqothulwa Kwengxabano Phakathi Kwezidakamizwa zaseMelika
I-Medscape Physician Lifestyle Survey 2017, eyayihlanganisa odokotela abangaphezu kuka-14 000 ezihlukahlukene, iqinisekisile ukuthi ukushisa kuyinkinga enkulu ohlelweni lwethu lwezempilo. Ngokusho kombiko wamuva kaMedscape, inani labangena e-United States elishisiwe lizungeze amaphesenti angu-50. Lokhu kusho ukuthi oyedwa odokotela ababili unobungane obuhle nomsebenzi wabo. Isimo sikhona kuwo wonke amakhono nezifunda zezwe. Odokotela bezokwelapha eziphuthumayo bafaka ishadi elinamaphesenti angu-59 abahlanganyeli ababika ukushisa, balandelwa izidakamizwa / izifo zokwelapha (amaphesenti angu-56).
Odokotela bomndeni, abaqeqeshi bezempilo, nezifo ezithathelwanayo odokotela bafika ngokwesithathu kumaphesenti angu-55. Uma kuqhathaniswa, inhlolovo ye-Medscape kusukela ngo-2013 ikhombise izinga lokuqothulwa jikelele lama-40%, okukhombisa ukuthi kukhona okuphathelene nokunyuka okuphezulu. Okunye ukuhlolwa okushicilelwe kuye kwafinyelela esiphethweni esifanayo mayelana nokukhula okusheshayo kokushisa odokotela base-United States.
Ubuchwepheshe bezeMpilo nokushisa: Ukuthuthukisa ukuHlonipha komsebenzisi
Lapho odokotela befakwe eMedscape Lifestyle Survey babuzwa ngezimbangela eziyinhloko zokushisa kwabo, eziningi zashiwo imisebenzi yezinsizakalo kanye nokwandisa ikhomishini yomsebenzi wabo (isib. EHRs). Lezi zici ezimbili zaziphakathi kwezigwegwe ezine eziphezulu. Olunye ucwaningo, olwanyatheliswa ngonyaka odlule eMayo Clinic Proceedings, lwembula ukuthi odokotela abasebenzisa amarekhodi ezempilo e-electronic (EHRs) kanye nokufakwa kwe- computer ye-oda (i-CPOE) babika ukwaneliseka okuphansi nesilinganiso sesikhathi esichithwa emisebenzini yezincwadi. Ngaphezu kwalokho, izinga lokushisa kochwepheshe kanye nengozi yokushisa kwakuphakeme phakathi kwalabachwepheshe.
Lokhu kutholakala kubonisa ukuthi ubuchwepheshe bungaba yimbangela yokucindezeleka okuyinhloko odokotela abaningi abanokucindezeleka emsebenzini. Noma kunjalo, kungaphakamisa nokuthi uma iphathwe ngendlela efanele, ubuchwepheshe bukwazi ukusiza isimo siseduze.
Enye indlela yokuthuthukisa ukwaneliseka komtholampilo ukwenza i-EHR ingcono kakhulu yomsebenzisi . Ucwaningo lwe-EHR lokunethezeka ngonyaka ngonyaka ka-2016 lubonise ukuthi amanye ama-EHR ayamukelwa kangcono kunabanye. Amaphuzu aphezulu kunhlolovo anikezwe i-Epic, elandelwa nguMeditech no-Siemens. Abasebenzisi babike izikhalo eziningana mayelana nezinhlelo ezisetshenziswa manje, kufaka phakathi "ukuchofoza okuningi," izixwayiso ezicasulayo nokusebenzisana okungalungile.
Ukucabangela konke lokhu, akumangalisi ukuthi abaholi abaningi bezempilo bahlela ukubuyisela kabusha ukusetshenziswa kwabo kwezobuchwepheshe bezempilo ukuze bathuthukise ukwaneliseka kwabasebenzi kanye nokwandisa izinzuzo ze-EHRs . Ucwaningo olwenziwa ngu-Nuance Communications, Inc. lwathola ukuthi amasu athile ahlelwe ukuthuthukisa ukwaneliseka komtholampilo wawuhlanganisa imfundo nokuqeqesha, ukuthuthukisa ubuchwepheshe obukhona namathuluzi, nezinhlelo zokwandisa ukwemukelwa kobuchwepheshe obusha. Labo abathintekayo bathi bahlela ukutshala izimali zamathuluzi okuhamba (amaphesenti angu-44), amadokhumenti odokotela asekelwa ikhompyutha (amaphesenti angu-38), namathuluzi okuqaphela amagama (amaphesenti angu-25).
Ukubukeka Okungokoqobo Kwezokucindezeleka Ukuphathwa Kwezempilo
Iqiniso langempela (VR) lisetshenziselwe ukwelapha isifo sokucindezeleka ngemuva kokucindezeleka (PTSD) kokubili emasosha nasemiphakathini yabantu. Ngaphambi kokuba kuthunyelwe, amasosha manje ajwayele ukuqeqeshwa kokunakekelwa kwe-inoculation, okubonakala ephumelelayo. Kuye kwaphakanyiswa ukuthi izinhlelo ezifanayo zokuvimbela nazo zingahle zilungiswe ukuze zibheke ukushisa odokotela. Ososayensi bebelokhu besebenza emithethweni yezeteknoloji ezithuthukisiwe zokuvimbela ukucindezeleka nokuphathwa okuhlobene nokunakekelwa kwezokwelapha.
Enye ye-protocol enjalo ihlolwe eqenjini labahlengikazi e-Italy. Le ndlela ihlanganiswe nezimo ezibonakalayo ezenzekayo, ukuqapha kwangempela-nesikhathi nokusekela, nobuchwepheshe obuphambili (isib. VR, izinzwa ezithintekayo, nobuchwepheshe be-smartphone). I-VR esetshenziswe kulolu cwaningo yayibandakanya indima-ukudlala isimo esingabacindezelayo, kanye nokusebenzisa izimo zemvelo zemvelo ukuze ufunde amasu okuphumula. Abahlengikazi nabo babhekene nezimo zangempela futhi baphinde bahlolwe kuzo zombili zomhlaba besebenzisa ama-biosensors nokuhlaziywa kokuziphatha. Le ndlela ibizwa ngokuthi yi-interreality (IR) futhi ibonise ukuthi iphumelela kakhulu kunokuqeqeshwa okujwayelekile kokuphathwa kokucindezeleka, njengokwelashwa kokuziphatha kwengqondo (CBT). Ababhali bokuhlolwa, abaholwa nguProfesa uProfesa Andrea Gaggioli wase-Istituto Auxologico Italiano eMilan, e-Italy, baphakamise ukuthi ukungalingani kungaba yindlela ephumelelayo yokuvimbela nokucindezeleka.
Amakhono Ayisishiyagalombili Angakhuthaza Ukuvuselelwa Kwengqondo Yakho
Ochwepheshe bakhombisa ukuthi ukushisa kubangelwa izici zomuntu siqu kanye nezici zenhlangano. Uma izici ezithile zobuntu zihlanganiswa nezici zabantu eziyingozi, umuntu angakwazi ukubhekana nokucindezeleka okuhlobene nomsebenzi ekugcineni okuholela ekuqotheni. Isibonelo, ukubuyekezwa nguBrenda Wiederhold, Ph.D., kanye nabalingani bakhe abavela kwi-Virtual Reality Medical Institute eBrussels, eBelgium, babonisa ukuthi ukuvuthwa okukhulu, ukuvumelana okuphansi, ukuzwakalisa, imizwa emibi, nokuzicabangela okungalungile kungabangela ukushisa . Ngakolunye uhlangothi, ezinye izici zenhlangano nezimo zomsebenzi nazo zingaba nomthelela omubi (isib. Ukucindezelwa kwesikhathi, ukulawulwa okunganele, ukuziphatha okungekho emthethweni kokuxhumana, ukwenza izinqumo eziphansi emsebenzini, kanye nemivuzo enganele). Ngakho-ke, ukungenelela kudinga ukuhloswe ukunciphisa ingozi kokubili ezingeni lezikole kanye nezinga ngalinye.
Amasu okuvuselela abuye abe ukugxila kocwaningo lokushisa nokungenelela. Ngokuphazima kweso, ukukhuthazela kubhekisela endleleni esabela ngayo nokubhekana nezikhathi ezinzima. Ithinta injabulo yethu, futhi ngenhlanhla, ingahle ifakwe futhi ithuthukiswe. Kuye kwabonakala amakhono ayisikhombisa angase athuthukise ukuqina kwethu:
- Ukuqaphela umthelela wemicabango nezinkolelo zethu
- Ukuqaphela indlela esivame ukuzenza ngayo amaphutha lapho sicabanga ngezinto-ngokwesibonelo, uma sifinyelela eziphethweni
- Ukuqaphela amaphethini nezinkolelo zethu zokucabanga ezithinta imizwelo yethu kanye nokuziphatha kwethu
- Ukufunda ukuthi ungaphindela kanjani futhi uhlale uzinzile ezimweni ezinzima
- Ukufunda ukuxazulula izinkinga ezixazulula izinkinga ezibandakanya inselele ezinye zezinkolelo zethu
- Ukufunda indlela yokubheka izinto ngendlela efanele ukuze sikwazi ukuvimbela imicabango engalungile ephansi futhi siyifake esikhundleni sezinto ezingokoqobo
- Ukusebenzisa ukuqina kwesikhathi sesikhathi-lokhu kwenzeka okwamanje futhi kuhlanganisa wonke amakhono angaphambilini okukhulunywe ngawo
Izinhlelo namathuluzi okukusiza ukuba wakhe ukuthula futhi ugweme ukushisa
I-Human Performance Resource Center (i-HPRC), eyasungulwa uMnyango Wezokuvikela ngo-2009, inikeza izinsiza ezisekelwe ebufakazini zokwakha ukuqina kwengqondo. Lokhu kufaka phakathi izinhlelo zokusebenza, amathuluzi namavidiyo. I-T2 Mood Tracker yisibonelo sesicelo esasungulwa ekuqaleni kwamalungu enkonzo kepha manje sisetshenziswa kabanzi ngabantu. Uhlelo lokusebenza lusekela ukuziqapha kwemizwa futhi lirekhoda umsebenzisi womsebenzi wokucindezeleka, ukucindezeleka nokukhathazeka. Kanye nokuqapha nokulinganisa, uhlelo lokusebenza lungasiza futhi ukwakha amandla engqondo.
Enye uhlelo lokusebenza lweselula olukhuthazwa yi-HPRC yi-BioZen, uhlelo lokusebenza lwe-biofeedback. Lolu hlelo lokusebenza lungabhanjiswa nama-biosensors angaphandle ahambisanayo. Abasebenzisi bangalandela idatha ebukhoma ngemisebenzi yabo ye-biophysiological, kuhlanganise nobuchopho, imisipha, nomsebenzi wenhliziyo. Bangakwazi futhi ukuqonda ukuxhumana phakathi kwemicabango yabo nomzimba nomqondo wabo. I-BioZen ihambisana nesici sokuzindla futhi ingabonisa ama-wave wave band bands (Alpha, Beta, Theta, Gamma). Abasebenzisi bangabona indlela ekhululekile futhi enoxolo ngayo ngokuphatha isithombe kwi-smartphone yabo ngomsebenzi wabo wengqondo nenani lenhliziyo. Uhlelo lokusebenza lunikeza impendulo mayelana namazinga abo okucindezeleka ngokushintsha isithombe esikrinini-ngokwesibonelo, lapho izinga lakho lenhliziyo liyehla, kuvela amazwe amaningi angokuthula.
I-Platform Yokubonga Yokubonga I-Healthcare Professional Yakho
Ucwaningo lubonisa ukuthi indlela enhle yokuthuthukisa ukuqina kwakho nokunciphisa ukucindezeleka ukuhambisa njalo futhi ukwamukela ngokukhululekile ukubonga. Isibonelo, abantu abazinike isikhathi sokuvuma into abayibonga nsuku zonke baye bathola ukuthi banelisekile kakhulu ngokuphila kwabo uma kuqhathaniswa nalabo abangazange bakwenze.
Ucwaningo lubonisa ukuthi ekunakekelweni kwezempilo, kukhona ubudlelwane obubalulekile phakathi kokugculiswa kweziguli nokunakekelwa kanye nokuqeqeshwa kwezazi zezempilo ngekhwalithi yokuphila komsebenzi. Ubuhlobo obuhle neziguli, ngakho-ke, kungaba usizo olubalulekile olungasiza ekunciphiseni ukushisa. Ucwaningo oluvela eMnyangweni Wezokwelapha eNyuvesi yaseTurin, e-Italy, lwaqinisekisa ukuthi lapho iziguli ziveza ukubonga nokwesekwa, lokhu kunganciphisa ukushisa phakathi kwabahlengikazi.
DohJe iyinhlangano yesikhulumi esisha esisha esithinta isayensi yokubonga ngempilo yansuku zonke. Kwenza kube lula kubantu ukuthi babonise imizwa yabo yokubonga kulabo abanikeze ukunakekelwa kwezempilo, futhi okungenzeka bakhuthaze ukuziphatha kwabasebenzi abahlinzeka ngempilo abahlinzeka ngensizakalo. Kungase kungabi njalo ukuveza imizwelo yethu emihle kumuntu kanye / noma kumuntu ofanele, ngakho-ke uDohJe angenza lula lokhu kudijithali. I-DohJe-okusho ukuthi "ngiyabonga" ngesiCanton-yaqaliswa ngo-2013, ngoSuku lweNational Nurses. Ikhululekile ukuyisebenzisa futhi ingasetshenziswa iziguli kanye nabasebenzisana nabo abafisa ukubonisa ukwazisa komunye nomunye.
Ukuze uthumele iDohJe, konke okudingeka ukwenze ukukhetha indawo lapho uphathwa khona. Uhlu lwabasebenzi bezempilo abanezithombe zabo lusiza ukuthi uthole okufisa ukubonga. Wena (noma umuntu ohlinzekelwe) ungathumela umyalezo obhaliwe ngaphambilini noma udale owakho. Ngokusho komsunguli u-Amanda Krantz, "ngaphandle kokuthuthukiswa kwenhlalakahle, ukwanda kokubonga kungabangela ukugcina izindleko zangempela ezibhedlela. Ngonyaka owodwa, abasebenzi abangu-600 eDelta County Memorial Hospital bathola amanothi angu-1 700 okubonga ngeDohJe, okwandisa ukubonga kwabo okwabelwana ngokuyinkulungwane. Ngonyaka ofanayo, abasebenzi basebenzisa amahora angu-761 amahora ambalwa ekhefu lokugula kusukela ngonyaka owedlule. "
> Imithombo:
> Converso D, Loera B, Viotti S, Martini M. Ingabe ubudlelwane obuhle neziguli badlala indima yokuzivikela kwabasebenzi bezempilo? Imiphumela yokubonga nokusekelwa kwabahlengikazi ekuqothuleni kwabahlengikazi. Front Psychol. 2015; 6: 470.
> Gaggioli A, Pallavicini F, Riva G, et al. Izimo ezibukwayo ezibukwayo nge-Real-Time Monitoring (Interreality) Yokuphathwa Kokucindezeleka Kokwengqondo: Isivivinyo Esilawulwe Ngokungahleliwe Esivinjiwe. I-J Med Inthanethi ye-Intanethi. 2014; 16 (7): 54-72.
> Jackson R, Watkin C. Isamba sokuqina: Amakhono ayisikhombisa abalulekile ekunqobeni izithiyo zokuphila nokunquma injabulo . Ukukhetha nokuthuthukiswa kokuthuthukiswa. 2004; 20 (6): 13-17.
> Shanafelt T, Dyrbye L, West C, et al. Ubudlelwano Phakathi Kwezincwadi Zobuningi Nezici Zendawo Ye-Electronic Ne-Physician Ukushisa Nokuneliseka Komsebenzi. I-Mayo Clin Proc. 2016; 91: 836-848.
> Wiederhold B, Riva G, Gaggioli A, Wiedrehold M. Physician Ukushisa: Ukuthuthukisa Ukusebenza Kwezokwelapha ngeqiniso eliyiqiniso. I-Stud Health Technol Yazisa. 2016; 220: 454-458.