Abstract

Background

Our nearly 500-member department implemented the shadowing program “Walk in My Shoes” to improve intradepartmental relationships and build a stronger sense of community. The program provides both clinical and non-clinical employees an opportunity to shadow colleagues in their various roles and learn more about one another’s contribution to the overarching mission of caring for children and their families. The goal of this study was to understand the impact of the shadowing program on employee perceptions of various roles.

Objective

To bridge the gap of understanding among colleagues in order to strengthen workplace interrelatedness, increase understanding of various roles, and decrease preconceived notions about roles, through shadowing.

Materials and methods

A preliminary survey distributed to our department in August 2018 assessed the level of interest in new wellness initiatives, including the shadowing program. The survey gauged which roles participants were interested in shadowing. The survey results revealed that 67 employees were interested in the shadowing program. We selected 39 participants and matched them to a coworker in their area of interest. The roles for shadowing included administrator, Child Life specialist, information technologist, medical assistant, nurse, radiologist, researcher and technologist. Participants were required to complete pre- and post-shadowing surveys to assess their experience. Individuals who hosted the shadow experience also completed a survey.

Results

A total of 39 clinical and non-clinical staff members participated in the program. We summarized the pre- and post-survey data using median and interquartile range (IQR) and compared the results using the Wilcoxon signed-rank test. The distribution of preconceived notions about each role was not significantly different between the pre- and post-surveys (P=0.094). However, participants’ value, understanding of the role they shadowed, and understanding of how the roles relate to each other were significantly greater (P<0.001). In addition, participants showed great interest in shadowing the specific role again (82%) and shadowing another role (92%). Furthermore, almost all hosts would repeat the experience (96%).

Conclusion

Our study showed that intradepartmental shadowing can improve clinical and non-clinical staff employees’ perceptions and understanding of each other’s roles in overall patient care, which in turn contributes to the broader initiative of workplace wellness. The enthusiasm and willingness of the hosts were essential for sustainability of the program and demonstrated that this type of program is feasible in a large, busy department.

中文翻译：

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“步履蹒跚”：在大型儿科放射科中，部门内角色的遮蔽可增加工作场所的合议率和健康水平。

摘要

背景

我们拥有近500名成员的部门实施了“走我的鞋子”影子计划，以改善与行业之间的关系，并增强社区意识。该计划为临床和非临床雇员提供了一个机会，让他们可以扮演各种角色的同事，并更多地了解彼此对照顾孩子及其家庭这一总体使命的贡献。这项研究的目的是了解影子计划对员工对各种角色的看法的影响。

目的

弥合同事之间的理解鸿沟，以加强工作场所的相互联系，增加对各种角色的理解，并减少对角色的先入之见。

材料和方法

2018年8月分发给我们部门的初步调查评估了对新健康计划（包括影子计划）的兴趣水平。该调查确定了参与者对遮盖感兴趣的角色。调查结果显示，有67名员工对影子计划感兴趣。我们选择了39名参与者，并将他们与他们感兴趣的领域的同事进行了匹配。遮蔽的角色包括管理员，儿童生活专家，信息技术员，医疗助理，护士，放射线学家，研究员和技术员。要求参与者完成阴影前和阴影后调查以评估其经验。主持影子体验的个人也完成了一项调查。

结果

共有39名临床和非临床工作人员参加了该计划。我们使用中位数和四分位间距（IQR）汇总了调查前和调查后的数据，并使用Wilcoxon符号秩检验比较了结果。关于每个角色的先入为主的观念的分布在调查前和调查后之间无显着差异（P = 0.094）。然而，参与者的价值，对他们所扮演的角色的理解以及对角色之间的相互关系的理解显着增强（P <0.001）。此外，参与者对再次遮盖特定角色（82％）和遮盖另一个角色（92％）表现出极大的兴趣。此外，几乎所有主持人都会重复体验（96％）。

结论

我们的研究表明，在行业内进行隔离可以改善临床和非临床工作人员对整体患者护理中彼此角色的认识和理解，从而有助于更广泛的工作场所健康倡议。主持人的热情和意愿对于该计划的可持续性至关重要，并证明了此类计划在一个繁忙的大型部门中是可行的。