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澳大利亚肿瘤学医疗专业人员是否正在倦怠?来自一线的观点。

Are Australian oncology health professionals burning out? A view from the trenches.

作者信息

Girgis Afaf, Hansen Vibeke, Goldstein David

机构信息

Centre for Health Research and Psycho-oncology, The Cancer Council NSW, University of Newcastle, Hunter Medical Research Institute, Locked Bag 10, Wallsend, NSW 2287, Australia.

出版信息

Eur J Cancer. 2009 Feb;45(3):393-9. doi: 10.1016/j.ejca.2008.09.029. Epub 2008 Nov 14.

Abstract

OBJECTIVE

To determine the prevalence and predictors of burnout and psychiatric morbidity in the Australian oncology workforce.

METHOD

A cross-sectional nationwide survey was conducted with 740 (56%) members of the Clinical Oncological Society of Australia.

RESULTS

High levels of [emotional] exhaustion were present in 32.8% of participants with direct patient contact (DPC), and 26.7% of those with no direct patient contact (NDPC). The main predictors of burnout were dissatisfaction with leave arrangements for the purpose of preventing or recovering from burnout, increased hours of patient contact, and perceived need for communication skill training.

CONCLUSIONS

Australian cancer care workers experience considerable occupational distress whilst possessing high levels of personal accomplishment. Regular screening for burnout is recommended with particular focus on those at-risk staff who have a substantial amount of patient contact, neglect to take adequate leave, or who have not attended communication skills training.

摘要

目的

确定澳大利亚肿瘤医护人员职业倦怠和精神疾病的患病率及预测因素。

方法

对740名(56%)澳大利亚临床肿瘤学会成员进行了一项全国性横断面调查。

结果

32.8%直接接触患者(DPC)的参与者以及26.7%未直接接触患者(NDPC)的参与者存在高度的[情感]耗竭。职业倦怠的主要预测因素包括对用于预防或从职业倦怠中恢复的休假安排不满意、与患者接触时间增加以及认为需要沟通技能培训。

结论

澳大利亚癌症护理人员在拥有高水平个人成就感的同时,也经历着相当程度的职业困扰。建议定期筛查职业倦怠,尤其关注那些有大量患者接触、未休足够假期或未参加沟通技能培训的高危工作人员。

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