Wright James Gardner, Khetani Nicole, Stephens Derek
Perioperative Services;
Paediatr Child Health. 2011 Aug;16(7):409-13. doi: 10.1093/pch/16.7.409.
Burnout experienced by physicians is concerning because it may affect quality of care.
To determine the frequency of burnout among physicians at an academic health science centre and to test the hypothesis that work hours are related to burnout.
All 300 staff physicians, contacted through their personal e-mail, were provided an encrypted link to an anonymous questionnaire. The primary outcome measure, the Copenhagen Burnout Inventory, has three subscales: personal, work related and patient related.
The response rate for the questionnaire was 70%. Quantitative demands, insecurity at work and job satisfaction affected all three components of burnout. Of 210 staff physicians, 22% (n=46) had scores indicating personal burnout, 14% (n=30) had scores indicating work-related burnout and 8% (n=16) had scores indicating patient-related burnout. The correlation between total hours worked and total burnout was only 0.10 (P=0.14)
Up to 22% of academic paediatric physicians had scores consistent with mild to severe burnout. A simple reduction in work hours is unlikely to be successful in reducing burnout and, therefore, quantitative demands, job satisfaction and work insecurity may require attention to address burnout among academic physicians.
医生的职业倦怠令人担忧,因为它可能会影响医疗质量。
确定一所学术健康科学中心医生职业倦怠的发生率,并检验工作时长与职业倦怠相关的假设。
通过个人电子邮件联系了所有300名在职医生,为他们提供了一个指向匿名问卷的加密链接。主要结局指标哥本哈根职业倦怠量表有三个分量表:个人、工作相关和患者相关。
问卷回复率为70%。工作量、工作不安全感和工作满意度影响职业倦怠的所有三个组成部分。在210名在职医生中,22%(n = 46)的得分表明存在个人倦怠,14%(n = 30)的得分表明存在工作相关倦怠,8%(n = 16)的得分表明存在患者相关倦怠。总工作时长与总倦怠之间的相关性仅为0.10(P = 0.14)。
高达22%的学术儿科医生的得分与轻度至重度职业倦怠相符。单纯减少工作时长不太可能成功减轻职业倦怠,因此,工作量、工作满意度和工作不安全感可能需要引起关注,以解决学术医生的职业倦怠问题。