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马来西亚住院医师的情绪倦怠、工作压力的感知来源、职业成就感及工作投入度

Emotional burnout, perceived sources of job stress, professional fulfillment, and engagement among medical residents in Malaysia.

作者信息

Al-Dubai Sami Abdo Radman, Ganasegeran Kurubaran, Perianayagam Wilson, Rampal Krishna Gopal

机构信息

Department of Community Medicine, International Medical University (IMU), No. 126, Jalan Jalil Perkasa 19, Bukit Jalil, 57000 Kuala Lumpur, Malaysia.

International Medical School, Management and Science University (MSU), University Drive, Off Persiaran Olahraga, Section 13, Shah Alam, 40100 Selangor, Malaysia.

出版信息

ScientificWorldJournal. 2013 Nov 7;2013:137620. doi: 10.1155/2013/137620. eCollection 2013.

Abstract

This study was the first to explore factors associated with emotional burnout (EB) among medical residents in Malaysia. A cross-sectional study was conducted in a universal sample of 205 medical residents in a Malaysian general hospital. The self-administered questionnaire used consisted of questions on sociodemographics and work characteristics, sources of job stress, professional fulfillment, engagement, and EB. EB was measured using the emotional exhaustion subscale, the Maslach Burnout Inventory (MBI). Mean (±SD) age of the respondents was 26.5 (±1.6). The most common source of job stress was "fear of making mistakes." Most of the participants were dissatisfied with the increase of residentship period from one year to two years. A high level of EB was reported by 36.6% of the respondents. In multivariate analysis, the most important correlates of EB were sources of job stress, professional fulfillment, and engagement. A high prevalence of EB was found among medical residents. Sociodemographic characteristics, performance pressure, and satisfaction with policies were significantly associated with EB. Although this study was limited by its cross-sectional design, its findings posit a sufficient foundation to relevant authorities to construct, amend, and amalgamate existing and future policies. Nothing will sustain you more potently than the power to recognize in your humdrum routine, as perhaps it may be thought, the true poetry of life-the poetry of the common place, of the common man, of the plain, toil-worn woman, with their loves and their joys, their sorrows and their grief.SirWilliam Osler, Aphorisms from the Student Life (Aequanimitas, 1952).

摘要

本研究首次探讨了马来西亚住院医师情绪倦怠(EB)的相关因素。对一家马来西亚综合医院的205名住院医师进行了一项横断面研究,样本具有普遍性。所使用的自填式问卷包括社会人口统计学和工作特征、工作压力来源、职业成就感、工作投入度以及情绪倦怠等方面的问题。情绪倦怠采用马氏倦怠量表(MBI)中的情绪耗竭分量表进行测量。受访者的平均(±标准差)年龄为26.5(±1.6)岁。最常见的工作压力来源是“害怕犯错”。大多数参与者对住院医师培训期从一年延长到两年不满。36.6%的受访者报告有高水平的情绪倦怠。多变量分析显示,情绪倦怠最重要的相关因素是工作压力来源、职业成就感和工作投入度。住院医师中情绪倦怠的患病率较高。社会人口统计学特征、绩效压力以及对政策的满意度与情绪倦怠显著相关。尽管本研究受横断面设计的限制,但其研究结果为相关部门制定、修订和整合现有及未来政策奠定了充分基础。没有什么比在平凡日常中领悟生活真谛的能力更能有力地支撑你了,或许有人会认为,这真谛就是平凡生活中的诗意——普通人、平凡劳作的女性的诗意,以及她们的爱与喜悦、悲伤与痛苦。威廉·奥斯勒爵士,《学生生活格言》(《沉着冷静》,1952年)

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