Howlett M, Doody K, Murray J, LeBlanc-Duchin D, Fraser J, Atkinson P R
Department of Emergency Medicine, Saint John Regional Hospital, Saint John, Canada Department of Emergency Medicine, Dalhousie University, Saint John Campus, Canada Discipline of Emergency Medicine, Memorial University, Saint John, Canada.
Department of Psychology, Saint John Regional Hospital, Saint John, Canada.
Emerg Med J. 2015 Sep;32(9):722-7. doi: 10.1136/emermed-2014-203750. Epub 2015 Jan 20.
Ineffective coping may lead to impaired job performance and burnout, with adverse consequences to staff well-being and patient outcomes. We examined the relationship between coping styles and burnout in emergency physicians, nurses and support staff at seven small, medium and large emergency departments (ED) in a Canadian health region (population 500,000).
Linear regression with the Coping Inventory for Stressful Situations (CISS) and Maslach Burnout Inventory (MBI) was used to evaluate the effect of coping style on levels of burnout in a cross-sectional survey of 616 ED staff members. CISS measures coping style in three categories: task-oriented, emotion-oriented and avoidance-oriented coping; MBI, in use for 30 years, assesses the level of burnout in healthcare workers.
Task-oriented coping was associated with decreased risk of burnout, while emotion-oriented coping was associated with increased risk of burnout.
Specific coping styles are associated with varied risk of burnout in ED staff across several different types of hospitals in a regional network. Coping style intervention may reduce burnout, while leading to improvement in staff well-being and patient outcomes. Further studies should focus on building and sustaining task-oriented coping, along with alternatives to emotion-oriented coping.
应对无效可能导致工作表现受损和职业倦怠,对员工福祉和患者治疗结果产生不良影响。我们在加拿大一个卫生区域(人口50万)的7家小型、中型和大型急诊科,研究了急诊医生、护士和辅助人员的应对方式与职业倦怠之间的关系。
在一项对616名急诊科工作人员的横断面调查中,使用应激情境应对量表(CISS)和马氏职业倦怠量表(MBI)进行线性回归,以评估应对方式对职业倦怠水平的影响。CISS从任务导向型、情绪导向型和回避导向型应对三个类别来衡量应对方式;使用了30年的MBI则评估医护人员的职业倦怠水平。
任务导向型应对与职业倦怠风险降低相关,而情绪导向型应对与职业倦怠风险增加相关。
在一个区域网络的几家不同类型医院中,特定的应对方式与急诊科工作人员不同的职业倦怠风险相关。应对方式干预可能会减少职业倦怠,同时改善员工福祉和患者治疗结果。进一步的研究应侧重于建立和维持任务导向型应对方式,以及替代情绪导向型应对的方法。