Mason Suzanne, O'Keeffe Colin, Carter Angela, Stride Chris
School of Health and Related Research (ScHARR), University of Sheffield, Sheffield, UK.
Institute of Work Psychology (IWP), Sheffield University Management School, University of Sheffield, Sheffield, UK.
Emerg Med J. 2016 Feb;33(2):91-8. doi: 10.1136/emermed-2014-204514. Epub 2015 Sep 3.
To measure levels of, and change in junior doctor well-being, confidence and self-reported competence over their second postgraduate training year and the impact of emergency department (ED) placements on these outcomes.
A longitudinal study using an online survey administered at four time points (2010-2011).
28 Acute Hospital Trusts, drawn from nine participating Postgraduate Deaneries in England.
Junior doctors who had a placement in an ED as part of their second postgraduate training year.
Levels of anxiety, depression, motivation, job satisfaction, confidence and self-reported competence, collected at four time points spread over the period of the doctor's second training year (F2).
217 junior doctors were recruited to the study. Over the year there was a significant increase in their overall job satisfaction, confidence and self-reported competence. Junior doctors also reported significantly increased levels of motivation and anxiety, and significantly decreased levels of extrinsic job satisfaction when working in ED compared with other specialties. There were also significant increases in both junior doctor confidence and self-reported competence after their placement in ED relative to other specialties.
While elements of junior doctor well-being worsened in their ED placement compared with their time spent in other specialties, the increased levels of anxiety and reduced extrinsic job satisfaction were within the normal range for other healthcare workers. These deficits were also balanced by greater improvements in motivation, confidence in managing common acute clinical conditions and perceived competence in performing acute procedures compared with benefits offered by placements in other specialties.
测量初级医生在其研究生培训的第二年中幸福感、自信心和自我报告的能力水平及变化情况，以及急诊科实习对这些结果的影响。
一项纵向研究，在四个时间点（2010 - 2011年）进行在线调查。
从英格兰九个参与的研究生培训院区抽取的28家急症医院信托机构。
在研究生培训第二年期间在急诊科实习的初级医生。
在医生第二年培训期间（F2）分布的四个时间点收集焦虑、抑郁、动力、工作满意度、自信心和自我报告的能力水平。
217名初级医生参与了该研究。在这一年中，他们的总体工作满意度、自信心和自我报告的能力显著提高。初级医生还报告说，与其他专科相比，在急诊科工作时动力和焦虑水平显著增加，外在工作满意度显著降低。与其他专科相比，初级医生在急诊科实习后自信心和自我报告的能力也有显著提高。
虽然与在其他专科的时间相比，初级医生在急诊科实习时幸福感的某些方面有所恶化，但焦虑水平的增加和外在工作满意度的降低处于其他医护人员的正常范围内。与在其他专科实习所带来的益处相比，这些不足也被动力、处理常见急性临床情况的信心以及执行急性手术的感知能力的更大提升所平衡。
