Majani Giuseppina, Di Tano Giuseppe, Giardini Anna, De Maria Renata, Russo Giulia, Maestri Roberto, Marini Marco, Milli Massimo, Aspromonte Nadia
aPsychology Unit, Salvatore Maugeri Foundation IRCSS, Scientific Institute of Montescano (PV) bCardiology Department, Istituti Ospitalieri, ASST Cremona cCNR Clinical Phsyiology Institute, CardioThoracic and Vascular Department, ASST Great Metropolitan Hospital Niguarda, Milan dCardiovascular Center, AAS 1 Triestina, Trieste eDepartment of Biomedical Engineering, Salvatore Maugeri Foundation IRCSS, Scientific Institute of Montescano (PV) fCardiovascular Sciences Department, Cardiology-ICU Umberto I°, Lancisi-Salesi Hospital, Ancona gCardiology Department, Santa Maria Nuova Hospital, Florence hCardiology, - San Filippo Neri Hospital ASL RM1, Rome, Italy.
J Cardiovasc Med (Hagerstown). 2016 Aug;17(8):587-94. doi: 10.2459/JCM.0000000000000370.
Cardiologists' work distress has been seldom studied. The ItAliaN cardiologists' Undetected distress Study survey was designed to assess prevalence of work distress and satisfaction, and to gain insight into associations among these constructs and socio-demographics and job description.
We invited members of our national cardiological society (Associazione Nazionale Medici Cardiologi Ospedalieri) to participate in an anonymous, self-report, exclusively web-based survey, posted on the Associazione Nazionale Medici Cardiologi Ospedalieri website. ItAliaN cardiologists' Undetected distress Study included socio-demographics, job description and a 15-item questionnaire on job-related distress and work satisfaction.
Of 7393 invited cardiologists, 1064 completed the survey. Organizational problems and worries about medico-legal controversies were reported by 71% and 49% of participants, respectively; over one-third reported loss of enthusiasm, helplessness, work-life imbalance and lack of control over work. Conversely, 86% felt competent at work, 67% rewarded by the moral/human meaning of their work and 52% satisfied with their professional fulfilment. Factor analysis revealed a meaningful underlying structure including four factors: job strain, positive meaning, emotional fatigue and relational difficulties. Relational difficulties were more frequent in cardiologists working in primary-level than in secondary and tertiary care hospitals (P = 0.017 and P = 0.013, respectively). Interventional cardiologists reported higher positive meaning than those in the clinical inpatients area and outpatient diagnostic settings (P = 0.007 and P = 0.025, respectively) and lower emotional fatigue than subjects in the clinical inpatients area (P = 0.0005).
Cardiologists' work distress should be interpreted integrating job-related negative aspects with a reappraisal of protective personal and relational resources, which should be fostered to promote physicians' wellbeing at the individual, collective and organizational levels.
心脏病专家的工作压力很少受到研究。意大利心脏病专家未被发现的压力研究调查旨在评估工作压力和满意度的患病率，并深入了解这些构念与社会人口统计学和工作描述之间的关联。
我们邀请了我们国家心脏病学会（意大利国家医院心脏病专家协会）的成员参与一项匿名的、自我报告的、完全基于网络的调查，该调查发布在意大利国家医院心脏病专家协会的网站上。意大利心脏病专家未被发现的压力研究包括社会人口统计学、工作描述以及一份关于工作相关压力和工作满意度的15项问卷。
在7393名受邀的心脏病专家中，1064人完成了调查。分别有71%和49%的参与者报告了组织问题和对医疗法律争议的担忧；超过三分之一的人报告了热情丧失、无助感、工作与生活失衡以及对工作缺乏掌控感。相反，86%的人认为自己在工作中胜任，67%的人因其工作的道德/人文意义而感到有成就感，52%的人对自己的职业成就感到满意。因子分析揭示了一个有意义的潜在结构，包括四个因素：工作压力、积极意义、情绪疲劳和人际关系困难。在基层工作的心脏病专家比在二级和三级护理医院工作的心脏病专家更容易出现人际关系困难（分别为P = 0.017和P = 0.013）。介入心脏病专家报告的积极意义高于临床住院区和门诊诊断科室的专家（分别为P = 0.007和P = 0.025），且情绪疲劳低于临床住院区的专家（P = 0.0005）。
心脏病专家的工作压力应结合与工作相关的负面因素以及对个人和人际关系保护资源的重新评估来进行解读，应促进这些资源以在个人、集体和组织层面促进医生的福祉。
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