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医生的工作生活与幸福感之间的关系。

Relation Between Physicians' Work Lives and Happiness.

作者信息

Eckleberry-Hunt Jodie, Kirkpatrick Heather, Taku Kanako, Hunt Ronald, Vasappa Rashmi

机构信息

From the St Joseph Mercy Family Medicine Residency Program, Brighton, Michigan, the Michigan State University College of Osteopathic Medicine, East Lansing, Oakland University, Rochester, the Michigan State University College of Human Medicine, East Lansing, and Beaumont Health, Troy, Michigan; and Genesys Regional Medical Center, 1 Genesys Pkwy, Grand Blanc, MI.

出版信息

South Med J. 2016 Apr;109(4):207-12. doi: 10.14423/SMJ.0000000000000437.

Abstract

OBJECTIVES

Although we know much about work-related physician burnout and the subsequent negative effects, we do not fully understand work-related physician wellness. Likewise, the relation of wellness and burnout to physician happiness is unclear. The purpose of this study was to examine how physician burnout and wellness contribute to happiness.

METHODS

We sampled 2000 full-time physician members of the American Academy of Family Physicians. Respondents completed a demographics questionnaire, questions about workload, the Physician Wellness Inventory, the Maslach Burnout Inventory, and the Subjective Happiness Scale. We performed a hierarchical regression analysis with the burnout and wellness subscales as predictor variables and physician happiness as the outcome variable.

RESULTS

Our response rate was 22%. Career purpose, personal accomplishment, and perception of workload manageability had significant positive correlations with physician happiness. Distress had a significant negative correlation with physician happiness.

CONCLUSIONS

A sense of career meaning and accomplishment, along with a lack of distress, are important factors in determining physician happiness. The number of hours a physician works is not related to happiness, but the perceived ability to manage workload was significantly related to happiness. Wellness-promotion efforts could focus on assisting physicians with skills to manage the workload by eliminating unnecessary tasks or sharing workload among team members, improving feelings of work accomplishment, improving career satisfaction and meaning, and managing distress related to patient care.

摘要

目的

尽管我们对与工作相关的医生职业倦怠及其后续负面影响了解颇多,但我们尚未完全理解与工作相关的医生职业健康状况。同样,职业健康状况和职业倦怠与医生幸福感之间的关系也不明确。本研究的目的是探讨医生职业倦怠和职业健康状况如何影响幸福感。

方法

我们对2000名美国家庭医生学会的全职医生会员进行了抽样调查。受访者完成了一份人口统计学调查问卷、关于工作量的问题、医生职业健康状况量表、马氏职业倦怠量表和主观幸福感量表。我们以职业倦怠和职业健康状况分量表作为预测变量,以医生幸福感作为结果变量进行了分层回归分析。

结果

我们的回复率为22%。职业目标、个人成就感以及对工作量可控性的认知与医生幸福感呈显著正相关。苦恼与医生幸福感呈显著负相关。

结论

职业意义感和成就感,以及不存在苦恼,是决定医生幸福感的重要因素。医生工作时长与幸福感无关,但对工作量的感知管理能力与幸福感显著相关。促进职业健康的努力可以集中在帮助医生掌握管理工作量的技能上,比如消除不必要的任务或在团队成员之间分担工作量、提升工作成就感、提高职业满意度和职业意义感,以及管理与患者护理相关的苦恼。

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