Benson Marc A, Peterson Teri, Salazar Lisa, Morris Wesley, Hall Rebecca, Howlett Bernadette, Phelps Paula
J Physician Assist Educ. 2016 Jun;27(2):81-3. doi: 10.1097/JPA.0000000000000069.
To assess the prevalence and causes of burnout in rural physician assistants. (PA in this article refers to personal accomplishment. To avoid confusion, we will spell out physician assistant throughout the article, instead of using PA to refer to both physician assistant and personal accomplishment.)
Physician assistants who practice in rural communities were asked to complete the Maslach Burnout Inventory. A preliminary assessment of burnout was determined using the 3 Maslach Burnout Inventory subscale scores: emotional exhaustion, depersonalization, and personal accomplishment, as well as causes of burnout assessed for a correlation to personal and professional factors.
Burnout within the rural physician assistant population responding to this survey (response rate = 11.3%) was measured to have high to moderate emotional exhaustion and depersonalization subscores (64% each) and a low to moderate personal accomplishment subscore (46%).
The rural physician assistant population who responded to this survey exhibited burnout correlating to feelings of professional isolation and various workplace conditions such as the adequacy of administrative support and control over workload. To begin addressing burnout within this community, we suggest adjusting rural physician assistant workload and support, enhancing professional communications, and addressing burnout prevention techniques within physician assistant training programs.
评估农村医师助理职业倦怠的患病率及原因。(本文中的PA指个人成就感。为避免混淆,在整篇文章中我们将完整拼写“医师助理”,而不是用PA同时指代医师助理和个人成就感。)
要求在农村社区执业的医师助理完成马氏职业倦怠量表。使用马氏职业倦怠量表的3个分量表得分对职业倦怠进行初步评估:情感耗竭、去个性化和个人成就感,同时评估职业倦怠的原因与个人因素和职业因素的相关性。
参与本次调查的农村医师助理人群(回复率 = 11.3%)的职业倦怠表现为情感耗竭和去个性化分量表得分高至中度(均为64%),个人成就感分量表得分低至中度(46%)。
参与本次调查的农村医师助理人群表现出职业倦怠,这与职业孤立感以及各种工作场所条件相关,如行政支持的充足程度和对工作量的控制。为开始解决该群体中的职业倦怠问题,我们建议调整农村医师助理的工作量和支持,加强专业沟通,并在医师助理培训项目中引入职业倦怠预防技术。