O'Connor Paul, Lydon Sinéad, O'Dea Angela, Hehir Layla, Offiah Gozie, Vellinga Akke, Byrne Dara
School of Medicine, National University of Ireland Galway, Galway, Ireland.
Department of Surgical Affairs, Royal College of Surgeons in Ireland, Dublin, Ireland.
Postgrad Med J. 2017 Nov;93(1105):660-664. doi: 10.1136/postgradmedj-2016-134626. Epub 2017 Jun 9.
Junior doctors have been found to suffer from high levels of burnout.
To measure burnout in a population of junior doctors in Ireland and identify if: levels of burnout are similar to US medical residents; there is a change in the pattern of burnout during the first year of postgraduate clinical practice; and burnout is associated with self-reported error.
The Maslach Burnout Inventory-Human Services Survey was distributed to Irish junior doctors from five training networks in the last quarter of 2015 when they were approximately 4 months into their first year of clinical practice (time 1), and again 6 months later (time 2). The survey assessed burnout and whether they had made a medical error that had 'played on (their) mind'.
A total of 172 respondents out of 601 (28.6%) completed the questionnaire on both occasions. Irish junior doctors at time 2 were more burned out than a sample of US medical residents (72.6% and 60.3% burned out, respectively; p=0.001). There was a significant increase in emotional exhaustion from time 1 to time 2 (p=0.007). The association between burnout and error was significant at time 2 only (p=0.03). At time 2, of those respondents who were burned out, 81/122 (66.4%) reported making an error. A total of 22/46 (47.8%) of the junior doctors who were not burned out at time 2 reported an error.
Current levels of burnout are unsustainable and place the health of both junior doctors and their patients at risk.
已发现初级医生存在高度职业倦怠。
测量爱尔兰初级医生群体的职业倦怠程度，并确定：职业倦怠水平是否与美国住院医生相似；在研究生临床实践的第一年中职业倦怠模式是否有变化；以及职业倦怠是否与自我报告的失误相关。
2015年最后一个季度，向来自五个培训网络的爱尔兰初级医生发放了马氏职业倦怠量表-人类服务调查，当时他们刚进入临床实践第一年约4个月（时间1），6个月后再次发放（时间2）。该调查评估职业倦怠情况以及他们是否犯过让自己“耿耿于怀”的医疗失误。
601名受访者中有172人（28.6%）两次都完成了问卷。在时间2时，爱尔兰初级医生的职业倦怠程度高于美国住院医生样本（分别为72.6%和60.3%职业倦怠；p = 0.001）。从时间1到时间2，情感耗竭显著增加（p = 0.007）。职业倦怠与失误之间的关联仅在时间2时显著（p = 0.03）。在时间2时，职业倦怠的受访者中，81/122（66.4%）报告犯过失误。时间2时未出现职业倦怠的初级医生中，共有22/46（47.8%）报告犯过失误。
当前的职业倦怠水平无法持续，使初级医生及其患者的健康都面临风险。
