J. Eckleberry-Hunt is director of health psychology, executive health and wellness, Beaumont Health Department of Executive Health, Royal Oak, Michigan. H. Kirkpatrick is director of behavioral science, Department of Internal Medicine, Genesys Regional Medical Center, Flint, Michigan. T. Barbera is a clinical psychologist, Department of Family Medicine, St. Vincent Family Medicine Residency Program, Indianapolis, Indiana.
Acad Med. 2018 Mar;93(3):367-370. doi: 10.1097/ACM.0000000000001890.
Burnout among physicians and physicians-in-training is well established as a potential threat to the health and well-being of health care providers and patients. However, there are myriad problems with current burnout research and its ongoing measurement that threaten the validity of the conclusions. For example, researchers have used differing ways of defining and measuring burnout. Those who have used the Maslach Burnout Inventory vary in recommended use of the instrument and cutoff scores. As a result, the authors suggest that the term "burnout" may be misused and recommend some reconsideration of the meaning of burnout. The measurement and discussion of burnout have strong implications for interventions and policy alike. In this article, the authors review the problems with burnout research and ask important questions about the future directions of research efforts. The authors recommend a consistent measurement approach and perhaps moving toward a focus on physician wellness from a positive psychology perspective.
医生和医学生的倦怠现象已经被充分证实，是对医疗保健提供者和患者健康和福祉的潜在威胁。然而，目前的倦怠研究及其持续的测量存在诸多问题，这威胁到结论的有效性。例如，研究人员使用不同的方法来定义和衡量倦怠。那些使用 Maslach 倦怠量表的人在工具的推荐使用和截止分数上存在差异。因此，作者建议“倦怠”一词可能被误用，并建议重新考虑倦怠的含义。倦怠的测量和讨论对干预措施和政策都有重要影响。在本文中，作者回顾了倦怠研究中存在的问题，并对未来的研究方向提出了重要问题。作者建议采用一致的测量方法，或许可以从积极心理学的角度关注医生的健康。
