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BMJ Open. 2018 May 3;8(5):e018620. doi: 10.1136/bmjopen-2017-018620.

本文引用的文献

1
Influences on GP coping and resilience: a qualitative study in primary care.对全科医生应对能力和适应力的影响:一项初级医疗的定性研究
Br J Gen Pract. 2017 Jun;67(659):e428-e436. doi: 10.3399/bjgp17X690893. Epub 2017 May 8.
2
Stick or twist? Career decision-making during contractual uncertainty for NHS junior doctors.坚持还是改变?英国国家医疗服务体系初级医生在合同不确定期间的职业决策。
BMJ Open. 2017 Jan 25;7(1):e013756. doi: 10.1136/bmjopen-2016-013756.
3
Resilience to emotional distress in response to failure, error or mistakes: A systematic review.应对失败、错误或失误时情绪困扰的韧性:系统评价。
Clin Psychol Rev. 2017 Mar;52:19-42. doi: 10.1016/j.cpr.2016.11.007. Epub 2016 Nov 21.
4
Controlled Interventions to Reduce Burnout in Physicians: A Systematic Review and Meta-analysis.控制干预措施以减少医生的倦怠感:系统评价和荟萃分析。
JAMA Intern Med. 2017 Feb 1;177(2):195-205. doi: 10.1001/jamainternmed.2016.7674.
5
Interventions to prevent and reduce physician burnout: a systematic review and meta-analysis.干预措施预防和减少医生倦怠:系统评价和荟萃分析。
Lancet. 2016 Nov 5;388(10057):2272-2281. doi: 10.1016/S0140-6736(16)31279-X. Epub 2016 Sep 28.
6
Resilience of primary healthcare professionals: a systematic review.基层医疗保健专业人员的复原力:一项系统综述。
Br J Gen Pract. 2016 Jun;66(647):e423-33. doi: 10.3399/bjgp16X685261. Epub 2016 May 9.
7
Resilience of primary healthcare professionals working in challenging environments: a focus group study.在具有挑战性环境中工作的基层医疗保健专业人员的适应力:一项焦点小组研究。
Br J Gen Pract. 2016 Jul;66(648):e507-15. doi: 10.3399/bjgp16X685285. Epub 2016 May 9.
8
Systematic review of interventions to improve the psychological well-being of general practitioners.改善全科医生心理健康的干预措施的系统评价
BMC Fam Pract. 2016 Mar 24;17:36. doi: 10.1186/s12875-016-0431-1.
9
Lost to the NHS: a mixed methods study of why GPs leave practice early in England.与英国国家医疗服务体系失联:关于英格兰全科医生过早离开执业岗位原因的混合方法研究
Br J Gen Pract. 2016 Feb;66(643):e128-35. doi: 10.3399/bjgp16X683425. Epub 2016 Jan 6.
10
Resilience: what is it, why do we need it, and can it help us?适应力:它是什么,我们为何需要它,以及它能帮助我们吗?
Br J Gen Pract. 2015 Oct;65(639):e708-10. doi: 10.3399/bjgp15X687133.

全科医生对弹性训练的看法:一项定性研究。

GPs' perceptions of resilience training: a qualitative study.

机构信息

Department of Psychology.

Royal London Hospital for Integrated Medicine, UCLH NHS Trust, London.

出版信息

Br J Gen Pract. 2017 Oct;67(663):e709-e715. doi: 10.3399/bjgp17X692561. Epub 2017 Sep 11.

DOI:10.3399/bjgp17X692561
PMID:28893767
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5604835/
Abstract

BACKGROUND

GPs are reporting increasing levels of burnout, stress, and job dissatisfaction, and there is a looming GP shortage. Promoting resilience is a key strategy for enhancing the sustainability of the healthcare workforce and improving patient care.

AIM

To explore GPs' perspectives on the content, context, and acceptability of resilience training programmes in general practice, in order to build more effective GP resilience programmes.

DESIGN AND SETTING

This was a qualitative study of the perspectives of GPs currently practising in England.

METHOD

GPs were recruited through convenience sampling, and data were collected from two focus groups ( = 15) and one-to-one telephone interviews ( = 7). A semi-structured interview approach was used and data were analysed using thematic analysis.

RESULTS

Participants perceived resilience training to be potentially of value in ameliorating workplace stresses. Nevertheless, uncertainty was expressed regarding how best to provide training for stressed GPs who have limited time. Participants suspected that GPs most likely to benefit from resilience training were the least likely to engage, as stress and being busy worked against engagement. Conflicting views were expressed about the most suitable training delivery method for promoting better engagement. Participants also emphasised that training should not only place the focus on the individual, but also focus on organisation issues.

CONCLUSION

A multimodal, flexible approach based on individual needs and learning aims, including resilience workshops within undergraduate training and in individual practices, is likely to be the optimal way to promote resilience.

摘要

背景

全科医生报告称,他们的倦怠感、压力和工作不满情绪日益加剧,而且即将出现全科医生短缺的情况。提高韧性是增强医疗保健人员队伍可持续性和改善患者护理的关键策略。

目的

探讨全科医生对一般实践中韧性培训计划的内容、背景和可接受性的看法,以便制定更有效的全科医生韧性计划。

设计和环境

这是一项对目前在英格兰执业的全科医生观点的定性研究。

方法

通过便利抽样招募全科医生,通过两个焦点小组(=15)和一对一的电话访谈(=7)收集数据。采用半结构化访谈方法,使用主题分析进行数据分析。

结果

参与者认为韧性培训有可能缓解工作场所的压力,但对于如何为时间有限的压力大的全科医生提供最佳培训存在不确定性。参与者怀疑最有可能从韧性培训中受益的全科医生最不可能参与,因为压力和忙碌会阻碍参与。对于促进更好参与的最合适的培训交付方法,表达了相互矛盾的观点。参与者还强调,培训不仅应关注个人,还应关注组织问题。

结论

基于个人需求和学习目标的多模式、灵活方法,包括本科培训和个体实践中的韧性工作坊,可能是促进韧性的最佳方式。