Sulaiman Che Fatehah Che, Henn Patrick, Smith Simon, O'Tuathaigh Colm M P
School of Medicine, Brookfield Health Sciences Complex, University College Cork, College Road, Cork T12 AK54, Ireland.
Int J Qual Health Care. 2017 Oct 1;29(5):679-684. doi: 10.1093/intqhc/mzx087.
Intensive workload and limited training opportunities for Irish non-consultant hospital doctors (NCHDs) has a negative effect on their health and well-being, and can result in burnout. Burnout affects physician performance and can lead to medical errors. This study examined the prevalence of burnout syndrome among Irish NCHDs and its association with self-reported medical error and poor quality of patient care.
A cross-sectional quantitative survey-based design.
All teaching hospitals affiliated with University College Cork.
NCHDs of all grades and specialties.
INTERVENTION(S): The following instruments were completed by all participants: Maslach Burnout Inventory-Human Service Survey (MBI-HSS), assessing three categories of burnout syndrome: Emotional exhaustion (EE), Personal Achievement (PA) and Depersonalization (DP); questions related to self-reported medical errors/poor patient care quality and socio-demographic information.
MAIN OUTCOME MEASURE(S): Self-reported measures of burnout and poor quality of patient care.
Prevalence of burnout among physicians (n = 265) was 26.4%. There was a significant gender difference for EE and DP, but none for PA. A positive weak correlation was observed between EE and DP with medical error or poor patient care. A negative association was reported between PA and medical error and reduced quality of patient care.
Burnout is prevalent among NCHDs in Ireland. Burnout syndrome is associated with self-reported medical error and quality of care in this sample population. Measures need to be taken to address this issue, with a view to protecting health of NCHDs and maintaining quality of patient care.
爱尔兰医院非顾问医生（NCHDs）工作量大且培训机会有限，这对他们的健康和幸福感产生负面影响，并可能导致职业倦怠。职业倦怠会影响医生的表现，并可能导致医疗差错。本研究调查了爱尔兰NCHDs中职业倦怠综合征的患病率及其与自我报告的医疗差错和患者护理质量差之间的关联。
采用基于横断面定量调查的设计。
科克大学附属的所有教学医院。
所有级别和专业的NCHDs。
所有参与者均完成以下问卷：马氏职业倦怠量表-人类服务调查（MBI-HSS），评估职业倦怠综合征的三个类别：情感耗竭（EE）、个人成就感（PA）和去个性化（DP）；与自我报告的医疗差错/患者护理质量差以及社会人口统计学信息相关的问题。
自我报告的职业倦怠和患者护理质量差的指标。
医生（n = 265）中职业倦怠的患病率为26.4%。EE和DP存在显著的性别差异，但PA没有。EE和DP与医疗差错或患者护理质量差之间存在微弱的正相关。PA与医疗差错和患者护理质量下降之间存在负相关。
职业倦怠在爱尔兰的NCHDs中很普遍。在这个样本群体中，职业倦怠综合征与自我报告的医疗差错和护理质量相关。需要采取措施解决这个问题，以保护NCHDs的健康并维持患者护理质量。
