Department of Primary Care and the Irish Centre for Applied Patient Safety and Simulation, School of Medicine, National University of Ireland, Galway, Ireland.
Irish Centre for Applied Patient Safety, National University of Ireland, Galway, Ireland.
Postgrad Med J. 2018 Mar;94(1109):162-170. doi: 10.1136/postgradmedj-2017-135212. Epub 2017 Oct 10.
This review aimed to synthesise the literature describing interventions to improve resilience among physicians, to evaluate the quality of this research and to outline the type and efficacy of interventions implemented. Searches were conducted in April 2017 using five electronic databases. Reference lists of included studies and existing review papers were screened. English language, peer-reviewed studies evaluating interventions to improve physician resilience were included. Data were extracted on setting, design, participant and intervention characteristics and outcomes. Methodological quality was assessed using the Downs and Black checklist. Twenty-two studies were included. Methodological quality was low to moderate. The most frequently employed interventional strategies were psychosocial skills training and mindfulness training. Effect sizes were heterogeneous. Methodologically rigorous research is required to establish best practice in improving resilience among physicians and to better consider how healthcare settings should be considered within interventions.
本综述旨在综合描述提高医生适应力的干预措施的文献，评估该研究的质量，并概述实施的干预措施的类型和效果。2017 年 4 月，我们使用五个电子数据库进行了检索。对纳入研究和现有综述论文的参考文献进行了筛选。纳入了评估提高医生适应力的干预措施的英语同行评审研究。提取了研究地点、设计、参与者和干预措施特征以及结果的数据。使用 Downs 和 Black 清单评估方法学质量。共纳入 22 项研究。方法学质量为低至中度。最常采用的干预策略是心理社会技能培训和正念训练。效应大小具有异质性。需要进行方法严谨的研究，以确定提高医生适应力的最佳实践，并更好地考虑如何在干预措施中考虑医疗保健环境。
