Castanelli D J, Wickramaarachchi S A, Wallis S
Adjunct Senior Lecturer, School of Clinical Sciences, Faculty of Medicine, Nursing and Health Sciences, Monash University; Supervisor of Training and Staff Anaesthetist, Department of Anaesthesia and Perioperative Medicine, Monash Health, Melbourne, Victoria.
Anaesth Intensive Care. 2017 Nov;45(6):744-751. doi: 10.1177/0310057X1704500615.
Burnout has a high prevalence among healthcare workers and is increasingly recognised as an environmental problem rather than reflecting a personal inability to cope with work stress. We distributed an electronic survey, which included the Maslach Burnout Inventory Health Services Survey and a previously validated learning environment instrument, to 281 Victorian anaesthetic trainees. The response rate was 50%. We found significantly raised rates of burnout in two of three subscales. Ninety-one respondents (67%) displayed evidence of burnout in at least one domain, with 67 (49%) reporting high emotional exhaustion and 57 (42%) reporting high depersonalisation. The clinical learning environment tool demonstrated a significant negative correlation with burnout (r=-0.56, <0.001). Burnout was significantly more common than when previously measured in Victoria in 2008 (62% versus 38%). Trainees rated examination preparation the most stressful aspect of the training program. There is a high prevalence of burnout among Victorian anaesthetic trainees. We have shown a significant correlation exists between the clinical learning environment measure and the presence of burnout. This correlation supports the development of interventions to improve the clinical learning environment, as a means to improve trainee wellbeing and address the high prevalence of burnout.
职业倦怠在医护人员中普遍存在，并且越来越被视为一个环境问题，而非反映个人应对工作压力的能力不足。我们向281名维多利亚州麻醉专业学员发放了一份电子调查问卷，其中包括马氏职业倦怠量表健康服务调查和一份先前经验证有效的学习环境工具。回复率为50%。我们发现三个子量表中的两个子量表的职业倦怠率显著升高。91名受访者（67%）至少在一个领域表现出职业倦怠迹象，其中67人（49%）报告有高度情感耗竭，57人（42%）报告有高度去个性化。临床学习环境工具显示与职业倦怠呈显著负相关（r = -0.56，P < 0.001）。职业倦怠比2008年在维多利亚州之前测量时更为普遍（62%对38%）。学员们认为考试准备是培训项目中压力最大的方面。维多利亚州麻醉专业学员中职业倦怠普遍存在。我们已经表明临床学习环境测量与职业倦怠的存在之间存在显著相关性。这种相关性支持开展干预措施以改善临床学习环境，作为改善学员幸福感和解决职业倦怠高发生率问题的一种手段。
