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职业倦怠:与美国放射科住院医师低个人成就感相关的工作资源和工作要求。

Burnout: Job Resources and Job Demands Associated With Low Personal Accomplishment in United States Radiology Residents.

机构信息

Department of Radiology, Brigham & Women's Hospital, Harvard Medical School, 75 Francis Street, Boston, MA 02115.

Department of Radiology, Brigham & Women's Hospital, Harvard Medical School, 75 Francis Street, Boston, MA 02115.

出版信息

Acad Radiol. 2018 Jun;25(6):739-743. doi: 10.1016/j.acra.2017.12.002. Epub 2018 Feb 6.

Abstract

OBJECTIVE

We aimed to identify job resources and job demands associated with measures of personal accomplishment (PA) in radiology residents in the United States.

MATERIALS AND METHODS

A 34-item online survey was administered between May and June 2017 to U.S. radiology residents and included the 8 Likert-type PA questions from the Maslach Burnout Inventory-Human Services Survey, 19 visual analog scale job demands-resources questions, and 7 demographic questions. Multiple linear regression was calculated to predict PA based on job demands-resources. Effects of binomial demographic factors on PA scores were compared with independent-samples t tests. Effects of categorical demographic factors on PA scores were compared with one-way between-subjects analysis of variance tests. A linear regression was calculated to evaluate the relationship of age on PA scores.

RESULTS

"The skills and knowledge that I am building are important and helpful to society" (P = 2 × 10), "I have good social support from my co-residents" (P = 4 × 10), and "I regularly receive adequate constructive feedback" (P = 4 × 10) all positively correlated with PA. PA scores were significantly lower for individuals who were single vs those married or partnered (P = .01).

CONCLUSIONS

Radiology residents score higher in the PA domain of burnout when they receive adequate constructive feedback, have good co-resident social support, and feel that the skills and knowledge they are building are important to society. Improving constructive feedback mechanisms, enabling resident-only social time, and supporting opportunities that reinforce the importance of their contributions may therefore improve radiology residents' sense of PA.

摘要

目的

我们旨在确定与美国放射科住院医师个人成就感(PA)相关的工作资源和工作要求。

材料和方法

2017 年 5 月至 6 月期间,向美国放射科住院医师进行了一项 34 项在线调查,其中包括 Maslach 职业倦怠量表-人类服务调查中的 8 项李克特式 PA 问题、19 项视觉模拟量表工作要求-资源问题和 7 项人口统计学问题。计算多元线性回归以根据工作要求-资源预测 PA。采用独立样本 t 检验比较二项式人口统计学因素对 PA 评分的影响。采用单因素方差分析检验分类人口统计学因素对 PA 评分的影响。计算线性回归以评估年龄对 PA 评分的关系。

结果

“我正在建立的技能和知识对社会很重要且有帮助”(P=2×10)、“我从同事那里得到了很好的社会支持”(P=4×10)和“我经常得到足够的建设性反馈”(P=4×10)与 PA 呈正相关。与已婚或有伴侣的人相比,单身个体的 PA 评分明显较低(P=0.01)。

结论

当放射科住院医师获得足够的建设性反馈、拥有良好的同事社会支持、并认为他们正在建立的技能和知识对社会很重要时,他们在职业倦怠的 PA 领域的得分会更高。因此,改善建设性反馈机制、允许住院医师单独社交时间、并支持强调其贡献重要性的机会,可能会提高放射科住院医师的 PA 感。

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