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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.

DOI:10.1016/j.acra.2017.12.002
PMID:29426685
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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