a Department of Public Health , Ghent University , Ghent , Belgium.
b Department of Radiation Oncology and Experimental Cancer Research , Ghent University , Ghent , Belgium.
Med Educ Online. 2018 Dec;23(1):1521246. doi: 10.1080/10872981.2018.1521246.
Previous research has shown that residents are at risk for developing burnout. Most burnout measures focus on individual risk factors, although work-organizational-focused measures might be beneficial as well. This study analyzed the relative importance of positive and negative work-organizational stressors, according to residents themselves, with NVivo11. Eleven work-organizational themes were found with deductive reasoning and two themes, recognition and success experiences, were found inductively. Main positive stressors are professional development, receiving feedback, experiencing success, autonomy and social support. Main negative stressors are high workloads, role conflicts/ambiguity, long work hours, and a lack of feedback, a lack of social support, and a lack of professional development. Measures to improve residents' well-being should not only focus on reducing workload and work hours. Our results suggest to allocate resources to improve supervisors' skills, such as providing social support, feedback, and recognition. A better match between internship obligations and residents' studies could also contribute positively to this purpose.
先前的研究表明，住院医师有出现职业倦怠的风险。大多数职业倦怠的评估方法都集中在个体风险因素上，尽管以工作组织为重点的评估方法可能也会有益处。本研究通过 NVivo11 分析了住院医师自身认为的积极和消极的工作组织压力源的相对重要性。通过演绎推理发现了 11 个工作组织主题，通过归纳推理发现了 2 个主题，即认可和成功经验。主要的积极压力源包括职业发展、获得反馈、体验成功、自主性和社会支持。主要的消极压力源包括工作量大、角色冲突/模糊性、工作时间长，以及缺乏反馈、缺乏社会支持和缺乏职业发展。提高住院医师幸福感的措施不应仅侧重于减少工作量和工作时间。我们的研究结果表明，应分配资源来提高主管的技能，例如提供社会支持、反馈和认可。更好地匹配实习义务和住院医师的学习也可能对此有积极影响。
