a Department of Anesthesiology , University of Kansas Medical Center , Kansas City , KS , USA.
Psychol Health Med. 2019 Jun;24(5):620-624. doi: 10.1080/13548506.2018.1546019. Epub 2018 Nov 19.
Burnout is characterized by three components: emotional exhaustion, depersonalization, and low personal accomplishment. Burnout in health professionals results in reduced job satisfaction, decreased mental health and decreased quality of care, with rates ranging from 30-65% across medical specialties. The purpose of this study was to evaluate the prevalence of burnout components and identify factors associated with these components in physicians, residents, and certified nurse anesthetists (CRNAs) in a large academic anesthesiology department. A survey consisting of the Maslach Burnout Inventory-Human Services Survey and additional demographic questions was distributed via email at 7-day intervals over 4 weeks to all anesthesia providers. Scores from individual questions on each of the three subscales were summed and sorted into low, medium, and high levels of each outcome variable. Fisher's exact chi-square tests were used for categorical data. Eighteen residents, 39 staff anesthesiologists, and 32 CRNAs comprised a total of 89 survey respondents. Rates of emotional exhaustion varied by provider types. Residents reported higher levels of emotional exhaustion than staff anesthesiologists and CRNAs. As a system, it is vital for leaders to identify those with or at risk for burnout, their risk factors, and strategies to mitigate risk. The goals of the healthcare system should aim to maintain both quality patient care and healthcare provider wellness.
burnout 的特点是三个组成部分:情感耗竭、去人格化和个人成就感低。医疗保健专业人员的 burnout 会导致工作满意度降低、心理健康状况下降和护理质量下降,在不同医学专业中,其发生率在 30-65%之间。本研究旨在评估大型学术麻醉科医生、住院医师和认证护士麻醉师(CRNA)中 burnout 各组成部分的流行率,并确定与这些组成部分相关的因素。一项包含 Maslach 倦怠量表-人力资源服务调查和其他人口统计学问题的调查在 4 周内每隔 7 天通过电子邮件分发给所有麻醉师。将每个三个分量表中每个问题的分数相加并排序为每个结果变量的低、中、高水平。Fisher 确切的卡方检验用于分类数据。18 名住院医师、39 名麻醉科工作人员和 32 名 CRNA 共 89 名调查对象。情感衰竭的发生率因提供者类型而异。住院医师报告的情感衰竭水平高于麻醉科工作人员和 CRNA。作为一个系统,领导者必须确定那些有或有 burnout 风险的人、他们的风险因素以及减轻风险的策略。医疗保健系统的目标应该是既要保持高质量的患者护理,又要保持医疗保健提供者的健康。