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伊兹密尔家庭医生对家庭医生核心能力自我效能感的认知对职业倦怠综合征的影响:一项巢式病例对照研究

The impact of family physicians' thoughts on self-efficacy of family physician's core competencies on burnout syndrome in İzmir: A nested case-control study.

作者信息

Aygun O, Mevsim V

机构信息

Göre Family Medicine Center, Nevsehir, Turkey.

Department of Family Medicine, Dokuz Eylül University, İzmir, Turkey.

出版信息

Niger J Clin Pract. 2019 Feb;22(2):167-173. doi: 10.4103/njcp.njcp_77_18.

Abstract

BACKGROUND

Burnout is a psychosocial syndrome, involving feelings of emotional exhaustion, depersonalization, and diminished personal accomplishment at work. Its occurrence is high in healthcare personnel. Job satisfaction is achieved through the feeling of being professionally competent and is an important condition that prevents burnout syndrome.

AIM

This study aimed to determine the impact of family physicians' thoughts on self-efficacy of family physician's core competencies on burnout syndrome in İzmir.

SUBJECTS AND METHODS

The study was a nested case-control study and was carried out within the İzmir province from 2013 to 2014. The subject population included 2185 family physicians working in the family medicine centers in the metropolitan districts of İzmir. A total of 395 family physicians who were employed at family medicine centers agreed to participate in the study. After the assessment according to the Maslach Burnout Inventory, 185 physicians had burnout, whereas 210 physicians did not have burnout. Physicians who had burnout were considered as 50% prevalence in the control group; the sampling size was calculated as at least 138 individuals for unpaired cases and control groups, with 0.05 error margin and 80% power.

RESULTS

While burnout syndrome was detected in 80.0% of physicians who thought that they were incompetent, it was detected in 30.1% of physicians who believed that they were sufficiently competent in terms of core competencies.

CONCLUSION

Insufficient belief in core competencies by family physicians increases the occurrence of burnout syndrome in these individuals.

摘要

背景

职业倦怠是一种心理社会综合征,包括情感耗竭、去个性化和工作中个人成就感降低等感受。其在医护人员中发生率较高。职业满意度通过专业胜任感来实现,是预防职业倦怠综合征的重要条件。

目的

本研究旨在确定伊兹密尔家庭医生对家庭医生核心能力自我效能感的看法对职业倦怠综合征的影响。

对象与方法

本研究为嵌套病例对照研究,于2013年至2014年在伊兹密尔省开展。研究对象包括在伊兹密尔市辖区家庭医疗中心工作的2185名家庭医生。共有395名受雇于家庭医疗中心的家庭医生同意参与研究。根据马氏职业倦怠量表进行评估后,185名医生存在职业倦怠,而210名医生没有职业倦怠。将存在职业倦怠的医生视为对照组中患病率为50%;计算出非配对病例组和对照组的样本量至少为138人,误差幅度为0.05,检验效能为80%。

结果

认为自己不胜任的医生中80.0%存在职业倦怠综合征,而认为自己在核心能力方面足够胜任的医生中这一比例为30.1%。

结论

家庭医生对核心能力的信心不足会增加这些个体职业倦怠综合征的发生率。

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