Thimmapuram Jayaram R, Grim Rodney, Bell Theodore, Benenson Ronald, Lavallee Mark, Modi Mihir, Noll David, Salter Ridgley
Department of Internal Medicine, WellSpan Health, York, Pennsylvania, USA.
WellSpan Emig Research Center, WellSpan Health, York, Pennsylvania, USA.
Glob Adv Health Med. 2019 Jan 15;8:2164956118821056. doi: 10.1177/2164956118821056. eCollection 2019.
Burnout levels have risen in recent years and satisfaction with work-life balance has decreased. Individual and organizational factors may affect burnout in physicians and advance practice clinicians (APCs). Meditation is a tool to mitigate stress and enhance well-being. In this study, we assessed the factors affecting work-life balance in physicians and APCs. We also measured the impact of Heartfulness meditation conference on burnout.
Physicians and APCs were surveyed through an abbreviated Maslach burnout inventory (aMBI) to assess the burnout levels and a question to assess the factors influencing work-life balance. Wellness initiatives included either attending a Heartfulness meditation conference or reading a book about burnout and wellness (approximated at a 3-h read). A repeat aMBI survey was sent 8 weeks after the conference. Pre- and postburnout scores were assessed.
Of the 1393 physicians and APCs, 537 responded to the aMBI, and there were 414 comments (663 factors) for the question on work-life balance. Among the respondents, 60.5% and 32% had symptoms of moderate to severe emotional exhaustion (EE) and depersonalization, respectively. Twenty-eight percent of the respondents had symptoms of moderate to low personal accomplishment. The major factors impacting work-life balance included work load, work flow, and scheduling. A follow-up aMBI survey was completed by 79 from the conference group and 264 from the nonconference group. In the age-group between 30 and 50 for the conference group (n = 40), mean EE decreased from 9.8 to 8.6 with statistical significance ( = .014). There was no statistically significant change in the nonconference group in any age-group.
Workload, workflow, and scheduling issues were the major factors affecting work-life balance. There is a significant level of burnout in physicians and APCs. Heartfulness meditation conference was associated with a significant decrease in EE in those aged 30 to 50 years. There was no significant change seen in the nonconference/book reading group.
近年来，职业倦怠水平有所上升，对工作与生活平衡的满意度有所下降。个人和组织因素可能会影响医生和高级实践临床医生（APC）的职业倦怠。冥想是一种减轻压力和提升幸福感的工具。在本研究中，我们评估了影响医生和APC工作与生活平衡的因素。我们还测量了心灵冥想会议对职业倦怠的影响。
通过简化的马氏职业倦怠量表（aMBI）对医生和APC进行调查，以评估职业倦怠水平，并通过一个问题评估影响工作与生活平衡的因素。健康倡议包括参加心灵冥想会议或阅读一本关于职业倦怠与健康的书（大约需要3小时阅读时间）。会议8周后发送重复的aMBI调查问卷。评估职业倦怠前后的得分。
在1393名医生和APC中，537人回复了aMBI，关于工作与生活平衡问题有414条评论（663个因素）。在受访者中，分别有60.5%和32%有中度至重度情感耗竭（EE）和去个性化症状。28%的受访者有中度至低度个人成就感症状。影响工作与生活平衡的主要因素包括工作量、工作流程和日程安排。会议组79人、非会议组264人完成了后续aMBI调查。在会议组30至50岁年龄组（n = 40）中，平均EE从9.8降至8.6，具有统计学意义（P = 0.014）。非会议组在任何年龄组均无统计学显著变化。
工作量、工作流程和日程安排问题是影响工作与生活平衡的主要因素。医生和APC存在显著程度的职业倦怠。心灵冥想会议与30至50岁人群的EE显著降低相关。非会议/读书组未见显著变化。
