产科超声中的坏消息和棘手消息以及超声医师职业倦怠：培训有帮助吗？
Breaking bad and difficult news in obstetric ultrasound and sonographer burnout: Is training helpful?
作者信息
Johnson Judith, Arezina Jane, McGuinness Alison, Culpan Anne-Marie, Hall Louise
机构信息
School of Psychology, University of Leeds, Leeds, UK.
Bradford Institute for Health Research, Bradford, UK.
出版信息
Ultrasound. 2019 Feb;27(1):55-63. doi: 10.1177/1742271X18816535. Epub 2018 Dec 12.
BACKGROUND
Sonographers report high levels of burnout. For those working in obstetric ultrasound, one frequently cited stressor is the delivery of bad or difficult news. Training in news delivery may reduce sonographer stress levels, but no studies have investigated sonographer experiences of this training.
AIMS
To investigate sonographer experiences of difficult news delivery training and preferences for training techniques, and to assess whether news delivery training is associated with lower burnout and higher wellbeing.
METHODS
A cross-sectional survey measured occupational characteristics, news delivery training experiences and preferences, burnout (on two dimensions of exhaustion and disengagement), and general mental wellbeing.
RESULTS
Ninety sonographers (85 female; mean age = 47) responded. The majority of participants thought training in difficult news delivery had improved their practice. Preferred training techniques were observation of clinical practice and receiving service-user input. Eighty per cent of participants were experiencing exhaustion, 43.3% were experiencing disengagement and 88.9% could be classed as having a minor psychiatric disorder. Having received difficult news delivery training was associated with lower levels of disengagement, even when other variables were controlled for.
DISCUSSION
News delivery training is perceived to be effective by sonographers and may help to reduce sonographer burnout levels.
背景
超声检查医师报告称职业倦怠程度较高。对于从事产科超声工作的人员而言，一个经常被提及的压力源是传递坏消息或棘手的消息。有关传递消息的培训可能会降低超声检查医师的压力水平，但尚无研究调查过超声检查医师对这种培训的体验。
目的
调查超声检查医师在传递棘手消息培训方面的体验以及对培训技巧的偏好，并评估传递消息培训是否与较低的职业倦怠和较高的幸福感相关。
方法
一项横断面调查测量了职业特征、传递消息培训的经历和偏好、职业倦怠（在疲惫和疏离两个维度上）以及总体心理健康状况。
结果
90名超声检查医师（85名女性；平均年龄 = 47岁）做出了回应。大多数参与者认为传递棘手消息的培训改善了他们的工作。偏好的培训技巧是观察临床实践和接受服务使用者的意见。80%的参与者感到疲惫，43.3%的参与者感到疏离，88.9%的参与者可被归类为患有轻度精神障碍。即使对其他变量进行了控制，接受传递棘手消息培训仍与较低程度的疏离相关。
讨论
超声检查医师认为传递消息培训是有效的，并且可能有助于降低超声检查医师的职业倦怠水平。
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