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Breaking bad and difficult news in obstetric ultrasound and sonographer burnout: Is training helpful?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?
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2
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Br J Med Psychol. 2001 Jun;74 Part 2:255-272.
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'I'm not picking up a heart-beat': experiences of sonographers giving bad news to women during ultrasound scans.“我检测不到心跳”:超声检查时超声医师向女性传达坏消息的经历
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"It has been the most difficult time in my career": A qualitative exploration of UK obstetric sonographers' experiences during the COVID-19 pandemic.“这是我职业生涯中最困难的时期”:对英国产科超声医师在 COVID-19 大流行期间经历的定性探索。
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UK obstetric sonographers' experiences of the COVID-19 pandemic: Burnout, role satisfaction and impact on clinical practice.英国产科超声检查医师在新冠疫情中的经历:职业倦怠、工作满意度及对临床实践的影响
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本文引用的文献

1
Association Between Physician Burnout and Patient Safety, Professionalism, and Patient Satisfaction: A Systematic Review and Meta-analysis.医生职业倦怠与患者安全、专业精神和患者满意度之间的关联:系统评价和荟萃分析。
JAMA Intern Med. 2018 Oct 1;178(10):1317-1331. doi: 10.1001/jamainternmed.2018.3713.
2
Interventions to Improve the Breaking of Bad or Difficult News by Physicians, Medical Students, and Interns/Residents: A Systematic Review and Meta-Analysis.改善医师、医学生和住院医师/实习医生传递不良或困难消息的干预措施:系统评价和荟萃分析。
Acad Med. 2018 Sep;93(9):1400-1412. doi: 10.1097/ACM.0000000000002308.
3
Parent Experiences and Preferences When Dysmelia Is Identified During the Prenatal and Perinatal Periods: A Qualitative Study Into Family Nursing Care for Rare Diseases.当胎儿在产前和围产期出现畸形时,父母的经历和偏好:罕见病家庭护理的定性研究。
J Fam Nurs. 2018 May;24(2):271-293. doi: 10.1177/1074840718772808. Epub 2018 May 16.
4
Strategies to improve general practitioner well-being: findings from a focus group study.改善全科医生福祉的策略:焦点小组研究结果
Fam Pract. 2018 Jul 23;35(4):511-516. doi: 10.1093/fampra/cmx130.
5
Mental healthcare staff well-being and burnout: A narrative review of trends, causes, implications, and recommendations for future interventions.精神卫生保健人员的健康和职业倦怠:趋势、原因、影响的综述,以及对未来干预措施的建议。
Int J Ment Health Nurs. 2018 Feb;27(1):20-32. doi: 10.1111/inm.12416. Epub 2017 Dec 15.
6
Burnout mediates the association between depression and patient safety perceptions: a cross-sectional study in hospital nurses.职业倦怠介导抑郁与患者安全认知之间的关联:一项针对医院护士的横断面研究。
J Adv Nurs. 2017 Jul;73(7):1667-1680. doi: 10.1111/jan.13251. Epub 2017 Feb 16.
7
Occupational burnout among radiographers, sonographers and radiologists in Australia and New Zealand: Findings from a national survey.澳大利亚和新西兰放射技师、超声技师及放射科医生的职业倦怠:一项全国性调查的结果
J Med Imaging Radiat Oncol. 2017 Jun;61(3):304-310. doi: 10.1111/1754-9485.12547. Epub 2016 Oct 18.
8
The factor structure of the 12-item general health questionnaire (GHQ-12) in young Chinese civil servants.12项一般健康问卷(GHQ-12)在中国年轻公务员中的因子结构。
Health Qual Life Outcomes. 2016 Sep 26;14(1):136. doi: 10.1186/s12955-016-0539-y.
9
Job burnout in mental health providers: A meta-analysis of 35 years of intervention research.精神卫生服务提供者职业倦怠:35 年干预研究的荟萃分析。
J Occup Health Psychol. 2018 Jan;23(1):18-30. doi: 10.1037/ocp0000047. Epub 2016 Sep 19.
10
Healthcare Staff Wellbeing, Burnout, and Patient Safety: A Systematic Review.医护人员的福祉、职业倦怠与患者安全:一项系统综述。
PLoS One. 2016 Jul 8;11(7):e0159015. doi: 10.1371/journal.pone.0159015. eCollection 2016.

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.

DOI:10.1177/1742271X18816535
PMID:30774699
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6362539/
Abstract

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.

摘要

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。