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法国一家大学医院急诊科医护人员的压力与职业倦怠:患病率及相关因素

Stress and burnout among professionals working in the emergency department in a French university hospital: Prevalence and associated factors.

作者信息

Durand Anne-Claire, Bompard Catherine, Sportiello Julia, Michelet Pierre, Gentile Stéphanie

机构信息

EA 3279 - Public Health, Chronic Diseases and Quality of Life Research Unit, Aix-Marseille University, Marseille, France.

Department of Emergency Medicine and Intensive Care, Timone University Hospital, Marseille, France.

出版信息

Work. 2019;63(1):57-67. doi: 10.3233/WOR-192908.

DOI:10.3233/WOR-192908
PMID:31127745
Abstract

BACKGROUND

Work-related stress is a significant health and safety concern.

OBJECTIVES

To assess the prevalence of burnout and occupational stress among emergency department (ED) professionals and to identify associated factors.

METHODS

A cross-sectional study included all ED professionals of a French university hospital. Data were collected using the French versions of the Maslach Burnout Inventory and the Karasek Job Content Questionnaire.

RESULTS

Of the 166 respondents (75.8%), 19.3% reported burnout and 27.1% job strain. Factors associated with burnout were work-related dissatisfaction, fear of making mistakes, lack of time to perform tasks, and being younger. Those factors associated with job strain were having at least one sick leave in the past year, being affected by hard work, interpersonal conflicts at workplace, and sleep disorders.

CONCLUSIONS

Compared to the literature, our results showed a lower prevalence of burnout among physicians but similar among paramedics. The proportion of professionals with job strain was higher than that of the whole French working population. Organizational factors and the work environment were the primary causes of burnout and job strain, while being younger was the only associated sociodemographic factor. The identification of professionals experiencing difficulty is essential to ensure patient safety, particularly in the high-risk field of emergency medicine.

摘要

背景

工作相关压力是一个重大的健康与安全问题。

目的

评估急诊科专业人员的职业倦怠和职业压力患病率,并确定相关因素。

方法

一项横断面研究纳入了一家法国大学医院的所有急诊科专业人员。使用法语版的马氏职业倦怠量表和 Karasek 工作内容问卷收集数据。

结果

在 166 名受访者(75.8%)中,19.3% 报告有职业倦怠,27.1% 报告有工作压力。与职业倦怠相关的因素包括工作相关的不满、害怕犯错、缺乏执行任务的时间以及较年轻。与工作压力相关的因素包括在过去一年中至少有一次病假、受到繁重工作的影响、工作场所的人际冲突以及睡眠障碍。

结论

与文献相比,我们的结果显示医生的职业倦怠患病率较低,但护理人员的患病率相似。有工作压力的专业人员比例高于法国全体劳动人口。组织因素和工作环境是职业倦怠和工作压力的主要原因,而较年轻是唯一相关的社会人口学因素。识别有困难的专业人员对于确保患者安全至关重要,尤其是在急诊医学这个高风险领域。

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