Kelsey-Seybold Clinic, Houston, TX, USA.
Department of Radiation Oncology, University of Washington, Seattle, WA, USA.
J Appl Clin Med Phys. 2019 Sep;20(9):157-162. doi: 10.1002/acm2.12675. Epub 2019 Jul 29.
Previous studies suggest that within radiation oncology, medical physicists (MP) experience high workloads. Little is known about how MPs use social support (SS) in times of stress.
In collaboration with the Workgroup on Prevention of Medical Error, the American Association of Physicists in Medicine administered this Human Investigation Committee (HIC) approved email survey to 8566 members. Respondents were considered likely to seek SS if they answered (probably/definitely would) and unlikely to seek support if they answered (probably/definitely would not). Logistic regression was applied to determine associations between demographic factors and willingness to seek support as well as perception of barriers.
One thousand two hundred and ninety-seven members (15.1%) accessed and gave consent for the survey. One thousand and one (11.7%) respondents answered all relevant questions. Respondents were predominantly male (69.1%), MP in radiation oncology (81.8%), private practice (51.6%), with practice duration> 10 yr (60.2%). MPs were likely to seek SS for personal physical illness (78.63%), involvement in a medical error (73.94%) or adverse patient outcome (75.17%). MPs sought SS in the setting of personal fatigue (33.2%) or burnout (44.3%). Barriers to seeking SS were lack of time (80.3%), and uncertainty about whom to access (70.7%). MPs responded that they would be most likely to seek support from an equally experienced medical physicist colleague (81.0%). Most MPs (67.0%) identified as having experienced stressors, with serious family illness (35.2%), or burnout (32.8%) being most common. Factors associated with MPs unwillingness to seek SS for medical error included> 20 yr in practice (vs still in training - OR 0.30, P = 0.015), and male gender (OR 0.60, P = 0.003). Male gender was associated with the lowest willingness to seek support (OR 2.10, P = 0.0001), but also with fewer perceived barriers (OR 1.60, P = 0.0075).
Willingness to seek SS is demonstrated, and MPs want colleagues to provide support. Given these results, peer support could be considered among MPs.
先前的研究表明，在放射肿瘤学领域，医学物理学家（MP）的工作量很大。对于 MP 在压力下如何使用社会支持（SS），知之甚少。
美国医学物理学家协会与医疗差错预防工作组合作，向 8566 名成员发送了这份经人体研究委员会（HIC）批准的电子邮件调查。如果受访者回答“可能/肯定会”，则被认为可能会寻求 SS；如果回答“可能/肯定不会”，则不太可能寻求支持。应用逻辑回归来确定人口统计学因素与寻求支持的意愿以及感知障碍之间的关联。
有 1297 名成员（15.1%）访问并同意参加调查。有 1101 名（11.7%）受访者回答了所有相关问题。受访者主要为男性（69.1%）、放射肿瘤学的 MP（81.8%）、私人执业（51.6%），从业时间>10 年（60.2%）。MP 可能会因个人身体疾病（78.63%）、参与医疗差错（73.94%）或不良患者结局（75.17%）寻求 SS。MP 在个人疲劳（33.2%）或倦怠（44.3%）时寻求 SS。寻求 SS 的障碍是缺乏时间（80.3%）和不确定向谁寻求帮助（70.7%）。MP 表示，他们最有可能向经验丰富的医学物理学家同事寻求支持（81.0%）。大多数 MP（67.0%）认为自己经历过压力源，其中最常见的是严重的家庭疾病（35.2%）或倦怠（32.8%）。与 MP 不愿意因医疗差错而寻求 SS 相关的因素包括从业>20 年（与仍在培训相比 - OR 0.30，P=0.015）和男性性别（OR 0.60，P=0.003）。男性性别与最低的寻求支持意愿相关（OR 2.10，P=0.0001），但也与较少的感知障碍相关（OR 1.60，P=0.0075）。
证明了寻求 SS 的意愿，并且 MP 希望同事提供支持。鉴于这些结果，可以考虑在 MP 中提供同行支持。
