University Hospital Waterford, Waterford, Ireland.
Ir J Med Sci. 2020 May;189(2):711-718. doi: 10.1007/s11845-019-02088-3. Epub 2019 Aug 29.
Burnout is an occupational syndrome frequently encountered within the healthcare profession. It is characterised by emotional exhaustion (EE), depersonalisation (DP) and a low sense of personal accomplishment (PA). Its negative impact extends to the physician, patient and overall service provision.
The aim of this study was to evaluate work patterns, the prevalence of burnout and its associations in medical oncology consultants and specialist registrars (SpRs) in Ireland.
Participants were invited to partake in an anonymised online survey. Burnout domains were measured using the validated Maslach Burnout Inventory. Associations between variables were evaluated using the Mann-Whitney U and Kruskal-Wallis tests (continuous), and chi-square and Fisher's exact testing (categorical).
Seventy-four physicians were contacted to participate, 44 (59%) completed the survey. The majority (71%) work ≥ 50 h a week, with 57% having additional on-call commitments of ≥ 5 days/month. Burnout is defined by a high score in EE combined with a high DP and/or low PA was identified in 45% of consultants and 20% of SpRs. Longer working hours (≥ 60 h/ week) were found to be associated with both high EE (p = 0.049) and DP (p = 0.019). Higher EE scores were demonstrated in those ≥ 40 years (p = 0.04). The majority (86%) reported they would become an oncologist again.
One or more of the symptoms of burnout is highly prevalent in medical oncologists in Ireland. With increasing pressure on resources, burnout is expected to increase. Attention to strategies for prevention needs to be prioritised within our healthcare system.
burnout 是医疗保健行业中经常遇到的职业综合征。其特征为情绪耗竭（EE）、去人格化（DP）和低个人成就感（PA）。其负面影响延伸至医生、患者和整体服务提供。
本研究旨在评估爱尔兰肿瘤医学顾问和专科住院医师（SpR）的工作模式、 burnout 的流行程度及其相关性。
邀请参与者参加匿名在线调查。使用经过验证的 Maslach Burnout Inventory 测量 burnout 领域。使用 Mann-Whitney U 和 Kruskal-Wallis 检验（连续变量）以及卡方和 Fisher 精确检验（分类变量）评估变量之间的关联。
联系了 74 名医生参与，其中 44 名（59%）完成了调查。大多数（71%）每周工作≥50 小时，其中 57%有≥5 天/月的额外随叫随到的承诺。EE 评分高加上 DP 高和/或 PA 低定义为 burnout，顾问中有 45%和 SpR 中有 20%符合该标准。发现工作时间更长（≥60 小时/周）与 EE 高（p=0.049）和 DP 高（p=0.019）均相关。≥40 岁的 EE 评分更高（p=0.04）。大多数（86%）表示他们会再次成为肿瘤学家。
爱尔兰肿瘤医学医师中，一种或多种 burnout 症状高度流行。随着资源压力的增加，预计 burnout 会增加。需要优先考虑我们的医疗保健系统中预防策略的注意力。
