Lloyd L. Gregory School of Pharmacy, Palm Beach Atlantic University, 901 S. Flagler Dr., West Palm Beach, FL 33416, United States.
Texas A&M University, 1010 W Ave B, Kingsville, TX 78363, United States.
Curr Pharm Teach Learn. 2020 Feb;12(2):147-155. doi: 10.1016/j.cptl.2019.11.008. Epub 2019 Nov 20.
Natural disasters present unique challenges for healthcare training programs. Limited literature has been published regarding the impact of natural disasters on pharmacy residency training. The objective of this study was to determine the degree of perceived impact natural disasters have on pharmacy resident stress and which factors contribute to any perceived change in stress.
A cross-sectional study was conducted via a survey distributed to pharmacy residents whose program was located in an area potentially affected by natural disaster in the first six months of the 2017-2018 resident year. A modified Likert scale utilizing a 10-point scale was used to assess resident stress. Potential sources of stress were assessed via multiple-choice questions. The primary outcome was the degree of change in resident perceived stress compared to baseline during and after the natural disaster.
One hundred twenty-nine pharmacy residents completed the survey. Stress increased from baseline during the natural disaster and remained elevated after compared to baseline. Main sources of stress were increased residency workload, natural disaster preparation and recovery, and concerns regarding friends and family. Half of residents reported their residency program did not have an established natural disaster policy in place.
Improved planning and communication regarding workload expectations may minimize stress among residents balancing increased personal responsibilities during times of natural disaster.
自然灾害给医疗保健培训计划带来了独特的挑战。关于自然灾害对药学住院医师培训的影响,文献报道有限。本研究的目的是确定自然灾害对药学住院医师压力的感知影响程度,以及哪些因素导致压力的感知变化。
通过一项调查,对 2017-2018 年住院医师年度的前六个月内,其所在项目位于可能受自然灾害影响地区的住院医师进行了一项横断面研究。采用 10 分制的改良李克特量表来评估住院医师的压力。通过多项选择问题评估潜在的压力源。主要结果是与基线相比,住院医师在自然灾害期间和之后感知压力的变化程度。
129 名住院医师完成了调查。与基线相比,住院医师在自然灾害期间的压力增加,并且在自然灾害之后仍然高于基线。主要的压力源是增加的住院医师工作量、自然灾害的准备和恢复,以及对朋友和家人的担忧。一半的住院医师报告他们的住院医师项目没有制定既定的自然灾害政策。
在自然灾害期间,平衡个人责任增加的情况下,改进关于工作量期望的计划和沟通,可能会最小化住院医师的压力。