医护人员职业倦怠：对围产患者的影响。
Provider burnout: Implications for our perinatal patients.
机构信息
Division of Pediatric Critical Care Medicine, Department of Pediatrics, Stanford University School of Medicine, Stanford, CA, USA.
Perinatal Epidemiology and Health Outcomes Research Unit, Division of Neonatology, Department of Pediatrics, Stanford University School of Medicine, Stanford, CA, USA; California Perinatal Quality Care Collaborative, 1265 Welch Road, Stanford, CA, USA.
出版信息
Semin Perinatol. 2020 Jun;44(4):151243. doi: 10.1016/j.semperi.2020.151243. Epub 2020 Mar 14.
OBJECTIVE
To describe the syndrome of physician burnout within neonatology, its relation to neonatal quality of care, and outline potential solutions.
FINDINGS
Burnout affects up to half of physicians, including up to one-third of neonatologists, at any given time. It is linked to suicidality, substance abuse, and intent to leave practice, and it is strongly associated with reduced quality of care in the published literature. Resilience and mindfulness interventions rooted in positive psychology may reduce burnout among individual providers. Because burnout is largely driven by organizational factors, system-level attention to leadership, teamwork, and practice efficiency can reduce burnout at the level of the organization.
CONCLUSIONS
Burnout is common among neonatologists and consistently relates to decreased quality of patient care in a variety of dimensions. Personal resilience training and system-wide organizational interventions are needed to reverse burnout and promote high-quality neonatal care.
目的
描述新生儿科医生职业倦怠的综合征，及其与新生儿护理质量的关系，并概述潜在的解决方案。
发现
职业倦怠影响高达一半的医生，包括高达三分之一的新生儿科医生，在任何给定的时间。它与自杀、药物滥用和离开实践的意图有关，并且与文献中报道的护理质量降低密切相关。植根于积极心理学的韧性和正念干预可能会减少个体提供者的倦怠。因为倦怠主要是由组织因素驱动的，所以系统层面上关注领导力、团队合作和实践效率可以减少组织层面上的倦怠。
结论
新生儿科医生中职业倦怠很常见，并且在多个维度上始终与降低患者护理质量有关。需要进行个人韧性培训和系统范围的组织干预，以扭转倦怠，促进高质量的新生儿护理。
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