Department of Surgery, University of Toronto, Toronto, ON, Canada.
Department of Surgery, University of Toronto, Toronto, ON, Canada.
Am J Surg. 2021 Apr;221(4):793-798. doi: 10.1016/j.amjsurg.2020.04.008. Epub 2020 Apr 15.
Physician stress impacts patient care and provider wellness. Researchers have largely used reductionist approaches to study stress (e.g. focusing on physiology). This study sought to understand surgeons' subjective experiences of stress in the workplace, using a holistic perspective.
Using a constructivist grounded theory methodology, semi-structured interviews were conducted with 24 staff surgeons at the University of Toronto, purposively sampled for specialties and experience levels.
The stress experience was reconceptualized as a variable and multidimensional state of fracture, comprised of physiologic, cognitive, emotional, sociocultural, and environmental facets.
Reconceptualizing surgeon stress as a multidimensional state of fracture may help surgeons recognize the contributing facets and identify appropriate strategies for promoting wellness and optimizing performance.
医生的压力会影响患者的护理和医护人员的健康。研究人员主要采用还原论的方法来研究压力（例如，专注于生理学）。本研究旨在使用整体视角来了解外科医生在工作场所的主观压力体验。
使用建构主义扎根理论方法，对多伦多大学的 24 名工作人员外科医生进行了半结构化访谈，根据专业和经验水平进行了有针对性的抽样。
压力体验被重新概念化为一种断裂的变量和多维状态，由生理、认知、情感、社会文化和环境方面组成。
将外科医生的压力重新概念化为多维的断裂状态，可能有助于外科医生识别出压力的影响因素，并确定促进健康和优化绩效的适当策略。
