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烧伤外科医生的职业倦怠感:对美国烧伤协会会员的调查结果。

Perceived Burnout Among Burn Surgeons: Results From a Survey of American Burn Association Members.

机构信息

Department of Surgery, Division of Trauma and Surgical Critical Care, Kendall Regional Medical Center, Miami, Florida.

Department of Surgery, University of South Florida, Tampa, Florida.

出版信息

J Burn Care Res. 2021 Mar 4;42(2):186-192. doi: 10.1093/jbcr/iraa146.

Abstract

Burnout is a significant and increasingly recognized issue. They aimed to investigate burn surgeons'(BSurg) perceptions regarding burnout, contributing factors, and implications to better identity possible targeted interventions. A 42-question anonymous online survey was distributed by the ABA to BSurg members. Respondents included BSurgs in university or nonuniversity hospital settings. Experience of burnout was reported among 89.8% of university and 84.6% of nonuniversity hospital-affiliated respondents. After adjusting for confounders, university BSurgs exhibited a higher risk of perceived burnout compared with nonuniversity settings (aOR: 1.081, 95% CI: 0.237, 4.937). Women BSurgs were at 5 times higher risk of reporting burnout compared with men (aOR: 5.048, 95% CI: 0.488, 52.255). BSurgs aged 40 to 44 had twice the risk of reporting burnout as ≥50 (aOR: 1.985, 95% CI:0.018, 216.308). Practicing for 21 to 30 years had 12 times higher risk of reporting burnout than practicing >30 (aOR: 12.264, 95% CI: 0.611, 246.041). Those working <50 hr/wk reported burnout more frequently than those who work ≥80 hr/wk (aOR: 2.469, 95% CI: 0.80, 76.662). Overall reports of burnout were high amongst burn surgeon respondents. Those with 21 to 30 years of clinical practice were at significantly higher risk of reporting burnout despite believing that their colleagues' burnout was more frequent than their own. Interventions addressing perceived burnout in younger burn surgeons may be limited by lack of participation due to fear of repercussions from administration or peers. Future administration-led burnout initiatives should acknowledge the differences between burn surgeon groups and offer resources unique to the individual physician's needs for burnout prevention to be successful.

摘要

burnout 是一个严重且日益受到关注的问题。本研究旨在调查烧伤外科医生(BSurg)对 burnout 的看法、导致 burnout 的因素以及对其的影响,以便更好地确定可能的针对性干预措施。该研究通过美国烧伤协会(ABA)向 BSurg 成员发放了一份包含 42 个问题的匿名在线调查问卷。调查对象包括在大学或非大学医院工作的 BSurg。89.8%的大学医院附属 BSurg 和 84.6%的非大学医院附属 BSurg 报告经历过 burnout。调整混杂因素后,与非大学医院环境相比,大学医院 BSurg 报告倦怠的风险更高(aOR:1.081,95%CI:0.237,4.937)。与男性相比,女性 BSurg 报告倦怠的风险高 5 倍(aOR:5.048,95%CI:0.488,52.255)。40 至 44 岁的 BSurg 报告倦怠的风险是≥50 岁的 BSurg 的两倍(aOR:1.985,95%CI:0.018,216.308)。从业 21 至 30 年的 BSurg 报告倦怠的风险是从业>30 年的 BSurg 的 12 倍(aOR:12.264,95%CI:0.611,246.041)。每周工作<50 小时的 BSurg 比每周工作≥80 小时的 BSurg 更频繁地报告倦怠(aOR:2.469,95%CI:0.80,76.662)。Burn 外科医生的倦怠报告总体较高。尽管他们认为同事的倦怠比自己更频繁,但具有 21 至 30 年临床实践经验的 BSurg 报告倦怠的风险显著更高。由于担心来自管理层或同行的后果,针对年轻烧伤外科医生的倦怠干预措施可能会因缺乏参与而受到限制。未来由管理层主导的倦怠干预措施应认识到烧伤外科医生群体之间的差异,并为每位医生的个人需求提供独特的资源,以成功预防倦怠。

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