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爱尔兰医生的心理弹性与倦怠之间的关系。

The relationship between psychological resilience and burnout in Irish doctors.

机构信息

Discipline of General Practice, School of Medicine, National University of Ireland, Galway, 1 Distillery Rd, Galway, Co., Galway, Ireland.

Irish Centre for Applied Patient Safety and Simulation, University Road, Galway, Ireland.

出版信息

Ir J Med Sci. 2021 Aug;190(3):1219-1224. doi: 10.1007/s11845-020-02424-y. Epub 2020 Oct 28.

DOI:10.1007/s11845-020-02424-y
PMID:33118091
Abstract

BACKGROUND

There has been a considerable amount of research focused upon assessing doctor burnout. However, psychological resilience (PR) has been examined far less frequently.

AIMS

To examine the relationship between PR and burnout in Irish doctors in order to identify how PR can be improved-with a particular focus on how doctors can be empowered to strengthen their PR.

METHOD

The ResMed PR survey and the Maslach Burnout Inventory-Human Services Survey (MBI-HSS) were distributed to doctors from an Irish teaching hospital.

RESULTS

A total of 322 completed online and paper surveys were received. Response rate for the paper surveys was 42.0% (168/400). Depersonalisation and personal accomplishment were significant predicators of job gratification (taking satisfaction from the job of a physician). Emotional exhaustion and personal accomplishment were significant predicators of protective attitudes (attitudes that promote or sustain PR; e.g. not taking things personally). Being a man was more positively related to protective attitudes than being a woman. Emotional exhaustion and personal accomplishment were significant predicators of protective practices (approaches to building/maintaining resilience; e.g. good time management).

CONCLUSIONS

The research reported in this paper provides insights in to how healthcare leaders could empower frontline doctors to change how they work in order to allow them to improve their psychological resilience and help them to thrive, rather than just survive.

摘要

背景

有相当多的研究致力于评估医生的倦怠。然而,心理弹性(PR)的研究却少得多。

目的

调查爱尔兰医生的 PR 与倦怠之间的关系,以确定如何提高 PR,并特别关注医生如何获得权力来增强其 PR。

方法

向一家爱尔兰教学医院的医生分发 ResMed PR 调查和 Maslach 倦怠量表-人力资源服务调查(MBI-HSS)。

结果

共收到 322 份在线和纸质调查问卷。纸质调查问卷的回复率为 42.0%(168/400)。去人性化和个人成就感是工作满意度的显著预测因素(从医生的工作中获得满足感)。情绪耗竭和个人成就感是保护态度的显著预测因素(促进或维持 PR 的态度;例如,不把事情个人化)。男性比女性更积极地与保护态度相关。情绪耗竭和个人成就感是保护措施的显著预测因素(建立/维持弹性的方法;例如,良好的时间管理)。

结论

本文报告的研究提供了一些见解,即医疗保健领导者如何赋予一线医生权力,改变他们的工作方式,从而提高他们的心理弹性,帮助他们茁壮成长,而不仅仅是生存。

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