专业差异对住院医师适应力和倦怠感的影响——一项全国性调查。
Specialty differences in resident resilience and burnout - A national survey.
机构信息
Department of Surgery, College of Medicine, Central Michigan University, 912 S Washington Ave, Suite #1, Saginaw, MI, 48601, USA.
Department of Psychology, Education and Teacher Training, Faculty of Psychology and Education Sciences, Transilvania University of Brasov, 29 Eroilor Bd, 500036, Brasov, Romania.
出版信息
Am J Surg. 2021 Aug;222(2):319-328. doi: 10.1016/j.amjsurg.2020.12.039. Epub 2020 Dec 25.
BACKGROUND
Burnout is widespread among resident physicians, but higher resilience is associated with lower burnout. This study characterizes the relationship between resilience and burnout in medical (MR) and surgical (SR) resident physicians.
METHODS
A cross-sectional survey was distributed to all ACGME-accredited residency programs with the Connor-Davidson Resilience Scale and Abbreviated Maslach Burnout Inventory.
RESULTS
Of the 682 respondents, both Medical and Surgical Residents with higher resilience had lower burnout. Higher resilience was seen in Surgical Residents who were men, had greater family support, more residency program support, and enjoyed greater autonomy. Burnout was greater in women, Caucasians, those in an academic setting, and with less autonomy and program support. Burnout was similar among the medical and surgical groups, but surgical trainees had higher resilience. Overall, family and institutional support was associated positively with high resilience and decreased burnout.
CONCLUSIONS
Increasing resilience and program support can decrease burnout, especially for high-risk subgroups.
背景
住院医师中普遍存在倦怠现象，但更高的适应力与更低的倦怠感相关。本研究旨在描述医学（MR）和外科（SR）住院医师适应力与倦怠之间的关系。
方法
向所有经 ACGME 认证的住院医师培训计划发放了 Connor-Davidson 适应力量表和简化 Maslach 倦怠量表的横断面调查。
结果
在 682 名受访者中，适应力较高的医学和外科住院医师倦怠感较低。适应力较高的外科住院医师为男性，家庭支持更大，住院医师培训计划支持更多，享受更大的自主权。女性、白种人、在学术环境中、自主权和计划支持较少的人倦怠感更强。医学和外科组之间的倦怠感相似，但外科培训生的适应力更高。总体而言，家庭和机构支持与高适应力和减少倦怠感呈正相关。
结论
提高适应力和计划支持可以降低倦怠感，尤其是对高风险亚组。
Zotero 插件