Martinelli Susan M, Isaak Robert S, Chidgey Brooke A, Bullard Ty L, DiLorenzo Amy, Rebel Annette, Chen Fei
J Educ Perioper Med. 2020 Oct 1;22(4):E652. doi: 10.46374/volxxii-issue4-martinelli. eCollection 2020 Oct-Dec.
Recent work has shown that understanding of work-related stress by family and friends is associated with increased resident well-being. However, it is often difficult for residents to communicate with their support persons (SPs), especially those who have minimal understanding of the medical field, regarding even the most basic functions of their role in the health care system. This study aimed to pilot test an innovative wellness event focusing on the social relatedness component of resident well-being.
The target population included 30 new residents at 2 anesthesiology residency programs and their SPs in 2017. The Family Anesthesia Experience (FAX) began with didactic presentations and a panel discussion about wellness topics. It concluded with a multifaceted simulation experience. Participants were surveyed before and after the event. Measures included SPs' understanding of residents' work and residents' stress, burnout, resilience, and social support levels. Student tests, Mann-Whitney tests, Wilcoxon signed-rank tests, and repeated measures analysis of variance were used to examine the impact of the event.
Twenty-two (84.6%) of the 26 intervention clinical anesthesia year 1 residents who attended FAX completed the postevent surveys, and all intervention SPs (100%, n = 33) completed both pre-event and postevent surveys. The event was well received by the residents (100%) and their SPs (100%). Improvement in perceived understanding in the intervention SPs group (Pre: 1.44 ± 0.63, Post: 2.69 ± 0.33, < .0001) was observed. Not all metrics of well-being for the residents achieved significance in change; however, decreased stress was observed compared with historical controls (Control: 1.91 ± 0.61, Intervention: 1.54 ± 0.42, = .019).
The event led to improved SPs' understanding of the role of an anesthesiology resident.
近期研究表明，家人和朋友对工作压力的理解与住院医师幸福感的提升有关。然而，住院医师往往难以与他们的支持人员（SPs）沟通，尤其是那些对医学领域了解甚少的人员，即便只是谈论他们在医疗系统中最基本的工作职责。本研究旨在对一项聚焦住院医师幸福感社会关联成分的创新健康活动进行试点测试。
目标人群包括2017年2个麻醉学住院医师培训项目中的30名新住院医师及其支持人员。家庭麻醉体验（FAX）活动以关于健康主题的教学讲座和小组讨论开场，最后以多方面的模拟体验结束。在活动前后对参与者进行了调查。测量指标包括支持人员对住院医师工作的理解以及住院医师的压力、倦怠、恢复力和社会支持水平。采用学生t检验、曼-惠特尼U检验、威尔科克森符号秩检验和重复测量方差分析来检验该活动的影响。
参加FAX活动的26名干预组临床麻醉一年级住院医师中有22名（84.6%）完成了活动后的调查，所有干预组支持人员（100%，n = 33）完成了活动前和活动后的调查。该活动受到住院医师（100%）及其支持人员（100%）的好评。干预组支持人员的感知理解有改善（活动前：1.44±0.63，活动后：2.69±0.33，P <.0001）。住院医师幸福感的所有指标并非都有显著变化；然而，与历史对照组相比，压力有所降低（对照组：1.91±0.61，干预组：1.54±0.42，P = 0.019）。
该活动提高了支持人员对麻醉学住院医师角色的理解。
