Work and Organizational Psychology, University of Amsterdam, Amsterdam, The Netherlands.
Pediatrics, Erasmus Medical Center - Sophia Children's Hospital, Rotterdam, The Netherlands.
BMJ Open. 2021 Jan 25;11(1):e041708. doi: 10.1136/bmjopen-2020-041708.
Physician burn-out is increasing, starting already among residents. The consequences of burn-out are not limited to physicians' well-being, they also pose a threat to patient care and safety. This study investigated the effectiveness of a professional coaching intervention to reduce burn-out symptoms and foster personal resources in residents and specialists.
In a controlled field experiment, medical residents and specialists received six coaching sessions, while a control group did not undergo any treatment. The authors assessed burn-out symptoms of exhaustion and cynicism, the personal resources psychological capital, psychological flexibility and self-compassion, as well as job demands and job resources with validated questionnaires (January 2017 until August 2018). The authors conducted repeated measures analyses of variance procedures to examine changes over time for the intervention and the control group.
Four academic hospitals in the Netherlands.
A final sample of 57 residents and specialists volunteered in an individual coaching programme. A control group of 57 physicians did not undergo any treatment.
Coaching was provided by professional coaches during a period of approximately 10 months aiming at personal development and growth.
The coaching group (response rate 68%, 57 physicians, 47 women) reported a reduction in burn-out symptoms and an increase in personal resources after the coaching intervention, while no such changes occurred in the control group (response rate 35%, 42 women), as indicated by significant time × group interactions, all p<0.01. Specifically, physicians increased their psychological capital (η=0.139), their self-compassion (η=0.083), and reported significantly less exhaustion (η=0.126), the main component of the burn-out syndrome.
This study suggests that individual coaching is a promising route to reduce burn-out symptoms in both residents and specialists. Moreover, it strengthens personal resources that play a crucial role in the prevention of burn-out.
医生倦怠现象日益严重，甚至在住院医师中就已初现端倪。倦怠的后果不仅局限于医生的健康，还对患者护理和安全构成威胁。本研究旨在调查专业教练干预对减少住院医师和专家倦怠症状和培养个人资源的有效性。
在一项对照现场实验中，住院医师和专家接受了六次教练辅导，而对照组则未接受任何治疗。作者使用经过验证的问卷评估了倦怠症状（耗竭和玩世不恭）、个人资源（心理资本、心理灵活性和自我同情）以及工作需求和工作资源。作者进行了重复测量方差分析，以检查干预组和对照组随时间的变化。
荷兰的四家学术医院。
57 名住院医师和专家自愿参加了一项个人辅导计划，最终样本。对照组的 57 名医生未接受任何治疗。
教练由专业教练提供，为期约 10 个月，旨在促进个人发展和成长。
教练组（响应率 68%，57 名医生，47 名女性）报告说，在教练干预后，倦怠症状减少，个人资源增加，而对照组（响应率 35%，42 名女性）则没有这种变化，这表明存在显著的时间×组交互作用，所有 p 值均<0.01。具体而言，医生的心理资本（η=0.139）、自我同情（η=0.083）增加，耗竭感（倦怠综合征的主要组成部分）显著减少（η=0.126）。
本研究表明，个体辅导是减少住院医师和专家倦怠症状的一种很有前途的途径。此外，它还增强了在预防倦怠中发挥关键作用的个人资源。
