Dept of Anaesthetics, West Suffolk NHS Foundation Trust, Bury Saint Edmunds, UK.
Faculty of Medicine, Imperial College London, London, UK.
BMJ Open. 2021 Mar 22;11(3):e050223. doi: 10.1136/bmjopen-2021-050223.
The COVID-19 pandemic has brought unprecedented challenges to the medical workforce. This has put them at increased risk of burnout at a time when levels are already worryingly high in the profession, with recent studies consistently showing that around half of doctors meet the validated criteria for burnout.
To understand the wider factors influencing and impacting upon hospital doctors' well-being during the COVID-19 pandemic in England.
Cross-sectional survey and mixed quantitative-qualitative analysis.
Acute National Health Service (NHS) Foundation Trust in England.
An online survey was circulated in early June 2020 to all 449 doctors employed by the Trust. 242 doctors completed the survey (54% response rate).
Questions assessed occupational details, self-reported changes in physical and mental health, satisfaction with working hours and patterns, availability of personal protective equipment (PPE), medication and facilities, communication and sought to identify areas seen as having a significant effect on doctors' well-being.
96% of respondents requiring PPE were able to access it. Nearly half of the respondents felt that their mental health had deteriorated since the start of the pandemic. Over a third stated that their physical health had also declined. Issues identified as having a negative impact on doctors included increased workload, redeployment, loss of autonomy, personal issues affecting family members, anxiety around recovery plans, inadequate access to changing and storage facilities and to rest areas that allow for social distancing. Doctors appreciated access to 'calm rooms' that were made available for staff, access to clinical psychology support, free drinks and free car parking on site.
The emerging themes are suggestive of increased burnout risk among doctors during the COVID-19 pandemic and encompass factors well beyond shortage of PPE. Small organisational initiatives and the implementation of changes suggested by survey respondents can have a positive impact on doctors' well-being.
新冠疫情给医务人员带来了前所未有的挑战。这使他们在职业倦怠水平已经令人担忧地高的情况下，面临更大的风险，最近的研究一致表明，大约一半的医生符合倦怠的验证标准。
了解在英格兰新冠疫情期间影响和影响医院医生健康的更广泛因素。
横断面调查和混合定量定性分析。
英格兰急性国民保健制度（NHS）基金会信托。
2020 年 6 月初，向该信托所有 449 名医生发放了在线调查。242 名医生完成了调查（回应率为 54%）。
问题评估职业细节、自我报告的身心健康变化、对工作时间和模式的满意度、个人防护设备（PPE）的可用性、药物和设施、沟通，并试图确定被认为对医生健康有重大影响的领域。
需要 PPE 的 96%的受访者能够获得 PPE。近一半的受访者表示，自疫情开始以来，他们的心理健康状况恶化。超过三分之一的人表示他们的身体健康状况也有所下降。被确定对医生产生负面影响的问题包括工作量增加、重新部署、自主权丧失、影响家庭成员的个人问题、对恢复计划的焦虑、改变和储存设施以及允许保持社交距离的休息区不足。医生赞赏为员工提供的“平静室”、获得临床心理学支持、免费饮料和现场免费停车。
出现的主题表明，在新冠疫情期间，医生的倦怠风险增加，这不仅包括 PPE 短缺。小的组织举措和调查受访者提出的改变的实施可以对医生的健康产生积极影响。
