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教授乐观主义能否降低住院医师培训中的职业倦怠——一项试点研究

Does teaching Optimism lower Burnout in residency training- a pilot study.

作者信息

Kim Daniel I, Loo Lawrence K, Garrison Roger C, Motabar Ali, Yu Minho, Nathaniel Brandon, Ulrich Michael T, Skoretz Lynnetta, Jafari Jasmine, Calzia Megan, Gilmore Mariam, Firek Anthony

机构信息

Chair of Medicine, Riverside University Health System.

Designated Institutional Official/Director of Medical Education, Riverside University Health System.

出版信息

J Community Hosp Intern Med Perspect. 2021 Jun 21;11(4):429-432. doi: 10.1080/20009666.2021.1910408.

Abstract

: Residents frequently experience burnout. Multiple interventions to decrease the risk of burnout have had inconsistent results. In non-medical settings, improving optimism promotes a positive outlook and enhances well-being. Thus, psychological interventions that improve optimism could have potential to decrease the risk for burnout. : Using Lazarus' Ways of Coping as an organizational framework, this intervention sought to evaluate the impact of an optimism curriculum on residents' burnout. : Thirty-six Internal Medicine residents participated in an optimism improvement program from November 2019 to April 2020. We determined pre- and post-curriculum measures of optimism, happiness, and burnout with validated surveys. The Optimism Curriculum was comprised of three one-hour long sessions, which included lectures, group and self-reflective exercises. A post - curriculum evaluation rating the effectiveness of the program was administered separately. : Thirty-four out of thirty-six residents completed the post curricular surveys. Individuals with low optimism scores had a higher score for burnout compared to those with higher optimism scores. The post-intervention survey showed numerical improvement in optimism, happiness and burnout, although these changes were not statistically significant. The post-intervention survey showed a decrease in the measure of burnout; however, this was not significant (p = 0.24) with an effect size of 0.34 (Cohen's d). : Teaching optimism to residents with the objective of decreasing the risk of burnout is feasible and easily integrated into residency education sessions. The encouraging results of this pilot study lay the foundation for additional studies and suggest a practical role for implementing optimism curricula in residency training programs.

摘要

住院医师经常会出现职业倦怠。多种旨在降低职业倦怠风险的干预措施效果并不一致。在非医疗环境中,提高乐观情绪能促进积极的人生观并提升幸福感。因此,改善乐观情绪的心理干预措施可能有降低职业倦怠风险的潜力。:以拉扎勒斯的应对方式作为组织框架,本干预措施旨在评估乐观课程对住院医师职业倦怠的影响。:36名内科住院医师于2019年11月至2020年4月参加了一项乐观情绪改善计划。我们通过经过验证的调查确定了课程前后的乐观情绪、幸福感和职业倦怠的测量结果。乐观课程由三个一小时的课程组成,包括讲座、小组和自我反思练习。课程结束后单独进行了对该计划有效性的评估。:36名住院医师中有34名完成了课程后的调查。与乐观得分较高的人相比,乐观得分较低的人职业倦怠得分更高。干预后的调查显示,乐观情绪、幸福感和职业倦怠在数值上有所改善,尽管这些变化没有统计学意义。干预后的调查显示职业倦怠测量值有所下降;然而,这并不显著(p = 0.24),效应大小为0.34(科恩d值)。:以降低职业倦怠风险为目标向住院医师传授乐观情绪是可行的,并且很容易融入住院医师教育课程中。这项试点研究的令人鼓舞的结果为进一步的研究奠定了基础,并表明在住院医师培训项目中实施乐观课程具有实际作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cad1/8221164/fdc37c28b82a/ZJCH_A_1910408_F0001_B.jpg

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