Dahmash Abdulmajeed Bin, Alajmi Mohammed Faisal, Aldayel Abdulrahman Yousef, Alotaibi Yasir Tariq, Altoum Sultan Meshal, Alzayed Abdullah, Jabari Moslah Ali
Department of Pediatrics, College of Medicine, Imam Mohammad ibn Saud Islamic University, Riyadh, Saudi Arabia.
Ochsner J. 2021 Summer;21(2):152-157. doi: 10.31486/toj.20.0037.
Burnout is a syndrome characterized by emotional exhaustion, depersonalization, and a low sense of personal accomplishment. The aim of this study was to identify burnout incidence in pediatric residents and evaluate possible risk factors for burnout. Using a cross-sectional study design, we approached all pediatric residents in the Saudi Pediatrics Residency Program in Riyadh, Saudi Arabia (n=457) between January and March 2019. The Maslach Burnout Inventory-Human Services Survey was used to assess burnout incidence. In addition, demographic factors, schedule burden, career choice satisfaction, and work-life balance were assessed. The response rate was 57.8% (264/457). Males represented 46.6%. Only 14% of the residents in the study were satisfied with their work-life balance, and 62% were satisfied with their career choice of pediatrics. The overall high burnout incidence was 15.9%, the high emotional exhaustion incidence was 63.6%, the high depersonalization incidence was 27.7%, and the low sense of personal accomplishment incidence was 48.5%. In the multivariate analysis, an increase in the average number of on-calls per month (odds ratio [OR]=1.66, 95% CI 1.12-2.46; =0.012) and satisfaction with salary (OR=0.47, 95% CI 0.33-0.66; <0.001) showed significant associations with high overall burnout. We found a high level of emotional exhaustion and a low sense of personal accomplishment among respondents. However, less than one-third of residents had feelings of depersonalization or overall high burnout. Residency program directors may need to make modifications in their programs to ensure a good work-life balance for residents that will help ensure that these physicians provide safe and sustained patient care.
职业倦怠是一种以情绪衰竭、去人格化和个人成就感低落为特征的综合征。本研究的目的是确定儿科住院医师的职业倦怠发生率，并评估职业倦怠的可能风险因素。采用横断面研究设计，我们于2019年1月至3月对沙特阿拉伯利雅得沙特儿科住院医师培训项目中的所有儿科住院医师（n = 457）进行了调查。使用马氏职业倦怠量表-人类服务调查来评估职业倦怠发生率。此外，还评估了人口统计学因素、排班负担、职业选择满意度和工作生活平衡情况。回复率为57.8%（264/457）。男性占46.6%。研究中只有14%的住院医师对其工作生活平衡感到满意，62%的人对其儿科职业选择感到满意。总体职业倦怠高发生率为15.9%，情绪衰竭高发生率为63.6%，去人格化高发生率为27.7%，个人成就感低落发生率为48.5%。在多变量分析中，每月平均值班次数增加（优势比[OR]=1.66，95%置信区间1.12 - 2.46；P = 0.012）和对薪资的满意度（OR = 0.47，95%置信区间0.33 - 0.66；P < 0.001）与总体职业倦怠高显著相关。我们发现受访者中情绪衰竭程度高且个人成就感低落。然而，不到三分之一的住院医师有去人格化或总体职业倦怠高的感受。住院医师培训项目主任可能需要对其项目进行调整，以确保住院医师有良好的工作生活平衡，这将有助于确保这些医生提供安全且持续的患者护理。
