University of Utah Health, Medical Group, United States.
University of Utah Health, Resiliency Center, United States.
Am J Surg. 2022 Jan;223(1):6-11. doi: 10.1016/j.amjsurg.2021.07.029. Epub 2021 Jul 21.
Burnout, often regarded as an individual failing, rather than a systemic one, negatively impacts quality of care, patient safety and healthcare costs. Focusing on improving well-being can help mitigate burnout. This study examined protective factors that promote well-being and professional fulfillment in surgeons.
Using a purposive sample, 32 semi-structured 30-60-min interviews were conducted with surgeons of varying sub-specialties and rank. Abductive exploratory analysis was used to code and interpret interview transcripts and to build a conceptual model of surgeon well-being.
Emergent protective factors were placed into one of three levels of implementation: individual, team-level, and institutional (figure). Individual factors for well-being included autonomy and adequate time to pursue non-clinical endeavors. Team-level factors consisted of adaptability, boundaries, and cohesion. Institutional factors related to diversifying performance evaluations and celebrating and recognizing individual value and contributions.
The conceptual model developed from the results of this study highlights factors important to surgeons' professional well-being. This model can be used to guide quality improvement efforts.
burnout（职业倦怠）通常被视为个体的失败，而不是系统性的问题，它会对医疗质量、患者安全和医疗成本产生负面影响。关注幸福感的提升可以帮助减轻 burnout。本研究探讨了促进外科医生幸福感和职业成就感的保护因素。
采用目的性抽样，对不同亚专业和级别的外科医生进行了 32 次半结构化的 30-60 分钟访谈。采用归纳探索性分析对访谈记录进行编码和解释，并构建外科医生幸福感的概念模型。
出现的保护因素被分为三个实施层面：个体层面、团队层面和机构层面（图）。个体层面的幸福感因素包括自主性和充足的时间来追求非临床工作。团队层面的因素包括适应性、界限和凝聚力。机构层面与绩效评估的多样化、庆祝和认可个人价值和贡献有关。
本研究结果形成的概念模型强调了对外科医生职业幸福感重要的因素。该模型可用于指导质量改进工作。
