Department of Pediatrics, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, 270 Rama VI Road, Rajthevi, Bangkok, 10400, Thailand.
Faculty of Medicine, The ChakriNaruebodindra Medical Institute, Mahidol University, 111 Tambon Bang Pla, Amphoe Bang Phli, 10540, Chang Wat Samutprakan, Thailand.
BMC Med Educ. 2022 Apr 28;22(1):327. doi: 10.1186/s12909-022-03380-0.
Burnout is a psychological condition induced by work-related chronic interpersonal stressors. Interventions creating a sense of belonging and collegiality have been proposed as approaches for alleviating burnout. The current study aimed to: (1) explore the relationships between burnout, sense of belonging (relatedness with others), and work engagement; and (2) identify the key elements perceived by undergraduate medical students as positively contributing to collegiality, engagement, and a sense of belonging, in an undergraduate medical training setting.
An exploratory sequential mixed-methods design using questionnaires and semi-structured individual interviews collected quantitative and qualitative data among undergraduate medical students at Mahidol University, Thailand. The Maslach Burnout Inventory-Student Survey questionnaire was used to measure burnout. The Basic Psychological Need Satisfaction at Work Scale (BPNSS-21) and the Utrecht Work Engagement Scale-Student Version (UWESS-9) measured students' basic psychological needs satisfaction at work and work engagement, respectively. Descriptive statistical analysis and confirmatory factor analysis were performed on BPNSS-21 and UWESS-9 data. Spearman's correlation coefficient was used to identify the correlation between burnout and other factors. Twenty undergraduate medical students participated in the qualitative study. Qualitative analysis was conducted iteratively using constant comparison and the standard principles of primary, secondary, and tertiary coding for thematic analysis.
Thai versions of the BPNSS-21 and UWESS-9 showed an acceptable fit for the Thai cultural context. Burnout had significant weak inverse associations with engagement (r = - 0.39, p < 0.005) and basic psychological needs satisfaction (r = - 0.37, p < 0.005). Sense of belonging had a significant weak inverse relationship with burnout (r = - 0.25, p < 0.005). The main themes emerging from qualitative analysis were relevant tasks and learning activities, safety in the learning environment, peer interaction, program design factors, dynamics of collegiality while progressing through medical school, and personal stance and social skills.
Sense of belonging, engagement, and collegiality were related to burnout. The key features for promoting collegiality, the sense of belonging, and engagement were relevant tasks and learning activities, safety in the learning environment, peer interaction, program design factors, dynamics of collegiality while progressing through medical school, and personal stance and social skills.
burnout 是一种由工作相关的慢性人际压力源引起的心理状态。已经提出了创造归属感和同事关系的干预措施，作为缓解 burnout 的方法。本研究旨在：（1）探讨 burnout、归属感（与他人的关系）和工作投入之间的关系；（2）确定在医学本科生培训环境中，医学生认为对同事关系、投入和归属感有积极贡献的关键因素。
使用问卷和半结构化个体访谈，在泰国玛希隆大学的医学生中收集定量和定性数据，采用探索性顺序混合方法设计。使用 Maslach Burnout Inventory-Student Survey 问卷衡量 burnout。基本心理需求满足度在工作中的量表（BPNSS-21）和 Utrecht Work Engagement Scale-Student Version（UWESS-9）分别衡量学生在工作中的基本心理需求满足度和工作投入度。对 BPNSS-21 和 UWESS-9 数据进行描述性统计分析和验证性因素分析。使用 Spearman 相关系数确定 burnout 与其他因素之间的相关性。20 名医学生参加了定性研究。使用常规定量比较和主题分析的主要、次要和三级编码的迭代方法进行定性分析。
BPNSS-21 和 UWESS-9 的泰文版本在泰国文化背景下具有可接受的拟合度。 burnout 与投入度（r=-0.39，p<0.005）和基本心理需求满足度（r=-0.37，p<0.005）呈显著负相关。归属感与 burnout 呈显著负相关（r=-0.25，p<0.005）。定性分析中出现的主要主题是相关任务和学习活动、学习环境中的安全、同伴互动、项目设计因素、医学生涯中同事关系的动态以及个人立场和社交技能。
归属感、投入度和同事关系与 burnout 有关。促进同事关系、归属感和投入度的关键特征是相关任务和学习活动、学习环境中的安全、同伴互动、项目设计因素、医学生涯中同事关系的动态以及个人立场和社交技能。
