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一项针对学术机构精神科住院医师的社交网络干预措施,以改善其联系和倦怠感:一项准实验研究。

A social network intervention to improve connectivity and burnout among psychiatry residents in an academic institution: a quasi-experimental study.

机构信息

Department of Psychiatry, School of Medicine, Tehran University of Medical Sciences, Roozbeh Hospital, South Kargar Avenue, 13337-15914, Tehran, Iran.

Department of Public Health Sciences, School of Medicine and Dentistry, University of Rochester, Rochester, USA.

出版信息

BMC Med Educ. 2022 May 13;22(1):367. doi: 10.1186/s12909-022-03440-5.

Abstract

BACKGROUND

Burnout is common among residents, which could be associated with their professional network characteristics. This study aimed to assess the social networks of psychiatry residents and develop an intervention to improve their network characteristics, burnout, and perception of the educational environment.

METHODS

We recruited a cohort of 17 PGY-2 residents and assessed their social networks, burnout, and perception of the educational environment. After the baseline survey, we held a focus group with PGY-2 residents to discuss the results, their network characteristics, and interventions that can improve their relationships. The PGY-2 residents indicated that offering extracurricular opportunities to facilitate friendly interactions among the residents and faculty members would be the most feasible and acceptable intervention. Therefore, four "interest groups" for extracurricular activities were established. Residents and faculty members were invited to participate in interest groups to improve the network characteristics. Some PGY-2 residents and faculty members agreed to moderate interest group sessions (active members).

RESULTS

After the intervention, active residents improved significantly in the perceived personal accomplishment subscale of the burnout inventory and their perception of the educational environment. Active faculty members also had a significant increase in their relationships with PGY-2 residents in one domain of social networks.

CONCLUSIONS

Enhancing relationships between residents and faculty members through participatory intervention and extracurricular activities can improve faculty-resident connectivity and residents' perception of personal accomplishment and educational environment quality.

摘要

背景

burnout 在住院医师中很常见,这可能与他们的专业网络特征有关。本研究旨在评估精神病学住院医师的社交网络,并制定一项干预措施来改善他们的网络特征、职业倦怠和对教育环境的感知。

方法

我们招募了一组 17 名 PGY-2 住院医师,并评估了他们的社交网络、职业倦怠和对教育环境的感知。在基线调查后,我们与 PGY-2 住院医师举行了一次焦点小组讨论,讨论结果、他们的网络特征以及可以改善他们关系的干预措施。PGY-2 住院医师表示,提供课外活动来促进住院医师和教师之间的友好互动是最可行和最可接受的干预措施。因此,成立了四个“课外兴趣小组”。邀请住院医师和教师参加兴趣小组以改善网络特征。一些 PGY-2 住院医师和教师同意主持兴趣小组会议(积极成员)。

结果

干预后,积极的住院医师在职业倦怠量表的个人成就感子量表和对教育环境的感知方面显著改善。积极的教师在社交网络的一个领域与 PGY-2 住院医师的关系也显著增加。

结论

通过参与式干预和课外活动来加强住院医师和教师之间的关系,可以提高教师与住院医师的联系,增强住院医师的个人成就感和教育环境质量的感知。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa7d/9102699/02de4e130282/12909_2022_3440_Fig1_HTML.jpg

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