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私人执业的第一年——新毕业的物理治疗师积极性很高且满意度高,但正逐渐走向倦怠。

The first year of private practice - new graduate physiotherapists are highly engaged and satisfied but edging toward burnout.

作者信息

Evans Kerrie, Papinniemi Amy, Vuvan Viana, Nicholson Vaughan, Dafny Hila, Levy Tamina, Chipchase Lucy

机构信息

Faculty of Medicine and Health, University of Sydney, Camperdown, Australia.

Healthia Limited, Bowen Hills, Australia.

出版信息

Physiother Theory Pract. 2024 Feb;40(2):262-275. doi: 10.1080/09593985.2022.2113005. Epub 2022 Aug 19.

DOI:10.1080/09593985.2022.2113005
PMID:35983750
Abstract

BACKGROUND

A greater understanding of physiotherapists' work-life during their first year of work in private practice, and whether their experiences are mediated by personal traits, may provide valuable information to support their transition and retention.

OBJECTIVES

Describe the first year of practice for graduate physiotherapists in terms of employee engagement, job satisfaction, performance, and burnout, and evaluate the relationship between these measures and personal traits (resilience, grit, mind-set).

DESIGN

One-year longitudinal mixed-methods study.

METHODS

Twenty new graduate physiotherapists completed questionnaires evaluating resilience, grit, and mind-set within 1-week of commencing employment. Engagement and job satisfaction were evaluated at 3, 6 and 12-months, and burnout evaluated at 12-months. Performance data (number of patients seen, revenue) were collected throughout the year. Individual semi-structured interviews were conducted at baseline, 3, 9 and 12-months.

RESULTS

Engagement and satisfaction were high at all time points. At 12-months, burnout was at a medium level. Resilience was positively associated with job satisfaction at 6 (ρ = 0.56, p = .019) and 12-months (ρ = 0.54, p = .027). Engagement (ρ = -0.57, p = .04) and job satisfaction (ρ = -0.56, p = .03) were negatively associated with burnout at 12-months. All participants remained passionate about their work although increasing administrative burden and patient complexity contributed to feelings of burnout.

CONCLUSIONS

Resilience was positively associated with job satisfaction suggesting those with capacity to 'bounce back' were more satisfied and engaged with their job. Although moderate levels of burnout were reported at 12-months, those with higher job satisfaction and employee engagement had lower levels of burnout. Participants proposed practical strategies to help mitigate burnout.

摘要

背景

更深入了解物理治疗师在私人诊所工作的第一年的工作生活情况,以及他们的经历是否受到个人特质的影响,可能会为支持他们的过渡和留任提供有价值的信息。

目的

从员工敬业度、工作满意度、绩效和职业倦怠方面描述研究生物理治疗师的第一年工作情况,并评估这些指标与个人特质(复原力、毅力、思维模式)之间的关系。

设计

为期一年的纵向混合方法研究。

方法

20名新毕业的物理治疗师在开始工作的1周内完成了评估复原力、毅力和思维模式的问卷。在3个月、6个月和12个月时评估敬业度和工作满意度,在12个月时评估职业倦怠。全年收集绩效数据(看诊患者数量、收入)。在基线、3个月、9个月和12个月时进行个人半结构化访谈。

结果

在所有时间点,敬业度和满意度都很高。在12个月时,职业倦怠处于中等水平。复原力与6个月时的工作满意度呈正相关(ρ = 0.56,p = 0.019)以及12个月时的工作满意度呈正相关(ρ = 0.54,p = 0.027)。在12个月时,敬业度(ρ = -0.57,p = 0.04)和工作满意度(ρ = -0.56,p = 0.03)与职业倦怠呈负相关。所有参与者对工作仍充满热情,尽管行政负担增加和患者病情复杂性导致了职业倦怠感。

结论

复原力与工作满意度呈正相关,表明那些有“恢复能力”的人对工作更满意且更投入。尽管在12个月时报告的职业倦怠水平中等,但工作满意度和员工敬业度较高的人职业倦怠水平较低。参与者提出了有助于减轻职业倦怠的实用策略。

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