Department of Psychiatry, University of Oxford, Oxford, UK.
School of Psychology, Aston University, Birmingham, UK.
BMJ Open. 2022 Aug 29;12(8):e063697. doi: 10.1136/bmjopen-2022-063697.
The aim of this study was to examine the well-being experiences of consultants working in paediatric critical care (PCC) settings in the UK during the COVID-19 pandemic.
Qualitative design using individual interviews and thematic analysis.
PCC.
Eleven medical consultants working in PCC in a range of PCC settings/transport teams in the UK from nine units participated. Participants ranged in years of experience as a consultant from four to 23 years.
A set of open semistructured questions were used to elicit information about participants' experiences of workplace well-being. Interviews were audiorecorded and transcribed.
Thematic analysis identified six themes and data saturation was reached. These were as follows: (1) positive and negative impact of working during COVID-19, (2) job satisfaction and public scrutiny in the unique environment of PCC, (3) supporting the workforce through modified shift work, (4) perceptions of support and recognition offered from the hospital management, (5) successful coping strategies are personal and adaptive, and (6) importance of civility and good teamwork CONCLUSION: Findings show that consultants' well-being is challenged in a number of ways and that the solutions to the problem of burn-out are multifaceted. Action is required from individual consultants, clinical teams, hospital management and national regulatory bodies. Our work corroborates the recent General Medical Council report highlighting doctors' core needs for well-being: autonomy, belonging, competence. Burn-out is a long-term problem, requiring sustainable solutions. Future research needs to develop and evaluate the effectiveness of evidence-based interventions to improve consultants' well-being. Trials of effectiveness need to present evidence that will persuade hospital management to invest in their consultants' well-being within the economic context of reduced budgets and limited PCC workforce.
本研究旨在探讨 COVID-19 大流行期间在英国儿科重症监护 (PCC) 环境中工作的顾问的幸福感体验。
采用个体访谈和主题分析的定性设计。
PCC。
来自英国九个单位的九支 PCC 设置/转运团队中的 11 名医学顾问参与了该研究。参与者作为顾问的经验年限从 4 年到 23 年不等。
使用一组开放式半结构化问题来引出参与者关于工作场所幸福感体验的信息。访谈进行了录音和转录。
主题分析确定了六个主题，并达到了数据饱和。这些主题如下：(1) 在 COVID-19 期间工作的积极和消极影响，(2) 在 PCC 独特环境中的工作满意度和公众监督，(3) 通过修改轮班工作来支持劳动力，(4) 对医院管理层提供的支持和认可的看法，(5) 成功的应对策略是个人化和适应性的，以及(6) 文明和良好团队合作的重要性。
研究结果表明，顾问的幸福感在多个方面受到挑战，解决倦怠问题需要多方面的措施。需要个体顾问、临床团队、医院管理层和国家监管机构采取行动。我们的工作证实了最近的英国医学总会报告，该报告强调了医生幸福感的核心需求：自主性、归属感、胜任感。倦怠是一个长期问题，需要可持续的解决方案。未来的研究需要开发和评估基于证据的干预措施的有效性，以改善顾问的幸福感。需要进行有效性试验，提供证据说服医院管理层在预算减少和 PCC 劳动力有限的经济背景下投资于顾问的幸福感。
