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英国外科医生的倦怠体验以及倦怠与患者护理之间的联系:一项定性研究。

How UK surgeons experience burnout and the link between burnout and patient care: A qualitative investigation.

机构信息

School of Psychology, 4468University of Leeds, Leeds, UK.

Bradford Institute for Health Research, Bradford Royal Infirmary, Bradford, UK.

出版信息

Scott Med J. 2022 Nov;67(4):197-206. doi: 10.1177/00369330221122348. Epub 2022 Sep 7.

Abstract

BACKGROUND AND AIMS

Poor well-being affects the performance of all kinds of workers, including surgeons. This study aimed to answer two questions: (1) how does burnout affect surgeons personally, and what is their burnout experience like? (2) How does burnout affect the care that surgeons provide in the United Kingdom (UK)?

METHOD

This study conducted thematic analysis of semi-structured interviews with 14 surgeons recruited from the UK National Health Service (NHS).

RESULT

The study found three themes in surgeons' experiences of burnout: first, burnout is common but frequently not recognised nor understood; second, burnout is a personal crisis; and third, burnout creates vulnerability at work. The study also revealed four themes related to burnout's effect on patient care: first, burnout reduces the quality of surgeon-patient relationships; second, burnout affects patient safety; third, burnout impairs staff relationships; and fourth, burnout makes surgeons less motivated to improve.

CONCLUSION

Burnout is common but not well recognised in surgeons. Improving understanding and treatment of burnout could have benefits for both surgeons themselves and the care they provide to patients.

摘要

背景与目的

较差的健康状况会影响各类工作者的表现,包括外科医生。本研究旨在回答两个问题:(1)倦怠感如何影响外科医生个人,他们的倦怠感体验如何?(2)倦怠感如何影响英国(UK)外科医生提供的护理?

方法

本研究对从英国国民保健服务体系(NHS)招募的 14 名外科医生进行了半结构化访谈的主题分析。

结果

研究发现外科医生倦怠感体验中的三个主题:首先,倦怠感很常见,但经常未被识别或理解;其次,倦怠感是个人危机;最后,倦怠感在工作中造成脆弱性。研究还揭示了与倦怠感对患者护理的影响相关的四个主题:首先,倦怠感降低了外科医生与患者的关系质量;其次,倦怠感影响患者安全;再次,倦怠感损害员工关系;最后,倦怠感使外科医生改善工作的动力降低。

结论

倦怠感在外科医生中很常见,但未得到很好的认识。改善对倦怠感的理解和治疗可能对外科医生自身以及他们为患者提供的护理都有益处。

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