New York Institute of Technology, Old Westbury, NY, USA.
Teachers College, Columbia University, New York, NY, USA.
HERD. 2023 Jul;16(3):362-378. doi: 10.1177/19375867231151687. Epub 2023 Feb 1.
To evaluate the association between elements of the built environment and physician well-being using a scoping review.
Physicians currently report low work satisfaction, high burnout and depression. The built environment has been shown to affect well-being in the general population, but its relationship to physician well-being is not well understood. Gaining a better understanding of this relationship will allow for better evidence-based design for physician well-being.
A scoping review of the literature was conducted of Scopus and PubMed databases using key words for (1) environmental variables such as "environmental design"; (2) physician terms, such as "doctor"; and (3) outcome measures of well-being, such as "burnout." Studies were included if they had at least one measure of the built environment and one measure of physician well-being. Of 1,723 abstracts screened, 146 full-text articles were reviewed, leaving 16 articles to be included for data extraction.
Included studies were from all around the world, except for, notably, the United States. Robust interpretation of the data was challenging because of the lack of standardization in the assessment of environmental factors and physician well-being. Excessive noise was the variable most linked to well-being. Suitable surroundings, including lighting, furniture, and art, were also linked with satisfaction, but it was unclear whether there was an association with well-being.
Understanding how environmental factors affect physician well-being is paramount but considerably understudied. Standardization of research approach should be developed in order to produce more robust research to create evidence-based designs for physician well-being.
通过范围综述评估建筑环境要素与医生幸福感之间的关联。
目前，医生报告工作满意度低、倦怠和抑郁程度高。建筑环境已被证明会影响普通人群的幸福感，但它与医生幸福感之间的关系尚未得到很好的理解。更好地了解这种关系将有助于为医生幸福感提供更好的循证设计。
对 Scopus 和 PubMed 数据库进行了文献范围综述，使用了（1）环境变量（如“环境设计”）、（2）医生术语（如“医生”）和（3）幸福感的测量结果（如“倦怠”）等关键词。如果研究至少有一项建筑环境测量和一项医生幸福感测量，则将其纳入研究。在筛选出的 1723 篇摘要中，有 146 篇全文文章进行了审查，最后有 16 篇文章纳入数据提取。
纳入的研究来自世界各地，但美国除外。由于环境因素和医生幸福感评估缺乏标准化，因此对数据进行有力解释具有挑战性。过多的噪音是与幸福感最相关的变量。合适的环境，包括照明、家具和艺术品，也与满意度相关，但尚不清楚它们是否与幸福感有关。
了解环境因素如何影响医生幸福感至关重要，但研究却相当不足。应该制定研究方法的标准化，以便开展更有力的研究，为医生幸福感提供循证设计。
