沙特阿拉伯医护人员的倦怠、韧性、监督支持与离职意向：一项全国性横断面调查。
Burnout, Resilience, Supervisory Support, and Quitting Intention among Healthcare Professionals in Saudi Arabia: A National Cross-Sectional Survey.
机构信息
Department of Respiratory Care, College of Applied Medical Sciences, King Faisal University, Al-Ahasa 31982, Saudi Arabia.
Respiratory Therapy Department, Faculty of Applied Medical Sciences, Jazan University, Jazan 45142, Saudi Arabia.
出版信息
Int J Environ Res Public Health. 2023 Jan 29;20(3):2407. doi: 10.3390/ijerph20032407.
UNLABELLED
Although personal resilience and supervisory support are known to reduce the impact of burnout and quitting intention, there is limited data available to explore these relationships among healthcare professionals (HCPs) in Saudi Arabia. This study aimed to assess the prevalence of burnout and explore its association with resilience, supervisory support, and intention to quit among Saudi Arabian HCPs.
METHODS
A cross-sectional survey was distributed to a convenience sample of HCPs between April and November 2022. Participants responded to socio-demographic questions, the Maslach Burnout Inventory-Human Services Survey for Medical Personnel (MBI-HSS (MP)), the Connor-Davidson resilience scale 10 (CD-RISC 10), and the Perceived of Supervisor Support Scale (PSS). Descriptive, inferential, correlation, and logistic regression tests were performed for data analyses.
RESULTS
Of the 1174 HCPs included in the analysis, 77% were presented with high burnout levels: 58% with emotional exhaustion (EE), 72% with depersonalization (DP), and 66% with low personal accomplishment (PA). Females were associated with increased odds of burnout (OR: 1.47; 95% CI: 1.04-2.06) compared to males. Burnout and its subscales were associated with higher intention to leave practice, with 33% of HCPs considering quitting their jobs. Furthermore, HCPs reported a low resilience score overall, and negative correlations were found between EE (r = -0.21; < 0.001) and DP (r = -0.12; < 0.01), and positive correlation with low PA (r = 0.38; < 0.001). In addition, most HCPs perceived supervisory support as low, and it is associated with increased burnout and quitting intention.
CONCLUSION
Burnout is common among HCPs across all clinical settings and is associated with higher intention to quit and low resilience and supervisory support. Workplace management should provide a supportive workplace to reduce burnout symptoms and promote resiliency.
目的
评估沙特阿拉伯医疗保健专业人员（HCP）中 burnout 的流行情况，并探讨其与韧性、监督支持和离职意向的关系。
方法
对 2022 年 4 月至 11 月间的便利样本 HCP 进行横断面调查。参与者回答社会人口统计学问题、Maslach 职业倦怠量表-人类服务调查医疗人员版（MBI-HSS（MP））、Connor-Davidson 韧性量表 10 版（CD-RISC 10）和感知监督支持量表（PSS）。对数据进行描述性、推论性、相关性和逻辑回归检验。
结果
在纳入分析的 1174 名 HCP 中，77%呈现出高 burnout 水平：58%表现出情绪疲惫（EE），72%表现出去人性化（DP），66%表现出低个人成就感（PA）。与男性相比，女性的 burnout 发生几率更高（OR：1.47；95%CI：1.04-2.06）。burnout 及其子量表与更高的离职意向相关，33%的 HCP 考虑辞去工作。此外，HCP 的整体韧性评分较低，EE（r = -0.21；<0.001）和 DP（r = -0.12；<0.01）呈负相关，与低 PA 呈正相关（r = 0.38；<0.001）。此外，大多数 HCP 认为监督支持较低，与 burnout 增加和离职意向增加有关。
结论
所有临床环境中的 HCP 中 burnout 都很常见，与更高的离职意向和较低的韧性和监督支持有关。工作场所管理应提供一个支持性的工作环境，以减少 burnout 症状并促进韧性。
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