Great Ormond Street Hospital for Children NHS Foundation Trust, UK.
Barts Health NHS Trust, UK.
Ann R Coll Surg Engl. 2024 Feb;106(2):131-139. doi: 10.1308/rcsann.2022.0165. Epub 2023 Mar 16.
Improving psychological wellbeing in healthcare professionals has demonstrable links with improvements in system-performance and patient outcomes. The aims of this study were to determine the prevalence of burnout among orthopaedic surgeons within the United Kingdom (UK) and to identify any influencing factors.
This prospective, cross-sectional nationwide study used the Oldenburg Burnout Inventory to assess burnout among orthopaedic registrars, middle grades and consultants from across the UK. In total, 369 participants completed an anonymised online survey. Reasons for burnout were assessed using a list of 20 stressors followed by a white-space box for elaboration.
Respondents included 204 (55.3%) consultants, 100 (27.1%) registrars and 65 (17.6%) who were an associate specialist, trust grade or fellow. Some 252 (68.3%) participants experienced moderate-level burnout and 81 (22.0%) high-level burnout. There was no significant association between burnout and grade ( = 0.283), gender ( = 0.433), marital status ( = 0.932), years since graduation ( = 0.397), overseas training ( = 0.642), hours worked ( = 0.601), region ( = 0.699) or hospital type ( = 0.813). A high level of disengagement and exhaustion were identified, with the latter being a greater contributory factor. The most common reasons for burnout were insufficient staff numbers, an overload of administrative work and limited time to see patients.
There was a moderate to high level of burnout among orthopaedic surgeons within the UK. Clinical and management teams should focus on improving staff numbers, reducing administrative work and increasing clinic consultation times to limit any further disengagement and exhaustion from surgeons. Reducing burnout may help to improve mental wellbeing, work satisfaction and workforce productivity.
提高医疗保健专业人员的心理健康水平与改善系统绩效和患者结果之间存在明显联系。本研究的目的是确定英国（UK）骨科医生中倦怠的流行程度，并确定任何影响因素。
这项前瞻性、横断面全国性研究使用奥尔登堡倦怠量表（Oldenburg Burnout Inventory）评估英国各地的骨科住院医师、中级和顾问的倦怠情况。共有 369 名参与者完成了匿名在线调查。使用 20 个压力源列表评估倦怠的原因，然后是一个用于详细说明的空白框。
受访者包括 204 名（55.3%）顾问、100 名（27.1%）住院医师和 65 名（17.6%）专科医生、信托级或研究员。共有 252 名（68.3%）参与者经历了中度倦怠，81 名（22.0%）经历了高度倦怠。倦怠与职称（ = 0.283）、性别（ = 0.433）、婚姻状况（ = 0.932）、毕业年限（ = 0.397）、海外培训（ = 0.642）、工作时间（ = 0.601）、地区（ = 0.699）或医院类型（ = 0.813）之间没有显著关联。确定了高度的脱离和疲惫，后者是一个更大的促成因素。倦怠的最常见原因是人手不足、行政工作超负荷和看病人的时间有限。
英国骨科医生中存在中度到高度的倦怠。临床和管理团队应专注于增加员工人数、减少行政工作并增加诊所咨询时间，以限制外科医生进一步脱离和疲惫。减少倦怠可能有助于改善心理健康、工作满意度和劳动力生产力。
