Wolfe Atticus
University of South Carolina, USA.
Heliyon. 2023 Apr;9(4):e14835. doi: 10.1016/j.heliyon.2023.e14835. Epub 2023 Mar 25.
Health care professionals are chronically overworked due to structural workplace demands and institutional challenges [1]. During the COVID-19 pandemic, US biomedical health care professionals experienced additional environmental strain [2]. Health care professionals who occupy socio-politically minoritized identities are more likely to report symptoms of distress and workplace overburden than their counterparts [2]. While minority stress and identity formation theories explain the relationship between socially constructed identity and environmental strain, these theories remain largely unexplored in LGBTQ+ health care professional populations. Furthermore, contemporary investigations into health care professional burnout and mental distress fail to include differential impacts of identity-based stress, particularly within LGBTQ+ groups. This paper proposes a theoretical explanation for differential stress experiences by health care professionals and calls for research to investigate identity congruence as a key aspect of professionalization in medical schools. Health professions researchers need to attend to identity-based stress models to address discriminatory experiences with burnout and mental distress.
由于工作场所的结构性需求和机构挑战，医疗保健专业人员长期工作过度劳累[1]。在新冠疫情期间，美国生物医学医疗保健专业人员承受了额外的环境压力[2]。与同行相比，具有社会政治边缘化身份的医疗保健专业人员更有可能报告痛苦症状和工作负担过重[2]。虽然少数群体压力和身份形成理论解释了社会建构身份与环境压力之间的关系，但这些理论在 LGBTQ+ 医疗保健专业人群中基本上仍未得到探索。此外，当代对医疗保健专业人员职业倦怠和精神痛苦的调查没有考虑基于身份的压力的不同影响，尤其是在 LGBTQ+ 群体中。本文提出了一个关于医疗保健专业人员不同压力经历的理论解释，并呼吁进行研究，以调查身份一致性作为医学院校专业化的一个关键方面。卫生专业研究人员需要关注基于身份的压力模型，以应对职业倦怠和精神痛苦方面的歧视性经历。
