坚韧与学术风湿病学家倦怠成分（职业效能、衰竭和犬儒主义）的关联：TRUMP 2-SLE 研究。

The Association of Grit With Burnout Components (Professional Efficacy, Exhaustion, and Cynicism) Among Academic Rheumatologists: The TRUMP 2 -SLE Study.

机构信息

From the Department of Nephrology, Rheumatology, Endocrinology, and Metabolism, Okayama University Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences.

Division of Rheumatology, Department of Medicine, Showa University School of Medicine, Tokyo.

出版信息

J Clin Rheumatol. 2023 Sep 1;29(6):268-274. doi: 10.1097/RHU.0000000000001989. Epub 2023 May 25.

DOI:10.1097/RHU.0000000000001989

PMID:37226300

Abstract

OBJECTIVES

There is a high prevalence of burnout among rheumatologists. Grit, which is defined as possessing perseverance and a passion to achieve long-term goals, is predictive of success in many professions; however, whether grit is associated with burnout remains unclear, especially among academic rheumatologists, who have multiple simultaneous responsibilities. Thus, the purpose of this study was to examine the associations between grit and self-reported burnout components-professional efficacy, exhaustion, and cynicism-in academic rheumatologists.

METHODS

This cross-sectional study involved 51 rheumatologists from 5 university hospitals. The exposure was grit, measured using mean scores for the 8-item Short Grit Scale (range, 1-5 [5 = extremely high grit]). The outcome measures were mean scores for 3 burnout domains (exhaustion, professional efficacy, and cynicism; range, 1-6; measured using the 16-item Maslach Burnout Inventory-General Survey). General linear models were fitted with covariates (age, sex, job title [assistant professor or higher vs lower], marital status, and having children).

RESULTS

Overall, 51 physicians (median age, 45 years; interquartile range, 36-57; 76% men) were included. Burnout positivity was found in 68.6% of participants (n = 35/51; 95% confidence interval [CI], 54.1, 80.9). Higher grit was associated with higher professional efficacy (per 1-point increase; 0.51 point; 95% CI, 0.18, 0.84) but not with exhaustion or cynicism. Being male and having children were associated with lower exhaustion (-0.69; 95% CI, -1.28, -0.10; p = 0.02; and -0.85; 95% CI, -1.46, -0.24; p = 0.006). Lower job title (fellow or part-time lecturer) was associated with higher cynicism (0.90; 95% CI, 0.04, 1.75; p = 0.04).

CONCLUSIONS

Grit is associated with higher professional efficacy among academic rheumatologists. To prevent burnout among staff, supervisors who manage academic rheumatologists should assess their staff's individual grit.

摘要

目的

风湿病学家中 burnout 的患病率很高。坚毅被定义为拥有毅力和实现长期目标的热情，它可以预测许多职业的成功；然而，坚毅是否与 burnout 有关尚不清楚，尤其是在拥有多项同时进行的责任的学术风湿病学家中。因此，本研究的目的是探讨坚毅与学术风湿病学家自我报告的 burnout 成分（专业效能、精疲力竭和犬儒主义）之间的关联。

方法

这项横断面研究涉及来自 5 所大学医院的 51 名风湿病学家。暴露因素是坚毅，使用 8 项短 grit 量表的平均得分来衡量（范围，1-5[5=极高坚毅]）。结局指标是 3 个 burnout 领域（精疲力竭、专业效能和犬儒主义）的平均得分（范围，1-6；使用 16 项 Maslach Burnout Inventory-General Survey 测量）。采用协变量（年龄、性别、职称[助理教授或更高职称与较低职称]、婚姻状况和是否有孩子）拟合一般线性模型。

结果

总体而言，纳入了 51 名医生（中位年龄为 45 岁；四分位间距为 36-57 岁；76%为男性）。发现 68.6%的参与者存在 burnout 阳性（n=35/51；95%置信区间[CI]，54.1，80.9）。坚毅程度每增加 1 分，专业效能就会增加 0.51 分（95%CI，0.18，0.84），但与精疲力竭或犬儒主义无关。男性和有孩子与较低的精疲力竭相关（-0.69；95%CI，-1.28，-0.10；p=0.02；和-0.85；95%CI，-1.46，-0.24；p=0.006）。较低的职称（研究员或兼职讲师）与较高的犬儒主义相关（0.90；95%CI，0.04，1.75；p=0.04）。