工作、育儿与幸福感：新冠疫情期间对神经科医生的一项国际调查
Work, Parenting, and Well-being: An International Survey of Neurologists During the COVID-19 Pandemic.
作者信息
Abdennadher Myriam, Patel Sima, Dembny Kate, Edalatpour Roya, Weinberg Janice, Bartolini Luca, Ganesh Aravind, Singhal Divya
机构信息
Department of Neurology (MA, RE), Boston University School of Medicine; Boston Medical Center, MA; Department of Neurology (SP, KD), University of Minnesota Medical School, Minneapolis; Department of Neurology (RE), University of Texas at Austin Dell Medical School; Boston University School of Public Health (JW), MA; Division of Pediatric Neurology (LB), Hasbro Children's Hospital, The Warren Alpert Medical School of Brown University, Providence, RI; Departments of Clinical Neurosciences and Community Health Sciences (AG), and the Hotchkiss Brain Institute, University of Calgary Cumming School of Medicine, Alberta, Canada; and Department of Neurology (DS), University of Texas at San Antonio, TX.
出版信息
Neurol Clin Pract. 2023 Oct;13(5):e200176. doi: 10.1212/CPJ.0000000000200176. Epub 2023 Aug 15.
BACKGROUND AND OBJECTIVES
COVID-19 reframed the relationship between work and home and, in general, made both more difficult-especially for parents. We hypothesized that, among neurologists, the effects of the pandemic on productivity and on well-being would be greater on those with children than on those without children and that the effects would be greater on women with children than on men with children.
METHODS
We conducted an international electronic survey launched by the Practice Current section of the American Academy of Neurology. The survey included questions on demographics (self-identified gender, number of children and elderly dependents, childcare support, and country and state when applicable), workflow changes because of COVID-19, impacted domains, and productivity and well-being using the Likert scale. Counts are presented as descriptive statistics. Statistical analysis was performed using Mann-Whitney and Kruskal-Wallis tests.
RESULTS
We collected 243 fully completed surveys from providers in all continents with high representation of the United States (76%), providers who identified as women (71.6%), and neurologists with children (91%) among respondents. A majority worked remotely (28% fully, 43% mix). Neurologists reported decreased academic productivity (72%), work benefits (65%), and time for writing (48%). These findings were more prominent in respondents with children and among women practicing outside of the United States. Increased pressure from productivity expectations and lack of time for family were reported by 47% and 41% of respondents, respectively.
DISCUSSION
The disruption from the COVID-19 pandemic affected academic productivity and decreased the well-being of neurologists in general and of neurologists with children more drastically. This could potentially hinder the promotion and retention of junior neurologists who were juggling life and work during the pandemic outbreak and its recurrent surges.
背景与目的
新冠疫情重塑了工作与家庭的关系，总体而言，二者都变得更加艰难，尤其是对父母来说。我们推测，在神经科医生中，疫情对有孩子的医生的生产力和幸福感的影响比对没有孩子的医生更大，并且对有孩子的女性神经科医生的影响比对有孩子的男性神经科医生更大。
方法
我们开展了一项由美国神经病学学会“实践现状”板块发起的国际电子调查。该调查包括有关人口统计学的问题（自我认定的性别、孩子和老年受抚养人的数量、儿童保育支持，以及适用时的国家和州）、因新冠疫情导致的工作流程变化、受影响的领域，以及使用李克特量表评估的生产力和幸福感。数据以描述性统计呈现。使用曼-惠特尼检验和克鲁斯卡尔-沃利斯检验进行统计分析。
结果
我们从各大洲的提供者那里收集了243份完整填写的调查问卷，其中美国的提供者占比很高（76%），自我认定为女性的提供者占71.6%，受访者中有孩子的神经科医生占91%。大多数人远程工作（28%完全远程，43%混合模式）。神经科医生报告学术生产力下降（72%）、工作收益下降（65%）以及写作时间减少（48%）。这些发现在有孩子的受访者以及在美国境外执业的女性中更为突出。分别有47%和41%的受访者报告称来自生产力期望的压力增加以及缺乏家庭时间。
讨论
新冠疫情造成的干扰影响了学术生产力，总体上降低了神经科医生的幸福感，对有孩子的神经科医生影响更为严重。这可能会潜在阻碍在疫情爆发及其反复激增期间兼顾生活和工作的初级神经科医生的晋升和留用。
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