From the Department of Cardiothoracic and Vascular Surgery, University Hospital Aarhus, Aarhus, Denmark (Møller, Budtz-Lilly).
J Am Coll Surg. 2023 Dec 1;237(6):874-883. doi: 10.1097/XCS.0000000000000853. Epub 2023 Sep 11.
Burnout among physicians has widespread negative consequences. Little is known about burnout among European vascular surgeons (VS). A previously published study found that 82% of VS and vascular surgical trainees (VST) in Denmark experience burnout symptoms. The present study aimed to investigate work- and health-related consequences of burnout.
An electronic survey was distributed to all VS/VST in Denmark in January 2020. Validated assessment tools were used to measure burnout, mental health, and psychosocial work environment aspects.
Of 104 invited VS/VST, 82% (n = 85) completed the survey. VS accounted for 72% (n = 61) of the respondents, and 40% (n = 33) were female. Statistically significant associations were found between higher levels of burnout and a range of work- and health-related outcomes, including a sense of meaning at work, workplace commitment, conflicts between work and private life, work stress, sick leave, and depressive symptoms. VS/VST using pain medication daily or weekly had significantly higher burnout scores than respondents who rarely or never use pain medication. A significant association between burnout and job satisfaction and retention was found, with respondents indicating an intention to stay within the specialty having significantly lower burnout scores than those who considered leaving within 5 years. Among those who indicated leaving the specialty, 35% (n = 13) attributed this to their current working conditions.
Burnout among VS/VST in Denmark is negatively associated with various work- and health-related outcomes. The work environment seems to play an essential role in these associations, and alterations in workplace organization may remedy this situation.
医生职业倦怠现象广泛存在,其带来的负面影响不容小觑。目前,我们对于欧洲血管外科医生(VS)的职业倦怠情况了解甚少。此前的一项研究发现,丹麦 82%的 VS 和血管外科培训医师(VST)存在职业倦怠症状。本研究旨在探讨职业倦怠对工作和健康的影响。
2020 年 1 月,我们向丹麦所有 VS/VST 发放电子调查问卷。研究采用经过验证的评估工具,评估职业倦怠、心理健康和心理社会工作环境等方面。
在受邀的 104 名 VS/VST 中,82%(n=85)完成了调查。受访者中 VS 占 72%(n=61),女性占 40%(n=33)。较高水平的倦怠与一系列工作和健康相关的结果显著相关,包括工作中的意义感、对工作场所的承诺、工作和私人生活之间的冲突、工作压力、病假和抑郁症状。每天或每周使用止痛药的 VS/VST 其倦怠评分显著高于很少或从不使用止痛药的受访者。职业倦怠与工作满意度和保留率之间存在显著相关性,表明打算继续从事该专业的受访者其倦怠评分显著低于那些考虑在 5 年内离开的受访者。在那些表示离开该专业的受访者中,35%(n=13)归因于当前的工作条件。
丹麦 VS/VST 的职业倦怠与各种工作和健康相关的结果呈负相关。工作环境似乎在这些关联中起着重要作用,改变工作场所组织可能会改善这种情况。