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实施药房住院医师 Wellness 计划:对倦怠和正念的影响及经验教训。

Implementation of a pharmacy residency wellness program: Impact on burnout and mindfulness and lessons learned.

机构信息

Clinical Pharmacy Specialist in Pediatric Emergency Medicine & PGY-1 Residency Program Director, Akron Children's Hospital, One Perkins Square, Akron, OH 44308, United States.

Assistant Professor, Department of Pharmacotherapeutics & Clinical Research, Taneja College of Pharmacy, Department of Family Medicine, Morsani College of Medicine, College of Public Health, University of South Florida, 12901 Bruce B. Downs Blvd. MDC30, Tampa, FL 33612, United States.

出版信息

Curr Pharm Teach Learn. 2023 Dec;15(12):1066-1071. doi: 10.1016/j.cptl.2023.10.004. Epub 2023 Oct 25.

DOI:10.1016/j.cptl.2023.10.004
PMID:37891092
Abstract

BACKGROUND AND PURPOSE

Attention to wellness in the pharmacy workplace is occurring. To maintain accreditation, pharmacy residency programs must incorporate wellness and resilience initiatives.

EDUCATIONAL ACTIVITY AND SETTING

Orlando Health created a pharmacy residency wellness program for post-graduate year one (PGY-1) and post-graduate year two (PGY-2) pharmacy residents to address wellness and burnout. The wellness program included assignment of a mentor, development of a personal wellness plan, completion of monthly reflections, and wellness and resiliency training.

FINDINGS

Pharmacy residents anonymously completed the Oldenburg Burnout Inventory (OLBI) and Mindful Attention Awareness Scale (MAAS) at the beginning and end of the residency year. A total of nine pharmacy residents were eligible to participate in the wellness program. Eight residents completed the pre-survey, and seven residents completed the post-survey. No change was observed in the overall median OLBI score (pre-program = 35 [IQR 31.5-37.3] and post-program = 36 [IQR 31-37.5]; P = .683). Similar results were found on the OLBI for disengagement and exhaustion, correlating with low burnout risk. There was no change in the overall median MAAS score (pre-program = 3.7 [IQR 3.6-4.1] and post-program = 3.8 [IQR 3.5-3.9]; P = 1.000). Overall, feedback from the pharmacy residents after program completion was positive.

SUMMARY

Pharmacy residents participating in the wellness program at our institution had low risk for burnout and a high level of mindfulness pre- and post-program completion. Pharmacy residents enjoyed participating in the wellness program and found the program to be valuable, supporting its continued implementation.

摘要

背景与目的

关注药房工作场所的健康问题正在发生。为了保持认证,药学住院医师培训计划必须纳入健康和适应力计划。

教育活动和设置

奥兰多健康中心(Orlando Health)为住院药师培训计划的第一年(PGY-1)和第二年(PGY-2)住院药师制定了一项健康计划,以解决健康和倦怠问题。该健康计划包括分配导师、制定个人健康计划、完成每月反思以及进行健康和适应力培训。

结果

住院药师在住院年度开始和结束时匿名填写了旧堡倦怠量表(OLBI)和正念注意觉察量表(MAAS)。共有九名住院药师有资格参加健康计划。八名住院药师完成了预调查,七名住院药师完成了后调查。OLBI 的总分中位数没有变化(前测=35[IQR 31.5-37.3],后测=36[IQR 31-37.5];P=0.683)。在倦怠风险较低的情况下,OLBI 的 disengagment 和 exhaustion 得分也没有变化。MAAS 的总分中位数也没有变化(前测=3.7[IQR 3.6-4.1],后测=3.8[IQR 3.5-3.9];P=1.000)。总体而言,住院药师在完成计划后对计划的反馈是积极的。

结论

参加本机构健康计划的住院药师在计划完成前后的倦怠风险低,正念水平高。住院药师喜欢参加健康计划,并发现该计划很有价值,支持继续实施。

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