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[急诊轮转儿科住院医师职业生活质量的消极与积极方面:从住院医师角度看同情疲劳与同情满足感]

[NEGATIVE AND POSITIVE ASPECTS OF PROFESSIONAL QUALITY OF LIFE AMONG PEDIATRIC RESIDENTS IN ER ROTATION: COMPASSION FATIGUE AND COMPASSION SATISFACTION FROM THE RESIDENTS' PERSPECTIVE].

作者信息

Kaplan Or, Kaplan Michal, Shalve Shamay Rotem

机构信息

Department of Pediatric Emergency Medicine, Saban Pediatric Medical Center, Soroka Medical Center, Ben Gurion University of the Negev.

sychological Services Unit, Kaplan Medical Center.

出版信息

Harefuah. 2024 Apr;163(4):220-225.

Abstract

INTRODUCTION

The article focuses on the professional quality of life of medical residents, and specifically on compassion fatigue and compassion satisfaction. Previous studies have indicated high levels of emotional stress among residents. Most of these studies were conducted within the positivistic paradigm. The qualitative study concentrates on pediatric residents during ER rotations in both routine and pandemic times.

AIMS

The research goal is to explore how compassion fatigue and compassion satisfaction are manifested among the residents.

METHODS

Conducted in the phenomenological genre, the study included 14 pediatric residents in a large Israeli hospital. The research tool was a semi-structured interview.

RESULTS

All residents reported substantial work overloads. About half of the participants indicated signs of compassion fatigue, manifested in negative emotions and diminished empathy and sensitivity, especially towards patients' families. Some exhibited a combination of compassion fatigue and compassion satisfaction. About half of the residents clearly expressed feelings of compassion satisfaction or empathy for patients (without direct expressions of compassion satisfaction).

CONCLUSIONS

The research gave pediatric residents a platform to express their voices, shedding light on the complexity of their work. While a substantial number of participants reported compassion fatigue, the findings are encouraging. Despite the reported work overload, most of them maintained their sense of commitment and compassion, which are crucial for their work. However, participants' senses of stress and burnout have negative consequences both individually and organizationally. The study suggests that residents might gain from systematic intervention and recommendations have been offered to hospital administrations.

摘要

引言

本文聚焦于住院医师的职业生活质量,尤其关注同情疲劳和同情满足感。先前的研究表明住院医师存在高度的情绪压力。这些研究大多是在实证主义范式内进行的。这项定性研究关注的是儿科住院医师在常规时期和疫情期间急诊轮转时的情况。

目的

研究目标是探索住院医师中同情疲劳和同情满足感是如何表现出来的。

方法

该研究采用现象学方法,纳入了以色列一家大型医院的14名儿科住院医师。研究工具是半结构化访谈。

结果

所有住院医师都报告工作负担过重。约一半的参与者表现出同情疲劳的迹象,表现为负面情绪以及同理心和敏感度下降,尤其是对患者家属。一些人表现出同情疲劳和同情满足感并存的情况。约一半的住院医师明确表达了对患者的同情满足感或同理心(未直接表达同情满足感)。

结论

该研究为儿科住院医师提供了一个表达心声的平台,揭示了他们工作的复杂性。虽然大量参与者报告了同情疲劳,但研究结果令人鼓舞。尽管报告了工作负担过重,但他们中的大多数人仍保持着敬业精神和同情心,这对他们的工作至关重要。然而,参与者的压力感和倦怠感无论对个人还是组织都有负面影响。该研究表明住院医师可能会从系统干预中受益,并已向医院管理层提出了相关建议。

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