Department of Psychology, Neuroscience & Behaviour, McMaster University, Hamilton, ON, Canada.
Department of Biology, McMaster University, Hamilton, ON, Canada.
Front Public Health. 2024 May 10;12:1379280. doi: 10.3389/fpubh.2024.1379280. eCollection 2024.
Burnout is a pressing issue within surgical environments, bearing considerable consequences for both patients and surgeons alike. Given its prevalence and the unique contextual factors within academic surgical departments, it is critical that efforts are dedicated to understanding this issue. Moreover, active involvement of surgeons in these investigations is critical to ensure viability and uptake of potential strategies in their local setting. Thus, the purpose of this study was to explore surgeons' experiences with burnout and identify strategies to mitigate its drivers at the level of the organization.
A qualitative case study was conducted by recruiting surgeons for participation in a cross-sectional survey and semi-structured interviews. Data collected were analyzed using reflexive thematic analysis, which was informed by the Areas of Worklife Model.
Overall, 28 unique surgeons participated in this study; 11 surgeons participated in interviews and 22 provided responses through the survey. Significant contributors to burnout identified included difficulties providing adequate care to patients due to limited resources and time available in academic medical centers and the moral injury associated with these challenges. The inequitable remuneration associated with education, administration, and leadership roles as a result of the Fee-For-Service model, as well as issues of gender inequity and the individualistic culture prevalent in surgical specialties were also described as contributing factors. Participants suggested increasing engagement between hospital leadership and staff to ensure surgeons are able to access resources to care for their patients, reforming payment plans and workplace polities to address issues of inequity, and improving workplace social dynamics as strategies for addressing burnout.
The high prevalence and negative sequalae of burnout in surgery necessitates the formation of targeted interventions to address this issue. A collaborative approach to developing interventions to improve burnout among surgeons may lead to feasible and sustainable solutions.
burnout 是手术环境中的一个紧迫问题，对患者和外科医生都有相当大的影响。鉴于其普遍性和学术外科部门的独特背景因素，努力理解这个问题至关重要。此外，外科医生积极参与这些调查对于确保其在当地环境中采用潜在策略的可行性和接受性至关重要。因此，本研究的目的是探讨外科医生的 burnout 经历，并确定在组织层面减轻其驱动因素的策略。
通过招募外科医生参与横断面调查和半结构化访谈，进行了定性案例研究。使用反思性主题分析对收集的数据进行分析，该分析受到工作生活领域模型的启发。
共有 28 名外科医生参与了这项研究；11 名外科医生接受了访谈，22 名通过调查提供了回复。确定的 burnout 主要贡献因素包括由于学术医疗中心资源有限和时间有限，难以为患者提供足够的护理，以及与这些挑战相关的道德伤害。与服务付费模式相关的教育、管理和领导角色的不公平薪酬，以及性别不平等和外科专业普遍存在的个人主义文化问题，也被描述为促成因素。参与者建议增加医院领导层与员工之间的互动，以确保外科医生能够获得资源来照顾他们的患者，改革薪酬计划和工作场所政策，以解决不公平问题，并改善工作场所的社会动态，作为解决 burnout 的策略。
外科医生 burnout 的高患病率和负面后果需要形成有针对性的干预措施来解决这个问题。采取协作的方法制定干预措施来改善外科医生的 burnout 可能会导致可行和可持续的解决方案。
