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虚拟教练项目对女性医生职业倦怠、满足感和自我评估的影响。

Impact of a virtual coaching program for women physicians on burnout, fulfillment, and self-valuation.

机构信息

Empowering Women Physicians, 4653 Carmel Mountain Rd. #308-201, San Diego, CA, 92130, USA.

Department of Surgery, University of California, San Diego, USA.

出版信息

BMC Psychol. 2024 Jun 5;12(1):331. doi: 10.1186/s40359-024-01763-0.

DOI:10.1186/s40359-024-01763-0
PMID:38840137
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11155151/
Abstract

BACKGROUND

Coaching has been demonstrated to be an effective physician wellness intervention. However, this evidence-based intervention has not yet been widely adopted in the physician community. Documentation and implementation research of interventions to address physician burnout in real world settings is much needed.

OBJECTIVE

Assess the impact of a virtual physician coaching program in women physicians.

DESIGN

Pre- and post-intervention surveys administered to participants enrolled in the program (N = 329). Effect size was calculated comparing pre- and post-intervention paired data (N = 201).

PARTICIPANTS

201 women physicians from 40 states in the United States of America and 3 international participants.

INTERVENTIONS

Participants were given access to an 8 week virtual coaching program including eight individual, six small group, and 24 large group sessions.

MAIN MEASURES

Stanford Professional Fulfillment Inventory (PFI) containing categories for assessing professional fulfillment, burnout, and the Clinician Self-Valuation (SV) Scale (a measure of self-compassion).

KEY RESULTS

Burnout was found in 77.1% (N = 155) of participants at baseline, which reduced to 33.3% (N = 67) at completion with large effect size (Cohen's d 1.11). The percentage of participants who endorsed significant professional fulfillment started at 27.4% (N = 55) and improved to 68.2% (N = 137) with a large effect size (Cohen's d 0.95). Self-valuation improved from 17.9% (N = 36) of the participants endorsing a compassionate self-improvement perspective to 64% of the same participants eight weeks later. The self-valuation metric showed a very large effect size (Cohen's d 1.28).

CONCLUSIONS

Virtual physician coaching programs led by physician coaches can decrease burnout, improve professional fulfillment, and increase self-compassion. Non-institution-based opportunities for coaching available to any physician across the United States and internationally can facilitate access to effective physician well-being interventions.

摘要

背景

辅导已被证明是一种有效的医生健康干预措施。然而,这种基于证据的干预措施尚未在医生群体中广泛采用。在真实环境中,非常需要记录和实施干预措施来解决医生倦怠问题的研究。

目的

评估虚拟医生辅导计划对女性医生的影响。

设计

对参与该计划的参与者(N=329)进行了干预前和干预后的调查。通过比较 201 名参与者的干预前后配对数据(N=201)计算效应量。

参与者

来自美国 40 个州和 3 名国际参与者的 201 名女性医生。

干预措施

参与者可获得为期 8 周的虚拟辅导计划,包括 8 次个人辅导、6 次小组辅导和 24 次小组辅导。

主要措施

斯坦福职业满足感量表(PFI),包含评估职业满足感、倦怠和临床医生自我评估量表(SV)(衡量自我同情的指标)的类别。

主要结果

基线时,77.1%(N=155)的参与者存在倦怠,完成时降至 33.3%(N=67),具有较大的效应量(Cohen's d 1.11)。表示有显著职业满足感的参与者比例从 27.4%(N=55)开始提高到 68.2%(N=137),具有较大的效应量(Cohen's d 0.95)。自我评估从 17.9%(N=36)的参与者表示有同情心的自我改进观点提高到 8 周后相同参与者的 64%。自我评估指标显示出非常大的效应量(Cohen's d 1.28)。

结论

由医生教练领导的虚拟医生辅导计划可以减少倦怠,提高职业满足感,增加自我同情。为美国各地和国际上的任何医生提供非机构性的辅导机会,可以促进有效医生健康干预措施的实施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbc2/11155151/aa29f008960f/40359_2024_1763_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbc2/11155151/aa29f008960f/40359_2024_1763_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbc2/11155151/aa29f008960f/40359_2024_1763_Fig1_HTML.jpg

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