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本文引用的文献

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Prevalence and associated factors of bullying in medical residents: A systematic review and meta-analysis.住院医师中欺凌现象的流行率及相关因素：系统评价和荟萃分析。
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2
Bullying Among Medical Residents: Gender, Social Norms, and Reporting Behavior.住院医师中的欺凌行为：性别、社会规范与举报行为
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3
Prevalence and risk factors for burnout in U.S. vascular surgery trainees.美国血管外科受训医师中 burnout 的流行率和危险因素。
J Vasc Surg. 2022 Jan;75(1):308-315.e4. doi: 10.1016/j.jvs.2021.06.476. Epub 2021 Jul 21.
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Mentorship of Underrepresented Physicians and Trainees in Academic Medicine: a Systematic Review.学术医学领域中代表性不足的医生和受训人员的导师指导：一项系统评价
J Gen Intern Med. 2021 Apr;36(4):1023-1034. doi: 10.1007/s11606-020-06478-7. Epub 2021 Feb 2.
5
Bullying, Discrimination, Sexual Harassment, and Physical Violence: Common and Associated With Burnout in Pediatric Residents.欺凌、歧视、性骚扰和身体暴力：儿科住院医师中常见且与倦怠相关。
Acad Pediatr. 2020 Sep-Oct;20(7):991-997. doi: 10.1016/j.acap.2020.02.023. Epub 2020 Feb 27.
6
Estimating the Attributable Cost of Physician Burnout in the United States.估算美国医生倦怠的归因成本。
Ann Intern Med. 2019 Jun 4;170(11):784-790. doi: 10.7326/M18-1422. Epub 2019 May 28.
7
Mediation analysis.中介分析
Annu Rev Psychol. 2007;58:593-614. doi: 10.1146/annurev.psych.58.110405.085542.
8
The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations.社会心理学研究中的调节变量与中介变量区分：概念、策略及统计考量
J Pers Soc Psychol. 1986 Dec;51(6):1173-82. doi: 10.1037//0022-3514.51.6.1173.

主治医生融洽关系在欺凌行为与医学实习生职业倦怠之间的中介作用。

The Mediating Role of Attending Rapport on Bullying and Medical Trainee Burnout.

作者信息

Terry Danielle L, Moza Kartik

机构信息

Behavioral Science Department, Guthrie Robert Packer Hospital, Sayre, PA.

出版信息

PRiMER. 2024 May 14;8:30. doi: 10.22454/PRiMER.2024.840270. eCollection 2024.

DOI:10.22454/PRiMER.2024.840270
PMID:38946754
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11212690/
Abstract

BACKGROUND AND OBJECTIVES

The aim of this study was to determine whether supervisory alliance (eg, rapport with supervisor) mediated the association between perceived bullying and trainee burnout.

METHODS

We administered electronic surveys to medical trainees (N=108) in a rural teaching hospital. The survey included measures of bullying, burnout, and supervisory rapport.

RESULTS

Using Baron and Kenny's test of mediation with the Sobel test, we found that rapport with supervising attending partially mediated the relationship between bullying and burnout.

CONCLUSIONS

This study reinforced the role of the attending physician and how perceived rapport may impact burnout. Given the high rate of bullying in medical training and the negative impact of burnout on physicians, further study is warranted to understand other factors that mediate the association between bullying and burnout.

摘要

背景与目的

本研究旨在确定督导联盟（例如与督导者的融洽关系）是否介导了感知到的欺凌与实习医生职业倦怠之间的关联。

方法

我们对一家乡村教学医院的医学实习生（N = 108）进行了电子问卷调查。该调查包括欺凌、职业倦怠和督导融洽关系的测量指标。

结果

使用Baron和Kenny的中介效应检验及Sobel检验，我们发现与督导主治医生的融洽关系部分介导了欺凌与职业倦怠之间的关系。

结论

本研究强化了主治医生的作用以及感知到的融洽关系可能对职业倦怠产生的影响。鉴于医学培训中欺凌现象的高发生率以及职业倦怠对医生的负面影响，有必要进一步研究以了解介导欺凌与职业倦怠之间关联的其他因素。