Levy Brittany E, Stephens Wesley A, Charak Gregory, Buckley Alison N, Ortega Cristina, Patel Jitesh A
University of Kentucky, Department of Surgery, Lexington 40536, KY, USA.
University of Kentucky, School of Information Science, College of Communication and Information, Lexington, KY 40536, USA.
Surg Open Sci. 2024 Jun 21;20:123-127. doi: 10.1016/j.sopen.2024.06.004. eCollection 2024 Aug.
Physician wellbeing and burnout are significant threats to the healthcare workforce. Mobile electronic medical record access and smartphones allow for efficient communication in healthcare but may lead to workplace telepressure (WPT).
An IRB-approved survey related to five domains of burnout [WPT, smartphone usage, boundary control, and psychologic detachment] was circulated. Internal medicine and general surgery faculty and residents were surveyed between 3/2021 and 6/2021. Survey results were analyzed for internal consistency with a Cronbach alpha coefficient and validation against a known physician burnout scale.
The domains were internally valid with a Cronbach alpha of 0.888. Validation against the physician burnout scale was significantly correlated with WPT domains but was overall positively correlated across domains. Surgical trainees reported the highest burnout rate related to every domain.
Survey-based WPT burnout scales provide insight into the daily pressures on physicians. Targeted interventions to limit WPT are needed to improve physician wellbeing.
医生的幸福感和职业倦怠对医疗保健 workforce 构成重大威胁。移动电子病历访问和智能手机有助于医疗保健中的高效沟通，但可能导致工作场所远程压力（WPT）。
分发了一项经机构审查委员会批准的与职业倦怠的五个领域[WPT、智能手机使用、边界控制和心理脱离]相关的调查。在2021年3月至2021年6月期间对内科学和普通外科教职员工及住院医师进行了调查。对调查结果进行分析，以确定其内部一致性（使用克朗巴哈α系数）并与已知的医生职业倦怠量表进行验证。
这些领域在内部是有效的，克朗巴哈α系数为0.888。与医生职业倦怠量表的验证与WPT领域显著相关，但总体上跨领域呈正相关。外科实习生在每个领域的职业倦怠率最高。
基于调查的WPT职业倦怠量表有助于深入了解医生的日常压力。需要有针对性的干预措施来限制WPT，以改善医生的幸福感。
