Department of Internal Medicine, Section of General Internal Medicine, Physician Assistant Online Program, Yale University, New Haven, Connecticut, United States of America.
Department of Internal Medicine, Section of General Internal Medicine, Yale University, New Haven, Connecticut, United States of America.
PLoS One. 2024 Sep 27;19(9):e0308884. doi: 10.1371/journal.pone.0308884. eCollection 2024.
The purpose of this study is to explore how demographics and individual values, qualities, and personality traits are associated with perceptions of flourishing among medical (MD), physician assistant (PA), and nurse practitioner (NP) students. Current MD, PA, and NP students from two academic medical centers were recruited to participate in this cross-sectional study between August 6 and October 9, 2023. Participants completed the Secure Flourish Index (traditional SFI) and then applied a percentage weight to each of the six flourishing domains based on perceived relative importance to their overall flourishing. Additional survey questions included demographics and multiple validated instruments: WellRx, 2 Question Maslach Burnout Inventory, Brief COPE Inventory, the Short Grit Scale, and Duke University Religion Index. Descriptive statistics, ANOVA, correlation, and regression analyses were performed with an alpha of 0.05. A total of 393 of 1820 eligible students began the survey (21.6%) while 280, (15.4%) were included in the analysis. Traditional SFI scores were higher with higher grit (r = .368, p < .001). Traditional SFI scores were lower with higher WellRx (r = -.336, p < .001), burnout (r = -.466, p < .001), or avoidant (r = -.453, p < .001) coping style. Scores were about 10 points lower for students who had considered leaving training in the past 6 months (M = 75.3, SD = 16.2) than those who had not (M = 85.6, SD = 14.4; p < .001). The SFI domain of physical and mental health had the highest relative percentage weight (20.2% (SD 8.4)) but was second to lowest in mean domain flourishing score (mean 6.5, SD 1.7). While participants placed high value on physical and mental health, they reported relatively low flourishing in this area. Targeted interventions to improve the ability for students to cope with the hardships of training and life, as well as supports structured to address the social and structural determinants of health may improve flourishing among students with similar values.
本研究旨在探讨人口统计学因素和个体价值观、素质和个性特征如何与医学生（MD）、医师助理（PA）和护士从业者（NP）对繁荣的认知相关。从两所学术医疗中心招募了当前的 MD、PA 和 NP 学生，参与这项 2023 年 8 月 6 日至 10 月 9 日的横断面研究。参与者完成了安全繁荣指数（传统 SFI），然后根据对整体繁荣的相对重要性，为六个繁荣领域中的每一个领域分配一个百分比权重。其他调查问题包括人口统计学因素和多个经过验证的工具：WellRx、2 问 Maslach 倦怠量表、简要应对方式量表、短 grit 量表和杜克大学宗教指数。采用 0.05 的 alpha 值进行描述性统计、方差分析、相关性和回归分析。共有 1820 名符合条件的学生中的 393 名（21.6%）开始了调查，而 280 名（15.4%）被纳入分析。传统 SFI 分数与 grit 呈正相关（r =.368，p <.001）。传统 SFI 分数与较高的 WellRx（r = -.336，p <.001）、倦怠（r = -.466，p <.001）或回避（r = -.453，p <.001）应对方式呈负相关。与过去 6 个月考虑离开培训的学生相比，过去 6 个月没有考虑离开培训的学生的分数低约 10 分（M = 75.3，SD = 16.2）；M = 85.6，SD = 14.4；p <.001）。身体和心理健康领域的 SFI 领域具有最高的相对百分比权重（20.2%（SD 8.4%）），但在平均领域繁荣得分中排名倒数第二（平均 6.5，SD 1.7）。虽然参与者高度重视身心健康，但他们在这方面的繁荣程度相对较低。针对提高学生应对培训和生活困难的能力的有针对性的干预措施，以及针对健康的社会和结构性决定因素的结构化支持，可能会提高具有类似价值观的学生的繁荣水平。
