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医疗机构住院医师工作场所社会资本、幸福感和工作投入的相关性:一项多中心横断面研究。

Associations between workplace social capital, well-being, and work engagement in medical residents: a multicenter cross-sectional study.

机构信息

Center for General Medicine Education, School of Medicine, Keio University, 35 Shinanomachi, Shinjuku-Ku, Tokyo, 160-8582, Japan.

Department of Medical Education Studies, International Research Center for Medical Education, Graduate School of Medicine, The University of Tokyo, Bunkyo-Ku, Tokyo, Japan.

出版信息

BMC Med Educ. 2024 Sep 28;24(1):1063. doi: 10.1186/s12909-024-06055-0.

Abstract

BACKGROUND

Workplace social capital (WSC), a social resource available within work or occupational environments, has been identified as an important factor for employees' health in fields other than medical education. However, little is known about whether WSC is associated with well-being and work engagement among medical residents. The aim of this study was to examine the relationships between WSC, well-being, and work engagement specifically among medical residents.

METHODS

This cross-sectional study was conducted at 32 hospitals in Japan, assessing WSC with the Japanese medical resident version of the Workplace Social Capital (JMR-WSC) scale. Well-being and work engagement were measured as the primary and secondary outcomes using the Subjective Well-Being Scale and the Japanese version of the Utrecht Work Engagement Scale.

RESULTS

We analyzed data from 276 residents. Adjusting for possible confounders, the JMR-WSC Scale scores were associated with well-being in a dose-dependent manner (adjusted mean difference 6.55, 95% CI 4.96-8.15 for the WSC highest score quartile, compared with the lowest score quartile). The WSC Scale scores demonstrated a dose-dependent association with work engagement (adjusted mean difference 15.12, 95% CI 11.66-18.57 for the WSC highest score quartile, compared with the lowest score quartile).

CONCLUSIONS

This study showed that WSC was linked to enhanced well-being and work engagement among residents. Our findings offer insights for developing interventions to prevent resident burnout and create an environment conducive to residents' well-being and engagement.

摘要

背景

工作场所社会资本(WSC)是工作或职业环境中可用的一种社会资源,已被确定为医学教育以外其他领域员工健康的重要因素。然而,人们对 WSC 是否与医疗住院医师的幸福感和工作投入有关知之甚少。本研究旨在专门研究 WSC、幸福感和工作投入之间的关系。

方法

本横断面研究在日本的 32 家医院进行,使用日本住院医师版工作场所社会资本量表(JMR-WSC)评估 WSC。幸福感和工作投入分别作为主要和次要结果,使用主观幸福感量表和日本版乌得勒支工作投入量表进行测量。

结果

我们分析了 276 名住院医师的数据。在调整可能的混杂因素后,JMR-WSC 量表评分与幸福感呈剂量依赖性相关(WSC 得分最高四分位组与最低四分位组相比,调整后的平均差异为 6.55,95%CI 4.96-8.15)。WSC 量表评分与工作投入呈剂量依赖性相关(WSC 得分最高四分位组与最低四分位组相比,调整后的平均差异为 15.12,95%CI 11.66-18.57)。

结论

这项研究表明,WSC 与住院医师幸福感和工作投入的提高有关。我们的研究结果为制定干预措施提供了思路,以预防住院医师倦怠,并创造有利于住院医师幸福感和投入的环境。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/698b/11439264/95f161d73a95/12909_2024_6055_Fig1_HTML.jpg

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