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探索儿科住院医师认为其所在项目在促进幸福感方面最有帮助的因素。

Exploration of What Pediatric Residents Find Most Helpful From Their Programs in Facilitating Well-Being.

作者信息

Bajaj Nimisha, Reed Suzanne M, Myers Ross E, Mahan John D, Ponitz Keith

机构信息

Children's National Hospital (N Bajaj), The George Washington University School of Medicine, Washington, DC.

Nationwide Children's Hospital (SM Reed and JD Mahan), The Ohio State University College of Medicine, Columbus, Ohio.

出版信息

Acad Pediatr. 2025 Mar;25(2):102607. doi: 10.1016/j.acap.2024.102607. Epub 2024 Nov 26.

Abstract

OBJECTIVE

Burnout is highly prevalent among residents, and although many studied interventions have targeted burnout by trying to promote well-being, it remains a substantial problem. This study utilized data from the Pediatric Resident Burnout-Resilience Study Consortium (PRB-RSC) Annual Burnout Survey to determine which program interventions categorical and noncategorical (medicine-pediatrics and combined programs) pediatric residents found most helpful to promote well-being.

METHODS

We conducted a secondary analysis of an open-ended question on the PRB-RSC Annual Burnout Survey in 2019 and 2020: "What is the most helpful thing that your program provides you for wellness?" We performed thematic and content analysis on open-ended responses and compared distribution of themes and subthemes between years using a Chi-square test.

RESULTS

In 2019, 1401 (44%) of 3159 residents from 44 programs responded to the open-ended question, with 771 (49%) of 1563 residents from 21 programs responding in 2020. Residents found wellness interventions within 5 themes to be the most helpful. Promotes positive work environment and Optimizes scheduling were mentioned most frequently, but residents also valued when a program Facilitates traditional wellness interventions, Offers financial benefits, and Prioritizes education. Themes and subthemes were mentioned with the same frequency in both 2019 and 2020.

CONCLUSIONS

The results of this study show which institutional interventions residents have found to be most helpful to their well-being. Program leaders can use these data as a framework to discuss interventions with their residents, allowing them to tailor wellness programs and use limited available resources for what residents believe is most impactful.

摘要

目的

职业倦怠在住院医师中非常普遍,尽管许多已研究的干预措施试图通过促进幸福感来解决职业倦怠问题,但它仍然是一个严重的问题。本研究利用儿科住院医师职业倦怠-复原力研究联盟(PRB-RSC)年度职业倦怠调查的数据,以确定哪些项目干预措施(分类和非分类,内科-儿科和联合项目)对儿科住院医师促进幸福感最有帮助。

方法

我们对PRB-RSC 2019年和2020年年度职业倦怠调查中的一个开放式问题进行了二次分析:“你的项目为促进你的健康提供的最有帮助的事情是什么?”我们对开放式回答进行了主题和内容分析,并使用卡方检验比较了各年份之间主题和子主题的分布情况。

结果

2019年,来自44个项目的3159名住院医师中有1401名(44%)回答了这个开放式问题,2020年,来自21个项目的1563名住院医师中有771名(49%)做出了回答。住院医师发现5个主题内的健康干预措施最有帮助。促进积极的工作环境和优化排班被提及的频率最高,但住院医师也重视项目是否促进传统的健康干预措施、提供经济福利以及优先考虑教育。2019年和2020年提及主题和子主题的频率相同。

结论

本研究结果表明了住院医师认为哪些机构干预措施对他们的幸福感最有帮助。项目负责人可以将这些数据作为一个框架,与住院医师讨论干预措施,使他们能够调整健康项目,并将有限的可用资源用于住院医师认为最有影响力的方面。

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