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提供骨科创伤护理的困境:一项OTA成员调查研究

Frustrations in Providing Orthopaedic Trauma Care: An OTA Member Survey Study.

作者信息

Kleinsmith Rebekah M, Doxey Stephen A, Puckett Haley D, Duckworth Elizabeth A, Milshteyn Michael, Hill Austin D, Cunningham Brian P

机构信息

Department of Orthopaedic Surgery, TRIA Orthopaedic Center, Bloomington, MN.

Department of Orthopaedic Surgery, Methodist Hospital, St. Louis Park, MN; and.

出版信息

J Orthop Trauma. 2025 Mar 1;39(3):109-113. doi: 10.1097/BOT.0000000000002941.

DOI:10.1097/BOT.0000000000002941
PMID:39625780
Abstract

OBJECTIVES

To determine sources of frustration for surgeons and how they might affect job satisfaction within the orthopaedic trauma community.

DESIGN

Cross-Sectional Survey Study.

SETTING

International Online Survey.

PARTICIPANT SELECTION CRITERIA

After approval by the OTA research committee, the survey was available to all active and associate OTA Members.

OUTCOME MEASURES AND COMPARISONS

A 25-question survey regarding potential common causes of frustration, operating room (OR) utilization, and career satisfaction was electronically distributed to the Orthopaedic Trauma Association (OTA) membership.

RESULTS

Four hundred seventy-one surgeons participated in the survey (response rate 27.5%). The highest ranked source of frustration was OR turnover time, followed by staff turnover, and OR scheduling. Most reported they were very satisfied with their career (n = 240, 51.0%). The top 3 strategies to increase career satisfaction from most to least effective were increased compensation, case delay reduction, and decreased work hours. Most surgeons reported that if their number 1 frustration was solved, they would feel a higher level of career satisfaction (very satisfied: n = 344, 73.1%). Most felt their cases did not start on time (n = 273, 58.0%), with most respondents reporting that their cases were delayed on average between 15 and 60 minutes (n = 222, 81.9%). The number 1 ranked reason for case start delays was OR turnover and case setup, followed by the anesthesia team.

CONCLUSIONS

Many surgeons within the orthopaedic trauma community reported concern with OR turnover time and staff turnover. Addressing these sources of frustration is crucial to maintaining surgeon well-being and can aid in optimizing delivery of patient care. Future studies should seek out institutions that have successfully addressed these common frustrations and identify potential strategies to improve the delivery of orthopaedic trauma care across North America.

摘要

目的

确定外科医生感到沮丧的原因以及这些原因如何影响骨科创伤领域的工作满意度。

设计

横断面调查研究。

设置

国际在线调查。

参与者选择标准

经OTA研究委员会批准后,该调查面向所有在职和准OTA成员开放。

结果测量与比较

一份关于潜在常见沮丧原因、手术室(OR)利用率和职业满意度的25个问题的调查问卷以电子方式分发给骨科创伤协会(OTA)成员。

结果

471名外科医生参与了调查(回复率27.5%)。最令人沮丧的原因是手术室周转时间,其次是人员流动和手术室排班。大多数人报告他们对自己的职业非常满意(n = 240,51.0%)。提高职业满意度从最有效到最无效的前三大策略是增加薪酬、减少病例延误和减少工作时间。大多数外科医生报告说,如果他们最主要的沮丧原因得到解决,他们会感到更高水平的职业满意度(非常满意:n = 344,73.1%)。大多数人觉得他们的病例没有按时开始(n = 273,58.0%),大多数受访者报告他们的病例平均延误15至60分钟(n = 222,81.9%)。病例开始延误的首要原因是手术室周转和病例准备,其次是麻醉团队。

结论

骨科创伤领域的许多外科医生报告了对手术室周转时间和人员流动的担忧。解决这些令人沮丧的根源对于维持外科医生的健康至关重要,并且有助于优化患者护理的提供。未来的研究应该寻找成功解决这些常见沮丧问题的机构,并确定潜在的策略以改善北美骨科创伤护理的提供。

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