Balhatchet Belinda, Schütze Heike, Williams Nicole
University of New South Wales, Sydney, Australia.
Women & Children's Hospital, Adelaide, Australia.
Korean J Med Educ. 2024 Dec;36(4):401-414. doi: 10.3946/kjme.2024.313. Epub 2024 Nov 28.
Surgical trainees are at high risk of burnout and poor wellbeing during their training. A range of workplace factors have been linked to poor wellbeing, including excessive work hours, lack of support networks, and training program demands. However, little is understood about the individual experiences of Australian trainees and their perceptions of the impact of the work environment on wellbeing. The aim of this study was to explore the experiences of Australian surgical trainees regarding their wellbeing in the surgical learning environment.
Eleven semi-structured interviews were conducted with Australian surgical trainees at the start of their training and 18 months later, exploring their perspectives of wellbeing in the workplace. Results were analyzed thematically using the Job Demands-Resources model as a scaffold.
Seven themes emerged: (1) relationships with colleagues, (2) work hours and workload, (3) the learning environment and supervision, (4) training program requirements, (5) moving around, (6) hospital and team administration, and (7) hospital facilities and programs. Participant experiences between training commencement and 18 months follow-up did not change.
Trainees have unique experiences of wellbeing in the workplace. Some workplace factors, such as relationships with colleagues, can be demands or resources depending on their nature. Effective leadership and administrative practices, mentorship, and proactive rostering act as resources for trainees to balance workplace demands, and these should be prioritized by hospitals and training institutions to improve and protect trainee wellbeing.
外科实习医生在培训期间面临着职业倦怠和身心健康不佳的高风险。一系列工作场所因素与身心健康不佳有关，包括工作时间过长、缺乏支持网络以及培训项目要求。然而，对于澳大利亚实习医生的个人经历以及他们对工作环境对身心健康影响的看法，我们了解甚少。本研究的目的是探讨澳大利亚外科实习医生在外科学习环境中关于其身心健康的经历。
在培训开始时和18个月后，对澳大利亚外科实习医生进行了11次半结构化访谈，探讨他们对工作场所身心健康的看法。使用工作需求-资源模型作为框架对结果进行主题分析。
出现了七个主题：（1）与同事的关系，（2）工作时间和工作量，（3）学习环境和监督，（4）培训项目要求，（5）四处走动，（6）医院和团队管理，以及（7）医院设施和项目。培训开始至18个月随访期间参与者的经历没有变化。
实习医生在工作场所有独特的身心健康经历。一些工作场所因素，如与同事的关系，根据其性质既可能是需求也可能是资源。有效的领导和管理实践、指导以及积极的排班作为实习医生平衡工作场所需求的资源，医院和培训机构应优先考虑这些因素以改善和保护实习医生的身心健康。
