Goodacre Viola, Adapa Karthik, Kwong Elizabeth, Vizer Lisa M, Liu Chao-Chin, Charguia Nadia, Greenberg Caprice, Damitz Lynn A, McHugh Damian, Mazur Lukasz M
From the Division of Healthcare Engineering, Department of Radiation Oncology, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Department of Psychiatry, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Plast Reconstr Surg Glob Open. 2025 Feb 10;13(2):e6525. doi: 10.1097/GOX.0000000000006525. eCollection 2025 Feb.
Healthcare professionals in plastic and reconstructive surgery (PRS) face unique stressors that contribute to burnout, increasing the risk of errors and compromising patient care. Despite this, there is limited research on PRS burnout in the United States. This study aimed to measure burnout rates and identify high-impact improvement targets within a PRS division at a US academic medical center.
A sequential mixed-methods study was conducted, involving systems analysis and contextual design methods. All surgeons (n = 5) and nonsurgeons (n = 9) were invited to participate (total n = 14). Burnout rates were measured, and workplace stressors were identified using surveys, focus groups, and contextual inquiries. High-impact, low-effort improvement targets were determined through impact-effort matrices.
Survey data from 13 respondents revealed an 85% burnout rate. Three focus groups and 14 contextual inquiries were conducted. After 13 participants validated and prioritized 2 affinity diagrams and provided 24 high-priority stressors, 8 respondents completed 2 surveys that yielded 6 high-impact/low-effort targets for organizational improvement efforts.
This study highlights the high prevalence of burnout in PRS and identifies specific improvement targets for both surgeons and nonsurgeons. Findings suggest strategies such as improving respect and recognition for surgeons and streamlining clinic flow for nonsurgeons. Implementing these targeted improvements can enhance the well-being of healthcare professionals and ultimately improve patient care. The study's methods can be replicated by other healthcare organizations to identify and address burnout-related issues effectively.
整形与重建外科（PRS）的医疗保健专业人员面临着导致职业倦怠的独特压力源，这增加了出错风险并影响患者护理质量。尽管如此，美国关于PRS职业倦怠的研究有限。本研究旨在测量一家美国学术医疗中心PRS科室的职业倦怠率，并确定具有高影响力的改进目标。
开展了一项序贯混合方法研究，涉及系统分析和情境设计方法。邀请了所有外科医生（n = 5）和非外科医生（n = 9）参与（共n = 14）。通过调查、焦点小组和情境询问来测量职业倦怠率并确定工作场所压力源。通过影响-努力矩阵确定具有高影响力、低工作量的改进目标。
13名受访者的调查数据显示职业倦怠率为85%。进行了3次焦点小组讨论和14次情境询问。在13名参与者对2个亲和图进行验证、排序并提供24个高优先级压力源后，8名受访者完成了2项调查，得出6个对组织改进工作具有高影响力/低工作量的目标。
本研究突出了PRS中职业倦怠的高发生率，并确定了外科医生和非外科医生的具体改进目标。研究结果表明了一些策略，如提高对外科医生的尊重和认可，以及为非外科医生简化门诊流程。实施这些有针对性的改进措施可以提高医疗保健专业人员的幸福感，并最终改善患者护理。其他医疗保健组织可以复制本研究的方法，以有效识别和解决与职业倦怠相关的问题。
