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对新获得资格医生职业倦怠经历的主题分析。

A thematic analysis of newly qualified doctors' experiences of burnout.

作者信息

Kilday Colin R

机构信息

Hull York Medical School, University of Hull, Hull, UK.

NHS Humber Health Partnership, Hull, UK.

出版信息

BMC Med Educ. 2025 Apr 7;25(1):494. doi: 10.1186/s12909-025-07076-z.

DOI:10.1186/s12909-025-07076-z
PMID:40197254
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11978160/
Abstract

BACKGROUND

Newly qualified doctors who are at the beginning of their professional careers are now at a significant risk of burnout. This is in-keeping with doctors in the UK who are concerned about developing burnout during the UK Foundation Programme (UKFP). The UKFP is the first role doctors have working within the National Health Service (NHS). This research aims to explore factors within the UKFP which contribute to newly qualified doctors experiences of burnout.

METHODS

Semi-structured interviews were conducted with 7 foundation doctors within one NHS trust to explore their experiences of burnout. A thematic analysis was then carried out using the data collected from these interviews.

RESULTS

The majority of doctors interviewed were able to discuss their own experiences of burnout and how it has impacted their role as a newly qualified doctor. Some doctors believe that working as a foundation doctor directly contributed to their experiences of burnout. Whereas other doctors considered wider issues within the NHS such as bullying and staffing issues to be contributing factors. In contrast, the community aspect of the UKFP was considered to be a protective factor against burnout.

CONCLUSIONS

Burnout is a real concern amongst foundation doctors and many doctors will experience burnout at the beginning of their career. Therefore, further research is needed to identify effective support measures which can be implemented within the UKFP and used to support doctors as they begin their career in the NHS.

摘要

背景

刚获得资格、处于职业生涯初期的医生如今面临着显著的职业倦怠风险。这与英国医生的情况相符,他们担心在英国基础培训项目(UKFP)期间出现职业倦怠。UKFP是医生在国民保健制度(NHS)内担任的首个职位。本研究旨在探讨UKFP中导致刚获得资格的医生出现职业倦怠的因素。

方法

对一家NHS信托机构的7名基础培训医生进行了半结构化访谈,以探讨他们的职业倦怠经历。然后对从这些访谈中收集的数据进行了主题分析。

结果

大多数接受访谈的医生能够讲述他们自己的职业倦怠经历以及这对他们作为刚获得资格的医生的角色产生了怎样的影响。一些医生认为担任基础培训医生直接导致了他们的职业倦怠经历。而其他医生则认为NHS内部更广泛的问题,如欺凌和人员配置问题是促成因素。相比之下,UKFP的社区层面被认为是预防职业倦怠的一个保护因素。

结论

职业倦怠是基础培训医生真正关心关注的问题,许多医生在职业生涯初期都会经历职业倦怠。因此,需要进一步研究,以确定可以在UKFP内实施的有效支持措施,并在医生开始在NHS工作时用于支持他们。

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