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伦敦全面评估初级保健领域应对教育工作者职业倦怠举措所获的见解与建议

Insights and recommendations from a pan-London evaluation of initiatives to address educator burnout in primary care.

作者信息

Markowski Marianne, Shears Mary-Rose, Nicholls Liz, Foster John

机构信息

Institute for Lifecourse Development, Centre for Professional Workforce Development, University of Greenwich, London, UK.

Primary Care Dean for Thames Valley and Wessex, NHS England - South East, Workforce Training and Education Directive (WT&E).

出版信息

Educ Prim Care. 2025 Jul;36(4):175-181. doi: 10.1080/14739879.2025.2498719. Epub 2025 May 15.

Abstract

INTRODUCTION

Burnout affects the primary care workforce and their educators. Health Education England (HEE) offered resources to Training Hubs to support their primary care educators, through identifying a burnout champion and offering appropriate educational support. This study evaluates these initiatives.

METHODS

Data about the educational support was collected through observation of targeted training events and an Integrated Care System (ICS) educational day. The experience of burnout and the support options for educators was explored through a focus group and semi-structured interviews with key stakeholders.

RESULTS

Primary care educators identified the following factors as causing or exacerbating their burnout: excessive workload, insufficient time, isolation, lack of debrief, generational differences and the COVID-19 epidemic. Multiprofessional educators expressed concern about a lack of support and protected time in their working day to attend training in contrast to their perception of the situation for GP educators. Identification of and terminology around multiprofessional educators further exacerbates this disparity. Individuals and their managers had difficulty identifying burnout. Practice managers were seen as central to preventing burnout.

RECOMMENDATIONS AND CONCLUSIONS

Recognising, identifying and supporting the range of educators in primary care is key to offering appropriate help to prevent and manage burnout. Peer networks and multiprofessional faculty groups were considered supportive to all the professionals. Practice managers, training hubs and educational approval processes have a role to play in supporting primary care educators in the constantly changing environment.

摘要

引言

职业倦怠影响基层医疗工作队伍及其教育工作者。英国健康教育署(HEE)向培训中心提供资源,以支持其基层医疗教育工作者,方法是确定一名职业倦怠倡导者并提供适当的教育支持。本研究对这些举措进行评估。

方法

通过观察定向培训活动和综合医疗系统(ICS)教育日收集有关教育支持的数据。通过焦点小组以及与关键利益相关者的半结构化访谈,探讨了职业倦怠的经历以及教育工作者的支持选项。

结果

基层医疗教育工作者确定了以下导致或加剧其职业倦怠的因素:工作量过大、时间不足、孤立感、缺乏汇报交流、代际差异以及新冠疫情。与他们对全科医生教育工作者情况的看法形成对比的是,多专业教育工作者对工作中缺乏支持和用于参加培训的受保护时间表示担忧。多专业教育工作者的识别及相关术语进一步加剧了这种差异。个人及其管理人员难以识别职业倦怠。实践经理被视为预防职业倦怠的核心。

建议与结论

认识、识别并支持基层医疗领域的各类教育工作者,是提供适当帮助以预防和管理职业倦怠的关键。同行网络和多专业教师团体被认为对所有专业人员都有支持作用。实践经理、培训中心和教育审批流程在不断变化的环境中对支持基层医疗教育工作者发挥着作用。

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