Kane Leia, Ball Derek, Martin Kathryn R, Powell Daniel
Academic Primary Care and Health Psychology, Institute of Applied Health Sciences, University of Aberdeen School of Medicine Medical Sciences and Nutrition, Aberdeen, Scotland, UK
Institute of Education in Healthcare and Medical Sciences, University of Aberdeen School of Medicine Medical Sciences and Nutrition, Aberdeen, Scotland, UK.
BMJ Open. 2025 Jun 8;15(6):e097849. doi: 10.1136/bmjopen-2024-097849.
The medical profession is facing an unprecedented crisis. Reasons for this are complex and multifactorial; however, rising rates of burnout will undoubtedly contribute to problems with recruitment and retention. Chronic workplace stress, whereby there are insufficient resources available to meet the demands doctors face, is a contributor to burnout. There are a wide variety of available self-report measures for stress, with heart rate variability (HRV) shown to be a biomarker of stress and recovery in doctors. We aim to triangulate continuous HRV measurements with validated self-report measures and qualitative data to better understand the patterns of stress and recovery.
This study has a sequential explanatory mixed-methods design. Participants will be recruited from multiple sites within National Health Service (NHS) Grampian. Initially, participants will complete a suite of validated scales, including the Maslach Burnout Inventory for Medical Personnel, the Resilience Scale for Adults and the Interpersonal, Community, Occupational, Physical, Psychological (ICOPPE) well-being scale. Following this, participants will undertake seven consecutive days of ecological momentary assessment of real-time demands, resources and fatigue, alongside 7 days of continuous ambulatory assessment of HRV via Firstbeat Bodyguard 3 chest-worn monitors. Participants will be provided with a summary report following their study period. If 40 participants are recruited within the recruitment timeframe, multilevel modelling will be used to analyse data; otherwise, N-of-1 statistical techniques will be used. Following initial analysis of the quantitative data, participants of interest will be invited to take part in semistructured interviews, which will be thematically analysed and presented alongside the quantitative data.
This study was approved by the University of Aberdeen, School of Medicine, Medical Sciences and Nutrition ethics review board (ref. 3389193) and the NHS Grampian research and development team. Results will be disseminated in international peer-reviewed journals.
NCT06721312.
医学专业正面临前所未有的危机。其原因复杂且多方面；然而，职业倦怠率的上升无疑会导致招聘和留用方面的问题。慢性工作场所压力，即可用资源不足以满足医生面临的需求，是职业倦怠的一个促成因素。有多种可用的自我报告压力测量方法，心率变异性（HRV）被证明是医生压力和恢复的生物标志物。我们旨在将连续的HRV测量与经过验证的自我报告测量方法和定性数据相结合，以更好地了解压力和恢复模式。
本研究采用顺序解释性混合方法设计。参与者将从国民保健服务（NHS）格兰扁地区的多个地点招募。最初，参与者将完成一套经过验证的量表，包括医务人员的马氏职业倦怠量表、成人复原力量表以及人际、社区、职业、身体、心理（ICOPPE）幸福感量表。在此之后，参与者将连续七天对实时需求、资源和疲劳进行生态瞬时评估，同时通过Firstbeat Bodyguard 3胸部佩戴式监测器对HRV进行七天的连续动态评估。在研究期结束后，将为参与者提供一份总结报告。如果在招募时间范围内招募到40名参与者，将使用多水平模型分析数据；否则，将使用单病例统计技术。在对定量数据进行初步分析后，将邀请感兴趣的参与者参加半结构化访谈，对访谈进行主题分析并与定量数据一起呈现。
本研究已获得阿伯丁大学医学、医学科学与营养学院伦理审查委员会（参考号3389193）和NHS格兰扁研发团队的批准。研究结果将在国际同行评审期刊上发表。
NCT06721312。
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