Choi Hyoseon, Park Janghee, Yeo Sanghee, Na Seung-Joo, Kwon Hyojin
Department of Medical Education, Chosun University College of Medicine, Gwangju 61452, Republic of Korea.
Education Research Institute, Seoul National University, Seoul 08826, Republic of Korea.
Healthcare (Basel). 2025 Jul 30;13(15):1856. doi: 10.3390/healthcare13151856.
: It is essential to explore and disseminate positive deviance strategies that promote resilience, mindfulness, and well-being beyond stress and burnout reduction strategies for residents and physicians who experience high levels of occupational stress. This scoping review maps studies that investigate positive deviance strategies to enhance the well-being of residents and physicians. : A scoping review was conducted by PRISMA guidelines to identify English-language studies on strategies for physician well-being. PubMed, MEDLINE, Embase, and ERIC were searched using terms related to well-being, coping, and medical education. : Among the 38 studies included, 17 (44.7%) targeted physicians in graduate medical education (GME), while 19 (50%) focused on continuing medical education (CME). Positive deviance strategies were identified in 26 studies and were most frequently implemented at the microsystem level, such as small group interventions (e.g., coaching, mentoring, and workshops). These strategies addressed individual and organisational factors that contribute to physician well-being and were associated with improvements in life satisfaction, resilience, professional identity, and psychological safety. The review found that positive deviance strategies were often proactive, values-driven, and disseminated organically over time, emphasising the importance of longitudinal engagement and sustained institutional support. : This scoping review highlights the growing use of positive deviance strategies, especially at the microsystem level, to promote physician well-being. These approaches emphasise sustainable, values-driven practices and may offer effective, context-sensitive solutions within healthcare systems.
对于承受高强度职业压力的住院医师和医生而言，探索并传播积极偏差策略至关重要，这些策略不仅能减轻压力和倦怠，还能提升恢复力、正念和幸福感。本综述性研究梳理了调查积极偏差策略以增进住院医师和医生幸福感的相关研究。
按照PRISMA指南进行了一项综述性研究，以识别关于医生幸福感策略的英文研究。通过使用与幸福感、应对方式和医学教育相关的术语，检索了PubMed、MEDLINE、Embase和ERIC数据库。
在纳入的38项研究中，17项（44.7%）针对毕业后医学教育（GME）阶段的医生，而19项（50%）聚焦于继续医学教育（CME）。26项研究中识别出了积极偏差策略，这些策略最常于微观系统层面实施，如小组干预（如辅导、指导和工作坊）。这些策略解决了影响医生幸福感的个人和组织因素，并与生活满意度、恢复力、职业认同感和心理安全感的改善相关。该综述发现，积极偏差策略通常具有前瞻性、以价值观为导向，并随着时间有机传播，强调了长期参与和持续机构支持的重要性。
本综述性研究凸显了积极偏差策略，尤其是在微观系统层面，在促进医生幸福感方面的使用日益增加。这些方法强调可持续的、以价值观为导向的实践，并可能在医疗系统内提供有效、因地制宜的解决方案。
