教育研究：职业倦怠对欧洲神经科住院医师和研究员的影响。

Education Research: Impact of Burnout on Neurology Residents and Research Fellows in Europe.

作者信息

Di Liberto Giovanni, Baldizzi Giuseppina, Carvalho Vanessa, Cuffaro Luca, Sauerbier Anna, Klingelhoefer Lisa, Vashchenko Nina, Pavlakova Lucia, Sander Anja, de Visser Marianne, Boon Paul A J M, Moro Elena, Bassetti Claudio

机构信息

From the Department of Clinical Neurosciences (G.D.L., G.B.), Centre Hospitalier Universitaire Vaudois and University of Lausanne, Switzerland; Department of Neurosciences and Mental Health (Neurology) (V.C.), Hospital Santa Maria-CHLN, and Centro de Estudos Egas Moniz (V.C.), Faculdade de Medicina, Universidade de Lisboa, Portugal; Department of Health Sciences (L.C.), Clinical Neurology Unit, ASST Santi Paolo & Carlo, Milan, Italy; Department of Neurology (A. Sauerbier), Faculty of Medicine and University Hospital Cologne, University of Cologne; Department of Neurology (L.K.), Technical University Dresden, Germany; University Hospital of Neurological Disorders (N.V.), Sechenov First Moscow State Medical University, Russia; European Academy of Neurology (L.P., A. Sander), Head Office, Vienna, Austria; Department of Neurology (M.d.V.), Academic Medical Center, Amsterdam, the Netherlands; Department of Neurology (P.A.J.M.B.), Ghent University Hospital, Belgium; Division of Neurology (E.M.), CHU of Grenoble, Grenoble Institute of Neurosciences, Grenoble Alpes University, France; and Department of Neurology (C.B.), Inselspital, University of Bern, Switzerland.

出版信息

Neurol Educ. 2022 Nov 29;1(2):e200035. doi: 10.1212/NE9.0000000000200035. eCollection 2022 Dec.

DOI:10.1212/NE9.0000000000200035

PMID:40809503

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12339222/

Abstract

BACKGROUND AND OBJECTIVES

To investigate the prevalence of burnout profiles and their contributing factors in European neurology residents, junior neurologists, and research fellows.

METHODS

The members of the Resident and Research Fellow Section (RRFS) of the European Academy of Neurology were surveyed using standardized instruments for burnout, job satisfaction, social support, depression, work-related fatigue, work-life integration, and impact of life events, from September 1, 2020, to January 6, 2021.

RESULTS

The response rate was 23.1% (332 responders of 1,439 contacted RRFS members); the median age of participants 30 years, with 61.5% being female. Our analysis revealed that 73.9% of the responders showed a perturbation in the Maslach Burnout Inventory dimensions, thus fulfilling the criteria for a dysfunctional phenotype within the burnout spectrum: burnout (22.6%), overextended (26.1%), ineffective (21.0%), and disengaged (4.1%). Multivariate logistic regression analysis indicated that elevated number of night shifts per month, work-related fatigue, and low professional satisfaction are independent risk factors for burnout. Being a certified neurologist, working in an academic environment, and a higher job satisfaction are associated with the engaged profile, a productive state characterized by high energy, strong involvement, and a sense of efficacy.

DISCUSSION

Burnout experience is highly prevalent among neurology residents, junior neurologists, and research fellows in Europe. The profile-based approach in this survey captures the multifaceted nature of burnout experience, therefore highlighting mitigating strategies that can be tailored to the distinct dysfunctional burnout profile.

摘要

背景与目的

调查欧洲神经科住院医师、初级神经科医生和研究员职业倦怠状况的患病率及其影响因素。

方法

2020年9月1日至2021年1月6日，使用标准化工具对欧洲神经科学会住院医师和研究员分会（RRFS）的成员进行了职业倦怠、工作满意度、社会支持、抑郁、工作相关疲劳、工作与生活平衡以及生活事件影响方面的调查。

结果

回复率为23.1%（1439名联系的RRFS成员中有332名回复者）；参与者的中位年龄为30岁，女性占61.5%。我们的分析显示，73.9%的回复者在马氏职业倦怠量表维度上表现出紊乱，因此符合职业倦怠谱内功能失调表型的标准：倦怠（22.6%）、精力耗竭（26.1%）、低效（21.0%）和疏离（4.1%）。多因素逻辑回归分析表明，每月夜班次数增加、工作相关疲劳和低职业满意度是职业倦怠的独立危险因素。成为一名认证神经科医生、在学术环境中工作以及较高的工作满意度与投入型状态相关，投入型状态是一种以高能量、强烈参与感和效能感为特征的高效状态。