Chambers R, Wall D, Campbell I
Centre for Primary Health Care, University of Keele, Stoke-on-Trent.
Br J Gen Pract. 1996 Jun;46(407):343-8.
There is concern about the morale of general practitioner registrars. There may be stress-provoking factors that could be avoided or minimized.
The aims of the study were to assess the sources of stress and job satisfaction of general practitioner registrars, to compare registrars' job satisfaction with that of established principals using a recently published survey and to identify registrars' usual responses to stress.
A postal questionnaire survey was sent to all 143 general practitioner registrars in the West Midlands Region. The main measures were: self-rating scales of stresses associated with work and training; the Warr, Cook and Wall job satisfaction scale; and self-reported responses to stress.
A total of 118 (83%) general practitioner registrars responded. The most potent sources of stress were family-job conflict, working for the Membership of the Royal College of General Practitioners, patients' unrealistic expectations and disruption of social life. Registrars practised good coping responses to stress. Registrars in this study had significantly greater job satisfaction than general practitioner principals in a 1993 survey for three out of 10 items measured (responsibility given, hours of work and the job as a whole) and significantly worse scores for three items (recognition for good work, rate of pay and variety of work).
Registrars have additional stresses to those of established principals because they need to study for examinations, learn new tasks in general practice and carry out their service commitments at a stage in life when many are newly married or have a young family. Training in stress management for general practitioner registrars is recommended.
全科医生培训生的士气受到关注。可能存在一些可避免或最小化的压力诱发因素。
本研究的目的是评估全科医生培训生的压力来源和工作满意度，使用最近发布的一项调查将培训生的工作满意度与资深负责人的工作满意度进行比较，并确定培训生应对压力的常见方式。
向西米德兰兹地区的所有143名全科医生培训生发了一份邮寄问卷调查。主要测量指标包括：与工作和培训相关的压力自评量表；Warr、Cook和Wall工作满意度量表；以及自我报告的压力应对方式。
共有118名（83%）全科医生培训生回复。最主要的压力来源是家庭与工作的冲突、为获得皇家全科医学院会员资格而努力、患者不切实际的期望以及社交生活的干扰。培训生对压力采取了良好的应对方式。在1993年的一项调查中，本研究中的培训生在10项测量项目中的3项（赋予的责任、工作时长和整体工作）上的工作满意度显著高于全科医生负责人，而在3项项目（出色工作的认可、薪资水平和工作多样性）上的得分则显著更低。
培训生比资深负责人面临更多压力，因为他们需要为考试学习，在全科医疗中学习新任务，并在人生中许多人刚结婚或有年幼子女的阶段履行服务承诺。建议对全科医生培训生进行压力管理培训。
