Investigating the association between physicians self-efficacy regarding communication skills and risk of "burnout"
Investigating the association between physicians self-efficacy regarding communication skills and risk of "burnout"
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DOI：
10.1186/s12955-020-01504-y
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发表时间：
2020-08-06
影响因子：
3.6
通讯作者：
Potenza, Leonardo
中科院分区：
文献类型：
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作者：
Messerotti, Andrea;Banchelli, Federico;Potenza, Leonardo
背景突发性坏消息（BBN）可能与执业医师职业倦怠风险增加有关。然而，关于坏消息被打破的方式和倦怠之间的关联的研究很少。我们调查了医生的自我效能感之间的关联，就沟通到患者和burnus.MethodsWe的风险进行了一项横断面研究，提出了一个特设的调查，探索态度和做法，关于BBN和Maslach倦怠量表-人类服务调查，从两个大学医院在意大利的379名医生。协会进行了评估，多变量logistic回归models.ResultsTwenty-26（60%）的医生返回问卷。76%的医生通过观察导师或同事获得沟通技巧，64%的医生认为BBN讨论预后不良，56%的医生报告讨论预后是最困难的任务，38%和37%的医生没有计划BBN的遭遇，并认为它有压力。总体倦怠率为59%。考虑到BBN是一项有压力的任务，与倦怠的高风险独立相关（OR 3.01; p = 0.013）。计划邂逅（OR = 0.43，p = 0.037），掌握沟通技巧（OR = 0.19，p = 0.034），BBN自我评价为好或很好（OR 0.32; 0.15~0.71; p = 0.0）与低风险的倦怠。结论我们的研究结果表明，一些医生的BBN态度和知识的概念框架可能会影响的风险，倦怠和支持的概念，增加有关沟通技巧的知识可能会保护临床医生从倦怠。这方面需要进一步研究。
BackgroundBreaking bad news (BBN) may be associated with increasing risk of burnout in practising physicians. However, there is little research on the association between the way bad news is broken and burnout. We investigated the association between physicians' self-efficacy regarding communication to patients and risk of burnout.MethodsWe performed a cross-sectional study by proposing an ad-hoc survey exploring attitudes and practice regarding BBN and the Maslach Burnout Inventory - Human Service Survey to 379 physicians from two University Hospitals in Italy. Associations were assessed by multivariable logistic regression models.ResultsTwo-hundred twenty-six (60%) physicians returned the questionnaires. 76% of physicians acquired communication skills by observing mentors or colleagues, 64% considered BBN as discussing a poor prognosis, 56% reported discussing prognosis as the most difficult task, 38 and 37% did not plan a BBN encounter and considered it stressful. The overall burnout rate was 59%. Considering BBN a stressful task was independently associated with high risk of burnout (OR 3.01; p=0.013). Planning the encounter (OR=0.43, p=0.037), mastering communication skills (OR=0.19, p=0.034) and the self-evaluation as good or very good at BBN (OR 0.32; 0.15 to 0.71; p=0.0) were associated with low risk of burnout.ConclusionsOur findings suggest that some physicians' BBN attitudes and knowledge of conceptual frameworks may influence the risk of burnout and support the notion that increasing knowledge about communication skills may protect clinicians from burnout. Further research is needed in this area.