A study of the relationship between resilience, burnout and coping strategies in doctors
A study of the relationship between resilience, burnout and coping strategies in doctors
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DOI：
10.1136/postgradmedj-2016-134683
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发表时间：
2018-01-01
影响因子：
5.1
通讯作者：
Kirk, Stephen J.
中科院分区：
文献类型：
--
作者：
McCain, R. Scott;McKinley, Nicola;Kirk, Stephen J.
本研究的目的是测量医生的心理弹性、应对能力和职业生活质量。研究设计一项横断面研究，在一个单一的国民健康服务信托机构中使用在线问卷，包括初级和二级保健医生。结果共纳入283名医生。平均恢复力为68.9，高于人口正常值。100名（37%）医生有高倦怠，194名（72%）医生有高继发性创伤应激，64名（24%）医生有低同情满意度。倦怠与低弹性、低同情满意度、高继发性创伤压力和更频繁地使用适应不良应对机制（包括自责、行为脱离和物质使用）呈正相关。工作场所的非临床问题被认为是导致医生恢复力低的主要因素。结论：尽管医生有很高的恢复力，但他们有很高的职业倦怠和继发性创伤压力。患有职业倦怠的医生更有可能使用不适应的应对机制。由于医生已经具有很高的适应力，进一步提高个人适应力可能不会给职业生活质量带来太多好处。我们提议进行的一项关于专业生活质量、应对和恢复力的全国性研究，将首次评估英国和爱尔兰在这方面的医疗队伍，并指导未来有针对性的干预措施，以提高专业生活质量。
Purpose of the study The aim of this study was to measure resilience, coping and professional quality of life in doctors.Study design A cross-sectional study using an online questionnaire in a single National Health Service trust, including both primary and secondary care doctors.Results 283 doctors were included. Mean resilience was 68.9, higher than population norms. 100 (37%) doctors had high burnout, 194 (72%) doctors had high secondary traumatic stress and 64 (24%) had low compassion satisfaction. Burnout was positively associated with low resilience, low compassion satisfaction, high secondary traumatic stress and more frequent use of maladaptive coping mechanisms, including self-blame, behavioural disengagement and substance use. Non-clinical issues in the workplace were the main factor perceived to cause low resilience in doctors.Conclusions Despite high levels of resilience, doctors had high levels of burnout and secondary traumatic stress. Doctors suffering from burnout were more likely to use maladaptive coping mechanisms. As doctors already have high resilience, improving personal resilience further may not offer much benefit to professional quality of life. A national study of professional Quality of Life, Coping And REsilience, which we are proposing to undertake, will for the first time assess the UK and Ireland medical workforce in this regard and guide future targeted interventions to improve professional quality of life.