A cross-sectional national study of burnout and psychosocial work environment in vascular surgery in Denmark
A cross-sectional national study of burnout and psychosocial work environment in vascular surgery in Denmark
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DOI：
10.1016/j.jvs.2021.11.042
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发表时间：
2022-04-20
影响因子：
4.3
通讯作者：
Eiberg, Jonas Peter
中科院分区：
文献类型：
--
作者：
Moller, Cecilie Markvard;Clausen, Thomas;Eiberg, Jonas Peter
目的：对欧洲血管外科医生（VS）的职业倦怠知之甚少。在这项研究中，职业倦怠的患病率及其相关的危险因素进行了调查，所有VS和血管外科医生在培训（VSTs）在丹麦。方法：匿名电子调查分发给所有临床活跃的VS和VSTs在2020年1月1日。验证的评估工具被用来衡量倦怠和社会心理工作环境的各个方面。结果：共有104个VS和VST被邀请参加，82%（n = 85）完成了调查。大多数受访者为男性（60%; n = 50）和VS（67%; n = 61）。在受访者中，82%（n = 70）报告轻度（54%; n = 46），中度（22%; n = 19）或重度（6%; n = 5）个人倦怠。超过50%（n = 47）报告了与工作有关的倦怠，轻度（39%; n = 33），中度（9%; n = 8），重度（7%; n = 6），而35%（n = 30）报告患者相关的倦怠，轻（31%; n = 26）、中度（2%; n = 2）和重度（2%; n = 2）。每个月超过四个24小时值班的受访者有显着更高的工作相关的倦怠得分，而与家庭生活的孩子和那些年龄在45至59岁的受访者表现出显着更高的个人和病人相关的倦怠，分别。有很强的个人和工作相关的倦怠和心理社会工作环境，特别是工作组织和人际关系，但不是工作要求之间的关联。倦怠的患病率在各部门之间分布不均匀，受影响最严重的部门的倦怠发生率是受影响最轻的部门的两倍。结论：根据对丹麦所有临床活跃VS和VST进行的全国调查，超过80%（n = 70）患有倦怠，其中28%（n = 24）患有中度至重度个人倦怠。与社会心理工作环境的强关联，以及部门之间的显着差异，表明倦怠是可以通过改变工作环境。
Objective: Little is known about burnout among European vascular surgeons (VSs). In this study, the prevalence of burnout and its associated risk factors were investigated among all VSs and vascular surgeons in training (VSTs) in Denmark.Methods: An anonymous electronic survey was distributed to all clinical active VSs and VSTs on January 1, 2020. Validated assessment tools were used to measure burnout and aspects of the psychosocial work environment.Results: A total of 104 VSs and VSTs were invited to participate, and 82% (n = 85) completed the survey. The majority of the respondents were male (60%; n = 50) and VSs (67%; n = 61). Of the respondents, 82% (n = 70) reported either light (54%; n = 46), moderate (22%; n = 19), or severe (6%; n = 5) personal burnout. More than 50% (n = 47) reported work-related burnout, light (39%; n = 33), moderate (9%; n = 8), and severe (7%; n = 6), respectively, whereas 35% (n = 30) reported patient-related burnout, light (31%; n = 26), moderate (2%; n = 2), and severe (2%; n = 2), respectively. Respondents with more than four 24-hour on-call shifts per month had significantly higher work-related burnout scores, whereas respondents with home-living children and those aged 45 to 59 years showed significantly higher personal and patient-related burnout, respectively. There were strong associations between personal and work-related burnout and the psychosocial work environment, especially work organization and interpersonal relations, but not job demands. The prevalence of burnout was unevenly distributed across departments, with the most affected department having a burnout occurrence twice the least affected department.Conclusions: Based on a national survey conducted among all clinical active VSs and VSTs in Denmark, more than 80% (n = 70) suffered from burnout, of whom 28% (n = 24) suffered from moderate to severe personal burnout. The strong association with the psychosocial work environment, and the significant differences between departments, suggest that burnout is modifiable through changes in the work environment.