Burnout, professional fulfillment, and post-traumatic stress among pediatric solid organ transplant teams.
Burnout, professional fulfillment, and post-traumatic stress among pediatric solid organ transplant teams.
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DOI：
10.1111/petr.14020
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发表时间：
2021-06
影响因子：
1.3
通讯作者：
Blume, Elizabeth D.
中科院分区：
文献类型：
--
作者：
Cousino, Melissa K.;Bogle, Carmel;Lim, Heang M.;McCormick, Amanda D.;Sturza, Julie;Fredericks, Emily M.;Magee, John C.;Blume, Elizabeth D.
临床医生职业倦怠的不良影响已经在多个专业进行了研究，但是，还没有研究检查儿科实体器官移植团队的职业倦怠率。本研究旨在测量在这个高压力领域执业的临床医生和管理人员的倦怠，工作疲惫，专业成就感和创伤后应激症状。这项横断面研究采用了50项基于网络的调查，其中包括个人成就感指数和事件的影响量表（修订版）。这项调查分布在北美的四个儿科实体器官移植中心。收集了基本的人口统计学资料、临床医生特征以及有关健康和自我护理活动的信息。进行描述性和相关性分析。135名参与者完成了调查; 76%为女性，78%为白人。三分之一（34%）的参与者赞同倦怠，而43%的人报告了职业成就感。大约15%的受访者认可与患者死亡相关的创伤后应激症状的临床显著水平，女性临床医生更可能认可症状（p=.01）。近80%的参与者表示在工作之外从事自我护理活动，只有10%的参与者表示参与了医院赞助的健康计划。儿科实体器官移植团队成员表现出中等程度的倦怠、专业成就感和创伤后压力。女性临床医生最有可能经历工作疲惫和创伤后应激症状。鼓励移植中心考虑干预和规划，以改善临床医生的健康。
Adverse effects of clinician burnout has been studied across multiple specialties, however, there have been no studies examining rates of burnout among pediatric solid organ transplant teams. This study aimed to measure burnout, work exhaustion, professional fulfillment, and post-traumatic stress symptoms among clinicians and administrators practicing in this high stress field. This cross-sectional study utilized a 50 item web-based survey that included the Personal Fulfillment Index and the Impact of Events Scale (Revised). This survey was distributed across four pediatric solid organ transplant centers in North America. Basic demographics, clinician characteristics, and information regarding wellness and self-care activities were collected. Descriptive and correlational analyses were performed. 135 participants completed the survey; 76% were female and 78% were Caucasian. One-third (34%) of participants endorsed burnout, while 43% reported professional fulfillment. Approximately 15% of respondents endorsed clinically significant levels of post-traumatic stress symptoms related to patient deaths, with female clinicians more likely to endorse symptoms (p=.01). Nearly 80% of participants reported engaging in self-care activities outside of work and only 10% of participants reported participation in hospital-sponsored wellness programs. Pediatric solid-organ transplant team members exhibited moderate levels of burnout, professional fulfillment, and post-traumatic stress. Female clinicians were the most likely to experience both work exhaustion and post-traumatic stress symptoms. Transplant centers are encouraged to consider interventions and programming to improve clinician wellness.
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