Burnout and career satisfaction among attending neurosurgeons during the COVID-19 pandemic
Burnout and career satisfaction among attending neurosurgeons during the COVID-19 pandemic
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DOI：
10.1016/j.clineuro.2020.106193
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发表时间：
2020-11-01
影响因子：
1.9
通讯作者：
Mukherjee, Debraj
中科院分区：
文献类型：
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作者：
Khalafallah, Adham M.;Lam, Shravika;Mukherjee, Debraj
目的：新型冠状病毒SARS-CoV-2（COVID-19）大流行对医生的工作流程和医疗服务带来了重大变化。这项全国性调查调查了大流行对美国神经外科医生的倦怠和职业满意度的影响。方法：一份24个问题的调查问卷以电子方式发送给所有美国神经外科医生协会（AANS）的参加成员。简化的Maslach倦怠量表（aMBI）被用来测量以下倦怠和职业满意度指数：情绪耗竭，人格解体和个人成就感。进行双因素分析和多因素分析进行logistic回归models.Results：407参加神经外科医生在本研究中，与17.7%的总反应率。大多数答复者是男性（88.7%）、白色（84.3%）和从业15年或更长时间的人（64.6%）。大部分受访者表示，疫情导致工作时间减少（82. 6%）、未来收入不确定（80. 3%）及未来医疗改革不确定（84. 5%）。在83名（20.4%）受访者中确定了倦怠，而在316名（77.6%）受访者中确定了职业满意度。与新冠肺炎前的报告率相比，职业倦怠率有所下降。在多变量分析中，自COVID-19兴起以来，职业倦怠与在敌对或困难环境中工作有关（OR = 2.534，p = 0.008），无子女（OR = 3.294，p = 0.011），从业5-15年（与< 5年相比）（OR = 4.568，p = 0.014），由于COVID-19，进行非神经外科医疗护理的时间增加（OR = 2.362，p = 0.019），因COVID-19对未来收入感到不确定（OR = 4.031，p = 0.035），如果有选择，选择不追求或对再次追求神经外科感到不确定（OR = 7.492，p < 0.001）。职业满意度与脑血管专科培训（OR = 2.614，p = 0.046）和如果有选择再次进行神经外科手术的意愿（OR = 2.962，p < 0.001）相关。S.主治神经外科医生尽管有这些变化，我们报告美国神经外科医生的职业倦怠和高职业满意度下降。了解大流行期间神经外科医生中可改变的压力源可能有助于确定有效的未来干预措施，以减轻倦怠并提高职业满意度。
Objective: The novel coronavirus SARS-CoV-2 (COVID-19) pandemic has posed significant changes to physician workflow and healthcare delivery. This national survey investigated the impact of the pandemic on burnout and career satisfaction among U.S. attending neurosurgeons.Methods: A 24-question survey was sent electronically to all American Association of Neurological Surgeons (AANS) attending members. The abbreviated Maslach Burnout Inventory (aMBI) was used to measure the following burnout and career satisfaction indices: emotional exhaustion, depersonalization, and personal accomplishment. Bivariate analyses were conducted and multivariate analyses were performed using logistic regression models.Results: 407 attending neurosurgeons were included in the present study, with an overall response rate of 17.7 %. The majority of respondents were male (88.7 %), White (84.3 %), and in practice for 15 years or more (64.6 %). The majority reported a decrease in work hours due to the pandemic (82.6 %), uncertainty about future earnings (80.3 %), and uncertainty regarding future healthcare reform (84.5 %). Burnout was identified in 83 (20.4 %) respondents, whereas career satisfaction was identified in 316 (77.6 %) respondents. Rate of burnout was decreased when compared to rates reported in the pre-COVID era.In multivariate analysis, burnout was associated with working in a hostile or difficult environment since the rise of COVID-19 (OR = 2.534, p = 0.008), not having children (OR = 3.294, p = 0.011), being in practice for 5-15 years (vs. < 5 years) (OR = 4.568, p = 0.014), spending increased time conducting non-neurosurgical medical care due to COVID-19 (OR = 2.362, p = 0.019), feeling uncertain about future earnings due to COVID-19 (OR = 4.031, p = 0.035), and choosing not to pursue or feeling uncertain about pursuing neurosurgery again if given the choice (OR = 7.492, p < 0.001). Career satisfaction was associated with cerebrovascular subspecialty training (OR = 2.614, p = 0.046) and a willingness to pursue neurosurgery again if given the choice (OR = 2.962, p < 0.001).Conclusion: Factors related to the novel COVID-19 pandemic have contributed to changes in workflow among U. S. attending neurosurgeons. Despite these changes, we report decreased burnout and high career satisfaction among U.S. neurosurgeons. Understanding modifiable stressors among neurosurgeons during the pandemic may help to identify effective future interventions to mitigate burnout and improve career satisfaction.