High rate of burnout among residents under standardized residency training in a tertiary teaching hospital of middle China Results from a cross-sectional survey
High rate of burnout among residents under standardized residency training in a tertiary teaching hospital of middle China Results from a cross-sectional survey
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DOI：
10.1097/md.0000000000020901
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发表时间：
2020-07-02
期刊：
影响因子：
1.6
通讯作者：
Zhu, Qianqian
中科院分区：
文献类型：
--
作者：
Geng, Hongfang;Tan, Fang;Zhu, Qianqian
职业倦怠在卫生保健工作者中很常见。尽管中国已经开展了关于医生职业倦怠的研究，但很少有研究关注标准化住院医师培训（SRT）期间的住院医师。在SRT期间，住院医生的专业地位在很大程度上仍然不清楚。本研究旨在了解住院医师在SRT过程中倦怠的发生率及潜在危险因素。电子问卷由两部分组成。第一部分收集了一些基本的特征信息。第二部分包括马斯拉奇职业倦怠量表-人力服务调查。多达71.05%的居民至少有1项倦怠量表。情绪耗竭（EE）占55.6%，人格解体（DP）占29.7%，个人成就感降低（RPA）占41.6%。年龄大于27岁、SRT高年级、每周工作时间超过60小时和睡眠质量差与倦怠量表至少在一个层面上独立相关。不能及时得到主管的支持显著增加了DP和EE的概率。在工作中没有朋友或感觉不到医院的照顾与所有三种倦怠症状以及整体倦怠都是独立相关的。中部地区SRT下居民的倦怠率较高。组织支持、专业支持和社会支持在防止职业倦怠方面发挥了重要作用。倦怠的住院医师倾向于考虑离职。如何管理居民的职业倦怠相关因素是今后研究的重点。
Burnout has been commonly observed in health care workers. Though research has been conducted involving burnout among doctors in China, few studies have focused on residents during standardized residency training (SRT). The professional status of the residents during SRT remains largely unclear. The present study was conducted in order to clarify the prevalence and potential risk factors of burnout in residents during SRT. An electronic questionnaire comprised 2 parts. The first part was designed to collect some basic characteristic information. Maslach Burnout Inventory-Human Services Survey was included in the second part. As many as 71.05% residents had at least 1 scale of burnout. Emotional exhaustion (EE) was found in 55.6% residents, depersonalization (DP) in 29.7% and reduced personal accomplishment (RPA) in 41.6%. Being older than 27, senior SRT year, working time more than 60 hours per week and poor sleeping quality was independently associated with at least on scale of burnout. Being unable to receive timely supervisor support significantly increased the probability of DP and EE. Not having friends at work or feeling cared for by the hospital were independently related to all 3 symptoms of burnout as well as overall burnout. Burnout rate is high in residents under SRT from middle part of China. Organizational, professional, and social support was demonstrated critical by the potential roles in protecting against burnout. Residents with burnout were prone to considering turnover. Strategies for managing burnout related factors among residents should be focused in future studies.