Reducing stress and burnout in junior doctors: the impact of debriefing sessions
Reducing stress and burnout in junior doctors: the impact of debriefing sessions
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DOI：
10.1136/postgradmedj-2014-132847
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发表时间：
2015-04-01
影响因子：
5.1
通讯作者：
Walton, Merrilyn
中科院分区：
文献类型：
--
作者：
Gunasingam, Nishmi;Burns, Kharis;Walton, Merrilyn
背景 实习和住院医师实习是困难时期，新手从业者面临着新的挑战和压力。初级医生可能会经历职业倦怠，这是一种包含三个方面的综合症：情绪疲惫、人格解体和个人成就感下降。虽然现有一些关于初级医生职业倦怠发生率的文献，但很少有关于干预策略的研究。 目的 本研究旨在调查一组初级医生的职业倦怠发生率，以及汇报会是否降低了职业倦怠水平。 方法 在 2011 年的轮换期间，对一家医院的研究生一年级医生的方便样本进行了一项前瞻性随机对照研究。所有参与者都使用经过验证的工具 Maslach 职业倦怠量表完成了一份调查问卷，以确定职业倦怠的患病率倦怠。然后，他们被随机分配到一组，在两个月内接受四次汇报会，或者分配到对照组，不接受汇报会。进行了定量和定性分析。结果 31 名研究生一年级医生参与了该研究，其中 13 名被分配到接受汇报会的组，18 名被分配到对照组。在基线时，21/31 (68%) 的参与者在至少一个领域表现出倦怠的迹象（根据 Maslach 倦怠量表衡量）。女性的倦怠程度明显更高。汇报后的倦怠评分没有显着差异。该干预措施受到好评，11/18 (61%) 的人建议他们向未来的初级医生推荐该策略，16/18 (89%) 的人发现这些会议是情感和社会支持的来源。 结论 倦怠在研究生一年级医生中普遍存在，他们重视参加汇报会议所获得的情感和社会支持。需要进行更大规模的研究来确定情况汇报是否可以减少初级医生的职业倦怠发生率。
Background Internship and residency are difficult times with novice practitioners facing new challenges and stressors. Junior doctors may experience burnout, a syndrome that encompasses three dimensions: emotional exhaustion, depersonalisation and reduced personal accomplishment. While there is some existing literature on the prevalence of burnout in junior doctors, there are few studies on interventional strategies.Aims This study aimed to examine the prevalence of burnout in a cohort of junior doctors and whether debriefing sessions reduced levels of burnout.Methods A prospective randomised controlled study of a convenience sample of postgraduate year 1 doctors in a single hospital was undertaken during a rotation term in 2011. All participants completed a questionnaire using a validated tool, the Maslach Burnout Inventory, to determine the prevalence of burnout. They were then randomly assigned to a group who were to receive four debriefing sessions over 2 months, or, to the control group, who had no debriefing sessions. Quantitative and qualitative analyses were conducted.Results Thirty-one postgraduate year 1 doctors participated in the study, with 13 being assigned to the group receiving debriefing sessions and 18 assigned to the control group. At baseline, 21/31 (68%) participants displayed evidence of burnout in at least one domain as measured by the Maslach Burnout Inventory. Burnout was significantly higher in women. There was no significant difference in burnout scores with debriefing. The intervention was well received with 11/18 (61%) suggesting they would recommend the strategy to future junior doctors and 16/18 (89%) found that the sessions were a source of emotional and social support.Conclusions Burnout is prevalent among postgraduate year 1 doctors, and they value the emotional and social support from attending debriefing sessions. A larger study is required to determine if debriefing can reduce the incidence of burnout in junior doctors.