Occupational burnout and job satisfaction among physicians in times of COVID-19 crisis: a convergent parallel mixed-method study.
Occupational burnout and job satisfaction among physicians in times of COVID-19 crisis: a convergent parallel mixed-method study.
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DOI：
10.1186/s12889-021-10897-4
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发表时间：
2021-04-28
影响因子：
4.5
通讯作者：
Ghoul I
中科院分区：
文献类型：
--
作者：
Alrawashdeh HM;Al-Tammemi AB;Alzawahreh MK;Al-Tamimi A;Elkholy M;Al Sarireh F;Abusamak M;Elehamer NMK;Malkawi A;Al-Dolat W;Abu-Ismail L;Al-Far A;Ghoul I
新冠肺炎危机期间，包括医生在内的医疗专业人员工作量增加，承受着巨大的身心健康压力。因此，我们目前的研究旨在(I)评估约旦医生的职业倦怠流行率和工作满意度水平，以及(Ii)探讨医生在大流行危机期间的意见、经验和看法。这是一项混合方法的研究，利用了结构化的基于网络的问卷和半结构化的个人访谈。采用10项职业倦怠量表(BMS)和5项工作满意度指数量表(SIJS)分别测评职业倦怠和工作满意度。半结构化访谈是基于赫兹伯格的双因素动机理论和工作需求-资源模型的概念框架进行的。描述性统计和回归模型以及归纳主题分析分别用于分析定量和定性数据。我们的分析包括了973份调查回复和11次访谈。医生职业倦怠发生率为57.7%。有几个重要因素与职业倦怠呈正相关，包括女性、在负荷大的医院工作、长时间工作、上夜班、缺乏足够的个人防护装备，以及SARS-CoV-2检测呈阳性。在工作满意度方面，回归分析表明，年龄与较高的工作满意度水平呈正相关。相反，作为一名全科医生或专科医生，在高负荷的医院工作，低工资，以及饱受职业倦怠之苦，预示着工作满意度较低。此外，专题分析产生了四个主题：(I)大流行期间工作引起的心理痛苦；(Ii)决策驱动的满意和不满意经历；(Iii)大流行对医患沟通和专业技能的影响；以及(Iv)大流行危机和封锁的经济影响。新冠肺炎大流行给人们造成了巨大的身体和心理负担。应实施可靠的努力，旨在保护医生的身心健康，改善他们的工作条件，并提高对职业倦怠的认识。人们认为，在机构和国家一级作出循证决策和适当利用财政和人力资源，对于卫生工作人员的可持续性至关重要，尤其是在危机中。网上版载有补充材料，可在10.1186/s12889-021-10897-4查阅。
Healthcare professionals including physicians were subjected to an increased workload during the COVID-19 crisis, leaving them exposed to significant physical and psychological distress. Therefore, our present study aimed to (i) assess the prevalence of burnout and levels of job satisfaction among physicians in Jordan, and (ii) explore physicians’ opinions, experiences, and perceptions during the pandemic crisis. This was a mixed-method study that utilized a structured web-based questionnaire and semi-structured individual interviews. The 10-Item Burnout Measure-Short version (BMS), and the 5-Item Short Index of Job Satisfaction (SIJS) were adopted to assess occupational burnout and job satisfaction, respectively. Semi-structured interviews were conducted, based on a conceptual framework that was developed from Herzberg’s Two-Factor Theory of Motivation and Job Demands-Resources Model. Descriptive statistics and regression models, as well as inductive thematic analysis, were used to analyze quantitative and qualitative data, respectively. A total of 973 survey responses and 11 interviews were included in our analysis. The prevalence of burnout among physicians was (57.7%). Several significant factors were positively associated with burnout, including female gender, working at highly loaded hospitals, working for long hours, doing night shifts, lack of sufficient access to personal protective equipment, and being positively tested for SARS-CoV-2. Regarding job satisfaction, regression analysis revealed that age was positively associated with higher levels of job satisfaction. On contrary, being a general practitioner or specialist, working at highly loaded hospitals, low salaries, and suffering from burnout have predicted lower levels of job satisfaction. Besides, four themes have emerged from the thematic analysis: (i) Work-induced psychological distress during the pandemic, (ii) Decision-driven satisfactory and dissatisfactory experiences, (iii) Impact of the pandemic on doctor-patient communication and professional skills, and (iv) Economic impacts of the pandemic crisis and lockdown. A significant physical and psychological burden was associated with the COVID-19 pandemic. Reliable efforts should be implemented aiming at protecting physicians’ physical and mental wellbeing, enhancing their working conditions, and raising awareness about burnout. Evidence-based decisions and proper utilization of financial and human resources at institutional and national levels are believed to be crucial for the sustainability of the health workforce, especially in crises. The online version contains supplementary material available at 10.1186/s12889-021-10897-4.
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影响因子：
4.2
作者：
Algunmeeyn A;El-Dahiyat F;Altakhineh MM;Azab M;Babar ZU
通讯作者：
Babar ZU
DOI：
10.1002/emp2.12225
发表时间：
2020-10-01
影响因子：
2.3
作者：
de Wit, Kerstin;Mercuri, Mathew;Chan, Teresa
通讯作者：
Chan, Teresa
影响因子：
1.9
作者：
Chirico, Francesco;Nucera, Gabriella;Magnavita, Nicola
通讯作者：
Magnavita, Nicola
DOI：
10.4269/ajtmh.20-0877
发表时间：
2020-12
期刊：
The American journal of tropical medicine and hygiene
影响因子：
--
作者：
Akour A;Al-Tammemi AB;Barakat M;Kanj R;Fakhouri HN;Malkawi A;Musleh G
通讯作者：
Musleh G
影响因子：
9.9
作者：
Brayfield, Arthur H.;Rothe, Harold F.
通讯作者：
Rothe, Harold F.