Physician Burnout in Pediatric Gastroenterology
Physician Burnout in Pediatric Gastroenterology
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DOI：
10.1097/mpg.0000000000003635
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发表时间：
2023-01-01
影响因子：
2.9
通讯作者：
Tomer, Gitit
中科院分区：
文献类型：
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作者：
Chien, Kimberley A.;Thomas, Charlene;Tomer, Gitit
目的：医生容易产生职业倦怠，这会对患者的护理质量产生负面影响，导致医疗差错。职业倦怠还会影响医生的人际关系、职业成就感和工作满意度。北美儿科胃肠病、肝病和营养学会(NASPGHAN)成立了一个特别工作组，调查儿科胃肠病医生的职业倦怠。方法：开发了一项包含35个项目的电子调查，以收集人口统计学和实践信息，并描述儿科胃肠病医生的幸福感。采用马斯拉赫职业倦怠量表中的2个单项测量方法对职业倦怠进行评估。从2020年2月到2020年3月，这份调查被分发给了NASPGHAN成员3次。采用描述性统计、卡方检验和Fisher精确检验。结果：成功发送电子邮件1,791份，退回问卷408份(22.7%)。共有28.8%的人报告了情绪衰竭的高风险，17.5%的人报告了去人格化的高风险，33%的人报告了总体的倦怠。年龄在44岁或以下的受试者的职业倦怠程度显著高于年龄在45岁及以上的受试者(P=0.018)。已确定的导致高度倦怠的因素包括患者负荷/需求增加、护理支持不足、电子健康记录(EHR)的使用、管理人员不足、随叫随到的过度覆盖以及更复杂的患者。44%的人表示没有足够的时间处理包括家庭在内的个人生活。共有16.2%的参与者表示，他们不会再选择当儿科胃肠病医生。结论：儿科胃肠病医生有情绪衰竭、人格解体和整体倦怠的风险。应尽可能快地实施预防医生职业倦怠的策略，以改善个人心理健康和患者护理。
Objectives:Physicians are prone to burnout which can negatively affect the quality of patient care and lead to medical errors. Burnout can also affect physicians by impacting their personal relationships, their sense of career fulfillment, and job satisfaction. The North American Society of Pediatric Gastroenterology, Hepatology and Nutrition (NASPGHAN) formed a taskforce to investigate burnout among pediatric gastroenterologists. Methods:A 35-item electronic survey was developed to collect demographic and practice information and characterize the well-being of pediatric gastroenterologists. Burnout was assessed employing 2 single-item measures adapted from the Maslach Burnout Inventory. The survey was distributed to NASPGHAN members 3 times from February 2020 to March 2020. Descriptive statistics, Chi-square, and Fisher exact tests were used. Results:One thousand seven hundred ninety-one e-mails were successfully sent and 408 participants (22.7%) returned surveys. A total of 28.8% reported high risk for emotional exhaustion, 17.5% reported high risk for depersonalization, and 33% reported overall burnout. Participants 44 years of age or younger reported significantly more burnout than those 45 years and older (P = 0.018). Contributors to high burnout identified included increased patient load/demands, insufficient nursing support, electronic health record (EHR) use, insufficient administrative staff, excessive on-call coverage, and more complex patients. Forty-four percent reported not having enough time for their personal life including family. A total of 16.2% of participants reported that they would not choose to be a pediatric gastroenterologist again. Conclusions:Pediatric gastroenterologists are at risk for emotional exhaustion, depersonalization, and overall burnout. Strategies to prevent physician burnout should be implemented as soon as feasibly possible to improve individual mental health and patient care.