Burnout, Moral Distress, Work-Life Balance, and Career Satisfaction among Hematopoietic Cell Transplantation Professionals.
Burnout, Moral Distress, Work-Life Balance, and Career Satisfaction among Hematopoietic Cell Transplantation Professionals.
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DOI：
10.1016/j.bbmt.2017.11.015
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发表时间：
2018-04
期刊：
影响因子：
--
通讯作者：
Burns LJ
中科院分区：
文献类型：
--
作者：
Neumann JL;Mau LW;Virani S;Denzen EM;Boyle DA;Boyle NJ;Dabney J;De KeselLofthus A;Kalbacker M;Khan T;Majhail NS;Murphy EA;Paplham P;Parran L;Perales MA;Rockwood TH;Schmit-Pokorny K;Shanafelt TD;Stenstrup E;Wood WA;Burns LJ
在国家骨髓捐赠者计划/BE匹配系统能力倡议期间，预计的造血细胞移植(HCT)卫生专业人员短缺被确定为一个主要问题。有人指出，与工作有关的痛苦和工作与生活的平衡是招聘/留用的潜在障碍。这项研究考察了这些障碍及其与职业满意度之间的关系。2015年，对高级实践提供者、护士、医生、药剂师和社会工作者进行了一项基于网络的横断面90项调查。参与者是从6个专业团体的成员名单中招募的。工作倦怠(用Maslach职业倦怠问卷的情绪衰竭和去人格化分量表测量)和精神苦恼(用精神苦恼量表-修订本测量)被用来识别工作相关苦恼。其他问题涉及人口统计、工作与生活平衡和职业满意度。在5759名收到个性化参与邀请的HCT提供者中，914人(16%)做出了回应；另外627名参与者对开放链接调查做出了回应。不同学科在人口统计学和实践特征上存在显著差异(P<；0.05)。不同学科的职业倦怠患病率不同(P<；0.05)，总体患病率为40%。超过一半的药剂师有职业倦怠，而社会工作者的患病率最低，不到三分之一。精神压力得分在0~336之间，且因学科不同而不同(P<；0.05)，药剂师得分最高(62.9±34.8)，社会工作者得分最低(42.7±24.4)。在多变量和单变量分析中，导致职业倦怠的变量因学科而异；然而，精神痛苦是所有提供者的重要贡献因素。那些有职业倦怠的人更有可能报告工作与生活平衡不充分，职业满意度较低；然而，总的来说，各学科的职业满意度都很高。职业倦怠、精神痛苦和工作与生活平衡不足在所有HCT学科中都以不同的比例存在，但职业满意度很高。这些结果表明，HCT卫生专业人员在工作环境中需要解决的具体领域，特别是精神痛苦的缓解和更大程度的个人时间的需要。随着创造健康的工作环境日益受到重视，以提高护理质量和降低成本，医务人员领导层应利用这些调查结果来制定干预措施，以减轻与工作有关的痛苦，并反过来促进招聘和留住医务人员。
A projected shortage of hematopoietic cell transplantation (HCT) health professionals was identified as a major issue during the National Marrow Donor Program/Be The Match System Capacity Initiative. Work-related distress and work–life balance were noted to be potential barriers to recruitment/retention. This study examined these barriers and their association with career satisfaction across HCT disciplines. A cross-sectional, 90-item, web-based survey was administered to advanced practice providers, nurses, physicians, pharmacists, and social workers in 2015. Participants were recruited from membership lists of 6 professional groups. Burnout (measured with the Maslach Burnout Inventory subscales of emotional exhaustion and depersonalization) and moral distress (measured by Moral Distress Scale—Revised) were examined to identify work-related distress. Additional questions addressed demographics, work–life balance, and career satisfaction. Of 5759 HCT providers who received an individualized invitation to participate, 914 (16%) responded; 627 additional participants responded to an open link survey. Significant differences in demographic and practice characteristics existed across disciplines (P < .05). The prevalence of burnout differed across disciplines (P < .05) with an overall prevalence of 40%. Over one-half of pharmacists had burnout, whereas social workers had the lowest prevalence at less than one-third. Moral distress scores ranged from 0 to 336 and varied by discipline (P < .05); pharmacists had the highest mean score (62.9 ± 34.8) and social workers the lowest (42.7 ± 24.4). In multivariate and univariate analyses, variables contributing to burnout varied by discipline; however, moral distress was a significant contributing factor for all providers. Those with burnout were more likely to report inadequate work–life balance and a low level of career satisfaction; however, overall there was a high level of career satisfaction across disciplines. Burnout, moral distress, and inadequate work–life balance existed at a variable rate in all HCT disciplines, yet career satisfaction was high. These results suggest specific areas to address in the work environment for HCT health professionals, especially the need for relief of moral distress and a greater degree of personal time. As the creation of healthy work environments is increasingly emphasized to improve quality care and decrease costs, these findings should be used by HCT leadership to develop interventions that mitigate work-related distress and in turn foster recruitment and retention of HCT providers.
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影响因子：
2.4
作者：
Astbury JL;Gallagher CT
通讯作者：
Gallagher CT
DOI：
10.1097/nhl.0b013e3182a1bf33
发表时间：
2013-07-01
期刊：
JONA'S healthcare law, ethics and regulation
影响因子：
--
作者：
Allen, Rose;Judkins-Cohn, Tanya;Procunier, Maggie
通讯作者：
Procunier, Maggie
影响因子：
1.9
作者：
Davis, Shoni;Lind, Bonnie K.;Sorensen, Celeste
通讯作者：
Sorensen, Celeste
影响因子：
50.5
作者：
Banerjee, S.;Califano, R.;Strijbos, M. H.
通讯作者：
Strijbos, M. H.
影响因子：
4.2
作者：
Corley, MC
通讯作者：
Corley, MC