A Qualitative Analysis of Stress and Relaxation Themes Contributing to Burnout in First-Year Psychiatry and Medicine Residents.
A Qualitative Analysis of Stress and Relaxation Themes Contributing to Burnout in First-Year Psychiatry and Medicine Residents.
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DOI：
10.1007/s40596-018-0934-2
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发表时间：
2018-10
期刊：
影响因子：
--
通讯作者：
Borba CPC
中科院分区：
文献类型：
--
作者：
Benson NM;Chaukos D;Vestal H;Chad-Friedman EF;Denninger JW;Borba CPC
对受训者幸福感的定性研究可以增加对倦怠传播者的理解的细微差别，以及旨在支持幸福感的干预措施的作用。这项定性研究的目的是确定（一）情况和环境，造成压力的学员，（二）减压活动，学员利用，以及（三）学员谁报告苦恼（高倦怠和抑郁分数）描述不同的压力源和放松因素比那些谁不。这项研究是在一家大型城市教学医院的一年级医学和精神病学住院医师中进行的。参与者被要求每天完成电子压力和放松日记，持续1周。日记条目按反复出现的主题进行编码。参与者被筛选为倦怠和抑郁。根据基线倦怠和抑郁状态，按亚组比较代码，以阐明这些亚组中是否出现特定主题。研究样本包括51名实习生。16例（16/50，32%）筛查为倦怠阳性，3例（3/50，14%）筛查为抑郁阳性。最常见的压力源与学习环境有关，加上感觉装备不足，不堪重负或时间不足。大多数放松活动涉及社会联系，食物，其他舒适，并发生在医院环境之外。这项研究表明，实习生（无论倦怠或抑郁症屏幕）确定的压力源，主要来自组织，人际关系和文化经验的学习环境，而放松的主题是dilibrium代表跨领域（家庭，休闲，社会，健康），虽然强调活动发生在工作场所之外。
Qualitative research on trainee well-being can add nuance to the understanding of propagators of burnout, and the role for interventions aimed at supporting well-being. This qualitative study was conducted to identify (i) situations and environments that cause stress for trainees, (ii) stress-reducing activities that trainees utilize, and (iii) whether trainees who report distress (high burnout and depression scores) describe different stressors and relaxation factors than those who do not. The study was conducted with a convenience sample of first-year medicine and psychiatry residents at a large urban teaching hospital. Participants were asked to complete electronic stress and relaxation diaries daily for 1 week. Diary entries were coded for recurrent themes. Participants were screened for burnout and depression. Codes were compared by subgroup based on baseline burnout and depression status to elucidate if specific themes emerged in these subgroups. Study sample included 51 interns. Sixteen (16/50, 32%) screened positive for burnout and three (3/50, 14%) had a positive depression screen. The most common stressors related to aspects of the learning environment, compounded by feeling under-equipped, overwhelmed, or out of time. The majority of relaxation activities involved social connection, food, other comforts, and occurred outside of the hospital environment. This study reveals that interns (regardless of burnout or depression screen) identify stressors that derive primarily from organizational, interpersonal, and cultural experiences of the learning environment; whereas relaxation themes are diversely represented across realms (home, leisure, social, health), though emphasize activities that occur outside of the work place.
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影响因子：
3.2
作者：
Hsieh, HF;Shannon, SE
通讯作者：
Shannon, SE
影响因子：
2.5
作者：
Chaukos, Deanna;Chad-Friedman, Emma;Denninger, John W.
通讯作者：
Denninger, John W.
影响因子：
2.5
作者：
Chaukos, Deanna;Chad-Friedman, Emma;Denninger, John W.
通讯作者：
Denninger, John W.
DOI：
10.1001/jama.2016.17324
发表时间：
2016-12-06
期刊：
JAMA
影响因子：
--
作者：
Rotenstein LS;Ramos MA;Torre M;Segal JB;Peluso MJ;Guille C;Sen S;Mata DA
通讯作者：
Mata DA
影响因子：
--
作者：
Fahrenkopf, Amy M.;Sectish, Theodore C.;Landrigan, Christopher P.
通讯作者：
Landrigan, Christopher P.