Factors related to burnout in resident physicians in Japan
Factors related to burnout in resident physicians in Japan
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DOI：
10.5116/ijme.5caf.53ad
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发表时间：
2019-07-04
影响因子：
3.1
通讯作者：
Otsuka, Fumio
中科院分区：
文献类型：
--
作者：
Nishimura, Yoshito;Miyoshi, Tomoko;Otsuka, Fumio
目的：探讨日本住院医师职业倦怠的患病率和特点，并确定与职业倦怠相关的因素。方法：于2017年4月至2018年3月在日本一家教学医院进行了三次横断面研究。住院医师被邀请回答一项在线调查，其中包括与倦怠、抑郁和同理心相关的现有有效工具。还收集了人口统计、背景、职业和社会经济数据。参与者被要求报告平均每日工作时间和他们希望从事的专业。结果：总体而言，2017年4月、2017年10月和2018年3月，分别有39/76（51%）、27/76（36%）和21/76（28%）住院医师回应了调查。2017年4月、2017年10月和2018年3月的调查中，倦怠的参与者比例分别为7/39（18%）、6/27（22%）和7/21（33.3%）。情绪耗竭（EE）是唯一与抑郁严重程度有显著相关性的倦怠成分（r = 0.615, p < 0.001; r = 0.706, p < 0.001; r = 0.601, p < 0.01）。情感表达和人格解体（DP）与平均每日工作时间无显著相关（情感表达的beta值为0.156,p = 0.343；情感表达的beta值为0.061,p = 0.711）。结论：研究结果表明，仅限制工作时间可能无法有效减少日本住院医师的职业倦怠。医学教育工作者可能不仅需要考虑工作时间，还需要考虑个人工作质量和满意度，以解决职业倦怠问题。未来的研究可能需要结合定性的方法来探索职业倦怠的特征。
Objectives: We explore the prevalence and characteristics of burnout among Japanese resident physicians and identifies factors associated with burnout.Methods: A cross-sectional study was conducted three times between April 2017 and March 2018 at a Japanese teaching hospital. Resident physicians were invited to answer an online survey that included existing valid instruments related to burnout, depression, and empathy. Demographic, background, occupational, and socioeconomic data were also collected. Participants were prompted to report the average daily work hours and the specialty they wish to pursue.Results: Overall, 39/76 (51%), 27/76 (36%), and 21/76 (28%) resident physicians responded to surveys in April 2017, October 2017, and March 2018, respectively. The percentages of participants with burnout for surveys in April 2017, October 2017, and March 2018 were 7/39 (18%), 6/27 (22%), and 7/21 (33.3%). Emotional exhaustion (EE) was the only burnout component strongly correlated with the severity of depression (r = .615, p < .001; r = .706, p < .001; r = .601, p < .01). EE and depersonalization (DP) had no significant correlation with average daily working hours (beta = .156, p = .343 for EE; beta = .061, p = .711 for DP).Conclusions: The results suggest that capping working hours alone may not be effective in reducing burnout in Japanese resident physicians. Medical educators might need to consider not only working hours but also individual job quality and satisfaction to address burnout. Future studies may need to incorporate qualitative methods to explore the characteristics of burnout.