Association of GP wellbeing and burnout with patient safety in UK primary care: a cross-sectional survey
Association of GP wellbeing and burnout with patient safety in UK primary care: a cross-sectional survey
复制标题
DOI：
10.3399/bjgp19x702713
复制
发表时间：
2019-07-01
影响因子：
5.9
通讯作者：
O'Connor, Daryl B.
中科院分区：
文献类型：
--
作者：
Hall, Louise H.;Johnson, Judith;O'Connor, Daryl B.
背景全科医生的倦怠程度特别高，健康状况也很差。尽管两者都与二级护理中较差的安全结果相关，但它们还没有在初级护理中调查这一点的定量研究。此外，人们对职业需求、职业倦怠和幸福感以及患者安全之间的关系知之甚少。目的是调查职业变量（需求和支持）是否通过对全科医生职业倦怠和幸福感的影响与全科实践中的患者安全结果相关。设计和设置2016年3月至2017年8月在英国进行的横断面调查。方法共有232名执业全科医生完成了一项测量职业倦怠的在线或纸质调查， 福祉、职业要求和支持以及患者安全。结果全部。 93.8% 的全科医生被归类为可能患有轻微精神疾病。 94.7%的人患有轻度（22.0%）或重度（72.7%）的疲惫，86.8%的人有轻度（37.9%）或重度（48.9%）的脱离。结构方程模型 (SEM) 分析表明，在管理任务和随叫随到上花费的时间较多，并且在实践中感觉支持较少。与较低的幸福感相关，而这又与过去 3 个月内报告险些发生事故的可能性较高相关。花在行政任务上的时间越多，每天接诊的患者数量就越多。感觉更少的支持与更高的倦怠程度有关。这反过来又与较差的安全感相关。结论为了提高一般实践中的患者安全，可以在实践和个人层面上进行改变，以促进员工和患者更健康的工作环境。
BackgroundGPs have particularly high levels of burnout and poor wellbeing. Although both am associated with poorer safety outcomes within secondary care, them have been no quantitative studies investigating this within primary care. Furthermore, little is known about how occupational demands, burnout and wellbeing, and patient safety are all associated.AimTo investigate whether occupational variables (demands and support) are associated with patient safety outcomes in general practice through their influence on GP burnout and wellbeing.Design and settingCross-sectional survey in the UK between March 2016 and August 2017.MethodA total of 232 practising GPs completed an online or paper survey measuring burnout, wellbeing, occupational demands and support, and patient safety.ResultsIn all. 93.8% of GPs were classed as likely to be suffering from a minor psychiatric disorder. 94.7% as suffering from mild (22.0%) or severe (72.7%) exhaustion, and 86.8%as having mild (37.9%) or severe (48.9%) disengagement. Structural equation modelling (SEM) analyses showed that spending a higher number of hours on administrative tasks and on call, and feeling less supported in their practice. was associated with lower wellbeing, which in turn was associated with a higher likelihood of having reported a near miss in the previous 3 months. A higher number of hours spent on administrative tasks, a higher number of patients seen per day. and feeling less supported were associated with higher burnout levels. which in turn was associated with worse perceptions of safety.ConclusionTo improve patient safety within general practice changes could be made at both practice and individual levels to promote a healthier work environment for staff and patients.