Burnout and Psychological Distress Among Pediatric Critical Care Physicians in the United States
Burnout and Psychological Distress Among Pediatric Critical Care Physicians in the United States
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DOI：
10.1097/ccm.0000000000002751
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发表时间：
2018-01-01
影响因子：
8.8
通讯作者：
Day, Scottie
中科院分区：
文献类型：
--
作者：
Shenoi, Asha N.;Kalyanaraman, Meena;Day, Scottie
目的：评估儿科重症监护医生中医生职业倦怠、心理困扰及其与选定的个人和实践特征的关联，并评估职业倦怠和心理困扰之间的关系。设计：横断面，在线调查。设置：美国儿科重症监护实践。受试者：儿科重症监护医生。干预措施：无。测量和主要结果：一个非随机样本的253名医生完成了一项在线调查，包括个人和实践特征，Maslach倦怠量表，和一般健康问卷。近一半的参与者（49%; 95%CI，43-55%; n = 124）在Maslach倦怠量表的三个分量表中的至少一个分量表中得分较高，21%的人表示严重倦怠。女性医生的任何职业倦怠风险约为两倍（比值比，1.97; 95%CI，1.2-3.4）。在这项研究中，其他个人或实践特征与倦怠之间的关联并不明显，而定期的体育锻炼似乎是保护性的。三分之一的参与者（30.5%）和69%经历过严重倦怠的人对心理困扰的筛查呈阳性。大约90%的医生报告严重的倦怠已经考虑离开他们的practice.Conclusions：倦怠是在美国的儿科重症监护医生高。大约三分之二的严重职业倦怠的医生符合心理困扰的筛选标准，这表明可能存在常见的精神障碍。显著百分比的医生经历倦怠，并考虑离开专业有重大影响的重症监护工作人员。
Objectives: To estimate the prevalence of physician burnout, psychological distress, and its association with selected personal and practice characteristics among pediatric critical care physicians and to evaluate the relationship between burnout and psychological distress.Design: Cross-sectional, online survey.Setting: Pediatric critical care practices in the United States.Subjects: Pediatric critical care physicians.Interventions: None.Measurement and Main Results: A nonrandom sample of 253 physicians completed an online survey consisting of personal and practice characteristics, the Maslach Burnout Inventory, and the General Health Questionnaire. Nearly half of the participants (49%; 95% CI, 43-55%; n = 124) scored high burnout in at least one of the three subscales of the Maslach Burnout Inventory and 21% reported severe burnout. The risk of any burnout was about two times more in women physicians (odds ratio, 1.97; 95% CI, 1.2-3.4). Association between other personal or practice characteristics and burnout was not evident in this study, while regular physical exercise appeared to be protective. One third of all participants (30.5%) and 69% of those who experienced severe burnout screened positive for psychological distress. About 90% of the physicians reporting severe burnout have considered leaving their practice.Conclusions: Burnout is high among pediatric critical care physicians in the United States. About two thirds of the physicians with severe burnout met the screening criteria for psychological distress that suggests possible common mental disorders. Significant percentages of physicians experiencing burnout and considering to leave the profession has major implications for the critical care workforce.