Medical registrars at the University of the Free State: Burnout, resilience and coping strategies.

IF 1.2 Q2 MEDICINE, GENERAL & INTERNAL
Lynette J Van der Merwe, Nakedi Motlapema, Tsiu Matsepe, Karabo Nchepe, Pearl Ramachela, Tshilidzi Rangolo, Zizipho Kutu, Gina Joubert, Cornel Van Rooyen
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Abstract

Background: Burnout among doctors has been linked with decreased quality of patient care. The coronavirus disease 2019 (COVID-19) pandemic highlighted the need to protect doctors' mental health and well-being. This study aimed to investigate burnout, resilience and coping strategies among registrars in the MMed programme of the University of the Free State (UFS) in 2020.

Methods: In this quantitative, cross-sectional study, a link to an online anonymous self-administered questionnaire with socio-demographic questions, perceived stress, Copenhagen Burnout Inventory (CBI), Connor-Davidson Resilience Scale and Brief Cope was emailed to all 278 registrars.

Results: Sixty registrars responded (response rate 21.6%). More than half (55.0%) were male and 73.3% were married. There were 28.3% second- and third-year students, respectively. Most (58.3%) had 5-10 years' work experience. The CBI personal scale had the highest median value (58.3; interquartile range [IQR]: 43.3; 70.8) with 70% scoring ≥ 50. The median score for resilience was 78 of 100 (IQR: 69; 84). There were weak negative correlations between resilience and burnout scores (r = -0.31 to r = -0.37). Planning, positive reframing and acceptance were the most frequently used adaptive coping mechanisms; self-distraction was the most frequently used maladaptive coping mechanism. There was no association between gender and burnout and resilience scores.

Conclusion: Registrars were resilient with low levels of patient- and work-related burnout, and higher personal burnout, using mostly positive coping strategies.Contribution: This study gives insight into the well-being of registrars at the UFS during COVID-19. Continuous monitoring and support for this population are essential to foster mental health and well-being.

自由州大学的医学注册人员:职业倦怠、复原力和应对策略。
背景 医生的职业倦怠与病人护理质量下降有关。2019年冠状病毒病(COVID-19)大流行凸显了保护医生心理健康和福祉的必要性。本研究旨在调查2020年自由州大学(UFS)医学硕士课程注册医生的职业倦怠、复原力和应对策略: 在这项定量横断面研究中,我们通过电子邮件向所有 278 名注册人员发送了一份在线匿名自填问卷的链接,其中包括社会人口学问题、感知压力、哥本哈根职业倦怠量表(CBI)、康纳-戴维森复原力量表和简要应对策略: 结果:60 名注册医师做出了回复(回复率为 21.6%)。一半以上(55.0%)为男性,73.3%为已婚。二年级和三年级学生分别占 28.3%。大多数人(58.3%)有 5-10 年的工作经验。CBI 个人量表的中值最高(58.3;四分位数间距 [IQR]:43.3;70.8),70% 的人得分≥50。复原力的中位数为 78 分(100 分)(IQR:69; 84)。复原力和职业倦怠得分之间存在微弱的负相关(r = -0.31 至 r = -0.37)。计划、积极重塑和接受是最常用的适应性应对机制;自我分散是最常用的适应性应对机制。性别与职业倦怠和复原力得分之间没有关联: 注册医师的抗压能力较强,与患者和工作相关的职业倦怠程度较低,个人职业倦怠程度较高,主要使用积极的应对策略:贡献:这项研究有助于深入了解在 COVID-19 期间挂号员的健康状况。对这一人群的持续监测和支持对于促进心理健康和幸福感至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
South African Family Practice
South African Family Practice MEDICINE, GENERAL & INTERNAL-
CiteScore
1.50
自引率
20.00%
发文量
79
审稿时长
25 weeks
期刊介绍: South African Family Practice (SAFP) is a peer-reviewed scientific journal, which strives to provide primary care physicians and researchers with a broad range of scholarly work in the disciplines of Family Medicine, Primary Health Care, Rural Medicine, District Health and other related fields. SAFP publishes original research, clinical reviews, and pertinent commentary that advance the knowledge base of these disciplines. The content of SAFP is designed to reflect and support further development of the broad basis of these disciplines through original research and critical review of evidence in important clinical areas; as well as to provide practitioners with continuing professional development material.
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