Factors Associated With Healthcare Clinician Stress and Resilience: A Scoping Review.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-01-01 DOI:10.1097/JHM-D-23-00020

Timothy J Usset, R Greg Stratton, Sarah Knapp, Gabrielle Schwartzman, Sunil K Yadav, Benjamin J Schaefer, J Irene Harris, George Fitchett

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Abstract

Goal: Clinician stress and resilience have been the subjects of significant research and interest in the past several decades. We aimed to understand the factors that contribute to clinician stress and resilience in order to appropriately guide potential interventions.

Methods: We conducted a scoping review (n = 42) of published reviews of research on clinician distress and resilience using the methodology of Peters and colleagues (2020). Our team examined these reviews using the National Academy of Medicine's framework for clinician well-being and resilience.

Principal findings: We found that organizational factors, learning/practice environment, and healthcare responsibilities were three of the top four factors identified in the reviews as contributing to clinician distress. Learning/practice environment and organizational factors were two of the top four factors identified in the reviews as contributing to their resilience.

Practical applications: Clinicians continue to face numerous external challenges that complicate their work. Further research, practice, and policy changes are indicated to improve practice environments for healthcare clinicians. Healthcare leaders need to promote resources for organizational and system-level changes to improve clinician well-being.

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与医护人员压力和复原力相关的因素：范围审查。

目标：在过去的几十年中，临床医生的压力和抗压能力一直是重要的研究对象和关注点。我们旨在了解造成临床医生压力和抗压能力的因素，以便为潜在的干预措施提供适当的指导：我们采用彼得斯及其同事（2020 年）的方法，对已发表的临床医师压力和抗压能力研究综述进行了范围界定（n = 42）。我们的团队使用美国国家医学院的临床医师福祉和复原力框架对这些综述进行了研究：我们发现，组织因素、学习/执业环境和医疗保健责任是综述中指出的导致临床医生痛苦的四大因素中的三个。而学习/执业环境和组织因素则是评论中指出的有助于提高临床医生复原力的四大因素中的两大因素：临床医生仍然面临着许多外部挑战，这些挑战使他们的工作变得更加复杂。需要进一步开展研究、实践和政策变革，以改善医疗保健临床医生的实践环境。医疗保健领导者需要促进组织和系统层面的变革资源，以改善临床医生的福祉。

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

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.