Effects of mindfulness and sleep quality on self-efficacy of clinical decision making among resident physicians: an observational study.

IF 3.6 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Mira M Abu-Elenin, Reham M Mounir, Walaa M Shehata
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引用次数: 0

Abstract

Background: Mindfulness and sleep quality implicate the mental well-being of physicians; whose job demands high cognitive performance.

Aim: This study aimed to measure the effect of sleep quality and mindfulness on residents to make timely proper clinical decisions.

Methods: A cross-section study recruited 200 residents at Tanta University hospitals, in Egypt. Sleep quality was assessed using the Sleep Quality Scale, Mindfulness was measured by the Mindful Attention Awareness Scale, and clinical self-decision efficacy was determined by the Decision Self-efficacy Scale.

Results: The study revealed that 22.5% of respondents had poor quality and 46.5% had low decision self-efficacy. A statistically significant high score of mindfulness was observed between residents of non-surgical specialties (3.1 ± 0.7). High capability of clinical decisions efficiently was statistically signficant and proportionally correlated with increased mindfulness scale (r = 0.4, P = 0.002). Lower self-efficacy was significantly associated with taking >3-night shifts/week and reduced break duration.

Conclusion: There is remarkable low to moderate self-efficacy for clinical decision-making capability among the studied resident physicians, underpinned by the degree of mindfulness and hospital environmental factors.

正念和睡眠质量对住院医师临床决策自我效能的影响:一项观察性研究。
背景:正念和睡眠质量影响医生的心理健康;他们的工作需要很高的认知能力。目的:本研究旨在测量睡眠质量和正念对住院医师及时做出正确临床决策的影响。方法:横断面研究在埃及坦塔大学医院招募了200名住院医师。采用睡眠质量量表评估睡眠质量,采用正念注意意识量表评估正念意识,采用决策自我效能量表评估临床自我决策效能。结果:研究发现22.5%的被调查者素质较差,46.5%的被调查者决策自我效能感较低。非手术专科住院医师正念得分较高(3.1±0.7),差异有统计学意义。高临床决策能力与正念量表的增加呈显著的比例相关(r = 0.4, P = 0.002)。较低的自我效能感与每周3个夜班和较短的休息时间显著相关。结论:住院医师临床决策能力自我效能感存在显著的低至中等水平,这主要受正念程度和医院环境因素的影响。
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
Postgraduate Medical Journal
Postgraduate Medical Journal 医学-医学:内科
CiteScore
8.50
自引率
2.00%
发文量
131
审稿时长
2.5 months
期刊介绍: Postgraduate Medical Journal is a peer reviewed journal published on behalf of the Fellowship of Postgraduate Medicine. The journal aims to support junior doctors and their teachers and contribute to the continuing professional development of all doctors by publishing papers on a wide range of topics relevant to the practicing clinician and teacher. Papers published in PMJ include those that focus on core competencies; that describe current practice and new developments in all branches of medicine; that describe relevance and impact of translational research on clinical practice; that provide background relevant to examinations; and papers on medical education and medical education research. PMJ supports CPD by providing the opportunity for doctors to publish many types of articles including original clinical research; reviews; quality improvement reports; editorials, and correspondence on clinical matters.
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