Effectiveness of an organizational intervention aimed to reduce burnout and emotional distress, and improve quality of life of an Obstetrics-Gynecology team.

IF 1 Q4 HEALTH CARE SCIENCES & SERVICES
J J Dapueto, F Nozar, S Artucio, D Sánchez, P Aguirrezábal, L Briozzo
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Abstract

Background: Burnout and promoting physician well-being have become priorities for healthcare institutions. Obstetrics and Gynecology teams are susceptible to stress due to work demands and limited resources. Organizational interventions are increasingly recognized as crucial to mitigating burnout and improving professional well-being.

Aims: To assess the impact of an organizational-level intervention designed to reduce burnout and emotional distress, and improve well-being and quality of life among faculty members and residents of an Obstetrics/Gynecology team.

Methods: A structured organizational intervention was implemented in the Obstetrics/Gynecology Academic Unit A, Universidad de la República, in Uruguay. The effectiveness was assessed using validated psychometric instruments, Maslach Burnout Inventory - Human Services Survey, Oldenburg Burnout Inventory, PROMIS Global Health Scale, World Health Organization Anxiety and Depression Scale (WHO-5). Statistical analyses included Wilcoxon signed-rank tests and effect size calculations.

Results: Of the 76 invited participants, 61 completed baseline assessments, and 30 completed follow-up assessments. Significant improvements were observed in burnout, emotional well-being with effect sizes ranged from large to very large (0.50-0.74). The prevalence of burnout decreased from 63.3% to 40.0% (p=0.039), and high-risk emotional distress (WHO-5 <50 points) decreased from 53.3% to 26.7% (p=0.039).

Conclusions: A structured organizational-level intervention effectively reduced burnout and improved well-being among faculty and obstetrics and gynecology residents. These findings are consistent with previous research indicating that organizational interventions produce considerable benefits at work. Further studies with larger samples are needed to confirm long-term efficacy and generalizability to other health care settings.

旨在减少倦怠和情绪困扰,提高妇产科团队生活质量的组织干预的有效性。
背景:职业倦怠和促进医生的福祉已成为医疗机构的优先事项。由于工作需求和资源有限,妇产科团队容易受到压力的影响。人们越来越认识到,组织干预对于减轻职业倦怠和提高职业幸福感至关重要。目的:评估组织层面干预的影响,旨在减少倦怠和情绪困扰,提高妇产科团队教职员工和住院医生的幸福感和生活质量。方法:在乌拉圭República大学妇产科学术A单元实施结构化组织干预。使用经过验证的心理测量工具、Maslach职业倦怠量表-人类服务调查、Oldenburg职业倦怠量表、PROMIS全球健康量表、世界卫生组织焦虑和抑郁量表(WHO-5)来评估有效性。统计分析包括Wilcoxon sign -rank检验和效应量计算。结果:在76名受邀参与者中,61人完成了基线评估,30人完成了随访评估。在倦怠、情绪幸福感方面观察到显著的改善,效应量从大到非常大(0.50-0.74)。倦怠的患病率从63.3%下降到40.0% (p=0.039),高危情绪困扰(WHO-5)。结论:结构化的组织层面干预有效地减少了教师和妇产科住院医师的倦怠,提高了幸福感。这些发现与先前的研究一致,表明组织干预在工作中产生相当大的好处。需要更大样本的进一步研究来确认长期疗效和推广到其他卫生保健机构。
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来源期刊
CiteScore
1.70
自引率
8.30%
发文量
83
审稿时长
57 days
期刊介绍: Revista de Calidad Asistencial (Quality Healthcare) (RCA) is the official Journal of the Spanish Society of Quality Healthcare (Sociedad Española de Calidad Asistencial) (SECA) and is a tool for the dissemination of knowledge and reflection for the quality management of health services in Primary Care, as well as in Hospitals. It publishes articles associated with any aspect of research in the field of public health and health administration, including health education, epidemiology, medical statistics, health information, health economics, quality management, and health policies. The Journal publishes 6 issues, exclusively in electronic format. The Journal publishes, in Spanish, Original works, Special and Review Articles, as well as other sections. Articles are subjected to a rigorous, double blind, review process (peer review)
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