农村医疗系统的复原力。

IF 1.4 Q4 MEDICINE, RESEARCH & EXPERIMENTAL

Clinical Teacher Pub Date : 2024-01-28 DOI:10.1111/tct.13726

Tiffany Lasky, Damayanti Samanta, Will Sebastian, Lisa Calderwood

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引用次数: 0

摘要

导言：目前的文献强调抗压能力在医疗保健中的重要性。研究表明，缺乏抗压能力不仅会导致不良的临床结果，而且与临床医生的职业倦怠和长期压力有关。美国资源有限的农村环境通常会带来独特的压力，因此，研究从事农村医疗工作的医疗服务提供者的抗压能力至关重要：方法：2021 年 4 月 7 日至 2022 年 5 月 18 日期间，医学生、住院医师和主治医师完成了匿名 REDCap 调查。抗逆力的主要结果通过康纳-戴维森抗逆力量表 10（CD-RISC-10© ）进行测量：结果：调查对象在复原力量表中得分中等（40 分制，30.64 分）。第一四分位数的受访者得分介于 0 和 28 之间；第二四分位数的受访者得分介于 29 和 30 之间；第三四分位数的受访者得分介于 31 和 35 之间；第四四分位数的受访者得分介于 36 和 40 之间。年龄和工作年限与复原力无关。然而，接受过创伤知情护理的调查者在复原力量表上的得分明显更高（32.37 vs. 28.85，p = 0.021）。按职业进行比较后发现，医科学生、住院医师和主治医师的复原力水平相当：结论：CD-RISC-10©前两个四分位数的人可能需要支持，因为他们难以应对压力。医疗机构应提供抗压能力培训，为员工的健康和心理健康提供支持。此外，应致力于创建创伤知情医疗机构，因为接触创伤知情医疗主题对复原力有显著的积极影响。

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Resilience in rural health system

Introduction

Current literature emphasises the importance of resilience in health care. Studies have shown that lack of resilience not only leads to adverse clinical outcomes but is also associated with burnout and long-term stress in clinicians. Resource-limited rural settings in the United States often impose unique stressors, and thus, it is critical to examine resilience of health care providers practicing rural medicine.

Methods

An anonymous REDCap survey was completed by medical students, residents and attending physicians between 7 April 2021 and 18 May 2022. The primary outcome of resilience was measured by the Connor-Davidson Resilience Scale 10 (CD-RISC-10^©).

Results

Survey takers scored moderately on the resilience scale (30.64 on a 40-point scale). The first quartile of respondents scored between 0 and 28; the second quartile scored between 29 and 30; the third quartile scored between 31 and 35; the fourth quartile scored between 36 and 40. Age and years of service were not correlated with resilience. However, survey takers who had been exposed to trauma informed care scored significantly higher on the resilience scale (32.37 vs. 28.85, p = 0.021). The level of resilience when compared by profession was found to be comparable among medical students, residents and attending physicians.

Conclusion

Individuals scoring in the first two quartiles of the CD-RISC-10^© perhaps indicate need for support as they are having difficulty coping with stress. Health care organisations should provide resilience training to support the wellness and mental health of their staff. Moreover, dedicated efforts should be made toward creating trauma-informed health care organisations as exposure to the topic of trauma informed care had a significant positive impact on resilience.

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来源期刊

Clinical Teacher MEDICINE, RESEARCH & EXPERIMENTAL-

CiteScore

2.90

自引率

5.60%

发文量

113

期刊介绍： The Clinical Teacher has been designed with the active, practising clinician in mind. It aims to provide a digest of current research, practice and thinking in medical education presented in a readable, stimulating and practical style. The journal includes sections for reviews of the literature relating to clinical teaching bringing authoritative views on the latest thinking about modern teaching. There are also sections on specific teaching approaches, a digest of the latest research published in Medical Education and other teaching journals, reports of initiatives and advances in thinking and practical teaching from around the world, and expert community and discussion on challenging and controversial issues in today"s clinical education.