消除职业倦怠的教育干预措施:全科医生感兴趣吗?定性研究

Darius Benedict Williams
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摘要

背景全科医生职业倦怠的加剧已被视为全球范围内的一个主要问题,导致许多全科医生提前离开这一行业或减少临床工作时间。作为持续专业发展(CPD)的一部分,教育干预措施已被证明能有效减少全科医生的职业倦怠并改善其整体健康状况。目前还没有公开发表的证据描述全科医生对这种基于持续专业发展的职业倦怠干预措施的态度。本研究的目的是评估全科医生对旨在改善全科医生职业倦怠的基于持续专业发展的教育干预措施的观点和看法。方法 采用基础理论方法进行定性研究。通过视频电话对参与者进行一对一访谈。我们录制了访谈视频文件,并使用自动转录软件生成文本文件,然后检查转录的准确性。对记录誊本进行了基础主题分析,对出现的主题进行了归纳和整合,以形成与研究目标一致的有针对性的分析。本研究获得了斯旺西大学医学、健康和生命科学伦理审批委员会的伦理审批。结果5名参与者接受了访谈。他们都是列入英国医疗管理委员会(GMC)全科医生登记册的全科医生,目前正在参加威尔士全科医生评估程序。其中两名参与者曾使用过以职业倦怠为重点的 CPD 资源。参与者普遍对以教育为基础、以减少职业倦怠为重点的持续专业发展干预措施持积极态度,并指出了他们对如何设计此类干预措施的偏好。与会者强调了在设计未来干预措施时需要考虑的几个重要障碍。讨论参与者的态度表明,以教育为基础的持续专业发展干预措施将受到欢迎,需要进一步开展研究,以评估这种干预措施在这一人群中的效果和成本效益。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Educational interventions to combat burnout: Are General Practitioners interested? A Qualitative Study
Background Rising burnout in General Practitioners has been noted as a major issue worldwide that is contributing to many leaving the profession earlier than anticipated or reducing their hours of clinical work. Educational interventions as part of continuing professional development (CPD) have been shown to be effective in reducing burnout and improving overall wellbeing amongst GPs. There is no published evidence available describing attitudes of GPs toward such CPD-based burnout interventions. The objective of this study is to assess GPs perspectives and opinions towards educational CPD-based interventions aimed at improving burnout in the GP population. Methods A qualitative research approach using grounded theory methods was used. Participants were interviewed 1 to 1 via video call. Video files of the interviews were recorded and auto-transcription software used to generate a text file which was checked for accuracy of transcription. Transcripts underwent grounded thematic analysis with emergent themes synthesised and combined to develop a targeted analysis concordant with the objectives of the study. The study received ethical approval from the Swansea University Medicine, Health and Life Science Ethics Approval Board. Results 5 participants were interviewed. All were GPs listed on the GMC GP register and currently engaged in the Wales GP appraisal process. Two participants had prior experience of CPD resources focused on burnout. Participants universally noted positive sentiment towards an educational-based CPD intervention focused at reducing burnout and noted their preferences in how such an intervention might be designed. Several important perceived barriers were highlighted that would need to be considered in the design of any future interventions. Discussion Attitudes of participants suggest an educational-based CPD intervention would be well received, and further research is needed to assess the efficacy and cost-effectiveness of such an intervention in this population.
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