香港急诊医生的职业倦怠--关于其发生率、相关因素和影响的横断面研究

IF 0.8 4区 医学 Q4 EMERGENCY MEDICINE
Tsz Kit Chan, C. Lui, Wing Yee Clara Wu, Timothy Rainer, Chin San Leung
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引用次数: 0

摘要

在2022年4月至6月期间,以实物和电子形式发放匿名自愿自填问卷。倦怠感通过马斯拉赫倦怠感量表(Maslach Burnout Inventory,MBI)进行评估。压力源通过人口、职业和社会背景问题进行评估。患者健康问卷-9(Patient Health Questionnaire-9,PHQ-9)针对抑郁症以及工作满意度和自我感觉患者护理方面的问题对影响进行了评估。总体倦怠感较高的比例为 28.2%(n = 68),其中 47.7%(n = 115)有较高的情感衰竭,63.1%(n = 152)有较高的人格解体,56%(n = 135)有较低的个人成就感。据观察,年龄较小、女性、未婚、工作职位(副顾问、常驻专家和高级实习生)、轮班工作、夜班较多和连续轮班的倦怠率较高。职业倦怠还与抑郁、自杀念头、考虑辞职、工作满意度较低和病人护理较差有关(P < 0.05)。职业倦怠在香港急诊医生中普遍存在,对个人福祉和临床护理的影响显而易见。年轻医生和研究员的职业倦怠率较高。已发现的压力因素(如轮班模式)应得到解决和改善。我们还应该探索更多的策略,以减少同事的职业倦怠。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Burnout in emergency physicians in Hong Kong—A cross‐sectional study on its prevalence, associated factors, and impact
To evaluate the prevalence of burnout, its underlying personal or occupational stressors, and impact on individual well‐being and patient care.Cross‐sectional survey.All emergency physicians in the public and the private sector in Hong Kong.Self‐administered, anonymous, voluntary questionnaires were distributed in physical and electronic forms from April to June 2022. Burnout was assessed by the Maslach Burnout Inventory (MBI). Stressors were assessed by questions on demographic, occupational, and social background. Impact was assessed by the Patient Health Questionnaire‐9 (PHQ‐9) for depression and questions on job satisfaction and self‐perceived patient care.The response rate was 37.8% (n = 241). Prevalence of high overall burnout was 28.2% (n = 68), with 47.7% (n = 115) having high emotional exhaustion, 63.1% (n = 152) high depersonalization, and 56% (n = 135) low personal accomplishment. A higher burnout rate was observed in younger age, female, not married, job position (associate consultant, resident specialist, and higher trainee), working on shift duty, more night shifts, and consecutive shifts. Burnout is also associated with depression, suicidal idea, consideration of quitting, less job satisfaction, and less favorable patient care (p < 0.05).Burnout is prevalent in emergency physicians in Hong Kong, and its impact on individual well‐being and clinical care was evident. A higher burnout rate was observed in younger doctors and also fellows. Identified stressors such as shift pattern should be addressed and potentially improved. Further strategies should be explored to reduce burnout in our colleagues.
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来源期刊
CiteScore
1.50
自引率
16.70%
发文量
26
审稿时长
6-12 weeks
期刊介绍: The Hong Kong Journal of Emergency Medicine is a peer-reviewed, open access journal which focusses on all aspects of clinical practice and emergency medicine research in the hospital and pre-hospital setting.
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