我只是觉得,要么我去杀人,要么我去自杀。作为一名执业的英国全科医生,职业倦怠的感觉如何?

IF 2.3 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
European Journal of General Practice Pub Date : 2024-12-01 Epub Date: 2024-11-25 DOI:10.1080/13814788.2024.2426981
Ishbel Orla Whitehead, Suzanne Moffatt, Barbara Hanratty
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引用次数: 0

摘要

目的探究在英国国家医疗服务体系中职业倦怠的全科医生的感受:设计:对 16 名英国全科医生进行深入的定性访谈,这些全科医生自称有职业倦怠的 "生活经历":结果:七名男性全科医生和九名女性全科医生描述了他们的职业倦怠:结果:7 名男性和 9 名女性全科医生向同行研究人员描述了他们的职业倦怠经历。确定的主题包括疲惫和人格解体、精神和身体疾病、身份认同和生存危机,最后是坚韧和复原力。参与者进行了自我反思,描述了痛苦、羞愧、耻辱和内疚,包括因职业倦怠而产生自杀行为和孤立无援的时候:职业倦怠威胁着全科医生的身份感、目标感和生活功能,最终可能危及生命。当务之急是积极倾听全科医生的苦恼,并在全系统范围内采用一种方法来管理苦恼和职业倦怠。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
'I just felt either I'm going to kill someone or I'm going to end up killing myself'. How does it feel to be burnt out as a practicing UK GP?

Objective: To explore how it feels to be a burnt out GP in the NHS.

Design: In depth qualitative interviews with 16 UK GPs with self-declared 'lived experience' of burnout.

Setting: United Kingdom Primary Care.

Results: Seven male and nine female GPs described their experiences of burnout to a peer researcher. Themes identified were exhaustion and depersonalisation, mental and physical illness, identity and existential crises, and finally tenacity and resilience. Participants were self-reflective and described distress, shame, stigma, and guilt, including times of suicidal behaviour and isolation due to their burnout.

Conclusions: Burnout threatens a GP's sense of identity, purpose, and functioning in their lives, and ultimately can be life-threatening. Active listening to GP distress and a system wide approach to managing distress and burnout is urgently required.

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来源期刊
European Journal of General Practice
European Journal of General Practice PRIMARY HEALTH CARE-MEDICINE, GENERAL & INTERNAL
CiteScore
5.10
自引率
5.90%
发文量
31
审稿时长
>12 weeks
期刊介绍: The EJGP aims to: foster scientific research in primary care medicine (family medicine, general practice) in Europe stimulate education and debate, relevant for the development of primary care medicine in Europe. Scope The EJGP publishes original research papers, review articles and clinical case reports on all aspects of primary care medicine (family medicine, general practice), providing new knowledge on medical decision-making, healthcare delivery, medical education, and research methodology. Areas covered include primary care epidemiology, prevention, diagnosis, pharmacotherapy, non-drug interventions, multi- and comorbidity, palliative care, shared decision making, inter-professional collaboration, quality and safety, training and teaching, and quantitative and qualitative research methods.
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