住院医生的职业倦怠:主要驱动因素和实际缓解策略。

IF 3.6 4区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Isaac K S Ng, Sarah Z L Tham, Kar Mun Chong, Wilson G W Goh, Christopher Thong, Kevin Soon Hwee Teo
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引用次数: 0

摘要

职业倦怠是医学界普遍存在的现象,影响了50%的医生和高达60%的住院医生。这对医生的心理健康、工作满意度以及患者护理质量都有负面影响。虽然已经有大量的研究探讨了原因、心理影响和工作场所解决方案,但我们的目标是从居民的角度来实践这个问题,讨论倦怠的三个关键驱动因素,并提供可操作的、多管齐下的策略,可能能够有效地解决这些根本原因。通过对相关文献和个人反思/经验的回顾,我们确定了导致住院医师职业倦怠的三个关键因素,即:(i)固有的医生属性,(ii)对医疗专业的期望不匹配,以及(iii)临床工作和初级医师住院医师培训的压力性质。我们提供切实可行的策略,让各持份者以协调一致的方式,针对这三个方面,即在一开始就灌输和培养对医疗专业的准确认知,培养住院医生的心理力量/弹性,以及切实改善工作和培训环境。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Burnout among medical residents: key drivers and practical mitigating strategies.

Burnout is a prevalent phenomenon in medicine, affecting >50% of physicians and up to 60% of medical residents. This has negative consequences for both doctors' mental health and job satisfaction as well as patient care quality. While numerous studies have explored the causes, psychological effects, and workplace solutions, we aim to practicalize the issue from the perspectives of residents by discussing three key drivers of burnout and offering actionable, multipronged strategies that may be able to tackle these root causes effectively. From review of relevant literature and personal reflections/experiences, we identified three key factors that contribute to resident burnout, namely, (i) inherent physician attributes, (ii) mismatched expectations of the medical profession, and (iii) stressful nature of clinical work and residency training for junior physicians. We offer practical strategies that can be implemented by various stakeholders in a concerted manner to target these three areas, namely, to inculcate and foster accurate perception of the medical profession at the outset, develop psychological strength/resilience among medical residents, and make practical improvements to working and training environments.

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来源期刊
Postgraduate Medical Journal
Postgraduate Medical Journal 医学-医学:内科
CiteScore
8.50
自引率
2.00%
发文量
131
审稿时长
2.5 months
期刊介绍: Postgraduate Medical Journal is a peer reviewed journal published on behalf of the Fellowship of Postgraduate Medicine. The journal aims to support junior doctors and their teachers and contribute to the continuing professional development of all doctors by publishing papers on a wide range of topics relevant to the practicing clinician and teacher. Papers published in PMJ include those that focus on core competencies; that describe current practice and new developments in all branches of medicine; that describe relevance and impact of translational research on clinical practice; that provide background relevant to examinations; and papers on medical education and medical education research. PMJ supports CPD by providing the opportunity for doctors to publish many types of articles including original clinical research; reviews; quality improvement reports; editorials, and correspondence on clinical matters.
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