J J Dapueto, F Nozar, S Artucio, D Sánchez, P Aguirrezábal, L Briozzo
{"title":"旨在减少倦怠和情绪困扰，提高妇产科团队生活质量的组织干预的有效性。","authors":"J J Dapueto, F Nozar, S Artucio, D Sánchez, P Aguirrezábal, L Briozzo","doi":"10.1016/j.jhqr.2025.101156","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Burnout and promoting physician well-being have become priorities for healthcare institutions. Obstetrics and Gynecology teams are susceptible to stress due to work demands and limited resources. Organizational interventions are increasingly recognized as crucial to mitigating burnout and improving professional well-being.</p><p><strong>Aims: </strong>To assess the impact of an organizational-level intervention designed to reduce burnout and emotional distress, and improve well-being and quality of life among faculty members and residents of an Obstetrics/Gynecology team.</p><p><strong>Methods: </strong>A structured organizational intervention was implemented in the Obstetrics/Gynecology Academic Unit A, Universidad de la República, in Uruguay. The effectiveness was assessed using validated psychometric instruments, Maslach Burnout Inventory - Human Services Survey, Oldenburg Burnout Inventory, PROMIS Global Health Scale, World Health Organization Anxiety and Depression Scale (WHO-5). Statistical analyses included Wilcoxon signed-rank tests and effect size calculations.</p><p><strong>Results: </strong>Of the 76 invited participants, 61 completed baseline assessments, and 30 completed follow-up assessments. Significant improvements were observed in burnout, emotional well-being with effect sizes ranged from large to very large (0.50-0.74). The prevalence of burnout decreased from 63.3% to 40.0% (p=0.039), and high-risk emotional distress (WHO-5 <50 points) decreased from 53.3% to 26.7% (p=0.039).</p><p><strong>Conclusions: </strong>A structured organizational-level intervention effectively reduced burnout and improved well-being among faculty and obstetrics and gynecology residents. These findings are consistent with previous research indicating that organizational interventions produce considerable benefits at work. Further studies with larger samples are needed to confirm long-term efficacy and generalizability to other health care settings.</p>","PeriodicalId":37347,"journal":{"name":"Journal of Healthcare Quality Research","volume":" ","pages":"101156"},"PeriodicalIF":1.0000,"publicationDate":"2025-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Effectiveness of an organizational intervention aimed to reduce burnout and emotional distress, and improve quality of life of an Obstetrics-Gynecology team.\",\"authors\":\"J J Dapueto, F Nozar, S Artucio, D Sánchez, P Aguirrezábal, L Briozzo\",\"doi\":\"10.1016/j.jhqr.2025.101156\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Burnout and promoting physician well-being have become priorities for healthcare institutions. Obstetrics and Gynecology teams are susceptible to stress due to work demands and limited resources. Organizational interventions are increasingly recognized as crucial to mitigating burnout and improving professional well-being.</p><p><strong>Aims: </strong>To assess the impact of an organizational-level intervention designed to reduce burnout and emotional distress, and improve well-being and quality of life among faculty members and residents of an Obstetrics/Gynecology team.</p><p><strong>Methods: </strong>A structured organizational intervention was implemented in the Obstetrics/Gynecology Academic Unit A, Universidad de la República, in Uruguay. The effectiveness was assessed using validated psychometric instruments, Maslach Burnout Inventory - Human Services Survey, Oldenburg Burnout Inventory, PROMIS Global Health Scale, World Health Organization Anxiety and Depression Scale (WHO-5). Statistical analyses included Wilcoxon signed-rank tests and effect size calculations.</p><p><strong>Results: </strong>Of the 76 invited participants, 61 completed baseline assessments, and 30 completed follow-up assessments. Significant improvements were observed in burnout, emotional well-being with effect sizes ranged from large to very large (0.50-0.74). The prevalence of burnout decreased from 63.3% to 40.0% (p=0.039), and high-risk emotional distress (WHO-5 <50 points) decreased from 53.3% to 26.7% (p=0.039).</p><p><strong>Conclusions: </strong>A structured organizational-level intervention effectively reduced burnout and improved well-being among faculty and obstetrics and gynecology residents. These findings are consistent with previous research indicating that organizational interventions produce considerable benefits at work. Further studies with larger samples are needed to confirm long-term efficacy and generalizability to other health care settings.</p>\",\"PeriodicalId\":37347,\"journal\":{\"name\":\"Journal of Healthcare Quality Research\",\"volume\":\" \",\"pages\":\"101156\"},\"PeriodicalIF\":1.0000,\"publicationDate\":\"2025-08-16\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Healthcare Quality Research\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1016/j.jhqr.2025.101156\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"HEALTH CARE SCIENCES & SERVICES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Healthcare Quality Research","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1016/j.jhqr.2025.101156","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
Effectiveness of an organizational intervention aimed to reduce burnout and emotional distress, and improve quality of life of an Obstetrics-Gynecology team.
Background: Burnout and promoting physician well-being have become priorities for healthcare institutions. Obstetrics and Gynecology teams are susceptible to stress due to work demands and limited resources. Organizational interventions are increasingly recognized as crucial to mitigating burnout and improving professional well-being.
Aims: To assess the impact of an organizational-level intervention designed to reduce burnout and emotional distress, and improve well-being and quality of life among faculty members and residents of an Obstetrics/Gynecology team.
Methods: A structured organizational intervention was implemented in the Obstetrics/Gynecology Academic Unit A, Universidad de la República, in Uruguay. The effectiveness was assessed using validated psychometric instruments, Maslach Burnout Inventory - Human Services Survey, Oldenburg Burnout Inventory, PROMIS Global Health Scale, World Health Organization Anxiety and Depression Scale (WHO-5). Statistical analyses included Wilcoxon signed-rank tests and effect size calculations.
Results: Of the 76 invited participants, 61 completed baseline assessments, and 30 completed follow-up assessments. Significant improvements were observed in burnout, emotional well-being with effect sizes ranged from large to very large (0.50-0.74). The prevalence of burnout decreased from 63.3% to 40.0% (p=0.039), and high-risk emotional distress (WHO-5 <50 points) decreased from 53.3% to 26.7% (p=0.039).
Conclusions: A structured organizational-level intervention effectively reduced burnout and improved well-being among faculty and obstetrics and gynecology residents. These findings are consistent with previous research indicating that organizational interventions produce considerable benefits at work. Further studies with larger samples are needed to confirm long-term efficacy and generalizability to other health care settings.
期刊介绍：
Revista de Calidad Asistencial (Quality Healthcare) (RCA) is the official Journal of the Spanish Society of Quality Healthcare (Sociedad Española de Calidad Asistencial) (SECA) and is a tool for the dissemination of knowledge and reflection for the quality management of health services in Primary Care, as well as in Hospitals. It publishes articles associated with any aspect of research in the field of public health and health administration, including health education, epidemiology, medical statistics, health information, health economics, quality management, and health policies. The Journal publishes 6 issues, exclusively in electronic format. The Journal publishes, in Spanish, Original works, Special and Review Articles, as well as other sections. Articles are subjected to a rigorous, double blind, review process (peer review)
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