急诊医生的工作压力和倦怠:对过去10年研究的系统回顾。

IF 1.1 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
Acta Clinica Belgica Pub Date : 2024-02-01 Epub Date: 2024-01-02 DOI:10.1080/17843286.2023.2273611
F Somville, P Van Bogaert, B Wellens, H De Cauwer, E Franck
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引用次数: 0

摘要

本研究的目的:首先,综合和分析现有的关于急诊医生工作压力和倦怠水平的科学文献。其次,识别影响具体工作情境的相关因素。方法:在NCBI PubMed和Embase中进行系统检索。包括系统回顾和横断面的比较性初级研究,量化急诊医生的倦怠。只保留了2011年至2022年间发表的研究。为“倦怠与压力”、“急诊”、“医生”和“倦怠与创伤后应激障碍”的搜索关键字编制了同义词集。结果:35篇论文被保留以供进一步研究。与其他医疗专业相比,急诊医生在倦怠的各个方面的得分都明显更高。工作倦怠与工作特点和组织因素存在显著相关性。危重事件和攻击被确定为影响急诊医生心理健康的最重要的急性工作特征和组织因素,包括创伤后应激障碍的发展。此外,年龄、性格和应对策略等个人因素在职业倦怠和工作创伤的发展中也起着重要作用。结论:现有研究表明,与其他医疗保健专业人员相比,急诊医生报告的情绪衰竭和人格解体得分更高。工作特点促成了这一点,但与工作相关的创伤事件和攻击性是重要的决定因素。年龄、D型人格、以往经历和应对策略等个人特征似乎也是决定因素。急诊医生表现出出现倦怠和工作压力相关问题的高风险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Work stress and burnout among emergency physicians: a systematic review of last 10 years of research.

Aim of the study: First, to provide a synthesis and analysis of available scientific literature regarding the level of work stress and burnout among emergency physicians. Second, to identify the effect of the specific work situation-related factors.

Methods: A systematic search was performed in NCBI PubMed and Embase. Comparative primary studies, both systematic review and cross-sectional, quantifying burnout in emergency physicians were included. Only studies published between 2011 and 2022 were retained. Synonym sets were compiled for the search key for 'burnout & stress', 'emergency', 'physician' and 'burnout & posttraumatic stress disorder'.

Results: Thirty-five papers were retained for further research. Emergency physicians scored significantly higher for all dimensions of burnout compared to other healthcare professions. Significant correlations for burnout were found with work characteristic and organizational factors. Critical incidents and aggression were identified as the most important acute work characteristics and organizational factors impacting emergency physician's mental wellbeing including the development of posttraumatic stress disorder. Moreover, personal factors such as age, personality, and coping strategies also play an important role in the development of burnout as well as work-related trauma.

Conclusion: Available studies show that emergency physicians report higher scores of emotional exhaustion and depersonalization when compared to other healthcare professionals. Work characteristics contribute to this, but work-related traumatic incidents and aggression are important determinants. Personal characteristics such as age, personality type D, previous experiences and coping strategies seem to be determining factors likewise. Emergency physicians showed a high risk for developing burnout and work stress-related problems.

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来源期刊
Acta Clinica Belgica
Acta Clinica Belgica MEDICINE, GENERAL & INTERNAL-
CiteScore
3.50
自引率
0.00%
发文量
44
期刊介绍: Acta Clinica Belgica: International Journal of Clinical and Laboratory Medicine primarily publishes papers on clinical medicine, clinical chemistry, pathology and molecular biology, provided they describe results which contribute to our understanding of clinical problems or describe new methods applicable to clinical investigation. Readership includes physicians, pathologists, pharmacists and physicians working in non-academic and academic hospitals, practicing internal medicine and its subspecialties.
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