倦怠的新视角:住院医师经验的快照

J. Harsh, Tyler J Lawrence, Jessica B Koran-Scholl, R. Bonnema
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引用次数: 2

摘要

背景:职业倦怠是有害的,也是住院医生经常经历的。导致倦怠的原因有很多。到目前为止,还没有采用半结构化访谈和住院医生拍摄的照片对他们的倦怠观点进行定性研究。这种方法的优势在于它能够深入探索倦怠的生活经验。目的:本研究的目的是通过照片和半结构化访谈,了解住院医师对职业倦怠的看法,以及他们如何管理职业倦怠体验。方法:2017年,来自中西部一家大型学术医疗中心内科和家庭医学住院医师项目的8名住院医师参与了本研究。采用超验现象学方法对以居民照片为指导的半结构化访谈收集的数据进行分析。结果:住院医师培训通常被描述为一种具有挑战性的经历,特别是因为由于长时间的工作,它剥夺了住院医师专注于个人生活的能力。这通常会导致疲惫、自我怀疑、人际关系受损或被忽视。尽管如此,居民们还是采取了积极的措施,通过各种应对策略来减轻倦怠。此外,住院医师在实习期间也获得了友爱、快乐和个人成长。结论:职业倦怠仍然是医学教育的一个重要话题,特别是对住院医师而言。更多地了解倦怠是如何被感知的,以及倦怠对居民日常生活的影响,可以指导未来制定促进健康的策略,并将倦怠的影响降到最低。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A New Perspective on Burnout: Snapshots of the Medical Resident Experience
Background: Burnout is harmful and frequently experienced by medical residents. Causes of burnout are numerous. To date, there have been no qualitative studies incorporating semistructured interviews and resident-taken photographs on their perspectives of burnout. This method is advantageous for its ability to explore the lived experience of burnout, in depth. Objective: The purpose of this study is to discover, through photographs and semistructured interviews, medical residents’ perspectives on what burnout means in their lives and how they manage burnout experiences. Methods: In 2017, 8 residents from Internal Medicine and Family Medicine Residency Programs at a large, Midwestern academic medical center participated in this study. The Transcendental Phenomenological Method was used to analyze the data collected through semistructured interviews, which used resident photographs as a guide. Results: Residency training was often described as a challenging experience, particularly because it took away residents’ ability to focus on their personal lives due to long work hours. This often resulted in exhaustion, self-doubt, and damaged or neglected relationships. Despite this, residents took active steps to mitigate burnout through a variety of coping strategies. In addition, residents found camaraderie, joy, and personal growth during their residency experience. Conclusion: Burnout continues to be an important topic in medical education and specifically for medical residents. Learning more about how burnout is perceived and the effects of burnout on residents day-to-day lives can guide the future development of strategies to promote wellness and minimize the impact of burnout.
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