ストレスとバーンアウトの因果関係は,英国の医師を対象とした縦断的な研究で明らかになった
I C McManus1, B C Winder, D Gordon
1Department of Psychology, University College London, Gower Street, London WC1E 6BT, UK. i.mcmanus@ucl.ac.uk
Lancet (London, England)
|June 28, 2002
まとめ
医療従事者はバーンアウトとストレスを経験します. この研究では,感情的疲労とストレスが相互関係にあることが判明し,それぞれが他者を引き起こす可能性があることを意味しています. 高い個人的な業績も,ストレスを増加させた.
科学分野:
- 職業衛生は,健康に関するものです.
- 心理学 心理学とは
- 医療人材研究 医療人材研究
背景:
- 燃え尽きることとストレスは,医療従事者の間で蔓延している問題です.
- ストレスとバーンアウトの要素の間の因果関係を理解することは,ターゲットを絞った介入に不可欠です.
研究 の 目的:
- ストレスとバーンアウトの3つのコアコンポーネント:感情的疲労,非個性化,および低い個人的な業績の間の因果関係を明らかにする.
- イギリスの医師の代表的なサンプルの縦断的な関係を調査する.
主な方法:
- イギリスの331人の医師を対象に3年間の長期研究が行われました.
- データを分析するために,構造方程式モデリングが採用されました.
- 評価された主な変数には,ストレス,感情的疲労,非個性化,個人的な業績が含まれていました.
主要な成果:
- 感情的疲労とストレスの間には相互的な因果関係が見られた.
- 高い感情的疲労はストレスの増加につながった (ベータ=0.189),高いストレスは感情的疲労の増加につながった (ベータ=0.175).
- 高い個人的な達成は,ストレス増加 (ベータ=0.080) と関連しており,非個性化はストレス減少 (ベータ=-0.105) と関連していた.
結論:
- この発見は,医師のストレスと感情的疲労の間の複雑で双方向的な関係を強調しています.
- 感情的な疲労に対処する介入は,ストレスを軽減し,その逆もできます.
- ストレスに対する個人的な達成と非個人的化の影響は,医療従事者の福祉を管理する際にさらに考慮する必要があります.
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