医療従事者の倦怠を防ぐための介入:体系的なレビューとメタ解析
Colin P West1, Liselotte N Dyrbye2, Patricia J Erwin3
1Division of General Internal Medicine and Division of Biomedical Statistics and Informatics, Mayo Clinic, Rochester, MN, US.
Lancet (London, England)
|October 4, 2016
まとめ
医療従事者のバーンアウトは 介入によって著しく減少し 全体のバーンアウトは 10%減少しました 個人の戦略と 組織的な戦略の両方が 医者の疲労を効果的に軽減し 福祉を向上させます
科学分野:
- 医学研究
- 公衆衛生
- 労働衛生について
背景:
- 医者の倦怠感は 患者ケアや医療システムに重大な影響を及ぼす 広範な問題です
- 医療従事者の倦怠を防止し減らすための介入に関する既存の文献は,品質と結果の包括的な理解を必要とします.
- このニーズに対処するために,体系的なレビューとメタ解析が行われました.
研究 の 目的:
- 医者の倦怠を防止し減らすための介入の効果を体系的に検討し分析する.
- 感情的疲労や非個性化への影響を 定量化するためです
主な方法:
- 複数のデータベース (MEDLINE,Embase,PsycINFO,Scopus,Web of Science,ERIC) を体系的に検索した.
- 対象となった研究は,医師特有のバーンアウトデータを報告したランダム化試験とコホート研究でした.
- ランダム効果モデルを用いて,燃え尽きる結果の総平均差を計算した.
主要な成果:
- 医者の全体的な倦怠度は54%から44%に減少した (10%減少).
- 感情的疲労のスコアは2.65ポイント 脱人格のスコアは0.64ポイント減少しました
- 高い感情的疲労は38%から24%に,高い非個性化は38%から34%に減少しました.
結論:
- 個人に焦点を当てた戦略と 構造的/組織的な戦略の両方が 医者の倦怠を大幅に減らすことができます
- 特定の集団に対して最も効果的な介入を 特定するためにさらなる研究が必要です
- 個人の解決策と 組織的な解決策を組み合わせると 医者の福祉がさらに向上するかもしれません
関連する概念動画
Nursing Interventions I: Taxonomy of Nursing Interventions
4.2K
Nursing interventions are chosen as part of the planning process to achieve patient outcomes. Once nursing diagnoses are determined, the goals and outcomes are specified, then the nursing interventions are selected and individualized according to the patient's situation.
A nursing intervention is a treatment or action based on scientific concepts and knowledge from the nursing, behavioral, and physical sciences. Identifying and prioritizing nursing interventions based on the desired outcome...
A nursing intervention is a treatment or action based on scientific concepts and knowledge from the nursing, behavioral, and physical sciences. Identifying and prioritizing nursing interventions based on the desired outcome...
4.2K
Acute Coronary Syndrome IV: Interprofessional Care
376
IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
376
Stress Prevention and Stress Management Techniques III
427
Regular exercise and meditation serve as essential tools in managing stress and promoting physical and mental well-being.
The Role of Exercise in Stress Management
Regular physical activity is essential for reducing stress and promoting cardiovascular health. Exercise strengthens the heart, enhances blood flow, keeps blood vessels flexible, and helps lower blood pressure, all of which reduce the body's stress response. Research shows that adults who exercise regularly have nearly half the...
The Role of Exercise in Stress Management
Regular physical activity is essential for reducing stress and promoting cardiovascular health. Exercise strengthens the heart, enhances blood flow, keeps blood vessels flexible, and helps lower blood pressure, all of which reduce the body's stress response. Research shows that adults who exercise regularly have nearly half the...
427
Nursing Interventions II: Selecting and Classifying the Nursing Interventions
3.6K
Creating and executing a nursing diagnosis helps nurses plan care and guide patient, family, and community interventions. They are developed based on a patient's physical evaluation and support measuring the outcomes. It is not recommended to select random interventions throughout the planning process. Instead, consider the following six essential factors when choosing interventions:
3.6K
Stress Prevention and Stress Management Techniques I
406
Stress prevention and management are crucial for maintaining well-being and building resilience. Techniques to manage stress include cultivating qualities like conscientiousness, a sense of personal control, and self-efficacy. Each of these traits significantly reduces stress and promotes healthier lifestyle choices and outcomes.
Conscientiousness
Conscientious individuals tend to be organized, responsible, and disciplined. They prioritize completing tasks and following structured routines,...
Conscientiousness
Conscientious individuals tend to be organized, responsible, and disciplined. They prioritize completing tasks and following structured routines,...
406
Stress Prevention and Stress Management Techniques VI
305
Adopting a healthier lifestyle often requires overcoming significant challenges, but leveraging psychological, social, and cultural resources can facilitate meaningful change. Effective self-change hinges on understanding and applying key tools such as motivation and goal setting, which help sustain efforts toward long-term health benefits.
Motivation and Self-Determination
Motivation, the driving force behind behavior, plays a pivotal role at every stage of the change process. The research...
Motivation and Self-Determination
Motivation, the driving force behind behavior, plays a pivotal role at every stage of the change process. The research...
305
