早期COVID-19大流行期间医院工作人员的倦怠:国家混合方法调查研究
Anne Becker1, Erin E Sullivan2,3, Luci K Leykum4,5
1Hennepin Healthcare, Minneapolis, MN, USA.
Journal of general internal medicine
|July 28, 2023
概括
医院医生的燃烧率很高,工作超负荷和心理健康问题是关键因素. 感觉有价值和强大的领导力可以减轻倦怠,建议干预的领域.
科学领域:
- 医学研究 医学研究
- 公共卫生 公共卫生
- 职业健康 职业健康 职业健康 职业健康
背景情况:
- 随着COVID-19的流行,医院医生的压力显著增加.
- 之前关于导致医院人员倦怠的因素的大规模研究缺乏.
研究的目的:
- 评估有助于医院医疗医生燃烧的可补救成分.
- 为了确定关键的压力因素和潜在的减轻因素,医生倦怠.
主要方法:
- 在对1022名医院临床医生 (906名医生) 进行的一项调查中,使用Mini Z测量方法评估了燃烧状态.
- 变量包括COVID-19相关的焦虑/抑郁,工作过载,对暴露的恐惧,使命,照顾孩子的压力,以及感到有价值.
- 使用多级物流回归和定性分析来分析2020年4月至12月收集的数据.
主要成果:
- 46%的医院临床医生报告了倦怠.
- 工作超负荷 (OR 4.9) 和焦虑/抑郁 (OR 4.2) 显著与燃烧的可能性增加有关.
- 感觉有价值与减少倦怠的几率相关 (OR 0.43).
- 这些因素解释了42%的倦怠差异.
结论:
- 工作负担和心理健康是导致医院人员倦怠的重要因素.
- 感觉有价值和支持的领导力似乎可以减轻倦怠.
- 这些因素需要进一步研究,以制定减少医院医学的倦怠的干预措施.
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