外科医生的自恋,敌意,压力,欺凌,生活和工作环境中的意义:一个双中心的分析
Michael El Boghdady1,2,3, Béatrice Marianne Ewalds-Kvist4,5
1Guy's and St Thomas' NHS Foundation Trust, London, UK. michael.elboghdady@nhs.net.
Langenbeck's archives of surgery
|September 4, 2023
概括
外科医生自恋预测敌意和压力,而训练期间的欺凌经历与这些结果相关. 在生活中寻找意义可以减轻负面影响,强调支持性外科环境的重要性.
科学领域:
- 医学教育 医学教育
- 进行外科手术培训.
- 心理学在医学中的应用
背景情况:
- 破坏性医生行为会影响患者安全和外科实习生的工作与生活平衡.
- 了解影响外科医生行为心理因素对于改善医疗保健环境至关重要.
研究的目的:
- 为了调查自恋,敌意,压力和欺凌在外科实习生和顾问的经历之间的关系.
- 探讨外科医生在生命中存在意义的作用.
主要方法:
- 一项来自英国两家医院的普通外科医生 (初级实习生,高级实习生,顾问) 的调查.
- 利用修改后的问卷来评估自恋,敌意,压力,工作生活质量和欺凌经历.
主要成果:
- 33%的外科医生表现出自恋,22%的外科医生表现出破坏性行为.
- 自恋显著预测敌意和感知压力. 训练期间的欺凌也与敌意和压力有关.
- 生活中有意义的存在与敌意和过度工作时间有负面的关联,但与有益的压力有积极的关联.
结论:
- 自恋是外科医生敌意和压力的关键预测因素.
- 在外科培训期间受到欺凌的经历有助于敌意和压力.
- 培养对生活的意义感可能会缓冲外科医生的负面心理影响.
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