在内科病房的住院居民倦怠
Michael Ke Wang1, Olivia Geen2, Zi Hymn Mach2
1Department of Medicine, McMaster University, Hamilton, Canada. wangm7@mcmaster.ca.
Journal of general internal medicine
|November 9, 2023
概括
内科病房的轮换显著增加了居民的倦怠,十分之七的人在轮换后经历了它. 干预措施至关重要,以解决这种高频率的医疗学员倦怠问题.
科学领域:
- 医学教育 医学教育
- 职业健康 职业健康 职业健康
- 精神病学是一个精神病学.
背景情况:
- 倦怠是医疗学员中普遍存在的问题.
- 短期内科病房轮换对居民倦怠的影响仍未得到充分研究.
研究的目的:
- 为了研究四周内科病房轮换对居民燃烧症的影响.
- 在这些轮换期间识别与倦怠发展相关的因素.
主要方法:
- 一个学术机构的基于调查的研究包括了医疗住院生.
- 马斯拉赫燃烧清单 - 人力服务调查测量了轮换前后的燃烧情况.
- 倦怠是由情绪疲 (≥27) 或非个性化 (≥10) 评分来定义的.
主要成果:
- 在轮换后,倦怠率增加了17% (71%对54%) (P < 0.001).
- 43%没有初始倦怠的居民在轮换后发展了它.
- 新的倦怠与低于最佳的态度/行为以及较少的欣赏或支持有关.
结论:
- 内部医学病房轮换导致居民倦怠率高.
- 干预是必要的,以防止燃烧在密集的临床培训期间期间.
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