在麻醉医院住院医生中,幸福感和倦怠感的驱动因素
Michael Tan1, Jeanine A Naegle1, Christy K Boscardin1
1The following authors are in the Department of Anesthesia and Perioperative Care at the University of California, San Francisco, CA: is an Anesthesiology Resident; is an Assistant Professor; and are Associate Professors; is a Professor; is a Professor and is also in the Department of Medicine. is a Cardiothoracic Anesthesiology Fellow in the Department of Anesthesiology and Perioperative Medicine at the University of California, Los Angeles, CA.
麻醉师居民将幸福定义为个人性和工作自主性等系统因素的混合. 解决系统性问题对于改善居民福祉和学习环境至关重要.
科学领域:
- 医学教育 医学教育
- 麻醉学 麻醉学
- 职业健康 职业健康 职业健康
背景情况:
- 麻醉学住院医生中高燃烧率需要有效的健康计划.
- 当前的健康计划往往优先考虑个人应对策略而不是系统性改进.
- 专注于个人干预而没有系统性变革,可能会加剧倦怠和侵蚀信任.
研究的目的:
- 探索麻醉医生对倦怠和幸福感的看法.
- 为制定系统干预措施提供信息,以改善临床工作和学习环境.
- 让居民作为关键利益相关者参与改善他们的职业福祉.
主要方法:
- 进行了半结构化采访,对10名第二年和第三年麻醉学实习生进行了采访.
- 利用工作生活模式的领域作为调查的框架.
- 使用建设主义方法对转录的采访进行了主题分析.
主要成果:
- 确定了三个主要主题:幸福的定义,幸福的挑战和应对策略.
- 居民描述的挑战与工作生活模式的领域保持一致.
- 随着COVID-19大流行,工作量和社区相关的额外压力因素也出现了.
结论:
- 麻醉师住院人员的福祉包括个人因素 (弹性) 和系统因素 (意义,自主性,控制).
- 积极的工作和学习环境对于专业的福祉至关重要.
- 系统的干预,以居民的观点为基础,对于解决倦怠问题至关重要.
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