美国医生的假期,假期工作,以及美国医生的倦怠
Christine A Sinsky1, Mickey T Trockel2, Lotte N Dyrbye3
1American Medical Association, Chicago, Illinois.
JAMA network open
|January 12, 2024
概括
医生有足够的假期,并有EHR收件箱覆盖,可以减少倦怠. 然而,在假期工作会增加燃烧. 需要系统层面的改变来支持医生福祉.
科学领域:
- 医学研究 医学研究
- 医生福利 医生福利
- 职业健康 职业健康 职业健康 职业健康
背景情况:
- 假期对普通人来说是恢复性的,但医生的假期习惯及其对倦怠和满足感的影响不太了解.
- 了解这些行为对于解决医生倦怠和促进专业满意度至关重要.
研究的目的:
- 调查休假日,休假期间的工作,医生倦怠和专业成就之间的关联.
- 确定影响医生度假行为的个人和组织因素.
主要方法:
- 对3024名美国医生进行了横截面调查.
- 收集的数据包括假期,假期期间的工作 (患者护理,电子健康记录任务),假期覆盖范围,假期障碍,倦怠 (马斯拉赫倦怠指数) 和职业成就 (斯坦福职业成就指数).
- 进行了统计分析,包括多变量分析,以检查关联.
主要成果:
- 59.6%的医生每年休假15天或更少; 19.9%的医生每年休假5天或更少.
- 70.4%的人在假期期间从事患者护理工作,33.1%的人每天工作30分钟以上.
- 超过3周的假期和完全覆盖EHR收件箱与较低的倦怠率有关. 在假期每天工作30分钟以上与更高的倦怠程度有关.
结论:
- 医生的假期行为,包括假期所花费的天数和假期期间完成的工作,与倦怠有显著的关联.
- 建议采取系统级干预措施,确保足够的假期时间和临床责任覆盖 (包括EHR收件箱),以减轻医生倦怠.
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