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通过国家瘤指导计划评估医疗瘤学的系统性倦怠
Udit Nindra1,2,3, Gowri Shivasabesan1, Rhiannon Mellor4,5,6
1Department of Medical Oncology, Liverpool Hospital, Liverpool, Australia.
JCO oncology practice
|January 30, 2024
概括
高燃烧和低专业成就影响医疗瘤学学员和顾问. 国家瘤学指导计划确定了诸如繁重的工作负载和缺乏支持之类的关键压力因素,突出了对福祉举措的需要.
科学领域:
- 医疗瘤学 劳动力 福祉 医疗瘤学
- 医生疲劳和弹性 医生疲劳和弹性 医生疲劳和弹性
背景情况:
- 辅导积极影响学员的技能和幸福感.
- 2022年的试点计划强调了医疗瘤学学员的高燃烧率.
- 为了解决这些问题,成立了2023年首届国家瘤学指导计划 (NOMP23).
研究的目的:
- 评估澳大利亚医疗瘤学工作人员的倦怠,焦虑,抑郁和专业成就.
- 确定医疗瘤学实习生和顾问中痛苦的关键驱动因素.
- 评估导师对本专业内幸福感的影响.
主要方法:
- 一项前性队列研究 (NOMP23) 涉及医疗瘤学实习生和顾问.
- 基线调查数据从86名参与者收集,使用马斯拉赫倦怠指数 (MBI),斯坦福专业成就指数和患者健康问卷-4.
- 在2023年2月至3月期间收集的数据.
主要成果:
- 观察到高燃烧率:77%的顾问和82%的实习生在过去12个月报告了燃烧.
- 在整个队列中报告的专业满足率低 (<5%).
- 与顾问 (7%和2%) 相比,受训人员的焦虑率 (32%) 和抑郁率 (16%) 较高.
- 主要压力因素包括患者和行政负担,缺乏监督 (39%的实习生),以及培训学院的支持不足 (58%的实习生).
结论:
- 医疗瘤学实习生和顾问经历了严重的倦怠和低职业成就感.
- NOMP23确定了导致倦怠,焦虑和抑郁的关键压力因素.
- 持续的指导和有针对性的福祉举措对于支持医疗瘤学工作人员至关重要.
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