在骨科手术中PA和NP燃烧
Alexis V Drennen1, Jeremy C Heard, Nicholas D D'Antonio
1Alexis V. Drennen practices at the Rothman Orthopaedic Institute in Philadelphia, Pa. At the time this article was written, Jeremy C. Heard and Nicholas D. D'Antonio were research assistants at the Rothman Orthopaedic Institute. Mr. Heard is now a medical student at Thomas Jefferson University's Sidney Kimmel Medical College in Philadelphia, Pa. Mr. D'Antonio is now an orthopedic surgery resident at Cooper University Orthopaedic Surgery in Camden, N.J. Christopher K. Kepler is a spine surgeon at the Rothman Orthopaedic Institute. Dr. Kepler discloses that he receives royalties from Inion, Inc., and research support from RTI Surgical. The authors have disclosed no other potential conflicts of interest, financial or otherwise.
在学术环境中,骨科医生助理/助理 (PA) 和执业护士 (NP) 之间,倦怠很普遍. 近42%的受访PA和NP报告了倦怠,老年,更有经验的临床医生显示出更高的比例.
科学领域:
- 整形外科 整形外科 整形外科
- 医疗保健 专业人员 福利 幸福
- 医疗实践管理 医疗实践管理
背景情况:
- 医生助理/助理 (PA) 和执业护士 (NP) 是骨科手术团队的组成部分.
- 医疗保健专业人员的倦怠问题越来越严重,影响了患者的护理和留守.
- 学术医疗机构提供独特的实践环境,可能会影响临床医生的福祉.
研究的目的:
- 为了确定一个大型的学术骨科手术实践中PA和NP的倦怠率.
- 为了确定与该人口中燃烧相关的人口或实践相关的因素.
主要方法:
- 在骨科部门对所有PA和NP进行了横截面调查.
- 马斯拉赫燃烧清单 (MBI) 被用来评估情绪疲劳和非个性化.
- 倦怠被定义为在MBI子表中获得高分的情绪疲劳或非个性化.
主要成果:
- 在129个PA和NP中,有91个 (70.5%) 完成了调查.
- 大约42%的受访者符合燃烧的标准.
- 燃烧出来的PA和NP比他们的非燃烧出来的同行更老,实践时间也更长.
结论:
- 在学术骨科设置中的PA和NP中,倦怠的患病率特别高.
- 在这个群体中,倦怠似乎与年龄和练习时间的增加有关.
- 进一步的研究是有必要的,以探索干预措施,以减轻在这些关键的医疗保健角色燃烧.
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