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由经过专业培训的同龄人为医生提供燃烧和福祉的指导:随机临床试验

Stephanie B Kiser¹, J David Sterns², Po Ying Lai³

¹Division of Palliative Care and Geriatric Medicine, Department of Medicine, Massachusetts General Hospital, Boston.

JAMA network open

|April 12, 2024

概括

个性化同行辅导显著减少了医生倦怠和人际疏远. 这种有效的策略也提高了医生的专业成就和工作参与度.

科学领域:

医学研究医学研究
医生福利医生福利
组织心理学是组织心理学.

背景情况:

医生倦怠是一个重大问题,需要新的,基于证据的干预措施.
现有的战略在缓解倦怠及其后果方面效果有限.

研究的目的:

评估个性化同行辅导对医生倦怠和整体幸福感的影响.
确定专业指导是否可以提高医生满意度和参与度的关键指标.

主要方法:

一项随机临床试验与来自Mass General Physician Organization的医生进行.
参与者被分配到一个为期3个月的个性化同行辅导计划或使用标准资源的对照组.
用斯坦福职业成就指数来评估倦怠,其次要结果包括职业成就和工作参与度.

主要成果:

与对照组相比,辅导干预组在统计学上显著地减少了倦怠和人际疏远.
辅导小组中的医生经历了燃烧率下降21.6%,人际疏远率下降30.1%.
干预组的职业成就感增加了10.7%,工作参与度增加了6.3%,而对照组没有显著变化.

结论:

个性化同行辅导是对抗医生倦怠的可行和有效方法.
这种方法成功地提高了医生之间的专业成就和工作参与度.
这些发现支持实施同行指导作为医疗保健机构的关键干预措施,以改善医生福祉.

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