感知工作需求和急诊室拥挤是急诊医生客观压力的预测因素:一个轮班级的方法
Thomas W Britt1, Ronald G Pirrallo, Patrick J Rosopa
1From the Clemson University, Clemson, South Carolina (T.W.B., P.J.R., A.B., Z.K., C.B., K.R.); University of South Caroline School of Medicine-Greenville, South Carolina (R.G.P., E.H., P.M., M.F.); and Wake Forest University School of Medicine-Charlotte, Charlotte, North Carolina (L.A.F.).
Journal of occupational and environmental medicine
|April 26, 2024
概括
紧急医生倦怠与增加的压力有关,来自于苛刻的班次和拥挤,而不是疲劳. 针对轮班需求的干预措施对于减少医生压力至关重要.
科学领域:
- 紧急医疗 紧急医疗
- 职业健康 职业健康 职业健康
- 心理神经内分泌学心理学
背景情况:
- 紧急医生 (EP) 倦怠是医疗保健中的一个重大问题.
- 了解导致倦怠的轮班级因素对于有针对性的干预措施至关重要.
研究的目的:
- 为了研究轮班需求,压力和急诊医生的疲劳之间的关系.
- 在轮班级别确定压力和疲劳的关键决定因素.
主要方法:
- 一项涉及16名急诊医生的研究评估了COVID-19大流行之前和期间的114个班次.
- 唾液皮质醇 (压力指标) 和自我报告的疲劳在转班前后被测量.
- 换班需求和拥挤 (国家紧急情况部门拥挤量表) 被客观地评估.
主要成果:
- 更高的班次需求,增加过度拥挤,以及大流行病与更换结束时皮质醇水平的升高有关.
- 皮质醇水平随着更苛刻的班次和更大的急诊室拥挤而显著增加.
- 这些因素与自我报告的疲劳之间没有发现显著的关联.
结论:
- 轮班需求和客观压力指标是相关的,但不是自我报告的疲劳,在急诊医生.
- 旨在减少班次需求和压力的干预措施是必要的,以减轻急诊医生的倦怠.
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