美国外科住院医生的工作与生活融合和幸福感的当代评估:全国混合方法研究
Lauren M Janczewski1,2, Joanna T Buchheit1,2, Kimberly B Golisch1,2
1From the Surgical Outcomes and Quality Improvement Center, Department of Surgery, Indiana University, Indianapolis, IN (Janczewski, Buchheit, Amortegui, Mackiewicz, Eng, Bilimoria, Hu).
Journal of the American College of Surgeons
|June 26, 2024
概括
外科住院医生面临着重大的工作与生活冲突,影响了他们的幸福感,增加了倦怠和疲劳的风险. 在手术培训中,程序级干预对于支持工作与生活融合至关重要.
科学领域:
- 医学教育 医学教育
- 进行外科手术培训.
- 居民福利 居民福利
背景情况:
- 外科培训对工作与生活融合 (WLI) 提出了独特的挑战.
- 识别导致工作与生活冲突的因素至关重要.
- 需要了解WLI的程序级支持.
研究的目的:
- 确定与外科住院生工作与生活冲突相关的因素.
- 检查工作与生活冲突与居民福祉之间的关系.
- 探索程序用于支持WLI.LI的策略.
主要方法:
- 一个全国性的截面调查外科住院医生后检查.
- 多变量回归分析以评估与WLI和幸福感相关的因素.
- 与教师和居民进行半结构化采访,以确定支持策略.
主要成果:
- 超过40%的居民报告了工作与生活的冲突,包括在家完成非教育任务,以及对个人时间和健康习惯的不满.
- 父母和女性居民更有可能经历工作与生活冲突.
- 工作与生活之间的冲突与职业不满,倦怠,磨损和自杀倾向的增加显著相关.
结论:
- 工作与生活之间的冲突在外科住院医生中很普遍,并对他们的福祉产生负面影响.
- 程序层面的干预措施,如保护个人时间和允许安排自主性,可以改善WLI.
- 有针对性的策略是必要的,以支持在外科培训计划中居民的福祉.
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