影响英国麻醉学员福祉和压力的因素:范围审查
Sophie Winter1, Nicola Brennan1, Thomas Gale1,2
1Collaboration for the Advancement of Medical Education Research, Peninsula Medical School, Faculty of Health, University of Plymouth, Plymouth, UK.
英国麻醉实习生经历了严重的健康和压力问题,影响了患者的护理. 这次审查确定了31个因素,其中外部影响和疲劳最为突出,需要改善实践和政策.
科学领域:
- 医学教育 医学教育
- 职业健康 职业健康 职业健康
- 心理学 心理学 心理学
背景情况:
- 英国麻醉学员的健康状况不佳和压力对临床表现,劳动力保留和患者护理产生负面影响.
- 现有证据表明,影响学员幸福感和压力的因素需要全面的概述.
研究的目的:
- 提供关于英国麻醉学员健康和压力方面的证据的概述.
- 探索这些人口群体中对幸福感和压力的多方面的因素.
主要方法:
- 在多个数据库 (MEDLINE,Embase,PsycINFO,ERIC) 和组织网站上进行系统的文献搜索.
- 包括2009年至今的文献,重点关注影响英国麻醉学员福祉和压力的因素.
- 分析了45项已识别的研究,特别关注五篇论文,包括定性分析.
主要成果:
- 确定了31个影响学员幸福感和压力的不同因素,分为个人,培训,临床角色,进展,工作模式,资源,休息,支持和文化因素.
- 在影响幸福感和压力方面,外在因素比内部因素更频繁.
- 疲劳和先前的健康状况是影响学员的最常见的个人因素.
结论:
- 现象和测量工具的广泛范围突出了定义和研究福祉的复杂性.
- 开发了一种新的概念模型,结合了影响英国麻醉学员福祉和压力的个人和外部因素.
- 对这些因素的更好理解对于改善与实习生福利相关的临床实践和政策至关重要.
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