劳动控制与美国医生中倦怠和职业意图的关联:一项多机构研究
Christine A Sinsky1, Roger L Brown2, Lisa Rotenstein3
1American Medical Association, Chicago, Illinois (C.A.S., L.E.C., P.S.).
Annals of internal medicine
|November 25, 2024
概括
医生倦怠和职业意图与缺乏对临床工作的控制有关. 在患者负载和工作负载等领域提高医生的自主权可能会减少倦怠并改善留守能力.
科学领域:
- 医疗专业主义 医学专业主义
- 职业健康 职业健康 职业健康
- 医疗保健服务研究 医疗服务研究
背景情况:
- 假设医生对临床工作的控制会影响倦怠和职业意图.
- 了解这种关系对于医生福祉和实践可持续性至关重要.
研究的目的:
- 评估感知工作控制与医生倦怠之间的关联.
- 评估所感知的工作控制与职业意图之间的关系,包括减少临床时间或离开实践的意图.
主要方法:
- 在2022年11月至2023年12月期间,对美国医生进行了一项横截面调查.
- 数据采集使用了一种新的多元组件工作控制测量方法,Mini-Z燃烧度量,以及关于减少临床时间 (ITR) 和离开实践的意图的问题.
主要成果:
- 对患者负载,团队组成,临床时间表,问责领域和工作负载的控制不佳独立地与倦怠有关.
- 对患者负载和工作负载的控制不佳独立地与减少临床时间 (ITR) 的意图有关.
结论:
- 这项研究表明,医生工作控制不良与疲劳增加以及减少临床努力的意图之间存在显著的联系.
- 旨在减少医生倦怠和改善医生留学率的干预措施应侧重于加强医生对其工作环境关键方面的控制.
更多相关视频
相关概念视频
Stress Prevention and Stress Management Techniques I
37
Stress prevention and management are crucial for maintaining well-being and building resilience. Techniques to manage stress include cultivating qualities like conscientiousness, a sense of personal control, and self-efficacy. Each of these traits significantly reduces stress and promotes healthier lifestyle choices and outcomes.
Conscientiousness
Conscientious individuals tend to be organized, responsible, and disciplined. They prioritize completing tasks and following structured routines,...
Conscientiousness
Conscientious individuals tend to be organized, responsible, and disciplined. They prioritize completing tasks and following structured routines,...
37
Obedience
32.8K
According to obedience research, we may harm others under the forceful pressures of an authority figure (Milgram, 1974). How about if the inappropriate orders were delivered with less force? The increasing interdependence between nurses and physicians compelled Hofling and his colleagues to explore nurses’ reactions to a potentially harmful medical request made by the perceived authority figure, the doctor (Hofling, Brotzman, Dalrymple, Graves, & Pierce, 1966). In this situation,...
32.8K
Self-Discrepancy Theory
18.3K
One influential perspective on what motivates people's behavior is detailed in Tory Higgin's self-discrepancy theory (Higgins, 1987). He proposed that people hold disagreeing internal representations of themselves that lead to different emotional states.
18.3K
Factors Affecting Illness
4.2K
When a person's physical, emotional, intellectual, social development or spiritual functioning is compromised, this deviation from a healthy normal state is called illness. Illness creates stress that in turn harms individuals. Irritation, anger, denial, hopelessness, and fear are behavioral and emotional changes an individual experiences in the phases of illness. A variety of factors influence a person's health and well-being.
For instance, risk factors are connected to illness,...
For instance, risk factors are connected to illness,...
4.2K
Stress Prevention and Stress Management Techniques VI
27
Adopting a healthier lifestyle often requires overcoming significant challenges, but leveraging psychological, social, and cultural resources can facilitate meaningful change. Effective self-change hinges on understanding and applying key tools such as motivation and goal setting, which help sustain efforts toward long-term health benefits.
Motivation and Self-Determination
Motivation, the driving force behind behavior, plays a pivotal role at every stage of the change process. The research...
Motivation and Self-Determination
Motivation, the driving force behind behavior, plays a pivotal role at every stage of the change process. The research...
27
Psychoneuroimmunology: Cardiovascular Disease
25
Psychoneuroimmunology (PNI) is a multidisciplinary field that examines how psychological factors, particularly stress, interact with the immune system and impact physical health. Research in PNI has shown that chronic or traumatic stress can disrupt both the hypothalamic-pituitary-adrenal axis and the sympathetic nervous system. These disruptions contribute to serious health conditions, including cardiovascular diseases.
A key area of focus in PNI is the relationship between stress and coronary...
A key area of focus in PNI is the relationship between stress and coronary...
25


