新获得资格的医生对模两可的容忍度和心理健康:对多个时间点的分析
Jason Hancock1,2, Obioha C Ukoumunne3, Bryan Burford4
1Health Professionals Education and Wellbeing Research Group, Department of Health and Community Sciences, Faculty of Health and Life Sciences, University of Exeter, UK.
Medical education
|June 17, 2025
概括
新获得资格的医生对模两可的容忍度较低,经历了心理健康的降低,包括更高的压力,焦虑和倦怠. 支持早期职业生涯的医生在临床模两可中进行导航对于他们的心理健康至关重要.
科学领域:
- 医学教育 医学教育
- 心理学 心理学 心理学
- 职业健康 职业健康 职业健康
背景情况:
- 医生对模两可的容忍度和心理健康之间的关联还没有完全被理解.
- 新获得资格的医生面临着独特的挑战,在临床不确定性中航行.
研究的目的:
- 探索对模两可的容忍度与新资格医生的心理健康之间的关系.
- 识别可能调节这种关系的个人和工作场所因素.
主要方法:
- 长度研究英国医生在过渡到基础一年1角色期间.
- 使用了经过验证的宽容模两可的尺度 (TAMSAD),压力 (PSS),焦虑/抑郁 (HADS) 和燃烧 (CBI).
- 检查了截面和纵向关联以及潜在的调节者.
主要成果:
- 较高的对模两可的容忍度与较低的压力,焦虑,抑郁和基线燃烧相关.
- 这种关联在焦虑和压力方面纵向持续存在.
- 诸如25岁以上的年龄,女性身份和稳定的工作地点等因素似乎加强了对模两可的容忍度的积极影响.
结论:
- 在英国医生早期职业生涯中,对模两可的容忍度较低和心理健康降低之间存在纵向关系.
- 强调需要支持医生管理临床模两可.
- 需要在COVID-19背景之外进行进一步的研究.
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