一般医生的倦怠和职业脱离因素之间的关联:路径分析
Christos Grigoroglou1,2, Mark Hann1,3, Alexander Hodkinson1,4
1Division of Population Health, Health Services Research and Primary Care, National Institute for Health and Care Research (NIHR) School for Primary Care Research, University of Manchester, Manchester, United Kingdom.
一般医生 (GPs) 的倦怠与职业脱离有关. 针对倦怠,工作满意度,工作与生活平衡以及现场主义的干预措施对于保留全科医生至关重要.
科学领域:
- 医学研究 医学研究
- 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:
- 倦怠是全科医生 (GPs) 的一个重要问题,影响了他们的职业参与.
- 连接燃烧和职业退出的具体机制在全科医生中尚不清楚.
研究的目的:
- 调查将燃烧与各种职业脱离因素联系在一起的途径.
- 确定导致一般医生打算放弃患者护理的关键因素.
主要方法:
- 一项在线调查评估了351名英格兰GP的倦怠 (情绪疲劳,非个人化),职业脱离 (意图辞职,工作满意度,工作与生活平衡,存在主义).
- 使用通用结构方程建模的路径分析检查了倦怠和脱离因素之间的关系.
主要成果:
- 观察到高燃烧率 (情绪疲劳22.5%,非个性化27.4%) 和职业脱离 (打算辞职33.3%,工作不满18.8%,工作与生活不平衡40.7%,存在主义27.4%).
- 放弃患者护理的意图与工作满意度和倦怠直接相关.
- 工作与生活的平衡和存在主义间接地与通过倦怠的退出意图有关.
结论:
- 解决倦怠和提高工作满意度对于保留全科医生至关重要.
- 改善工作与生活的平衡和减少存在主义可以作为预防性策略,防止倦怠和工作不满,帮助GP保留.
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