什么使得麻醉师住院如此紧张? 一个30天的快照
Elizabeth M Putnam1, Kelcey J Stratton1, Laura E Lehrian1
1The following authors are at the University of Michigan in Ann Arbor, MI: and are Clinical Associate Professors in the Departments of Anesthesiology and Learning Health Sciences; is a Clinical Assistant Professor and is also in the Department of Anesthesiology; is a Clinical Assistant Professor in the Department of Psychiatry and staff at Health and Well-Being Services. is a Clinical Assistant Professor in the Department of Anesthesiology and Perioperative Medicine at the Mayo Clinic in Rochester, MN.
麻醉医生在训练期间经常经历中度至灾难性的压力事件. 这项研究开发了一种新的尺度来分类压力严重程度,并确定了居民报告的压力状况中的关键主题.
科学领域:
- 医学教育 医学教育
- 麻醉学 麻醉学
- 心理社会健康 心理健康
背景情况:
- 住院压力正在上升,与倦怠和负面的心理社会结果有关.
- 对居民如何感知日常压力训练事件的理解有限.
研究的目的:
- 为了探索麻醉学住院人员对压力事件的经历.
- 开发一个系统来对这些压力事件的严重程度进行分类.
主要方法:
- 临床麻醉住院医生的横截面调查.
- 居民提供了手术室压力事件的例子.
- 一个经过修改的Delphi过程创建了一个压力分类系统.
- 主题分析确定了报告中的压力因素中的关键主题.
主要成果:
- 83%的居民报告说,在过去30天内发生过压力事件.
- 开发了一个4类系统 (轻度,中度,严重,灾难性).
- 51%的事件是中度的,27%是严重的,20%是灾难性的.
结论:
- 这项研究提供了具体的例子和麻醉师住院压力因素的严重程度尺度.
- 在30天内观察到严重和灾难性事件的高发病率.
- 未来的研究应该研究长期压力影响和干预措施.
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