住院医生的工作时间,压力和倦怠
Sydney F Tan1, Hana Siddiqui2, Alex Pinto3
1Department of Surgery, University of Wisconsin School of Medicine and Public Health, Madison.
JAMA network open
|January 14, 2026
概括
长时间工作的住院医生经历了更高的压力和感知能力,但没有燃烧. 这表明,仅仅工作时间并不能完全解释居住区的燃烧情况,因此需要为居民福祉制定更广泛的战略.
科学领域:
- 医学教育 医学教育
- 医生福利 医生福利
- 职业健康 职业健康 职业健康
背景情况:
- 倦怠是住院医生的一个重要问题,影响了医疗保健的个人,专业和系统方面.
- 为了提高患者安全和减少居民疲劳,已经实施了工作时间限制,但它们对燃烧和幸福感的直接影响仍然不确定.
研究的目的:
- 调查工作时间与燃烧,压力和居民在苛刻的专业中自我认知的能力之间的联系.
- 探索可能会调节这些关联的潜在人口和福祉因素.
主要方法:
- 从2月到2024年6月,美国各地的高倦怠专业 (手术,产科-妇科,家庭,内科和急诊医学) 的居民远程进行了横截面调查.
- 该研究收集了关于平均每周工作时间,过去一周工作时间,倦怠,压力和医学研究生教育认证委员会 (ACGME) 能力里程碑的自我报告数据.
- 进行统计分析以评估关联,调整人口统计因素.
主要成果:
- 在工作时间 (平均或过去一周) 和倦怠之间没有发现显著的关联.
- 工作时间的增加与更高的压力水平有积极的关联.
- 较长的工作时间与更高的自我评估ACGME能力里程碑相关.
结论:
- 在高燃烧专业的住院医生中,延长工作时间与增加的压力和感知能力有关,但不是燃烧.
- 仅仅工作时间可能并不是居住区高燃烧率的唯一决定因素.
- 需要一种超越工作时间限制的综合方法,以便在培训期间有效支持居民的福祉.
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