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Guiding the emerging primary care researcher: A report of research capacity-building workshop 指导新兴的初级保健研究人员:研究能力建设研讨会报告
IF 1 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-12-20 DOI: 10.4102/safp.v65i1.5769
Shane D. Murphy, A. Nair, Ramprakash Kaswa, Indiran Govender, K. V. von Pressentin
There is an escalating interest in research capacity building across the globe. Research is an integral part of the continuous improvement process, clinical decision making and health system strengthening and should be embedded into the health system. The South African Family Practice Journal editorial team held a workshop on 19 August 2022 at the 24th National Family Practitioners Congress in Cape Town, with the aim of supporting primary care clinicians in their development from early-career researchers to established clinician-scientists. Small group and plenary discussions yielded valuable insights into the lived experiences of early career researchers and highlighted critical action areas to build the landscape of clinician-led research in the South African context.Contribution: This article contributes to current literature by providing insight into the lived experiences of early-career researchers and explores opportunities for research capacity-building.
全球各地对研究能力建设的兴趣日益高涨。研究是持续改进过程、临床决策和卫生系统强化不可分割的一部分,应被纳入卫生系统。2022 年 8 月 19 日,南非《家庭医生杂志》编辑团队在开普敦举行的第 24 届全国家庭医生大会上举办了一次研讨会,旨在支持初级保健临床医生从早期研究人员发展成为成熟的临床科学家。小组讨论和全体讨论对早期职业研究人员的生活经历提出了宝贵的见解,并强调了在南非建立临床医生领导的研究格局的关键行动领域:这篇文章深入剖析了早期职业研究人员的生活经历,并探讨了研究能力建设的机遇,为当前的文献做出了贡献。
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引用次数: 0
Medical registrars at the University of the Free State: Burnout, resilience and coping strategies. 自由州大学的医学注册人员:职业倦怠、复原力和应对策略。
IF 1.2 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-12-15 DOI: 10.4102/safp.v65i1.5788
Lynette J Van der Merwe, Nakedi Motlapema, Tsiu Matsepe, Karabo Nchepe, Pearl Ramachela, Tshilidzi Rangolo, Zizipho Kutu, Gina Joubert, Cornel Van Rooyen

Background: Burnout among doctors has been linked with decreased quality of patient care. The coronavirus disease 2019 (COVID-19) pandemic highlighted the need to protect doctors' mental health and well-being. This study aimed to investigate burnout, resilience and coping strategies among registrars in the MMed programme of the University of the Free State (UFS) in 2020.

Methods: In this quantitative, cross-sectional study, a link to an online anonymous self-administered questionnaire with socio-demographic questions, perceived stress, Copenhagen Burnout Inventory (CBI), Connor-Davidson Resilience Scale and Brief Cope was emailed to all 278 registrars.

Results: Sixty registrars responded (response rate 21.6%). More than half (55.0%) were male and 73.3% were married. There were 28.3% second- and third-year students, respectively. Most (58.3%) had 5-10 years' work experience. The CBI personal scale had the highest median value (58.3; interquartile range [IQR]: 43.3; 70.8) with 70% scoring ≥ 50. The median score for resilience was 78 of 100 (IQR: 69; 84). There were weak negative correlations between resilience and burnout scores (r = -0.31 to r = -0.37). Planning, positive reframing and acceptance were the most frequently used adaptive coping mechanisms; self-distraction was the most frequently used maladaptive coping mechanism. There was no association between gender and burnout and resilience scores.

Conclusion: Registrars were resilient with low levels of patient- and work-related burnout, and higher personal burnout, using mostly positive coping strategies.Contribution: This study gives insight into the well-being of registrars at the UFS during COVID-19. Continuous monitoring and support for this population are essential to foster mental health and well-being.

背景 医生的职业倦怠与病人护理质量下降有关。2019年冠状病毒病(COVID-19)大流行凸显了保护医生心理健康和福祉的必要性。本研究旨在调查2020年自由州大学(UFS)医学硕士课程注册医生的职业倦怠、复原力和应对策略: 在这项定量横断面研究中,我们通过电子邮件向所有 278 名注册人员发送了一份在线匿名自填问卷的链接,其中包括社会人口学问题、感知压力、哥本哈根职业倦怠量表(CBI)、康纳-戴维森复原力量表和简要应对策略: 结果:60 名注册医师做出了回复(回复率为 21.6%)。一半以上(55.0%)为男性,73.3%为已婚。二年级和三年级学生分别占 28.3%。大多数人(58.3%)有 5-10 年的工作经验。CBI 个人量表的中值最高(58.3;四分位数间距 [IQR]:43.3;70.8),70% 的人得分≥50。复原力的中位数为 78 分(100 分)(IQR:69; 84)。复原力和职业倦怠得分之间存在微弱的负相关(r = -0.31 至 r = -0.37)。计划、积极重塑和接受是最常用的适应性应对机制;自我分散是最常用的适应性应对机制。性别与职业倦怠和复原力得分之间没有关联: 注册医师的抗压能力较强,与患者和工作相关的职业倦怠程度较低,个人职业倦怠程度较高,主要使用积极的应对策略:贡献:这项研究有助于深入了解在 COVID-19 期间挂号员的健康状况。对这一人群的持续监测和支持对于促进心理健康和幸福感至关重要。
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引用次数: 0
Mistrust in government and National Health Insurance: A qualitative study of solo private practitioners in Cape Town. 对政府和国民健康保险的不信任:对开普敦个体私人执业医师的定性研究。
IF 1.2 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-12-15 DOI: 10.4102/safp.v65i1.5768
Bridget L Perrow, Helen Schneider

Background: The participation of independent private general practitioners (GPs) is of fundamental importance to the successful implementation of key elements of the proposed National Health Insurance (NHI) reform, notably the contracting units for primary health care (CUPS). This study explored knowledge and perceptions of the NHI reforms of private GPs following the tabling of the NHI Bill in parliament in 2019.

Methods: An explorative qualitative research methodology was adopted. Using a semi-structured guide, nine solo private GPs, purposefully selected to represent the range of practices in the southern peninsula of Cape Town were interviewed in depth by B.L.P. over the period from January 2021 to March 2022.

Results: The GPs indicated support for the values of greater equity outlined in the NHI proposals. However, they had little engagement on or knowledge of their potential future roles in NHI. Concerns over financial viability and design were underpinned by an overall mistrust in the public sector to implement and manage NHI.

Conclusion: The study concurs with previous research that private GPs are broadly in support of the principles of, and are potential allies, in advancing NHI. General practitioners need a platform to share their concerns and contribute as co-designers of NHI reforms. In the interim, steps to increase collaboration between private and public sectors at local and provincial level through, for example, referral processes may help to build the trust that is necessary between the sectors.Contribution: This study foregrounds the role of trust relationships in advancing NHI.

背景: 独立私人全科医生(GPs)的参与对于成功实施拟议的国民健康保险(NHI)改革的关键要素,特别是初级医疗保健签约单位(CUPS)至关重要。本研究探讨了 2019 年《国家健康保险法案》提交议会后私营全科医生对国家健康保险改革的了解和看法: 采用探索性定性研究方法。在 2021 年 1 月至 2022 年 3 月期间,B.L.P.使用半结构化指南,深入采访了九名个体私营全科医生,这些医生被有目的地挑选出来,以代表开普敦南部半岛的执业范围: 结果:全科医生表示支持国家医疗保险提案中提出的更加公平的价值观。然而,他们对自己在国家医疗保险中未来可能扮演的角色知之甚少。由于对公共部门实施和管理国家健康保险的整体不信任,他们对财务可行性和设计表示担忧: 本研究与之前的研究一致,即私人全科医生广泛支持国家医疗保险的原则,并且是推进国家医疗保险的潜在盟友。全科医生需要一个平台来分享他们所关注的问题,并作为国家医疗保险改革的共同设计者做出贡献。在此期间,在地方和省一级通过转诊程序等措施加强私营和公共部门之间的合作,可能有助于在部门之间建立必要的信任:本研究强调了信任关系在推进国家医疗保险中的作用。
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引用次数: 0
The family dynamics of children on the streets of Ibadan, Southwest Nigeria. 尼日利亚西南部伊巴丹街头儿童的家庭动态。
IF 1.2 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-12-14 DOI: 10.4102/safp.v65i1.5774
Abimbola M Obimakinde, Moosa Shabir

Background: Children roaming the streets estimated at 1 in 10 by a 2021 United Nation Children's Funds (UNICEF) report is a growing problem, in cities of lower- and middle-income African countries. Studies of street children with no family ties abound, but there is a paucity of studies on children on the street who exist within families and return home daily. We explored the family dynamics of children on the streets of Ibadan, emphasising family structure, resources and relationships.

Methods: Using an exploratory design based on a qualitative approach 53 participants were interviewed, including children on the streets, parental figures, child-welfare officers and street shop owners. Participants were selected from streets in the five urban local government areas of Ibadan, Nigeria. Recorded data were transcribed, and framework analysis was performed.

Results: The family dynamics included family structural problems, poor family resources and poor parent-child relationships. The family structural problems included: broken homes, large families and ambivalence around polygamy as subthemes. Family resources comprised: poor economic resources, poor social resources, educational challenges, cultural ambivalence and spiritual backdrops. The family relationships patterns included: poor adaptability, economic-oriented partnership, poor growth support, poor emotional connection and poor family bonding.

Conclusion: The dynamics driving a family's choice for child streetism in Ibadan, mostly to hawk, are devaluation of family life, parenting irresponsibility, and poor filial relationship, underscored by economic constraints and socio-cultural decadence. The results of this research buttress the need for family-level interventions to forestall the escalating phenomenon of child streetism in Ibadan, Nigeria.Contribution: This research highlights the family dynamics of children on the streets, and buttresses family-level interventions are necessary to forestall escalating child-streetism in Ibadan, Nigeria.

背景: 据联合国儿童基金会(UNICEF)2021 年的一份报告估计,每 10 个儿童中就有 1 个流落街头,这一问题在非洲中低收入国家的城市中日益严重。关于没有家庭联系的流浪儿童的研究比比皆是,但关于存在于家庭中并每天回家的流浪儿童的研究却很少。我们探讨了伊巴丹街头儿童的家庭动态,强调了家庭结构、资源和关系: 采用基于定性方法的探索性设计,对 53 名参与者进行了访谈,其中包括街头儿童、父母、儿童福利官员和街头店主。参与者选自尼日利亚伊巴丹五个城市地方政府辖区的街道。对记录的数据进行了转录,并进行了框架分析: 家庭动态包括家庭结构问题、贫乏的家庭资源和贫乏的亲子关系。家庭结构问题包括:破碎家庭、大家庭和对一夫多妻制的矛盾心理。家庭资源包括:贫乏的经济资源、贫乏的社会资源、教育挑战、文化矛盾和精神背景。家庭关系模式包括:适应能力差、以经济为导向的伙伴关系、成长支持差、情感联系差和家庭纽带差: 在伊巴丹,促使一个家庭选择让孩子流落街头(主要是贩卖)的动力是家庭生活的贬值、养育孩子的不负责任和不良的孝道关系,而经济限制和社会文化的堕落则是其中的突出因素。本研究的结果证明,有必要采取家庭层面的干预措施,以防止尼日利亚伊巴丹儿童流落街头现象的升级:本研究强调了街头儿童的家庭动态,并强调有必要采取家庭层面的干预措施,以防止尼日利亚伊巴丹儿童流落街头现象的升级。
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引用次数: 0
Erratum: South African Family Practice Manual, fourth edition: Meeting expectations? 勘误:南非家庭实践手册,第四版:满足期望?
IF 1 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-11-16 DOI: 10.4102/safp.v65i1.5843
Arun Nair, Talat Habib

No abstract available.

没有摘要。
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引用次数: 0
Allergic rhinitis: Review of the diagnosis and management: South African Allergic Rhinitis Working Group. 过敏性鼻炎:诊断和治疗综述:南非过敏性鼻炎工作组。
IF 1.2 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-10-30 DOI: 10.4102/safp.v65i1.5806
Guy A Richards, Marinda McDonald, Claudia L Gray, Pieter De Waal, Ray Friedman, Maurice Hockman, Sarah J Karabus, Cornelia M Lodder, Tshegofatso Mabelane, Sylvia M Mosito, Ashen Nanan, Jonny G Peter, Traugott H C Quitter, Riaz Seedat, Sylvia Van den Berg, Andre Van Niekerk, Eftyhia Vardas, Charles Feldman

Background: Allergic rhinitis (AR) has a significant impact on the community as a whole with regard to quality of life and its relationship to allergic multi-morbidities. Appropriate diagnosis, treatment and review of the efficacy of interventions can ameliorate these effects. Yet, the importance of AR is often overlooked, and appropriate therapy is neglected. The availability of effective medications and knowledge as to management are often lacking in both public and private health systems.

Methods: This review is based on a comprehensive literature search and detailed discussions by the South African Allergic Rhinitis Working Group (SAARWG).

Results: The working group provided up-to-date recommendations on the epidemiology, pathology, diagnosis and management of AR, appropriate to the South African setting.

Conclusion: Allergic rhinitis causes significant, often unappreciated, morbidity. It is a complex disease related to an inflammatory response to environmental allergens. Therapy involves education, evaluation of allergen sensitisation, pharmacological treatment, allergen immunotherapy (AIT) and evaluation of the success of interventions. Regular use of saline; the important role of intranasal corticosteroids, including those combined with topical antihistamines and reduction in the use of systemic steroids are key. Practitioners should have a thorough knowledge of associated morbidities and the need for specialist referral.Contribution: This review summarises the latest developments in the diagnosis and management of AR such that it is a resource that allows easy access for family practitioners and specialists alike.

背景:过敏性鼻炎(AR)对整个社区的生活质量及其与过敏性多种疾病的关系有着重大影响。适当的诊断、治疗和检查干预措施的疗效可以改善这些效果。然而,AR的重要性经常被忽视,适当的治疗也被忽视。公共和私人卫生系统往往缺乏有效药物和管理知识。方法:本综述基于南非过敏性鼻炎工作组(SAARWG)的全面文献检索和详细讨论。结果:工作组提供了关于AR的流行病学、病理学、诊断和管理的最新建议,适合南非的情况。结论:过敏性鼻炎引起的发病率显著,往往不被重视。它是一种复杂的疾病,与对环境过敏原的炎症反应有关。治疗包括教育、过敏原致敏评估、药物治疗、过敏原免疫疗法(AIT)和干预措施的成功评估。定期使用生理盐水;鼻内皮质类固醇的重要作用,包括与局部抗组胺药联合使用和减少系统性类固醇的使用是关键。执业医师应全面了解相关疾病和专家转诊的必要性。贡献:本综述总结了AR诊断和管理的最新进展,使其成为家庭从业者和专家都能轻松获取的资源。
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引用次数: 0
Knowledge, attitudes, and practices of chronic disease patients in Bojanala towards COVID-19. 博贾纳拉慢性病患者对新冠肺炎的知识、态度和实践。
IF 1 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-10-30 DOI: 10.4102/safp.v65i1.5763
Beya Mpinda, Cila Dominique Kabongo, Jean Louis Mata Yoko, John Tumbo

Background: COVID-19 is an acute respiratory disease. Its morbidity and mortality in patients with comorbidities have been established. This study evaluated the knowledge, attitude and practices regarding COVID-19 of patients with comorbidities attending primary health care services.

Methods: An analytical cross-sectional study was conducted, with data collected from patients using a self-administered questionnaire. Knowledge, attitude and practice scores were calculated. Descriptive and inferential statistical analyses were used, and the level of significance was set at 5%.

Results: This study enrolled 469 participants aged 18-84 years, and the majority were women. The mean knowledge score was 7.09 ± 1.73 out of 9, the mean attitude score was 2.33 ± 0.86 out of 3, and the mean practices score was 3.79 ± 0.56 out of 4. There was a positive linear relationship between knowledge and attitude scores and between attitude and practices scores; as one score increased, the other also increased significantly.

Conclusion: The level of knowledge was good in general, with optimistic attitudes and good practices by the patients. Those aged 70 years and above need special attention because older persons have poorer knowledge of and practices towards COVID-19, which could lead to higher hospitalisation and mortality rates.Contribution: This study found that patients with chronic diseases had good COVID-19 knowledge, attitudes and practices, while interventions targeting patients aged 70 years and above are needed to improve their COVID-19 awareness and practices.

背景:新冠肺炎是一种急性呼吸道疾病。它在合并症患者中的发病率和死亡率已经确定。本研究评估了参加初级卫生保健服务的合并症患者对新冠肺炎的知识、态度和实践。方法:采用横断面分析研究,采用自填问卷从患者身上收集数据。计算知识、态度和实践得分。采用描述性和推断性统计分析,显著性水平设定为5%。结果:本研究招募了469名18-84岁的参与者,其中大多数是女性。平均知识得分为7.09±1.73(满分9),平均态度得分为2.33±0.86(满分3),平均实践得分为3.79±0.56(满分4)。知识与态度得分、态度与实践得分呈正线性关系;随着一个分数的增加,另一个分数也显著增加。结论:患者总体知识水平良好,态度乐观,实践良好。70岁及以上的人需要特别关注,因为老年人对新冠肺炎的了解和实践较差,这可能导致更高的住院率和死亡率。贡献:这项研究发现,慢性病患者具有良好的新冠肺炎知识、态度和实践,而需要针对70岁及以上患者的干预措施来提高他们的新冠肺炎意识和实践。
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引用次数: 0
A health sciences researcher's experience of manuscript review comments, 2020-2022. 2020-2022年,一位健康科学研究人员的审稿经验。
IF 1 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-10-25 DOI: 10.4102/safp.v65i1.5753
Gina Joubert

Background: Peer review frequently improves a manuscript, but authors may consider some reviewer feedback negative, inappropriate or unclear. This study aims to summarise and analyse review comments received by authors.

Methods: This longitudinal study included all submissions of which the researcher was an author, reviewed by any journal during 2020-2022. First-round reviews were retrieved from emails and documents received by the authors or the faculty's medical editors or the journal platforms. A confidential datasheet with review items compiled from literature and the researcher's experience as author and reviewer was completed for each submission. Review comments were noted verbatim for subjective items such as rude or vague statements.

Results: The 65 submissions received 118 reviews from 36 journals, mainly in the form of unstructured narrative reports (59%). The majority of first-round reviews (58%), including those for rejected submissions, contained some positive comments. Reviewers frequently (75% of reviews, 88% of submissions) required some expansion of information. Vague and incorrect statements occurred in 15% and 18% of reviews, respectively. Only two reviews contained statements that could be considered rude. The types of comments made were associated with the review format.

Conclusion: The majority of reviews contained some positive comments and rude comments were extremely rare. Reviewers frequently requested the expansion of information provided.Contribution: This study gives insight to authors, reviewers and editors regarding the type and tone of review comments. This could guide authors during manuscript preparation and authors, reviewers and editors during the review process.

背景:同行评审经常会改进手稿,但作者可能会认为一些评审员的反馈是负面的、不恰当的或不清楚的。本研究旨在总结和分析作者收到的评论。方法:这项纵向研究包括研究人员作为作者提交的所有材料,这些材料在2020-2022年期间由任何期刊审查。第一轮评审是从作者或学院医学编辑或期刊平台收到的电子邮件和文件中检索的。每次提交都要完成一份机密数据表,其中包含根据文献和研究人员作为作者和评审员的经验汇编的评审项目。对于粗鲁或含糊的陈述等主观项目,审查意见被逐字记录。结果:65篇投稿收到了来自36家期刊的118篇评论,主要以非结构化叙述性报告的形式(59%)。大多数第一轮审查(58%),包括那些被拒绝的意见书,都包含了一些积极的评论。评审员经常(75%的评审,88%的提交)要求对信息进行一些扩展。含糊和不正确的陈述分别发生在15%和18%的评论中。只有两篇评论包含了可以被认为是粗鲁的言论。所作评论的类型与审查格式相关联。结论:大多数评论都包含一些积极的评论,而粗鲁的评论极为罕见。审查人员经常要求扩大所提供的信息。贡献:这项研究为作者、评论家和编辑提供了关于评论类型和语气的见解。这可以在手稿准备期间指导作者,并在审查过程中指导作者、审稿人和编辑。
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引用次数: 0
Vitamin D supplementation in a post-pandemic era: A narrative review. 后疫情时代的维生素D补充:叙述性综述。
IF 1 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-10-17 DOI: 10.4102/safp.v65i1.5752
Pheagane G Bopape, Chrisna Wagenaar, Madan Poka, Elmien Bronkhorst

Vitamin D is a fat-soluble molecule referring to the different isoforms, ergocalciferol (D2) and cholecalciferol (D3). Its physiological functions include increasing calcium serum concentrations. 25-hydroxyvitamin D3 (25(OH)D) (Calcifediol), a non-active, circulating instant precursor is seen as a pre-hormone. Studies have shown that a deficiency in calcifediol is related to chronic conditions such as cardiovascular, musculoskeletal, immune system, neurological, and anti-neoplastic functions. Vitamin D supplementation has shown its benefit as prophylaxis and treatment during the coronavirus disease 2019 (COVID-19) pandemic and an increase in the prescribing of vitamin D supplementation has been observed. The intention of this review article is to provide guidance on the recommended dosage regimen as a prophylactic measure during COVID-19 and its use as a supplement in general. From this review article, it is clear that vitamin D has an important role to play not only in COVID-19 but also in various other health aspects of the human body.Contribution: This review article highlighted the role of vitamin D in managing vitamin D deficiency and its role as a supplement in the management of respiratory tract infections, especially COVID-19. This overview can assist physicians in optimising healthcare by optimised dosing recommendations and indications.

维生素D是一种脂溶性分子,涉及不同的异构体,麦角钙化醇(D2)和胆钙化醇(D3)。其生理功能包括提高血清钙浓度。25-羟基维生素D3(25(OH)D)(Calcifediol),一种非活性的循环即时前体,被视为前激素。研究表明,骨化二醇缺乏与心血管、肌肉骨骼、免疫系统、神经系统和抗肿瘤功能等慢性疾病有关。在2019冠状病毒病(新冠肺炎)大流行期间,维生素D补充剂已显示出其作为预防和治疗的益处,并观察到维生素D补充剂处方的增加。这篇综述文章的目的是为新冠肺炎期间作为预防措施的推荐剂量方案及其作为一般补充剂的使用提供指导。从这篇综述文章中可以清楚地看出,维生素D不仅在新冠肺炎中发挥重要作用,而且在人体的其他健康方面也发挥着重要作用。贡献:这篇综述文章强调了维生素D在治疗维生素D缺乏症中的作用及其作为补充在治疗呼吸道感染,特别是新冠肺炎中的作用。此概述可以通过优化给药建议和适应症来帮助医生优化医疗保健。
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引用次数: 0
Occupational burnout among doctors at Mankweng and Pietersburg hospitals, Limpopo province. 林波波省Mankweng和Pietersburg医院医生的职业倦怠。
IF 1.2 Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-09-28 DOI: 10.4102/safp.v65i1.5745
Hlayisani V Mamorobela, Gert J O Marincowitz, Clara Marincowitz

Background: The purpose of this study was to assess the presence of occupational burnout among full-time employed doctors of all ranks at the Mankweng and Pietersburg tertiary academic hospitals in South Africa's Limpopo province.

Methods: A quantitative, observational study was conducted firstly to determine whether burnout was present among medical doctors at these institutions and, secondly, to quantify the amount of burnout in those affected. Data collection was done using structured questionnaires. All ranks of medical doctors from various departments participated in the study, resulting in a total sample size of 150.

Results: The study revealed that occupational burnout was present at these institutions, with an overall prevalence of 36%. When compared to other studies conducted at public sector hospitals in South Africa, this figure appears to fall within the middle range. However, different studies have used different criteria to measure burnout.

Conclusion: Currently, there is too much variation in the criteria of burnout among different studies, making comparisons difficult. More studies are needed to standardise the measurement of burnout.Contribution: The main contribution of the research is to understand the extent of burnout at the tertiary hospital in Limpopo province.

背景:本研究的目的是评估南非林波波省Mankweng和Pietersburg三级学院医院各级全职医生的职业倦怠状况。方法:首先进行一项定量的观察性研究,以确定这些机构的医生是否存在倦怠,其次,量化受影响者的倦怠程度。数据收集采用结构化问卷。来自各个部门的所有级别的医生都参与了这项研究,总样本量为150。结果:研究表明,这些机构存在职业倦怠,总体患病率为36%。与南非公立医院进行的其他研究相比,这一数字似乎处于中等水平。然而,不同的研究使用了不同的标准来衡量倦怠。结论:目前,不同研究的倦怠标准差异太大,难以进行比较。需要更多的研究来规范倦怠的测量。贡献:本研究的主要贡献是了解林波波省三级医院的倦怠程度。
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引用次数: 0
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South African Family Practice
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