在姑息关怀机构工作的德国医生职业倦怠发生率分析--AIO生活质量工作组调查。

IF 2 4区 医学 Q3 ONCOLOGY Oncology Research and Treatment Pub Date : 2024-01-01 Epub Date: 2024-01-02 DOI:10.1159/000536020
Lena Herbrand, Wolf-Karsten Hofmann, Ralf-Dieter Hofheinz, Sylvia Büttner, Georg Martin Haag, Deniz Gencer
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引用次数: 0

摘要

介绍:姑息关怀医生(pcps)在照顾临终病人时面临着特殊的挑战。我们开展了这项研究,以评估姑息治疗医生的职业倦怠(bo)发生率,并试图找出风险和保护因素,为制定预防措施提供依据:通过电子邮件邀请参与者(Pcs)在 2022 年 5 月至 6 月期间完成在线调查。除了奥尔登堡职业倦怠量表(Oldenburg Burnout Inventory)对衰竭(exhaustion)和脱离(dis)两个维度进行评估外,还收集了社会人口学数据:研究发现,58%(截断平均值(M)≥2.18)或更具体地说,38%(截断平均值(M)≥2.5)的医务人员在作为职业倦怠关键维度的 "精疲力竭 "分量表中得分增加。所有维度都与医疗和姑息关怀培训水平相关,培训中的医生得分更高。此外,在工作中没有采取员工评估等预防措施的医生更有可能被认为是离职、脱离工作(dis)或倦怠。高 "倦怠 "得分与低 "脱离 "得分之间的差异表明,受访的初级保健医生尽管感到 "倦怠",但仍认为自己的工作很有意义:结论:临床医生的职业倦怠发生率超过了普通人群和其他专科,而缺乏经验的临床医生可能是由 "倦怠 "转为 "倦怠 "的高危人群,因此可以从有针对性的支持中获益。有必要采取进一步的预防措施,包括个人和组织方面的措施,以防止医护人员出现职业倦怠并促进他们的健康,从而保持病人护理的质量。基本的预防措施,如对员工的评估,可以起到预防勃起功能障碍的作用。
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Analysis of Burnout Prevalence among German Physicians Working in a Palliative Care Setting: A Survey of the AIO Quality of Life Working Group.

Introduction: Palliative care physicians (Pcps) face special challenges caring for terminally ill patients. We conducted this study to evaluate the burnout (bo) prevalence among pcps and sought to identify risk as well as protective factors as a basis for the development of preventive measures.

Methods: Participants (Pcs) were invited via e-mail to complete an online survey between May and June 2022. Besides the Oldenburg Burnout Inventory assessing the bo dimensions of exhaustion (exh) and disengagement (dis), sociodemographic data were collected.

Results: The study found that 58% (cut-off mean value [M] ≥2.18) or more specifically, 38% (cut-off M ≥2.5) of the pcs showed increased scores in the exh subscale as a key dimension of bo. All dimensions were correlated with the level of medical and palliative care training, with higher scores for physicians in training. Furthermore, pcs without preventive measures like employee appraisals at work were more likely to be considered exhausted, disengaged, or burned out. The discrepancy between high exh and low dis scores shows that the polled pcps, despite feeling exh, nevertheless considered their work meaningful.

Conclusion: Bo prevalence among pcps exceeds that of the general population and other specialties, whereas inexperienced pcps might be at high risk of shifting from exh to bo and could therefore benefit from tailored support. Further preventive measures including individual and organizational aspects are necessary to prevent bo and promote health among medical staff, thereby preserving quality of patient care. Elementary preventive measures such as employee appraisals can have a protective effect against bo.

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来源期刊
CiteScore
3.20
自引率
0.00%
发文量
84
期刊介绍: With the first issue in 2014, the journal ''Onkologie'' has changed its title to ''Oncology Research and Treatment''. By this change, publisher and editor set the scene for the further development of this interdisciplinary journal. The English title makes it clear that the articles are published in English – a logical step for the journal, which is listed in all relevant international databases. For excellent manuscripts, a ''Fast Track'' was introduced: The review is carried out within 2 weeks; after acceptance the papers are published online within 14 days and immediately released as ''Editor’s Choice'' to provide the authors with maximum visibility of their results. Interesting case reports are published in the section ''Novel Insights from Clinical Practice'' which clearly highlights the scientific advances which the report presents.
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