矫形外科医生职业倦怠发生率的系统回顾。

IF 1.1 4区 医学 Q3 SURGERY Annals of the Royal College of Surgeons of England Pub Date : 2025-01-01 Epub Date: 2024-04-02 DOI:10.1308/rcsann.2024.0009
K Chahal, K Matwala
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引用次数: 0

摘要

引言职业倦怠是一种与工作场所有关的情绪衰竭、人格解体和个人成就感低的综合症。矫形外科医生的培训和执业环境要求极高。了解职业倦怠的最新趋势至关重要,尤其是在 COVID-19 大流行之后。为此,我们对这一主题进行了系统性回顾:方法:我们对两个数据库中的文献进行了范围界定。两位作者独立筛选文章,并通过小组讨论解决冲突。与骨科外科医生有关的、使用经过验证的量表且经过同行评审的研究文章均被纳入其中。结果:文献检索共发现 664 篇论文,其中 34 篇被纳入定性审查。在 8471 名骨科外科医生中,职业倦怠的平均发生率为 48.9%。不同研究之间的倦怠率差异很大(15%-90.4%),这反映了环境、亚专科和外科医生级别的不同。常见的保护因素包括专职导师、外科医生资历、充足的锻炼和家庭支持。药物滥用、医疗事故索赔、经济压力和繁重的值班责任则是风险因素。在COVID-19大流行期间,职业倦怠的发生率没有明显的不同;存在一些与大流行相关的风险和保护因素:结论:每两名矫形外科医生中就有一名处于职业倦怠状态。有关 COVID-19 对职业倦怠的短期和长期影响的数据很少。职业倦怠对组织、个人和临床都有深远的影响。需要采取有针对性的组织干预措施,以防止职业倦怠对骨科手术的未来造成不可挽回的损害。
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A systematic review of the prevalence of burnout in orthopaedic surgeons.

Introduction: Professional burnout is a syndrome of emotional exhaustion, depersonalisation and low sense of personal achievement related to the workplace. Orthopaedic surgeons train and practise in highly demanding environments. Understanding up-to-date trends in burnout, particularly following the COVID-19 pandemic, is vital. For this reason, we carried out a systematic review on this topic.

Methods: A scoping literature review of two databases was conducted. Two authors independently screened articles and conflicts were resolved by panel discussion. Articles pertaining to orthopaedic surgeons that used validated scales and were peer reviewed research were included. Non-English or abstract-only results were excluded.

Results: A total of 664 papers were identified in the literature search and 34 were included in the qualitative review. Among 8,471 orthopaedic surgeons, the mean burnout prevalence was 48.9%. The wide range in rate of burnout between the studies (15-90.4%) reflected the variety in setting, subspecialty and surgeon grade. Common protective factors comprised dedicated mentorship, surgeon seniority, sufficient exercise and family support. Substance abuse, malpractice claims, financial stress and onerous on-call responsibilities were risk factors. Burnout prevalence during the COVID-19 pandemic was not noticeably different; there were a number of pandemic-associated risk and protective factors.

Conclusions: Nearly one in two orthopaedic surgeons are burnt out. There is a paucity of data on the short and long-term impact of COVID-19 on burnout. Burnout has deep organisational, personal and clinical implications. Targeted organisational interventions are required to prevent burnout from irrevocably damaging the future of orthopaedic surgery.

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来源期刊
CiteScore
2.40
自引率
0.00%
发文量
316
期刊介绍: The Annals of The Royal College of Surgeons of England is the official scholarly research journal of the Royal College of Surgeons and is published eight times a year in January, February, March, April, May, July, September and November. The main aim of the journal is to publish high-quality, peer-reviewed papers that relate to all branches of surgery. The Annals also includes letters and comments, a regular technical section, controversial topics, CORESS feedback and book reviews. The editorial board is composed of experts from all the surgical specialties.
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