医师职业倦怠生活质量/健康资源试点项目

F. Harvey
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引用次数: 6

摘要

倦怠是一种情绪衰竭、人格解体和个人成就感低的综合症,会导致工作效率下降(美国医学杂志,2003)。尽管努力对抗倦怠,2011年至2014年间,经历过倦怠的美国医生数量从45%上升到50%以上(国家生物技术信息中心,2015年)。本质量改进基于证据的顶点项目的目的是确定医生健康试点项目是否可以减少或消除芝加哥大都会地区急症护理医疗机构执业医生的职业倦怠和压力。顶点项目包括干预前调查、干预和干预后调查。这个以证据为基础的项目的参与者是伊利诺伊州所有专业群体的执业医生。医生职业倦怠健康试点项目在为期两周的时间内实施,在此期间,参与者获得了减少或消除职业倦怠症状的资源。医生健康试点项目顶点项目的实施表明,与干预前的调查结果(0.77)和全国平均水平(0.80)相比,该组织的医生压力更小,对工作的满意度更高(0.555)%。此外,干预后的调查结果显示,与干预前的调查结果(0.53%)相比,该组织的医生经历的倦怠水平(0.44%)较低,但与全国平均水平(0.29%)相比,倦怠水平较高。医生职业倦怠是一种需要立即关注的流行病,因为它不仅影响到医生,也影响到医疗保健系统。因此,无论医生的专业和人口统计数据如何,组织和医生都必须在评估是否存在职业倦怠方面发挥自己的作用。研究结果表明,医生能够识别出倦怠的警告信号,鼓励他们在有压力时寻求帮助,并采取积极措施消除或减少倦怠的重要性。这些发现与基于证据的研究相一致,这些研究支持通过制定健康计划来培养医生的适应力。
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Physician Burnout Quality of Life/ Wellness Resource Pilot Program
Burnout is a syndrome of emotional exhaustion, depersonalization, and a sense of low personal accomplishment that leads to decreased effectiveness at work (American Journal of Medicine, 2003). Despite the efforts to combat burnout, the number of U.S. physicians who experience burnout rose from 45 percent to over 50 percent between 2011 and 2014 (National Center for Biotechnology Information, 2015). The purpose of this quality improvement evidence-based capstone project was to determine whether a physician wellness pilot program can reduce and or eliminate burnout and stress for practicing physicians at an acute care healthcare institution in the Chicago metropolitan area.  The capstone project consisted of a pre-intervention survey, an intervention and a post intervention survey.  The participants targeted for this evidence-based project were practicing physicians in Illinois that span across all specialty groups.  The physician burnout wellness pilot program was implemented during a two-week period of time during which participants were provided with resources to reduce and or eliminate symptoms of burnout.  The implementation of the physician wellness pilot program capstone project showed the physicians at this organization were less stressed and more satisfied with their job at (0.555) percent compared to pre intervention survey results that faired (0.77) and that of the national average of (0.80).  Additionally, the post intervention survey results showed the physicians at this organization are experiencing a lower level of burnout (0.44) percent compared to pre intervention survey results that faired (0.53), but a higher level of burnout compared to the national average (0.29). Physician burnout is an epidemic that requires immediate attention because it not only effects the physicians, but it effects the healthcare system. As such, regardless of the specialty and demographics of the physicians, organizations and physicians alike must do their part in assessing if burnout exists.  The findings showed the importance of physicians being able to recognize the warning signs of burnout, encourage them to seek help when they are stressed, and take active steps towards ridding or reducing burnout. The findings were compatible with evidence-based research that supports building physician resilience by way of the development of a wellness program.
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