在COVID-19大流行期间,工作和教育环境对居民职业倦怠的预测作用

IF 0.3 4区 医学 Q4 Medicine Acta Medica Mediterranea Pub Date : 2023-03-28 DOI:10.32552/2023.actamedica.855
Burge Atilgan, M. Yıldız, C. Yavuz
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引用次数: 0

摘要

目的:职业倦怠通过降低工作满意度对个人幸福感产生负向影响,并深刻影响医生在工作环境之外的生活。本研究旨在了解新冠肺炎大流行期间某大学医院住院医师的职业倦怠水平及相关的工作和教育环境心理社会风险因素。资料与方法:使用在线调查问卷收集数据,包括筛选参与者的社会人口学,临床和教育特征的问题和以下量表;研究生医院教育环境量表(PHEEM)、Maslach职业倦怠量表(MBI)、Rosenberg自尊量表(RSES)。结果:632名住院医师临床专业研究生中,有99人(15.7%)参加了研究,其中医学分支报告77人(77.8%),外科分支报告12人(12.1%)。倦怠的情绪耗竭(EE)维度与教育环境感知(PHEEM)的相关性最强(p< 0.001, r=- 0.548)。人格解体(DP)维度仅与低角色自主性感知存在适度关联(p=0,006, r=-0,273)。低个人成就(LPA)维度与教育环境相关的所有成分均呈中-高相关,其中与低社会支持感知的关系最为显著(p< 0.001, r=- 0.372)。住院医师接受培训和工作的部门和机构的组织承诺减少与较高水平的倦怠和低自尊有关。30.7%的参与者认为自己的健康状况为中等/差,并且在倦怠的各个维度上得分较高(EE p< 0.001, DP p= 0.001, LPA p= 0.001)。结论:在本研究中,我们发现居民对教育环境的感知是与他们的倦怠水平最密切相关的变量。有了预防措施,居民可以免受与倦怠相关的身心疾病,同时提高学习效率,提高医疗服务质量。
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Perceptions of Work and Educational Environment as Predictors of Burnout Among Residents During COVID-19 Pandemic
Objective: Burnout negatively affects personal well-being by reducing job-related satisfaction besides deeply affecting physician lives outside the working environment. This study aimed to determine residents’ burnout levels and related psychosocial risk factors regarding the work and educational environment during the COVID-19 pandemic at a university hospital. Material and Method: Data were collected using an online questionnaire consisting of questions screening the participants’ sociodemographic, clinical and, educational characteristics and the following scales; Postgraduate Hospital Educational Environment Measure (PHEEM), Maslach Burnout Inventory (MBI), Rosenberg Self Esteem Scale (RSES). Results: Of the 632 residents receiving postgraduate education in clinical fields at the university, 99 (15.7%) participated in study, 77 (77.8%) of which reported that they were from medical branches and 12 (12.1%) from surgical branches.The emotional exhaustion (EE) dimension of burnout emerged as the most strongly related dimension with perceptions of the educational environment (PHEEM) (p<0,001, r=-0,548). The depersonalization (DP) dimension was only moderately associated with the perception of low role autonomy (p=0,006, r=-0,273). The low personal achievement (LPA) dimension of burnout, on the other hand, showed a moderate-high correlation with all the components related to the educational environment and showed the most substantial relationship with the perception of low social support (p<0,001, r=-0,372). Decrease in the organizational commitment with the departments and institutions where residents received training and worked was associated with higher levels of burnout and low self-esteem. 30.7% of the participants perceive their health as moderate/poor, and scored higher in all dimensions of burnout (EE p<0,001, DP p=0,001, LPA p=0,001). Conclusion: In this study, we found that residents’ perceptions about the educational environment are the variables most closely related to their burnout levels. With precautions, residents may be protected from burnout-related physical and mental diseases while academic efficiency increases and the healthcare service become more qualified.
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来源期刊
Acta Medica Mediterranea
Acta Medica Mediterranea 医学-医学:内科
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6-12 weeks
期刊介绍: Acta Medica Mediterranea is an indipendent, international, English-language, peer-reviewed journal, online and open-access, designed for internists and phisicians. The journal publishes a variety of manuscript types, including review articles, original research, case reports and letters to the editor.
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