关键词: Burnout Depersonalization Emotional exhaustion Personal accomplishment Prevalence Professional Radiology

Mesh : Burnout, Professional / epidemiology psychology Humans Radiologists / psychology Radiology / education Prevalence Job Satisfaction Depersonalization / epidemiology psychology Internship and Residency Psychological Tests Self Report

来  源:   DOI:10.1016/j.acra.2023.10.046

Abstract:
Burnout, stemming from chronic work stress, is a significant issue in the medical field, especially among radiologists. It leads to compromised patient care and reduced job satisfaction. Addressing burnout in radiology is essential for the well-being of radiologists and, in turn, for improving patient care. This study aimed to assess the prevalence and dimensions of burnout among radiology trainees (RTs) and practicing radiologists (PRs).
A systematic review and meta-analysis were conducted in accordance with established guidelines. The search encompassed PubMed, Scopus, Web of Science, and Embase databases up to June 20, 2023. Eligible studies that assessed the rate of burnout syndrome and/or its subscales, including depersonalization (DP), emotional exhaustion (EE), and personal accomplishment (PA), among RTs and/or PRs using the Maslach Burnout Inventory (MBI), were included. Relevant data were extracted and analyzed using R and STATA.
Among the 22 included studies, the pooled rates of positive MBI subscales for RTs and PRs were as follows: 54.7% (95% confidence interval [CI]: 43.8%-65.1%, I2 = 95.2%) for DP, 57.2% (95% CI: 48.7%-65.4%, I2 = 92.9%) for EE, and 38.6% (95% CI: 27%-51.7%, I2 = 95.5%) for low PA. The pooled rate indicating the presence of at least one positive MBI subscale was 82.9% (95% CI: 79.2%-86.1%, I2 = 57.4%). For two or more positive MBI subscales, the pooled rate was 55.5% (95% CI: 49.7%-61.3%, I2 = 60.2%), and for three positive MBI subscales, it was 16.7% (95% CI: 11.7%-23.3%, I2 = 82.7%).
This study emphasizes a notable prevalence of burnout in the radiology specialty, with 8 of 10 individuals exhibiting positive results in at least one MBI subscale. This highlights the urgent need for interventions and support systems to protect the well-being of both trainees and practitioners and uphold the quality of patient care.
摘要:
目标:倦怠,源于长期的工作压力,是医学领域的一个重要问题,尤其是放射科医生.这导致患者护理受损并降低工作满意度。解决放射学的倦怠对放射科医生的健康至关重要,反过来,改善患者护理。这项研究旨在评估放射学受训者(RTs)和执业放射科医生(PRs)中倦怠的患病率和程度。
方法:根据既定指南进行系统评价和荟萃分析。搜索包括PubMed,Scopus,WebofScience,和Embase数据库截至2023年6月20日。评估倦怠综合征和/或其分量表的比率的合格研究,包括去个性化(DP),情绪衰竭(EE),个人成就(PA)在使用Maslach倦怠量表(MBI)的RT和/或PR中,包括在内。使用R和STATA提取和分析相关数据。
结果:在22项纳入的研究中,RTs和PRs的MBI子量表的合并阳性率如下:54.7%(95%置信区间[CI]:43.8%-65.1%,I2=95.2%)对于DP,57.2%(95%CI:48.7%-65.4%,I2=92.9%)用于EE,和38.6%(95%CI:27%-51.7%,I2=95.5%)对于低PA。表明存在至少一个阳性MBI子量表的合并率为82.9%(95%CI:79.2%-86.1%,I2=57.4%)。对于两个或多个阳性MBI分量表,合并率为55.5%(95%CI:49.7%-61.3%,I2=60.2%),对于三个阳性MBI分量表,为16.7%(95%CI:11.7%-23.3%,I2=82.7%)。
结论:这项研究强调了放射学专业中职业倦怠的明显患病率,10名个体中有8名在至少一个MBI子量表中表现出阳性结果。这凸显了迫切需要干预措施和支持系统,以保护受训人员和从业人员的福祉,并维护患者护理的质量。
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