personal accomplishment

个人修养
  • 文章类型: Journal Article
    背景:倦怠是对慢性压力的适应不良反应,在临床医生中尤其普遍。麻醉师有倦怠的危险,但是,适应不良特征在他们对倦怠的脆弱性中的作用仍未得到充分研究。
    方法:对意大利医院麻醉师协会的数据进行了二次分析,疼痛医学专家,重症监护,和急诊(AAROI-EMAC)医生。调查包括人口统计数据,使用Maslach倦怠量表(MBI)和子量表(情绪疲惫,MBI-EE;去个性化,MBI-DP;个人成就,MBI-PA),并根据DSM-IV(精神障碍诊断和统计手册第四版)标准,使用DSM-IVPDs(ADP-IV)评估人格障碍(PDs)。我们调查了适应不良人格特质的汇总得分作为倦怠的预测变量。随后,人格特质的组成部分是单独评估的.
    结果:在310名受访者中,300(96.77%)提供了完整的信息。适应不良人格特征全球得分与MBI-EE和MBI-DP成分相关。与MBI-PA成分呈显著负相关。MBI-EE分量表与偏执狂之间存在显着正相关(r=0.42),边界线(r=0.39),和依赖性(r=0.39)适应不良人格特质。MBI-DP与被动攻击显著相关(r=0.35),边界线(r=0.33),和回避(r=0.32)性状。此外,MBI-PA与依赖性(r=-0.26)和回避性(r=-0.25)的适应不良人格特征呈负相关。
    结论:不同的适应不良人格特质与麻醉医师的倦怠风险之间存在显著关联。这强调了理解和解决医疗保健专业人员的人格特质以促进他们的福祉并防止这种严重的情绪的重要性,心理,和身体疲惫的状态。
    BACKGROUND: Burnout is a maladaptive response to chronic stress, particularly prevalent among clinicians. Anesthesiologists are at risk of burnout, but the role of maladaptive traits in their vulnerability to burnout remains understudied.
    METHODS: A secondary analysis was performed on data from the Italian Association of Hospital Anesthesiologists, Pain Medicine Specialists, Critical Care, and Emergency (AAROI-EMAC) physicians. The survey included demographic data, burnout assessment using the Maslach Burnout Inventory (MBI) and subscales (emotional exhaustion, MBI-EE; depersonalization, MBI-DP; personal accomplishment, MBI-PA), and evaluation of personality disorders (PDs) based on DSM-IV (Diagnostic and Statistical Manual of Mental Disorders Fourth Edition) criteria using the assessment of DSM-IV PDs (ADP-IV). We investigated the aggregated scores of maladaptive personality traits as predictor variables of burnout. Subsequently, the components of personality traits were individually assessed.
    RESULTS: Out of 310 respondents, 300 (96.77%) provided complete information. The maladaptive personality traits global score was associated with the MBI-EE and MBI-DP components. There was a significant negative correlation with the MBI-PA component. Significant positive correlations were found between the MBI-EE subscale and the paranoid (r = 0.42), borderline (r = 0.39), and dependent (r = 0.39) maladaptive personality traits. MBI-DP was significantly associated with the passive-aggressive (r = 0.35), borderline (r = 0.33), and avoidant (r = 0.32) traits. Moreover, MBI-PA was negatively associated with dependent (r =  - 0.26) and avoidant (r =  - 0.25) maladaptive personality features.
    CONCLUSIONS: There is a significant association between different maladaptive personality traits and the risk of experiencing burnout among anesthesiologists. This underscores the importance of understanding and addressing personality traits in healthcare professionals to promote their well-being and prevent this serious emotional, mental, and physical exhaustion state.
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  • 文章类型: Journal Article
    在沙特阿拉伯,倦怠研究有限,尤其是在放射技师中。沙特放射技师的倦怠可能会对所提供的服务产生负面影响。
    本研究旨在评估麦地那医院放射技师的倦怠情况。
    这项定量横断面研究包括来自政府和私立麦地那医院的104名放射技师。Maslach倦怠量表-医务人员人力服务调查,由22个问题组成,用来测量倦怠程度。使用社会科学统计软件包(第25版)对数据进行描述性评估,和独立的t检验和方差分析用于评估群体差异和线性回归分析,以评估倦怠水平和社会人口统计学变量之间的关联(即性别,年龄,经验,和部门)。
    情绪耗竭(EE)和人格解体(DP)得分中等,虽然个人成就感(PA)得分很高,总分23.53(9.32),7.29(5.95),和29.70(1.35),分别。DP评分受参与者经验的影响。具体来说,1-5年的工作经验产生的倦怠评分明显高于10年以上的工作经验(p>0.05).相反,性别,年龄,和科室对DP评分无影响(p<0.05)。同样,EE和PA评分不受性别影响,年龄,经验,或部门(p<0.05)。
    职业倦怠在沙特阿拉伯麦地那医院的放射技师中普遍存在。EE和DP得分中等,虽然PA分数很高,表明合适的工作环境。政策制定者应采取必要步骤,确定导致员工倦怠的变量,并改善工作环境。
    UNASSIGNED: Burnout research is limited in Saudi Arabia, particularly among radiographers. Burnout among Saudi radiographers may have a negative impact on the services offered.
    UNASSIGNED: This study aims to assess the burnout among radiographers in Medina hospitals.
    UNASSIGNED: This quantitative cross-sectional study included 104 radiographers from government and private Medina hospitals. The Maslach Burnout Inventory-Human Services Survey for Medical Personnel, which consists of 22 questions, was used to measure the burnout level. The data were evaluated descriptively using the Statistical Package for the Social Sciences (version 25), and independent t-tests and analysis of variance were applied to assess group differences and linear regression analysis to evaluate associations between the burnout level and sociodemographic variables (ie sex, age, experience, and department).
    UNASSIGNED: The emotional exhaustion (EE) and depersonalization (DP) scores were moderate, while the personal accomplishment (PA) score was high, with total scores of 23.53 (9.32), 7.29 (5.95), and 29.70 (1.35), respectively. The DP score was influenced by the participants\' experience. Specifically, an experience of 1-5 years yielded a substantially higher burnout score than did an experience of >10 years (p>0.05). Conversely, sex, age, and department did not affect the DP score (p<0.05). Similarly, the EE and PA scores were not influenced by sex, age, experience, or department (p<0.05).
    UNASSIGNED: Burnout is prevalent among radiographers in Medina hospitals in Saudi Arabia. The EE and DP scores are moderate, while the PA score is high, indicating a suitable work environment. Policymakers should take the required steps to identify the variables contributing to employee burnout and enhance the work environment.
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  • 文章类型: Journal Article
    背景:职业倦怠是由慢性工作场所压力引起的职业现象。我们进行了这项审查,以估计全球公共卫生人员中职业倦怠的总体患病率。
    方法:我们根据PRISMA2020指南进行了这篇综述。我们仅纳入横断面研究,报告研究人群中的结果估计。我们包括2023年12月之前发表的文章。我们使用搜索策略系统地选择PubMed的文章,Embase,谷歌学者。我们使用适用于横断面和观察性队列研究的NIH研究工具评估版本评估了研究质量。我们使用随机效应模型估计了合并比例。
    结果:我们纳入了8项研究,涵盖215,787的样本量。倦怠的合并比例为39%(95%CI:25-53%;p值:<0.001)。在我们的综述中,我们还发现了纳入研究的高度异质性(I2:99.67%;p值:<0.001)。八项研究中有七项质量良好。在COVID-19大流行期间进行的研究的合并比例为42%(95%CI:17-66%),而对于在非大流行期间进行的研究,它是35%(95%CI:10-60%)。
    结论:在我们的综述中,超过三分之一的公共卫生工作者患有职业倦怠,对个人的身心健康产生不利影响。公共卫生人员的倦怠需要注意改善这一群体的福祉。需要使用标准化定义的多站点研究,以便进行适当的比较,并根据社会人口统计学特征和工作职责类型更好地了解各个子组中倦怠的变化。我们必须设计和实施工作场所干预措施,以应对倦怠和增加福祉。
    结论:由于公共卫生工作者对倦怠的研究有限,我们无法对可能导致职业倦怠的各种因素进行亚组分析.
    BACKGROUND: Burnout is an occupational phenomenon resulting from chronic workplace stress. We conducted this review to estimate the pooled global prevalence of burnout among the public health workforce.
    METHODS: We conducted this review as per the PRISMA 2020 guidelines. We included only cross-sectional studies reporting outcome estimates among the study population. We included articles published before December 2023. We used a search strategy to systematically select the articles from PubMed, Embase, and Google Scholar. We assessed the quality of the studies using an adapted version of NIH\'s study tool assessment for cross-sectional and observational cohort studies. We estimated the pooled proportion using the random-effects model.
    RESULTS: We included eight studies in our review, covering a sample size of 215,787. The pooled proportion of burnout was 39% (95% CI: 25-53%; p-value: < 0.001). We also identified high heterogeneity among the included studies in our review (I2: 99.67%; p-value: < 0.001). Seven out of the eight studies were of good quality. The pooled proportion of the studies conducted during the COVID-19 pandemic was 42% (95% CI: 17-66%), whereas for the studies conducted during the non-pandemic period, it was 35% (95% CI: 10-60%).
    CONCLUSIONS: In our review, more than one-third of public health workers suffer from burnout, which adversely affects individuals\' mental and physical health. Burnout among the public health workforce requires attention to improve the well-being of this group. Multisite studies using standardized definitions are needed for appropriate comparisons and a better understanding of variations in burnout in various subgroups based on sociodemographic characteristics and type of work responsibilities. We must design and implement workplace interventions to cope with burnout and increase well-being.
    CONCLUSIONS: Due to the limited research on burnout among public health workers, we could not perform a subgroup analysis on various factors that could have contributed to burnout.
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  • 文章类型: Journal Article
    倦怠综合症是医疗保健领域的重要问题,特别是在高压力下操作的从业者中,重症监护设置。了解在这种情况下导致职业倦怠的多方面因素对于设计有效的干预措施和促进重症监护专业人员的福祉至关重要。
    为了调查患病率,促成因素,以及沙特阿拉伯重症监护健康提供者中与倦怠综合征相关的潜在干预措施。
    采用了横断面研究设计,从重症监护健康提供者的样本中收集数据,包括医生。使用自我管理的结构化电子问卷,将Maslach倦怠量表(MBI)与三个子量表结合起来:情绪衰竭,去个性化,和个人成就。目标人群是18岁以上的男性和女性重症监护服务提供者,大多数参与者年龄在25到34岁之间。
    统计分析表明,反应分布存在显着差异(p<0.05),强调理解遇到情绪疲惫的重要性,个人成就,和人格解体。Durbin-Watson统计量表明有限的自相关,共线性公差值表明预测因子之间的标称相互关系。发现“共情MBI失人格化”因子与结果变量之间存在显著正相关,表明情绪耗竭之间的复杂关系,个人成就,和人格解体。
    这项研究强调了职业倦怠的多面性,揭示了情感耗竭之间错综复杂的关系,个人成就,和人格解体。这些发现共同构成了未来指南和干预措施的重要基础,以提高医疗保健专业人员的福祉。
    UNASSIGNED: Burnout Syndrome constitutes a critical concern in healthcare, particularly among practitioners operating in high-stress, critical care settings. Understanding the multifaceted factors contributing to burnout in this context is pivotal for devising effective interventions and promoting the well-being of critical care professionals.
    UNASSIGNED: To investigate the prevalence, contributing factors, and potential interventions related to Burnout Syndrome among critical care health providers in Saudi Arabia.
    UNASSIGNED: A cross-sectional research design was employed, gathering data from a sample of critical care health providers, including medical practitioners. A self-administered structured electronic questionnaire was used, incorporating the Maslach Burnout Inventory (MBI) with its three subscales: emotional exhaustion, depersonalization, and personal accomplishment. The target population was male and female critical care health providers over 18 years age, most participants lies between 25 years to 34 years.
    UNASSIGNED: Statistical analysis shows significant disparities in response distribution (p<0.05), highlighting the importance of understanding encounters with emotional exhaustion, personal accomplishment, and depersonalization. The Durbin-Watson statistic indicated limited autocorrelation, and collinearity tolerance values suggested nominal intercorrelations among predictors. A significant positive correlation was found between the \"Depersonalization Loss of Empathy MBI\" factor and the outcome variables, indicating complex relationships between emotional exhaustion, personal accomplishment, and depersonalization.
    UNASSIGNED: The study highlights the multifaceted nature of burnout, revealing intricate relationships between emotional exhaustion, personal accomplishment, and depersonalization. These findings collectively form an important foundation for future guidelines and interventions to enhance the well-being of healthcare professionals.
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  • 文章类型: Journal Article
    据报道,在各个地区,全科医生(GP)的倦怠患病率范围很广,呈上升趋势。这项全国性的横断面研究旨在估计捷克全科医生职业倦怠的患病率和相关决定因素。
    从捷克全科医生协会(通过伪随机数生成器)随机选择的1000名医生通过电子邮件发送了基于Maslach倦怠清单-人类服务调查的在线调查。数据收集在2023年1月至2月之间进行。
    获得了331份问卷(227名女性和104名男性,平均年龄-49.9岁,登记患者的平均人数-1951年)。21.8%的全科医生在其所有三个维度上都获得了较高的倦怠水平,而在任何维度上都获得了23.9%的倦怠。最普遍的维度是个人成就降低(PA,56.2%),其次是情绪衰竭(EE,50.2%)和去个性化(DP,40.5%)。在男性和全科医生中,在所有三个维度上达到倦怠的频率明显更高。年龄和执业年限的增加是DP的保护因素,但PA降低的危险因素。受雇的全科医生的EE分数低于全科医生执业所有者。受访者的基本特征反映了他们在捷克全科医生中的存在,这证明了选择偏见。
    应该通过促进个人资源以及对全科医生在社会中的重要性的认识来解决高倦怠率(〜22%)。足够密集的全科医生网络应该允许他们登记较少数量的患者。
    UNASSIGNED: A wide range in prevalence rates of burnout among general practitioners (GPs) has been reported in various regions, with an increasing trend. This nationwide cross-sectional study aimed to estimate the prevalence and associated determinants of burnout in Czech GPs.
    UNASSIGNED: 1000 randomly selected physicians from the Czech Society of General Practitioners (through a pseudorandom number generator) were emailed an online survey based on the Maslach Burnout Inventory - Human Services Survey. Data collection was performed between January and February 2023.
    UNASSIGNED: 331 questionnaires were obtained (227 females and 104 males, mean age - 49.9 years, the mean number of registered patients - 1951). 21.8 % of GPs scored a high level of burnout in all three of its dimensions and 23.9 % in no dimension at all. The most prevalent dimension was reduced personal accomplishment (PA, 56.2 %) followed by emotional exhaustion (EE, 50.2 %) and depersonalization (DP, 40.5 %). Reaching burnout in all three dimensions was significantly more frequent in males and in GPs registering a number of patients above the median. Increasing age and years of practice were protective factors for DP but risk factors for reduced PA. Employed GPs had lower EE scores than GP practice owners. The respondents\' basic characteristics reflected their presence among Czech GPs, which testifies against selection bias.
    UNASSIGNED: The high rate of burnout (∼22 %) should be addressed by promoting personal resources along with the perception of the importance of GPs in society. A sufficiently dense network of GPs should allow them to register a lower number of patients.
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  • 文章类型: Meta-Analysis
    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。
    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.
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    文章类型: Journal Article
    Burnout remains a crucial occupational health challenge to healthcare professionals given its immediate and remote harmful effects. Doctors and nurses are highly susceptible to burnout due to the essence and demands of their services. The study aimed to determine and compare the prevalence of burnout among doctors and nurses working at the University of Uyo Teaching Hospital, Southern Nigeria.
    A comparative, cross-sectional study of 553 doctors and nurses was conducted using a stratified random sampling technique. A pretested, self-administered MBI - Human Services Survey for Medical Personnel - MBI-HSS (MP) was used for data collection and analysis using IBM Statistical Product and Service Solutions (SPSS) software version 23. The Chi-square and Fisher’s exact tests were applied with a statistical significance level set at α<0.05.
    The mean ages for doctors and nurses were 37.1 ± 5.3 and 39.0 ± 9.2 respectively (p=0.003). Burnout prevalence among doctors was 9.7% compared to 5.5% among nurses (p =0.062). Out of 553 respondents, 247 (46.7%) had high emotional exhaustion (EE), 70 (12.7%) had high depersonalization (DP), and 342 (61.9%) had low personal accomplishments (PA). Furthermore, 132 (47.3%) doctors had high EE, 43 (15.4%) had high DP and 159 (57%) had low PA. While 115 (42%) nurses had high EE, 27 (9.9%) had high DP and 183 (66.8%) had a low PA (p=0.041). Excessive workload (p=0.042) and lengthy years in a workplace position (p=0.002) were significantly associated with burnout among doctors compared to family size (p=0.045) and workplace support or community (p=0.005) among nurses.
    The study found burnout prevalence to be higher among doctors than nurses. Work-related factors contributed significantly to burnout development. Recreating and/or modifying workplace environments is essential to mitigating the adverse effects of burnout among healthcare workers.
    Le burnout demeure un défi crucial pour la santé au travail des professionnels de la santé compte tenu de ses effets immédiats et à distance. Les médecins et les infirmières sont hautement susceptibles au burnout en raison de la nature et des exigences de leurs services. L\'étude visait à établir et à comparer la prévalence du burnout parmi les médecins et les infirmières travaillant à l\'Hôpital Universitaire de Uyo, dans le sud du Nigéria.
    Une étude comparative et transversale a été menée auprès de 553 médecins et infirmières à l\'aide d\'une technique d\'échantillonnage aléatoire stratifié. Une enquête préalablement testée, auto-administrée, l\'Inventaire d\'épuisement professionnel humain pour le personnel médical (MBI-HSS [MP]), a été utilisée pour la collecte et l\'analyse des données à l\'aide du logiciel IBM Statistical Product and Service Solutions (SPSS) version 23. Les tests du Chi carré et de Fisher ont été appliqués avec un seuil de signification statistique fixé à α<0,05.
    Les âges moyens des médecins et des infirmières étaient de 37,1 ± 5,3 et 39,0 ± 9,2 respectivement (p = 0,003). La prévalence de l\'épuisement professionnel parmi les médecins était de 9,7 % par rapport à 5,5 % parmi les infirmières (p = 0,062). Sur les 553 répondants, 247 (46,7 %) présentaient un épuisement émotionnel élevé (EE), 70 (12,7 %) présentaient une dépersonnalisation élevée (DP) et 342 (61,9 %) présentaient un faible accomplissement personnel (PA). De plus, 132 (47,3 %) médecins avaient un EE élevé, 43 (15,4 %) avaient une DP élevée et 159 (57 %) avaient un PA faible. Tandis que 115 (42 %) infirmières avaient un EE élevé, 27 (9,9 %) avaient une DP élevée et 183 (66,8 %) avaient un PA faible (p = 0,041). Une charge de travail excessive (p = 0,042) et de nombreuses années passées à un poste de travail (p = 0,002) étaient significativement associées à l\'épuisement professionnel parmi les médecins, par rapport à la taille de la famille (p = 0,045) et au soutien au travail ou à la communauté (p = 0,005) parmi les infirmières.
    L\'étude a révélé une prévalence plus élevée du burnout parmi les médecins que parmi les infirmières. Les facteurs liés au travail ont contribué de manière significative au développement du burnout. Recréer et/ ou modifier les environnements de travail est essentiel pour atténuer les effets néfastes du burnout chez les travailleurs de la santé
    épuisement professionnel, épuisement émotionnel, dépersonnalisation, accomplissement personnel, médecins, infirmières, hôpital Universitaire, Uyo, Nigéria.
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  • 文章类型: Journal Article
    在2021年3月至8月之间进行了一项横断面研究;在西部的沙特委员会皮肤科培训计划的所有中心对所有皮肤科居民(n=79)进行了电子调查,东部和南部地区。参与是自愿的,并在研究前获得书面知情同意书.这项调查由70名皮肤科居民完成,88.61%的反应率。所有的参与者都知道研究的目的,并获得了他们的知情同意。研究设计符合赫尔辛基宣言的道德标准,并得到沙特阿拉伯伊玛目穆罕默德·伊本·沙特伊斯兰大学机构审查委员会的批准。共有70名受访者填写了问卷。47.1%的受访者存在高度情绪耗竭(EE),65.7%的人个人成就(PA)较低,在皮肤科居民的所有倦怠维度中,高度人格解体(DP)是最不普遍的(24.3%)。21.4%的皮肤科居民存在整体倦怠。多变量分析表明,男性发生EE的几率明显低于女性[比值比(OR)=0.2,P=0.016],每个诊所就诊的患者数量较高(OR=1.09,P=0.032)与具有较高的EE风险的几率有关。而对工作-生活平衡的满意度较高与EE高风险的几率较低相关(OR=0.47,P=0.005).较高的研究小时数/周与较低的PA几率相关(OR=0.95,P=0.02)。同样,职业满意度越高,PA低的几率越低(OR=0.35,P=0.042).多因素分析显示,只有运动(OR=0.21,P=0.05)和工作生活平衡满意度(OR=0.42,P=0.008)与较低的职业倦怠风险相关。我们的研究增加了沙特阿拉伯皮肤科居民的倦怠率,除了可以预测倦怠的可能风险因素,到文学。这些发现可用于改善培训计划并降低居民的倦怠率。
    A cross-sectional study was conducted between March and August 2021; an electronic survey was administered to all dermatology residents (n=79) in all centers with the Saudi Board Dermatology Training Program in the western, eastern and southern regions. Participation was voluntary, and written informed consent was obtained before the study. The survey was completed by 70 dermatology residents, for an 88.61% response rate. All the participants were aware of the study\'s aims, and their informed consent was obtained. The study design complied with the Declaration of Helsinki ethical standards and was approved by the Institutional Review Board at Imam Muhammad Ibn Saud Islamic University in Saudi Arabia. A total of 70 respondents completed the questionnaire. High emotional exhaustion (EE) was present in 47.1% of respondents, low personal accomplishment (PA) was present in 65.7%, and high depersonalization (DP) was the least prevalent (24.3%) across all burnout dimensions of dermatology residents. Overall burnout was present in 21.4% of the dermatology residents. Multivariate analysis showed that the odds of EE were significantly lower in males than females [odds ratio (OR)=0.2, P=0.016] and the higher number of patients seen per clinic (OR=1.09, P=0.032) was associated with higher odds of having a high risk of EE, while higher satisfaction with work-life balance was associated with lower odds of a high risk of EE (OR=0.47, P=0.005). A higher number of study hours/week was associated with lower odds of low PA (OR=0.95, P=0.02). Similarly, higher satisfaction with career was associated with lower odds of low PA (OR=0.35, P=0.042). Multivariate analysis showed that only exercise (OR=0.21, P=0.05) and satisfaction with work-life balance (OR=0.42, P=0.008) were associated with a lower risk of burnout. Our study adds the burnout rates among dermatology residents in Saudi Arabia, in addition to possible risk factors that can predict burnout, to the literature. These findings can be applied to improve training programs and reduce the burnout rate among residents.
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  • 文章类型: Journal Article
    背景:MoroJDS,SoaresJP,MassignanC,奥利维拉LB,RibeiroDM,卡多佐M,CantoGL,牙医中的BolanM.倦怠综合征:系统评价和荟萃分析。JEvid基于DentPract。2022年9月;22(3):101724。doi:10.1016/j.jebdp.202.101724。Epub2022年4月2日。PMID:36162888资金来源:大学资金。
    方法:系统评价与荟萃分析。
    Moro JDS, Soares JP, Massignan C, Oliveira LB, Ribeiro DM, Cardoso M, Canto GL, Bolan M. Burnout syndrome among dentists: a systematic review and meta-analysis. J Evid Based Dent Pract. 2022 Sep;22(3):101,724. doi: 10.1016/j.jebdp.2022.101724. Epub 2022 Apr 2. PMID: 36162888 SOURCE OF FUNDING: University funds.
    Systematic review with meta-analysis.
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  • 文章类型: Journal Article
    目标:急诊医学(EM)设置非常紧张,鉴于工作量大,紧张的工作环境,和延长的工作时间。反过来,越来越多的医疗工作者(HCWs)报告了倦怠率及其三个领域.因此,我们进行了这项荟萃分析,以确定EMHCWs中职业倦怠的患病率和危险因素.
    方法:在2023年2月搜索了六个数据库,产生了29篇文章(16,619EMHCWs)报告了倦怠或其三个领域(情绪疲惫\“EE\”,去个性化\"DP\",和个人成就“PA”)。主要结果是倦怠及其领域的患病率,次要结局包括高倦怠的危险因素,EE,DP,或低PA。使用STATA软件汇总研究中的倦怠率。患病率使用合并效应大小(ES)进行测量,当遇到异质性时,使用随机效应模型;否则,采用固定效应模型。
    结果:总体倦怠的患病率很高(43%),35%的EMHCW有很高的倦怠风险。同时,39%,43%,36%的EM工人报告有高水平的EE和DP和低水平的PA,分别。观察到特定国家/地区的倦怠率变化。高倦怠率,高EE,高DP,与大流行前相比,COVID-19大流行期间的低PA更高。职业的类型(护士,医师,居民,等。)在修改倦怠率及其领域方面发挥了重要作用。然而,性别不是EM工人中高倦怠或其领域的重要决定因素。
    结论:倦怠是急诊医学实践中普遍存在的问题,影响所有工人。随着居民培训年限的进步,他们经历倦怠的可能性加剧。护士受这个问题影响最大,其次是医生。与国家相关的倦怠及其领域的差异是显而易见的。
    OBJECTIVE: Emergency medicine (EM) settings are very stressful, given the high workload, intense working environment, and prolonged working time. In turn, the rate of burnout and its three domains have been increasingly reported among healthcare workers (HCWs). Therefore, we conducted this meta-analysis to determine the prevalence and risk factors of burnout among EM HCWs.
    METHODS: Six databases were searched in February 2023, yielding 29 articles (16,619 EM HCWs) reporting burnout or its three domains (emotional exhaustion \"EE\", depersonalization \"DP\", and personal accomplishment \"PA\"). The primary outcome was the prevalence of burnout and its domains, while secondary outcomes included the risk factors of high burnout, EE, DP, or low PA. Burnout rates were pooled across studies using STATA software. The prevalence was measured using the pooled effect size (ES), and the random-effects model was used when heterogeneity was encountered; otherwise, the fixed-effects model was used.
    RESULTS: The prevalence of overall burnout was high (43%), with 35% of EM HCWs having a high risk of burnout. Meanwhile, 39%, 43%, and 36% of EM workers reported having high levels of EE and DP and low levels of PA, respectively. Country-specific changes in the rate of burnout were observed. The rate of high burnout, high EE, high DP, and low PA was higher during the COVID-19 pandemic as compared to the pre-pandemic period. The type of profession (nurses, physicians, residents, etc.) played a significant role in modifying the rate of burnout and its domains. However, gender was not a significant determinant of high burnout or its domains among EM workers.
    CONCLUSIONS: Burnout is a prevalent problem in emergency medicine practice, affecting all workers. As residents progress through their training years, their likelihood of experiencing burnout intensifies. Nurses are most affected by this problem, followed by physicians. Country-associated differences in burnout and its domains are evident.
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