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Stress and wellbeing of junior doctors in Australia: a comparison with American doctors and population norms

机译:澳大利亚初级医生的压力与福祉:与美国医生与人口规范的比较

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Background Stress in doctors adversely affects decision-making, memory, information-recall and attention, thereby negatively impacting upon the provision of safe and high quality patient care. As such, stress in doctors has been subject to increasing scientific scrutiny and has amassed greater public awareness in recent years. The aims of this study are to describe stress levels and the psychological wellbeing of current junior medical officers (JMOs), and to compare this to their predecessors, American surgical residents and population norms. Methods Post graduate years 1 & 2 doctors at a single metropolitan tertiary referral center were surveyed in 2009 and 2014 using two reliable and validated psychometric questionnaires, the Short Form-36 (SF36) and Perceived Stress Scale-14 (PSS14), with additional questions pertaining to demographics and training. The results were compared with published data from American general surgical residents and Australian age-matched population norms. Results Mean stress levels were lower in 2014 (23?±?7.2) than in 2009 (27.2?±?7.6) ( p =?0.017). The mean PSS-14 score was lower than that of American surgical residents, both before (26.8?±?7.3, p =?0.003) and after (26.7?±?8.2, p =?0.004) implementation of the safe working hour policies but higher than societal controls ( p Conclusions Doctors are still at risk despite an improvement in their stress levels and overall mental health. They are less likely to be stressed and to have better mental health if they have less career-related anxiety. This has implications for the medical education and training of our junior doctors.
机译:背景技术医生的压力对决策,记忆,信息召回和注意力产生不利影响,从而对提供安全和高质量的患者护理产生负面影响。因此,医生的压力一直在越来越多的科学审查,近年来大量公众意识。本研究的目的是描述当前初级医疗官(JMOS)的压力水平和心理健康,并将其与其前辈,美国外科居民和人口规范进行比较。方法在毕业生1年代1和2名医生在2009年和2014年使用两次可靠和经过验证的心理调查问卷调查,短款-36(SF36)和感知压力量表-14(PSS14)进行调查,具有额外的问题有关人口统计数据和培训。将结果与来自美国普通外科居民和澳大利亚年龄匹配的人口规范的公开数据进行了比较。结果平均胁迫水平在2014年(23?±7.2)较低,而不是2009年(27.2?±7.6)(P = 0.017)。平均pss-14得分低于美国外科居民,之前(26.8?±7.3,p = 0.003)和之后(26.7?±8.2,p = 0.004)实施安全工作时间政策但高于社会管制(P结论医生仍然有风险,尽管他们的压力水平和整体心理健康状况有所改善。如果他们有较少的职业相关的焦虑,它们的强调并具有更好的心理健康状况。这有影响为我们的初级医生的医学教育和培训。

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