畢業後一般醫學訓練住院醫師工作壓力與滿意度之全國性調查分析

呂碧鴻; 高美英; 陳秀蓉; 王長偉

doi:10.6145/jme.200906_13(2).0005

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P113 - 121

医药卫生 > 医药总论
社会科学 > 教育学

DOI： 10.6145/jme

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毕业後一般医学训練住院医师工作压力与满意度之全国性调查分析

Analysis of Job Stress and Satisfaction among First Postgraduate Year Residents: A Nationwide Survey in Taiwan

呂碧鸿(Bee-Horng Lue) ；高美英(Meei-Ying Kao) ；陈秀蓉(Hsiu-Jung Chen) ；王长伟(Chang-Wei Wang)

Journal of Medical Education ； 13 卷 2 期 (2009 / 06 / 01) ， P113 - 121

繁体中文 DOI： 10.6145/jme.200906_13(2).0005

工作压力；工作满意度；毕业後第一年住院医师； job stress ； job satisfaction ； first postgraduate year residents

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摘要 │ 参考文献 (27) │ 被引用文献 (6) │ 国际计量

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Purpose: The first year of postgraduate residency (PGY1) is the most stressful year. The aim of this study was to investigate the job stressors among PGY1 residents, to measure their job satisfaction and to explore any influencing factors. Methods: PGY1 residents in the academic year 2006 were the study subjects. The study was conducted from January to June 2007. The job stress and satisfaction data were collected via a questionnaire survey. The job stressors were examined by factor analysis. Stepwise multivariate regression analysis was used to explore the predictors related to job satisfaction. Results: A total of 555 PGY1 residents (response rate 90.0%) completed the survey. Five stressors were identified including working situational stress, clinical skill stress, emotional pressure/demands from patients, dealing with family and friends’ illness, and personal stress; these explained 55.7% of the total variance. Overall, 38.0% of the residents frequently or always perceived the presence of job stress. Working situational stress and the emotional pressure/demands from patients were the main stressors. Close to 70% of the residents felt they had insufficient sleep or that the need to be constantly alert on duty was very stressful. Furthermore, more than 60% of the residents perceived that there was excess pressure due to the clerical/administrative activities or an excessive workload. Finally, 55.0% of the residents felt threatened by the possibility of making a mistake or perceived the threat of litigation. The important significant predictors of job satisfaction were working situational stress, which explained 19.9% of the variance and emotional support, which explained 9.7% of variance. Conclusion: PGY1 residents perceived that most of their stress came from their working situation and the emotion pressure/demands of patients. The presence of working situational stress affected their job satisfaction. Developing assistance services for these residents or reinforcing the functioning of the current mentoring system are recommended in order to promote the well-being of these residents, which, in turn, would improve the quality of medical care provided.

参考文献 ( 27 ) 〈TOP〉

(2003).Graduate medical education directory 2002-2003.Chicago:American Medical Association.
(2001).Patient and physician safety and protection act of 2001, HR 3236, 107th Cong.
Alexander D,Monk JS,Jonas AP(1985).Occupational stress, personal strain, and coping among residents and faculty members.J Med Educ,60,830-839.
Butterfield PS(1988).The stress of residency: a review of the literature.Arch Intern Med,148,1428-1435.
Chu Tzong-Shinn (Eds)(2009).Six core competencies in residency training.Taipei:Taiwan Association of Medical Education.

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