研修医の燃え尽きに対するストレス対応能力と労働時間の影響について

• 資料種別: 博士論文
• タイトル: 研修医の燃え尽きに対するストレス対応能力と労働時間の影響について
• 巻次・部編番号: 20
• 著者・編者: 貴島, 沙織
• 著者標目: 貴島, 沙織
• 出版事項: BMC
• 出版年月日等: 2020; 20
• 出版年（W3CDTF）: 2020
• 並列タイトル等: Effect of stress coping ability and working hours on burnout among residents
• タイトル（掲載誌）: BMC Medical Education
• 授与機関名: 鹿児島大学
• 授与年月日: 2020-10-16
• 授与年月日（W3CDTF）: 2020-10-16
• 報告番号: 甲総研第577号
• 学位: 博士(医学); Doctor of Philosophy in Medical Science
• 博論授与番号: 甲総研第577号
• 本文の言語コード: eng
• 件名標目: Burnout; Maslach burnout inventory; Sense of coherence; Resident; Working hours
• NDC: 490
• 対象利用者: 一般
• 一般注記: 博士論文全文, 博士論文要旨, 最終試験結果の要旨, 論文審査の要旨; Background: Burnout among residents leads to interruptions in training and even to exit from programs. Despite the implementation of working hour restrictions in the U.S. in 2013, the high rate of burnout remains a serious problem. Therefore, we analyzed Japanese residents’ burnout, training conditions, and associated factors, especially stress coping ability, which could become an evidence base for creating guidelines of programs and working environments.Methods: In total, 37 teaching hospitals were randomly selected, and all residents in the third and fifteenth months of a residency program at these hospitals were targeted for this research. We analyzed the residents’ burnout rates, associated factors, and interactions using response data from a self-administered questionnaire consisting of the Japanese versions of the Maslach Burnout Inventory (MBI) and the Sense of Coherence (SOC) scale, as well as items asking about their training environments, gender, and age.Results: Overall, 48 (49.5%) of 97 residents in 18 teaching hospitals (62 and 35 in the third and fifteenth months, respectively), whose average working hours were 63.3 h per week, were judged as having burnout, among whom, 33 (53.2%) and 15 (42.9%) had burnout in the third and fifteenth months, respectively. Logistic regression analysis indicated that working hours and 10 items on the SOC scale (SOC10) were significant factors of burnout. Two-way analysis of variance revealed that working hours was a significant variable for the MBI-emotional exhaustion score and SOC10 in the third and fifteenth months, respectively. Regarding the MBI-cynicism and professional efficacy scores, the SOC10 was a significant variable in both the third and fifteenth months. In addition, the high SOC group (SOC10 > 45) showed higher personal efficacy under longer working hours.Conclusion: About half of the Japanese residents were judged as having burnout as early as the third month of training under regulations of working 40 h per week. Individual stress coping ability and working hours were found to be significant factors for burnout. Residents with high stress coping ability exhibited more personal efficacy with more working experiences, which suggests that the SOC scale could be a valuable tool to help foster a suitable training environment.Saori Kijima, Kazuya Tomihara and Masami TagawaEffect of stress coping ability and working hours on burnout among residentsBMC Medical Education, 20, 219 (2020)DOI: https://doi.org/10.1186/s12909-020-02134-0
• 国立国会図書館永続的識別子: info:ndljp/pid/11673225; https://dl.ndl.go.jp/pid/11673225
• コレクション（共通）: 障害者向け資料
• コレクション（障害者向け資料：レベル1）: テキストデータ
• コレクション（個別）: 国立国会図書館デジタルコレクション > デジタル化資料 > 博士論文; https://dl.ndl.go.jp/collections/A00014
• 収集根拠: 博士論文（自動収集）
• 受理日（W3CDTF）: 2021-05-20T03:24:30+09:00
• 作成日（W3CDTF）: 2020-10-27
• 記録形式（IMT）: PDF; application/pdf
• オンライン閲覧公開範囲: 国立国会図書館内限定公開
• デジタル化資料送信: 図書館・個人送信対象外
• 遠隔複写可否（NDL）: 可
• 掲載誌（URI）: http://hdl.handle.net/10232/00031490
• 連携機関・データベース: 国立国会図書館 : 国立国会図書館デジタルコレクション; https://dl.ndl.go.jp

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